paco iii aruba 5 – 7 june 2013 what can we learn from the belgian case?
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PACO III Aruba 5 – 7 June 2013 What can we learn from the Belgian case?. Prof. em. Jan Vinck Hasselt University (Belgium) Expert Committee Viasano. What can we learn from the Belgian case?. Adaptations are necessary at regional and local level - PowerPoint PPT PresentationTRANSCRIPT
PACO IIIAruba 5 – 7 June 2013
What can we learn from the Belgian case?
Prof. em. Jan VinckHasselt University (Belgium)Expert Committee Viasano
What can we learn from the Belgian case?
• Adaptations are necessary at regional and local level
• Is the program effective?
LiègePepinster
Rochefort
Comines-Warneton MouscronFlobecq
Schilde
Dilsen-Stokkem
Aarschot
Jette
Marche- en-FamenneMons
Viasano by EPODE in Belgium16 cities, 655 275 inhabitants
Braine-le-Comte
WoluweSt Pierre
Huldenberg
Hasselt
Belgium
Complex country: at crossing of latin and nordic Europe a.o.– 3 regions with own goverment, political traditions– 3 languages– different organization of health promotion
Een gezonde levensstijl voor de inwoners van
jouw gemeente
LiègePepinster
Rochefort
Comines-Warneton MouscronFlobecq
Schilde
Dilsen-Stokkem
Aarschot
Jette
Marche- en-FamenneMons
Viasano by EPODE in Belgium16 cities, 655 275 inhabitants
Braine-le-Comte
WoluweSt Pierre
Huldenberg
Hasselt
Viasano characteristics
• 16 cities in 3 regions• 100% private sponsoring• Overall Epode methodology• Dual approach (social marketing &
environmental)
Example of environmental approach:
Esseghem
9
Bruxelles, Ville-Région en SantéLe diagnostic en marchant
• Jette• Parc de logements sociaux• Immeubles de grand gabarit (blocs)• Forte densité de population
10
Bruxelles, Ville-Région en SantéLe déroulement
11
Bruxelles, Ville-Région en SantéLe déroulement: nouveau projet
12
Bruxelles, Ville-Région en SantéLe site d’Esseghem: une fête
13
Bruxelles, Ville-Région en SantéLe déroulement: tonnelles
14
Bruxelles, Ville-Région en Santé Le site d’Esseghem: les graffeurs
15
Bruxelles, Ville-Région en Santé Le site d’Esseghem: atelier wok
What can we learn from the Belgian case?
• Adaptations are necessary at regional and local level
• Is the program effective?
Regional adaptations
• Political tradition: decision regional or communal?
• Health promotion system: strongly organized?• Language: simple translation is not enough
Local adaptation: role of local program manager (LPM)
Adaptation of interventions to local situation and population
- identify relevant populations/subgroups - identify relevant actors (control relevant aspects of
environment)- mobilize these actors- inspire local action- organize collaboration
Is the program effective?
• Evaluation study in 2 towns in French Community (Mouscron and Marche)
• BMI of all school going children ages 3-4 and 5-6– Measured by trained nurses– Measurement points 2007 and 2010– N= 1300 and 1484
• Control population: all other school children of French Community of same age at same periods – N= 76864 and 79602
Results (1) evolution overweight: in pilot towns
9.5% 7.4% change in pilot towns significantly greater than in control population (p=0.047)
Results (2) evolution overweight plus obesity: in pilot towns
13.5% 11.2% change in pilot towns significantly greater than in control population (p=0.046)
Evolution in obesity alone: non-significant trend for greater decrease in pilot towns
Conclusion
• Implementation requires carefull adaptation of the program to the local situation
• Results of evaluation study are very encouraging: effect even after 3 years
Thank you