margret ploum
TRANSCRIPT
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Margret Ploum
Team-leader Preventing Overweight
Netherlands Nutrition Centre The Hague
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The healthy School Canteen Programme
Margret PloumNetherlands Nutrition Centre
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Overall aim of Dutch government:
To realize healthy school canteens in all schools in The Netherlands by 2015
The Healthy School CanteenProgramme
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WHY A HEALTHY SCHOOL CANTEEN?
Introduction video
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WHY A HEALTHY SCHOOL CANTEEN?
Prevention� 15% of Dutch teenagers is overweight� 1 in 2 Dutch adults is overweight� Risk of chronic diseases� Risk of psychosocial problems
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WHY A HEALTHY SCHOOL CANTEEN?
Other reasons� Influence of contextual factors:
- People will eat what is in front of them;- Supply creates its own demand;
� Research shows students want to have a healthy offer in the canteen� Indications healthy food is positively related to school results
Chad Germany
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THE HEALTHY SCHOOL CANTEEN PROGRAMME
Healthy school canteen = A canteen with a supply that meets
the Dutch Nutritional Guidelines.
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THE HEALTHY SCHOOL CANTEEN PROGRAMMEAccredited multi component approach
With support from all involved parties:� Students� Teachers� School board� Canteen employees� Parents� Municipal Health Services (MHS)� Caterers
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THE HEALTHY SCHOOL CANTEEN PROGRAMME
3 step roadmap for school working groups:1. Agenda setting, to inform and to motivate (Ensuring
support of all involved parties);2. Action plan;3. Implementing, evaluation and embedding.
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THE HEALTHY SCHOOL CANTEEN PROGRAMME
� Based on Dutch ‘Healthy School Method’
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THE HEALTHY SCHOOL CANTEEN PROGRAMME
� ‘Know Your Food’ teaching material
� Bi-annual Healthy School Canteen Stimulation Award since 2006/2007:- Schools subscribe by handing in an action plan-
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THE HEALTHY SCHOOL CANTEEN PROGRAMME
Services available:� Website (info & downloads)� Guidebooks for school team, canteen employees, MHS &
parents� PowerPoint presentations for school team & parents� Digital assortment tool� Posters� Healthy sandwich recipes� Local meetings with involved parties� Healthy school canteen brigade to support on location
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TIMELINE: 2002-NOW
� 2002: Pilot (10 schools)� 2004: National implementation� 2006/2007: 1st Stimulation Award (20 schools)� 2008/2009: 2nd Stimulation Award (62 schools)� 2009/2010: 3rd Stimulation Award (90 schools)� 2011 Canteen Award (150 Schools)
2002 2006/2007 2008/2009 2009/2010 20152004
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RESEARCH
� Pilot study (TNO, 2002):� Positive change in food offer � ‘Know your food method’ was used
� MHS’s positive about the programme
� Students reported buying more healthy foods in canteen� After 1 yr more students had the intention to eat healthier
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RESEARCH
� Local implementation research by MHS (2006)� Embedment of new canteen policy depends strongly on
involved persons in working group; � School board providing enough time for working group is
important for it to function well; � Involvement of parents & students in working group, and
support by MHS important for success.
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RESEARCH
� Facts about schools (Middelbeek, 2007)� 80% say they can influence their school canteen supply� 27% has an external caterer� 90% has a canteen and/or soft drink vending machine� 77% snack/candy machine� 50% sell unhealthy snacks� 64% sell unhealthy snacks in vending machines� 94% has vending machines with sugary soft drinks� 40% of schools forbid their students to leave school in school
break� No school has 100% healthy foods according to NNC criteria
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RESEARCH
� Internal implementation research (Liebelt, 2008)� Adoption relatively low due to lack of time and support� Intention to implementation relatively high� Adoption higher if school was supported by MHS
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RESEARCH
� Study on perception of parents (Haak, 2008)� Parents think healthy school canteen is important� Parents want a healthy school canteen� Parents find themselves partly responsible for eating habits
children� Parents don’t feel involved � Parents think school and government are responsible for
policies
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RESEARCH
� Needs assessment and user study among school canteen managers (Van den Berg, 2009)
� ~50% of school canteen managers think an ideal school canteen (100% healthy foods) is possible
� They feel supported by:• a good school health policy• a HSC working group• Support of MHS • Extra budget
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RESEARCH
� Evaluation of Stimulation Award (iResearch, 2010)
� School board & students of participating schools report positive change in canteen offer: more healthy foods.
� Much schools are supported by MHS: schools are content� Intention to embed the programme relies on formingA) A working groupB) An action Plan
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RESEARCH
� Stimulation Award & budget motivates but are not reasons to participate
� Non-motivated schools: enough time and budget wouldmotivate to participate
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CONCLUSIONS
Important factors:• Working group formed by all involved parties• Support by MHS is crucial• Writing an action plan very important• Budget is a stimulating factor• Enough time is needed to work out the programme well� School policy needed as foundation
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The Healthy School Canteen Programme
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�Students NUDGE�Teachers�School board�Canteen employees�Parents�Municipal Health
Services (MHS)�Caterers
The Healthy School CanteenProgramme
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What do students say?
“ No interest in healthy and sustainable diets”
Though,Most students expect only health
options in the school canteenTheir opinion: right products in right
ambiance helpful
The Healthy School Canteen Programme
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Promotion –
looking for incentives…
School Canteen Award 2011� Use a celebrity� Call to action:
“Make that canteen healthier!”� Win a prize:
Canteen Make-over
The Healthy School CanteenProgramme
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The Healthy School CanteenProgramme
Results
� So far 160 schools have participated
� Research shows:� assortment improves due to Healthy School Canteen
programme!
� Target 2011: 150 participating schools
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The Healthy School CanteenProgramme
Influencing behaviour, how?
� Looking for incentives� Bringing together involved parties
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Discussion: Do we have the time?
� Determining factors� Policy� Participation� Environmental change
� Multi component strategy� Change possible - time consuming vs
obesity epidemic
� Other forces� Nutritional guidelines