Public and private sector models from abroad
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Public and Private Sector Models from Abroad. Colorado Springs – December 6-8, 2004. highest life expectancy: 81.2 longest health expectancy: low rates of heart disease, cancer, dementia, hip fractures

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Public and Private Sector Models from Abroad

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Public and Private Sector Models from Abroad

Colorado Springs – December 6-8, 2004


highest life expectancy: 81.2

longest health expectancy: low rates of heart disease, cancer, dementia, hip fractures

Centenarian Study to uncover genetic and lifestyle factors (diet, exercise habits, and psychospiritual beliefs and practices)


Largest Natural Experiment on Diet

  • Sudden socio-economic changes in late 80‘s

  • Increase in price of foods with animal fat

  • Availability of fruits and vegetables (year round)

  • Mortality rates from cardiovascular disease fell by 25% in 20-44 age group in 3 years (15% in 45-64 age group)


Sobrepeso e Obesidade em Adolescentes na Cidade de São Paulo

%

%

%

  • 56 Escolas

  • 8.000 estudantes

  • 10-15 anos

%

Projeto MEGA – UNIFESP/USMarcos/ILSI-2004


Example #1 : Agita Sao Paulo

  • 3 target groups: Students / teenagers, workers, and older adults.

  • Permanent activities: schools, communities (walk programs in hospitals, health centers, city halls, and older people centers), companies (granted 10-15 minutes of the workday for their employees to devote to physical activity).

  • Mega events

  • Supportive actions


Factors of Success

  • Based on scientific evidence

  • Strong partnership (intellectual and institutional)

  • Clear message  

  • Inclusive approach

  • Target groups  

  • Tailored messages                               

  • Continuous evaluation   

  • Fun/Fun/Pleasure   

  • Linked to cultural aspects                               

  • Two-hats Approach (government/NGOs and private sector)

  • Multi-component intervention using „mobile management" of the ecological model


Health factors driven by good leadershipPre-reconditions for healthy organisations

Pridelong-term involvementcredibilityethics & morals

ClarityGoals, results

According to Antonovsky

Sense of coherence

3 key wordsCoherenceParticipationPurposeful

Stability in organisationStaffing, speed of change,time for recuperation

VariationPossibility to influence

Confirmationvisibilitydevelopment

ParticipationBeing a part (of the ”whole”)sense of coherence

Contentment (feeling good)Relations to boss, friends, family, have fun

Let´s fight ill-health by focusing on good health


Singapore

  • Impressive reductions in smoking (15% prevalence) and child obesity rates (10%)

  • Health Promotion Board

  • National Healthy Lifestyle Programme

  • C.H.E.R.I.S.H. Award for schools

  • Healthy Lifestyle Ambassador Award

  • National WHP Programme


Case Study: Germany

  • 3rd in health care spending % of GDP

  • Health care reform efforts underway

    (prevention law being discussed)

  • Sickness funds are asked to spend €2,70 per member per year – average amount spent is €1,56

  • Impact of €10 co-payment <--> entitlement mentality

  • Tobacco tax --> 8% of smokers quit


Top 10 Tips for Healthy Living

1. Don't be poor.

2. Pick your parents well.

3. Graduate from high school or, better yet, university.

4. Don't work at a stressful, low-paid job. Find a job where you have decision-making power and control.

5. Learn to control stress levels.


Top 10 Tips for Healthy Living

6. Be able to afford a foreign holiday and sunbathe (with SPF 30).

7. Don't be unemployed.

8. Leave in a community where you have a sense of belonging.

9. Don't live in a ghetto, near a major road or polluting factory.

10. Learn to make friends and keep them.


Health promotion’s technologies

  • Healthy public policy

  • Supportive environments

  • Community action

  • Personal skills

  • Health services


Health Promotion Strategy

  • Enable people to control their own health

  • Combine individual and social solutions

  • Involve all sectors

    • healthsocial services

    • educationtransportation

    • recreationbusiness

    • safetyentertainment


health promotion = health education x healthy policy

SYNERGY


Enhanced International Exchange

  • Globalization

  • Value

  • Project

  • Comparative study US-Europe

  • International forum


Contact: [email protected] Tel: 49-30-30824887www.wolfkirsten.com


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