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March 22, 2011
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  1. Curbing Childhood Obesity:A Federal, Provincial and Territorial Framework for Action to Promote Healthy WeightsPresentation by the Healthy Living Project Committee of the Pan-Canadian Public Health Network March 22, 2011 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  2. Table of Contents • Childhood obesity in Canada • F/P/T governments – A collective priority for action • Framework– Strategies • Strategy 1 - Our Health Our Future: A National Dialogue on Healthy Weights • Desired outcomes of engagement • Building on existing initiatives • Conclusion • Annex A: Framework– Key Concepts • Annex B: Engagement Approaches Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  3. Childhood Obesity in Canada • More than 1 in 4 children/youth are overweight or obese • Trend - between 1978/79 and 2004: • Combined prevalence of overweight and obesity among those aged 2 to 17 rose from 15% to 26% (8% obese, 18% overweight) • Greatest increase was among youth aged 12 to 17 (from 14% to 29%) • Immediate and long-term health outcomes – e.g. type 2 diabetes, stroke, cardiovascular disease and hypertension • Complex problem: • Directly/indirectly related to various issues (e.g. built environment, access to nutritious foods) • Decreasing the risk of chronic diseases requires broad actions to support physical activity and healthy eating, including sodium-reduction • Requires sustained, multi-sectoral, multi-strategy response including public, private, health professional and non-governmental sectors Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  4. F/P/T Governments: A Collective Priority for Action • Pan-Canadian Healthy Living Strategy endorsed by F/P/T Ministers of Health (2005) / Strengthened Pan-Canadian Healthy Living Strategy Framework (2009) • September 2010 - F/P/T Ministers of Health and/or Health Promotion/Healthy Living (except Québec*) endorsed: • Declaration on Prevention and Promotion (Declaration) • Curbing Childhood Obesity: A Federal, Provincial, Territorial Framework for Action to Promote Healthy Weights(Framework) • February 2011 - F/P/T Ministers responsible for Sport, Physical Activity and Recreation (SPAR) endorsed: • Declaration and Framework; increasing physical activity and reducing childhood obesity with a focus on the after-school time period • February 2011 - P/T Education Ministers agree to work with F/P/T SPAR on increasing children and youth physical activity through joint action • It should be noted that although Québec shares the general goals of the Framework for Action, it was not involved in developing it and does not subscribe to a Canada-wide strategy in this area. Québec intends to remain solely responsible for developing and implementing programs for promoting healthy living within its territory. However, Québec does intend to continue exchanging information and expertise with other governments in Canada. Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  5. Framework– Strategies Canada’s Ministers of Health agreed to: • Strategy 1 – • Make childhood overweight and obesity a collective priority for action for F/P/T Ministers of Health and/or Health Promotion/Healthy Living; • Champion the issue; • Encourage shared leadership and joint and/or complementary action from government departments and other sectors of Canadian society • Our Health Our Future: A National Dialogue on Healthy Weights • Strategy 2 - Coordinate efforts on three key policy priorities: • Supportive Environments • Early Action • Nutritious Foods • Strategy 3 - Measure and report on collective progress: • Continually inform options; track rates and contributing factors; regular monitoring and reporting Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  6. Framework - Strategies (Cont’d) Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  7. Strategy 1 – ‘Our Health Our Future:A National Dialogue on Healthy Weights’ Engagement Objectives: • Inform: inform youth (12 – 18) and multi-sectoral stakeholders about the issue of childhood obesity and related efforts • Input: identify and discuss actions that could be implemented to support the Framework and identify barriers, gaps and opportunities • Shared leadership: mobilize participants and encourage everyone to implement their own strategies for change in support of the Framework Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  8. Desired Outcomes of Engagement • Engage stakeholders in a national dialogue addressing the issue of childhood obesity • Move towards consensus among stakeholders, including youth and their parents/caregivers, on the issues and broad directions for action • Obtain commitments to action across stakeholder groups • Identify mechanisms to influence behaviours and environments • ‘Kick-start’ a longer-term process that will ultimately lead to attitude and behaviour change on behalf of individuals, government, organizations and society and a change in social norms (e.g. tobacco) Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  9. Building on Existing Initiatives Many joint & complementary initiatives underway such as: (Examples only) • Led/supported by Government of Canada: • Eating Well with Canada’s Food Guide • ParticipACTION • Nutrition North Canada • Provinces and Territories: • Baby Friendly Initiative • Adaptation and implementation of WHO Growth Charts • School Food Guidelines • Comprehensive healthy weight initiatives • Northern Healthy Food Initiative • Federal, Provincial and Territorial: • Joint policy statement Intersectoral Action on Children and Youth Physical Activity Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  10. Building on Existing Initiatives (Cont’d) (Examples only) • Non-governmental Organizations/Professionals/Researchers: • Canadian Partnership Against Cancer / Coalitions Linking Action, Science for Prevention Initiative (CLASP) • Children’s Mobility Health and Happiness: A Canadian School Travel Planning Model • Collaborative Action on Childhood Obesity • Youth Excel • Promoting Health by Changing the Built Environment • Canadian Obesity Network • University of Waterloo Propel Centre for Population Health Impact • Youth:YMCA; Centre of Excellence for Youth Engagement • Aboriginal:Assembly of First Nations -IndigenAction • Industry:Canadian Produce Marketing Association - Mix It Up Campaign (Freggie Tales) • Media:CBC - Live Right Now Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  11. Conclusion • A global epidemic / a national crisis • What could you and/or your organization do to further address childhood obesity and promote healthy weights? • Ourhealthourfuture.ca Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  12. Annex A Framework -Key Concepts Areas of Focus Healthy weights Childhood obesity Physical activity Healthy eating Challenges Complex and interacting system of contributing factors Collective action from all sectors of society Platform Healthy Weights identified as first priority of the Strengthened Pan-Canadian Healthy Living Strategy Framework (2009) The Framework is the first tangible action of the Declaration on Prevention and Promotion (2010) Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

  13. Engagement Approaches Annex B Health Ministers Meeting Nov. 24 and 25, 2011 Engagement activities will roll out over time from March to the Summit in October 2011. Our Health Our Future: A National Dialogue on Healthy Weights • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •