political will by pauline harper

Titre

epode-international-network.com

What are the success factors for sport and medical sectors working together toward political action? 15.11.2016, Ljubljana, Slovenia Venue: Town Hall, Ljubljana Pauline Harper, Director, EPODE International Network

CBPS PREVENTION NETWORK

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FilmsDespina SpanouEPHETogether WE can!Philippines school dayMinister John Hill


#Build the framework


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2Science/ Evidence-based and EvaluationEPODE Integrated Coordinated Sustainable ApproachPolitical Commitment

1Resources including Public-Private Partnership Schemes

3+Support Services including social marketing expertise

4+EPODE identified 4 critical factors which now form the 4 pillars of the EPODE Methodology & they work together

ChallengesShort political mandateNo immediate benefit(s)for PoliticiansConflict of interest issues FundingMulti-stakeholder approach Conflicting agendasEvaluation versus research Cost Agenda

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#EPODE identified four critical factors, which now form the 4 pillars of the methodology:1.A strong Political commitment at multiple levels: Gaining formal political commitment at central and local levels from the leaders of the key organisation(s), which influence national, federal or state policies as well as local policies, environments and childhood settings

2.An sound Evidence base and continuous evaluation Evidence: Using evidence from a wide variety of sources, to inform the delivery of EPODE and to evaluate process, impact and outcomes of the EPODE programme

3.Resources inlcuding PPP schemes: Securing sufficient resources to fund central support services and evaluation, as well as contributions from local organisations to fund local implementation4.Support services including social marketing expertise : Planning, coordinating, and providing the social marketing, communication and support services for community practitioners and leaders

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POLITICALInvolvementEvaluationPPPSocial MktcommunicationEPODE Methodology and Framework: 4 PILLARS and now 5...

Overweightmanagement


# work together5

Build the evidence


#Aim: can we change families behaviors thanks to children, education and community mobilisation?

Control study: intervention and control towns

Lessons Shows a dramatic decrease in the prevalence of Ow & Obesity in children when it involves the whole community (and not only the schools)Allowed the Identification of the 4 pillars of the EPODE MethodologyCost of evaluation: x 35 more expensive than the cost of the action itselfRomon & Al., Public Health Nutrition, 2009; 12: 17351742

EPODE Pilot study 1992-2204: EPODE Pilot Study (FLVS) Lessons & Results


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Prevalence of Overweight and Obesity

Romon & Al., Public Health Nutrition, 2009; 12: 17351742

EPODE Pilot study 1992-2204: EPODE Pilot Study (FLVS) Lessons & Results


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Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL, Borys JM et al. Public Health Nutr. 2009 Oct;12(10):1735-42.A reduction up to 50% of the health inequities amongst overweight and obesity prevalence

Upper Class

Middle Class

Lower ClassOverweight and obesity prevalence (%)302520151050Control townsEPODE towns

x 4,7

x 3

x 1,2

x 2,7

n= 633 children


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Aim: can we validate the FLVS hypothesisat large scale ?2004 - 2009: 10 pilot citiesMore than 500 000 inhabitants & 50 000 childrenLessonsSame tendency in decreasing the prevalence of Ow & ObFunded and sustainable thanks to PPPPolitical & Multi-stakeholder Endorsement EssentialDirect Cost is about 2 to 3 / year / inhabitant

Romon & Al, Nutrition clinique & mtabolisme,Vol24,NS1, dec 2010, 58

2004-2008: The EPODE programme in France Lessons & Results France


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2004-2008: The EPODE programme in France Lessons & Results France

French Pilot towns:P < 0,0001n = 23617Overweight and obesity rate %

20,6%21,0%20,5%20,0%19,0%18,0%19,5%18,5%2005200918,8%

-10%Romon & Al, Nutrition clinique & mtabolisme,Vol24,NS1, dec 2010, 58


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4 EUROPEAN CBPs (France, Belgium, Greece, Spain) AND 4 EUROPEAN UNIVERSITIES

To facilitate the implementation of large-scale community-based interventions (CBIs) using the EPODE methodology across Europe

Disseminatiion of the EPODE Methodology across Europe

EEN Book of Recommendations

January 2008 April 2011PARTNERSMISSIONOVERALL OBJECTIVETIMELINEDELIVERABLEEPODE European Network (EEN) 2008-2011: DISSEMINATION EPODE METHODOLOGYDG SANCO Call for Projects 2008-2011: From the EPODE Programme to the EPODE Methodology


#12Epode European Network (EEN) (2008-2011)To facilitate such deploymentat European level, a deeper insight into existing EPODE practices and know-how and a more systematized conceptualization of the EPODE methodology was planned as was an effective dissemination strategy - to better inform interested political representatives, local authorities and stakeholders, institutions, scientific experts and public health organizations.

