croatian national health promotion program „healthy living“ · croatian national health...
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Croatian National Health Promotion Program
„Healthy Living“
Assist. Professor Sanja Musić Milanović MD, PhD Croatian Institute of Public Health, Reference Center of the Ministry of Health for Health Promotion;University of Zagreb, School of Medicine, School of Public Health „Andrija Štampar”
The Project was co-financed by the European Union from the European Social Fund.
OPERATIONAL PROGRAM
Efficient
human
resources2014. - 2020.
EMPLOYMENT
SOCIAL INCLUSION
EDUCATION
BETTER ADMINISTRATION
OVERARCHING GOAL
To inform, educate and sensitize Croatian citizens of all age groups about positive
aspect of healthy lifestyles through community action:
Physical health
Mental health
Sexual health
CONTRIBUTIONS
Educating citizens on maintaining health
Higher availability of services for practicing healthy lifestyles
Changing modifiable life habits
Increase in the share of healthy citizens in Croatia
ESF financial contribution: 4.088.943,40 €
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
GOAL: 1. Promoting healthy diets and physical activity with the goal of preventing
overweight and obesity 2. Health education in the area of mental health 3. Education and informing of students, youth and target groups in the field
of sexual and reproductive health and responsible sexual behavior
TARGET GROUP:School-aged children and educators
FINANCES:2.332.672,00 €
1. Health Education
IMPLEMENTATION PARTNERS:
Physical HealthSexual/reproductive
Health
POLYGON
Mental Health
2003
19.5%22.1%
SOURCE:Croatian Health Survey 2003, University of Zagreb, School of Medicine, School of Public Health „Andrija Štampar”
Prevalence of Overweight and Obesity in Children
20.8%
Nutritional Recommendations for Elementary School Children
SOURCES:Kaić-Rak A, Antonić K, Tables on the composition of foods and beverages, Health care institute od SR Croatia, Zagreb 1990National Nutritional Guidelines for Elementary School Children, Ministry of Health, 2013
2475
2032.5
2600
2220
2350
1845
1700
1800
1900
2000
2100
2200
2300
2400
2500
2600
2700
1990 2013
Total Boys Girls
kcal
/day
Year
2013 - National Nutritional Guidelines for Elementary School Children
Nutritional Normative for elementary school children
12/2012
Goal: Nutritionist in every school
Nutritionist:
- Menus development- School teams education- Evaluation
2015
31.0%38.7%
SOURCE:CroCOSI 2015/2016, Croatian Institute of Public Health
Prevalence of Overweight and Obesity in Children
34.9%
• 37 Weekly school menus for 4 seasons
• 37 Additional school menus for lactose intolerant children
• We have visited schools in ten counties
Nutrition in schools
Secretary
Teacher
Chef
Parent
Principal
First step is to establish „School Team for Nutrition”
DAY Dairy meal Lunch Snack kcal
25 Sep 2017
Monday
seeds roll
acidophilus milk
apple
green bean, carrot and potato stew with
chicken
mixed flour bread
crêpes with marmalade 1012,9
26 Sep 2017
Tuesday
sandwich (wholemeal bread, ham,
cheese, fresh peppers)
chicory coffee with milk
pea cream soup
turkey burger
vegetable stew with rice
cabbage salad
Čokolino cereal
milk
pear
1092,4
27 Sep 2017
Wednesday
fruit muesli with milk
banana
meatballs in tomato sauce
mashed potatoes and cauliflower
carrot salad
cornbread
margarine spread
milk
1210,08
28 Sep 2017
Thursday
corn polenta
drinking yogurt
grapes
vegetable soup with millet
roast pork
sautéed green beans with vegetables
cheese dessert with fruit 1059,7
29 Sep 2017
Friday
graham bread
ham and cottage cheese spread
honey and lemon tea
pasta with tuna and vegetable and tomato
sauce
lettuce and rapunzel salad
coconut pudding
with dried fruit 966,0
1068,27
Weekly menu for elementary schools 25 – 29 September 2017
DAY Dairy meal Lunch Snack kcal
5 Feb 2018
Monday
butter roll
probiotic yogurt
apple
celery, potato and pea soup
pasta al forno with pumpkin and cottage
cheese
pickles
vanilla pudding with sour
cherries
1080,0
6 Feb 2018
Tuesday
muesli cereal with milk
banana
cream of leek soup
potatoes au gratin
sauerkraut salad
mixed-fruit compote 1346,0
7 Feb 2018
Wednesday
rye bread
cream cheese spread with olives
cocoa
chicken stew with dumplings and
vegetables
mixed flour bread
apple strudel
mandarin orange 969,7
8 Feb 2018
Thursday
sandwich (mixed flour bread, ham,
cheese, fresh peppers)
mandarin orange
carrot soup
pork in tomato sauce with peas
rice and green peas
lettuce salad
millet with dried fruits and
apple
milk
1184,7
8 Feb 2018
Friday
vegetable pizza tomato soup with rice
pan-fried hake
bean salad
cornbread
margarine spread
fruit yogurt
1132,0
1142,48
Note: It is possible to move dessert from lunch to snack time (e.g. serve apple strudel at snack time due to limited time for meals).
