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Local public health authority of Bergamo

Local public health authority of Bergamo. Marco Cremaschini Health Promotion Service. Organization profile: ASL, the local public health authority. Mission of ASL is to ensure population health by: Defining general and local health policy

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Local public health authority of Bergamo

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  1. Local public health authorityof Bergamo Marco Cremaschini Health Promotion Service

  2. Organization profile: ASL, the local public health authority Mission of ASL is to ensure population health by: • Defining general and local health policy • Delivering public grants to Hospitals and social services • Managing Primary Health Care (GPs and Pediatricians) • Managing epidemiology data (on mortality, morbidity, cancer registry, drug consumption, use of health services…) • Inspectioning for food safety, security at work, safety of health services… • Providing directly primary prevention • Health promotion • Vaccinations • Social services in collaboration with Municipalities

  3. The main PH problem: chronic diseases In the WHO European Region, chronic diseases cause:  - 86% of deaths - 77% of the disease burden Source: WHO, Global Health Risks 2009

  4. Source: WHO, Global Health Risks 2009

  5. Areas of operation and priorities Source: WHO, Global Health Risks 2009

  6. Logic of operation: Health promotion By setting: • Workplace Health promotion • Health promoting schools • Health promoting hospitals and health services • Healthy cities By Risk factor • Tobacco control programs • Promotion of physical activity • Nutrition programs • Traffic injuries prevention

  7. Logic of operation WHP HPS HC - HPH

  8. New approaches Networks: Health promoting schools Health promoting hospitals Workplace health promoting (program of excellence) Healthy cities E-Health: Social network mediated interventions (preventing HIV with facebook) SMS / email support of smoking cessation, phisical activity… E-education of professionals

  9. The Bergamo WHP network • Based on a process of accreditation • ASL selects effective good practice and inserts in a manual (WHP manual) • Companies carry at least 6 good practices per year to maintain accreditation • Measurement of results • Now extended by a Regional Law to all Lombardy Region

  10. The WHP Network The company should develop 6 activities (best practices) in two areas every year : nutrition tobacco physical activity road safety and sustainable mobility alcohol and drugs personal and social wellbeing

  11. Activities are choosen from a list on the operational manual:

  12. Main results of WHP program • 70 workplaces in the provice of Bergamo • Actually 86 in the region • More than 15.000 workers involved • Very high interest from the community • Good effectiveness indicators (reduction in the number of smokers, increased consumption of fruits and vegetables at the canteens, increased levels of physical activity practiced)

  13. thanks for your attentionsorry for my bad Italian! mcremaschini@asl.bergamo.it

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