From 2008-2011, the overall objective of the EEN was to facilitate the implementation of large-scale community-based interventions (CBIs) using the EPODE methodology in other European countries, regions and communities. To favour a consistent dissemination of EPODE and similar programs, EENs core objective was to provide a deeper conceptualization of the EPODE methodology on its four pillars: political commitment, methods and social marketing, public-private partnerships and scientific evaluation and dissemination (5). Applied research activities were designed thanks to the contribution of European university teams (Gent University, Zaragoza University, Lille 2 University, the Free University of Amsterdam) in order to combine evidence from a wide variety of sources such as the literature, official recommendations, ad-hoc formative research and practice-based evidence from first EPODE experiences in France, Spain and Belgium. At the end of the project, the EPODE methodology was disseminated in 6 countries across Europe (up from 3 countries) and raised interest in other European countries including Portugal, Malta, Scotland and Iceland.The EEN project was co-funded by the DG SanCO and private partners: Mars, Ferrero, Nestl, Orangina-Schweppes.

FRANCElaunched in 2004226 towns

BELGIUMlaunched in 200716 towns

THE NETHERLANDSlaunched in 20106 towns

SOUTH AUSTRALIAlaunched in 200910 councils

GREECElaunched in 200813 towns

ROMANIAlaunched in 2011

SPAINlaunched in 200744 towns

MEXICOEPODE PASOS2010

2011: EPODE is implemented in 8 countries


#In 2011 EPODE was being implemented in 8 countries, 500 cities and more than 20 000 000 people were involved from across the globe

with the support of7 EUROPEAN CBP AND 8 EUROPEAN UNIVERSITIES

REDUCE HEALTH INEQUALITIES LINKED TO DIET & PHYSICAL ACTIVITY

TO DESIGN & IMPLEMENT TAILORED ACTIONS (based on the EPODE methodology) with a focus on at-risk populations and to evaluate the sustainability of behaviour change OCTOBER 2012 OCTOBER 2015PARTNERSMISSIONOVERALL OBJECTIVETIMELINE

WHO REGIONAL OFFICE FOR EUROPE

EPHE: CBP & HEALTH INEQUALITIES 2012-2015

With the support of


#Aims to reduce inequalities linked to diet and physical activtiy7 countries with different priorities

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Closing the gaps after one year interventionindicatorsFruits & VegetablesWater consumptionPhysical activitySleepT0T1T0T1T0T1T0T1

Bulgaria

Romania

Netherlands

Greece

Belgium

France

Portugal

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#OPEN: EMPOWERMENT OF CBPs 2014-2016

with the support of13 CBPs, 4 EU-FUNDED PROJECTS, 7 UNIVERSITIES, 4 HEALTH INSTITUTIONS in 13 EU COUNTRIES

GENERATE BEHAVIOR CHANGES TOWARDS NUTRITION AND PHYSICAL ACTIVITY TO REDUCE OVERWEIGHT AND OBESITY-RELATED DISEASES AMONG CHILDREN AND ADOLESCENTS

TO DEVELOP AND SCALE-UP CBPS IN TERMS OF CAPACITIES FOR THE CT

JANUARY 2014 JANUARY 2017

PARTNERSMISSIONOVERALL OBJECTIVETIMELINE

WHO REGIONAL OFFICE FOR EUROPE


#UNDERSTANDING HOW TO DEVELOP EFFECTIVE INTERVENTIONS / ACTIONS FOR THE CHILDREN AND ADOLESCENTS IN Low SES FAMILIES ACROSS THE PARTICIPATING EU COUNTRIESMORE REGARDING THE PROJECT OBJECTIVES ( IN DETAIL):Strengthen the methodology of Community Based Programmes (CBPs), Initiatives (CBIs) or Public Organizations, willing to implement sustainable strategies and actions to prevent obesity at local and national level Scale-up and increase capacity of the Coordination Teams (CTs)Scope of action Design Implementation EvaluationSupport the CTs in widening their target groups scope,Including adolescents living in deprived areasIncreasing the CTs capacity and skills, to facilitate and accelerate behavior and environmental change to reduce overweight and obesity-related diseases among European children and adolescents