Weekly menu for elementary schools 5 – 9 February 2018
DAY Dairy meal Lunch Snack kcal
14 May 2018
Monday
oat roll
cottage cheese with cream
lemon and honey tea
kohlrabi, pea, carrot and celery stew with
oatmeal
rye bread
integral fruit muffin
milk
1110,5
15 May 2018
Tuesday
semolina pudding sprinkled with
cocoa powder
apple
chicken soup with millet
turkey fillet in mushroom sauce
gnocchi
lettuce and rapunzel salad
mixed bread
honey
milk
1005,45
16 May 2018
Wednesday
sandwich (mixed flour bread, ham,
cheese, cucumbers)
acidophilus milk
meat, zucchini and spring onion moussaka
cabbage salad
Keksolino cereal with
milk
1169,0
17 May 2018
Thursday
chocolate muesli cereal
milk
banana
beef broth with noodles
boiled beef in tomato sauce
sautéed rice with carrots and peas
cucumbers
cornbread
margarine spread
fruit yogurt
1266,0
18 May 2018
Friday
seed bread
margarine spread
boiled egg
chicory coffee with milk
vegetable soup
shrimp pasta with tomato sauce
lettuce, radish and maize salad
cherries strudel
milk
1086,4
1127,47
Weekly menu for elementary schools 14 – 18 May 2018
Future plans – additional menus
• for Lactose-intolerant children
• Vegetarians
• for Gluten-intolerant children
Lactosefree
Vegetarians
Glutenfree
1. Health education - implementation
HEALTHY NUTRITION FOR CHILDREN
Crocos’s plate –
for kindergarten children
Nutritional recommendations for Elementary school children
(1st-4th grade & 5th-8th grade)
Nutritional recommendations for High school children
KROKOSOV TANJUR
KINDERGARTENCHILDREN
HIGH SCHOOL CHILDREN
Nutritional recommendations
ELEMENTARY SCHOOL CHILDREN
PREHRAMBENE SMJERNICE
ZA DJECU(1. - 4. razred osnovne škole)
Future Goals
• Improve dietary habits of school children
• Gradually introduce new food to children
• Educate school children
• Include children as members of „School Team for Nutrition”
• Educate school chefs
• Educate parents – tips and tricks:
how to increase consumption of
fruit and vegetables
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
3. Health and Nutrition
IMPLEMENTATION PARTNERS:
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
IMPLEMENTATION PARTNERS:
4. Health and the Workplace
Main activity: „Health-friendly Company”
GOAL: Introduction of special certificates for workplaces
which enable their employees to adopt healthy habits in life,
promote health in the workplace and show positive
care for health of their employees.
TARGET POPULATION: Working population
FINANCES: 232.295,00 €
ASSOCIATION OF CROATIAN TRADE
UNIONS
MINISTRY OF LABOUR AND PENSIONSYSTEM
PREHRAMBENE SMJERNICE ZA
RADNO AKTIVNU POPULACIJU
