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Caribbean Workshop on Physical Activity Follow On.. March 9, 2009

Caribbean Workshop on Physical Activity Follow On.. March 9, 2009. ACTIVE CARIBBEAN 2009; ROAD TO THE WELLNESS REVOLUTION. Caribbean Workshop on Physical Activity March 6-7 2009 Accra Beach Hotel & Resort Christ Church, Barbados. Promoting physical Activity:.

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Caribbean Workshop on Physical Activity Follow On.. March 9, 2009

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  1. Caribbean Workshop on Physical Activity Follow On.. March 9, 2009

  2. ACTIVE CARIBBEAN 2009; ROAD TO THE WELLNESS REVOLUTION Caribbean Workshop on Physical Activity March 6-7 2009 Accra Beach Hotel & Resort Christ Church, Barbados

  3. Promoting physical Activity: Evolution & Opportunities

  4. OVERVIEW • Burden of chronic disease and prevalence of physical inactivity in the Caribbean • Evolution of physical activity promotion • Opportunities for physical activity promotion initiatives in the Caribbean

  5. Caribbean PA Inactivity Prevalence: • One half of adults are sedentary • More females • More urban • 17-38% engage in planned exercise

  6. CARICOM Heads of Government Summit on NCD's September 15, 2007 Port of Spain, Trinidad

  7. Promoting Physical Activity in the Caribbean May 6, 7 2008 Port of Spain, Trinidad

  8. Caribbean Regional Private Sector Meeting on NCD Prevention and Control May 8-9 2008 Port of Spain, Trinidad

  9. HEALTHY CARIBBEAN 2008 First Caribbean Chronic Disease Conference: A Wellness Revolution Event October 16-19 2008 Christ Church, Barbados

  10. EVOLUTION OF PROMOTING PHYSICAL ACTIVITY

  11. ESTABLISH HEALTH AND OTHER BENEFITS

  12. ESTABLISH IMPORTANCE AS A RISK FACTOR

  13. ESTABLISH GUIDELINES ACHIEVABLE VIA ACTIVITIES OF DAILY LIVING

  14. DOCUMENT PREVALENCE OF INACTIVITY (SURVEILLANCE)

  15. ECONOMICS AND DEVELOPMENT RATIONALE

  16. Cost Effectiveness of Community-Based Activity InterventionsAm J Prev. Med 2008; 35 (4) Roux, Pratt, et al • Study assessed *cost-effectiveness (CEA) of population – wide strategies to promote physical activity in adults and followed disease incidence over a lifetime. • *Dollars per quality – adjusted life year (QALY) gained relative to no intervention.

  17. Four Intervention Strategies Previously Recommended By the Task Force on Community Preventive Services: • Community – wide Campaigns. • Individually adapted health behavior change. • Community social – support interventions. • Creation of or enhanced access to physical activity information and opportunities.

  18. Conclusions: • All evaluated PA interventions reduced disease incidence. • All evaluated PA interventions were cost-effective. • Compared with other well accepted preventive strategies the PA interventions offered good value for the money • Results support using these interventions as part of public health efforts to promote physical activity • In considering PA interventions, CEA is a valuable adjunct to other factors such as program reach, feasibility, community priorities and resources.

  19. DOCUMENT THE MANDATE (RESOLUTIONS, ETC.)

  20. “WHO Calls For Action to Tackle Social Injustice” • …..Targeted preventive campaigns, for example about the risks of inactive lifestyles, can help close the health gap.

  21. AWARENESS ACTION

  22. CAPACITY BUILDING

  23. RESOURCES/PROGRAMS

  24. INTERSECTORAL INNOVATIONS

  25. WHO STRATEGY ANDASSISTANCE TO IMPLEMENT

  26. ADVOCACY FOR DEVELOPMENT OF NATIONAL PLANS

  27. PA ATTRIBUTES

  28. PROMOTING PHYSICAL ACTIVITY IS EXCITING, POSITIVE, MARKETABLE AND TIMELY

  29. Synergy: PA complements other important national policy issues such as nutrition, urban safety, tobacco control, environmental health, transportation and sport.

  30. It encourages positive action not prohibition

  31. The message is simple and consistent

  32. It is relatively free from opposing lobbies, special interest groups

  33. Recommendations can be achieved via enjoyable activities of daily living (walking the dog e.g.) or sport

  34. Mark Cunningham

  35. BENEFITS APPLY ACROSS POPULATIONS

  36. Benefits extend beyond health alone to workplace issues such as productivity and absenteeism

  37. Benefits to quality of life for older adults especially relevant with aging populations

  38. Increased awareness of NCD burden and obesity prevalence provides incentive

  39. Specific plans and interventions can be tailored to individual country circumstances

  40. Promoting physical activity must be opportunistic according to individual country politics, culture, capacity.

  41. Plans/ initiatives can be broad spectrum from simple to sophisticated and can start through alternative sectors.

  42. ELEMENTARY EXAMPLE…. Winning sport season promotes population level interest

  43. SOPHISTICATED EXAMPLE: • Collect data to individualize country prevalence of inactivity, NCD rates, and demonstrate potential economic and other benefits to be gained by increasing population levels of PA.

  44. COST SAVING MECHANISM: Minimize data collection by using international consensus data

  45. GETTING STARTED

  46. GOOD PRACTICES IN NATIONAL PUBLIC HEALTH PLANNING APPLIED TO PHYSICAL ACTIVITY • Make the case (health and others) • Consult with key stakeholders; identify partners • Comprehensive inter-agency planning; shared responsibility of coalitions/ task forces • Multiple strategies at different levels • Identify "what, who, timeline, $$" • Evaluation ( process and outcome)

  47. WHICH SECTOR LEADS? • HEALTH • SPORT • TRANSPORTATION / URBAN PLANNING • EDUCATION • DEVELOPMENT • GOVERNMENT • NGO'S • PRIVATE SECTOR • ENGAGING OTHERS IS ESSENTIAL

  48. A WORD ABOUT EVALUATION

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