Public and Private Sector Models from Abroad

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Public and Private Sector Models from Abroad

• Colorado Springs December 6-8, 2004

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• 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)

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Largest Natural Experiment on Diet

• Sudden socio-economic changes in late 80s
• 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)

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Sobrepeso e Obesidade em Adolescentes na Cidade
de São Paulo

• 56 Escolas
• 8.000 estudantes
• 10-15 anos

Projeto MEGA UNIFESP/USMarcos/ILSI-2004
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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

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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

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Health factors driven by good leadershipPre-reco
nditions for healthy organisations
ClarityGoals, results
Pridelong-term involvementcredibilityethics
morals
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
Lets fight ill-health by focusing on good health
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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

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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

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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.

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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.

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Health promotions technologies

• Healthy public policy
• Supportive environments
• Community action
• Personal skills
• Health services

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Health Promotion Strategy

• Enable people to control their own health
• Combine individual and social solutions
• Involve all sectors
• health social services
• education transportation
• recreation business
• safety entertainment

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health promotion health education x healthy
policy

• SYNERGY

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Enhanced International Exchange

• Globalization
• Value
• Project
• Comparative study US-Europe
• International forum

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