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COMMUNITY INTERVENTIONS FOR HEALTH SUCCESSES AND CHALLENGES IN MEXICO Jorge A. Ramírez, Teresa Fernández, Gabriela Capó, Vianey Cortés, Samanta De Larrosa, Diana López, Marlene Medina, Beatriz Champagne. Baselines Data. Baseline Data Summary Points. School aged children

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slide1

COMMUNITY INTERVENTIONS FOR HEALTH

SUCCESSES AND CHALLENGES

IN MEXICO

Jorge A. Ramírez, Teresa Fernández, Gabriela Capó, Vianey Cortés, Samanta De Larrosa, Diana López,

Marlene Medina, Beatriz Champagne

baseline data summary points
Baseline Data Summary Points

School aged children

  • Low levels of physical activity among school children
    • Girls are less physical active than boys
    • Girls are eating more fruits and vegetable than boys
  • Smokeless tobacco uses is higher in school-aged children compared to adult population
    • 7.1% of students in lower grade reported smokeless tobacco use as compared with 5.8% of students in upper grades
baseline data summary points cont
Baseline Data Summary Points Cont…

Adults in different settings

  • Adults in the community report higher level of physical activity than adults in workplaces and clinicians
  • Adults are not physical active daily
    • 10.0% males and 14.9% females are doing less than 30 minutes of PA per day on average
  • Adults are not eating sufficient amounts of fruits and vegetables especially in workplaces
  • Among adult population clinicians had highest reported level of meeting the recommended fruit and vegetable consumption
slide6

RATIONALE OF THE INTERVENTIONS

  • 1. Definemicroregionstopulltogether, in ageographicalarea, cultural & socioeconomiccharacteristics
  • Pueblos, ( rural traditional) Barrios(urbantraditional)
  • Barrios (
  • Colonias (urban) Blocks of flats
rationale of the interventions
RATIONALE OF THE INTERVENTIONS
  • Schools and healthcare centres as thedrivingforces of intervention.
  • Up to 20-25% of thecommunityiscontactingthroughthestudents.
  • 20,000 medicalconsultations are delivered in theprimaryhealthcaresystem of Tlalpan monthy.
intervention schools
Intervention: schools
  • Nutritioneducation and promotingtheestablishment of canteens
    • Workingwithdifferentstakeholderstoimprovethetypes of foodoffered in schools
school interventions
School:Interventions

Promoting and implementingphysicalactivity

  • 3 times a week
school interventions1
SchoolInterventions
  • Posters createdbyschoolchildrenonhealthyeating
intervention health centres
Intervention: health centres
  • Educatingpatientsonnutrition and physicalactivity
intervention health centres1
Intervention: health centres
  • Promotingphysicalactivitywithinhealthcarefacilities
health promoters
Health promoters
  • 100 paid health promoters funded by National Sports Commission and DelegaciónTlalpan (local authority).
    • Community oriented
  • 400 trained volunteered promoters
    • Doctors and health care personnel in contact with patients, teachers and different people in the community.
    • Target population 200,000 people
intervention community
Intervention: community
  • Community fiestas
  • Health promotersactivatecommunitymembers
  • Educationonnutrition
  • Creating open air gyms
  • Creatinghealthmurals
challenges
Challenges
  • Mexico is the most obese country world wide
  • Time required to cultivate partnership with key stakeholders
  • Important policies can be passed by decision makers but there are inconsistencies in how policies are implemented
  • Food environment is not supportive for healthy eating
    • Lots of high fat food/salt foods, soft drinks are widely consumed and available
    • A very large informal market in food retail with unhealthy food.
successes
Successes
  • CIH has brought national programmes to Tlalpan
  • Develop culture of healthy living and physical activity in young people and in the community
  • Better coordinated efforts to tackling obesity epidemic in Mexico City
  • Energizing different stakeholders toward action in prevention NCD
  • CIH being recognized and consulted as experts in NCD prevention
sustainability
Sustainability
  • Ministry of Health in the City of Mexico is considering scaling CIH activities city wide
  • CIH trainedhealthprofessionalswillcontinueto prescribe patientsonphyscalactivity, nutrition and tobaccocounselling
  • Advising on operation of new hospital in Tlalpan
  • Fundingforhealthpromoterswillcontinueafterwards