Institutional:EU Commissions DG SANCO, WHO Regional Office for Europe, Utrecht University, TEMPEST Project, EPODE International Network (EIN), British Medical AssociationCommunity-Based Programmes:SETS PRAIS Foundation, Romania, VIASANO, ProteinHealthCom, Belgium, EPODE Communaut de Communes Flandre Lys, France, MUNSI project Universidade Atlantica, Portugal, JOGG Convenant on Healthy Weight, The Netherlands, PAIDEIATROFI Nostus Communication, Greece, KEEP FIT Chief Sanitary,, Inspectorate and Polish Federation of Food Industry, Poland, SPORTTUBE, Foundation for, children Health, Slovakia, IDEFICS Sweden, Estonia, Germany, Hungary, Italy and CyprusUniversity and Scientific Partners: Free University Amsterdam, The EMGO Institute (NL), Gent University, Public Health Department (BE), Zaragoza University (SP), RIVM (NL)Bremen Institute (GE), Bulgarian Association of Study of Obesity and Related Diseases (BASORD) (BU), Strategic Social Marketing OrganisationEuropean Health Promotion Boards: Health Promotion and Disease Prevention Directorate, Malta , Agencia de Formacion, Investigacion y Estudios Sanitarios de la Comunidad de Madrid, Pedro Lan Entralgo(ES)

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Associated Partners: 13 programmes in 13 EU countries

CBP/IIDEFICS

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#Belgium Viasano Protein Health CommunicationSweden Cyprus Germany IDEFICSFrance Epode Communaut de Communes Flandre LysGreece Paideiatrofi Nostus Communications & Events LTDMalta Ministry for Health, the Elderly and Community CareNetherlands JOGG Convenant on Healthy WeightPoland Keep Fit Polska Federacja Producentw ywnoci Zwizek PracodawcwPortugal MUNSI Centro de Estudos e Investigaao em Dinamicas Sociais e SadeRomania SETS Fundatia PRAISSlovakia Sport Tube Foundation for the Health of Our ChildrenSpain ALE Agencia de Formacion, Invesigation y Estudios Sanitarios de la Comunidad de Madrid17

Objectives:Strengthen the methodology of Community Based Programmes (CBPs), Initiatives (CBIs) or Public Organizations, willing to implement sustainable strategies and actions to prevent obesity at local and national level

Scale-up and increase capacity of the Coordination Teams (CTs)Scope of action Design Implementation Evaluation

Support the CTs in widening their target groups scopeIncluding adolescents living in deprived areas

This, to facilitate and accelerate behavior and environmental change to reduce overweight and obesity-related diseases among European children and adolescentsOBESITY PREVENTION THROUGH THE EUROPEAN NETWORKhttp://openprogram.eu/

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Appraisal ToolIncludes:

WHO Good Practice Appraisal Tool (scoring)

Complementary questions, based on the EPODE methodology and its 4 pillars

Political SupportPublic PrivateSocial marketingEvaluation

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Accelerated by Belgian towns:

Overweight and obesity rate %

-22%

Romon & Al., Public Health Nutrition, 2009; 12: 17351742J-M. Borys, & Al. EPODE approach for childhood obesity prevention: methods, progress and international development, Obesity Reviews,Borys & Al. Preventing Childhood Obesity, Lavoisier, 2011, 266p.VIASANO IN PEDIATRIC OBESITY 2015


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VIASANO (Belgium) results after 2.5 years: significant 22% decrease in the prevalence of overweight in Marche & Mouscron. For Marche & Mouscron there was a significant decrease in the prevalence of overweight when compared to children with normal BMI levels (p

political will by pauline harper

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