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1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs PhD RIVM Centre for Healthy Living

Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Page 1: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

1 09 March 2012

Municipal support for Health Literacy?

Local challenges & opportunities for health promotion

Mariken Leurs PhD

RIVM Centre for Healthy Living

Page 2: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

2 Municipal support for Health Literacy? | 09 March 2012

Content

1. Introduction

RIVM Centre for Healthy Living

2. Local public health policy process

3. Local health literacy examples

Page 3: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

3 Municipal support for Health Literacy? | 09 March 2012

Content

1. Introduction

RIVM Centre for Healthy Living

2. Local public health policy process

3. Local health literacy examples

Page 4: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

Municipal support for Health Literacy? | 09 March 20124

RIVM Centre for Healthy Living mission statement

…to contribute to the health

of all Dutch citizens by

supporting

health promotion professionals

with a website and direct support

(gatherings, training, coaching)

Page 5: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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strenghtening local health promotion

●Municipality

●Neighborhoods

●Schools

●Work

●Leisure time

No reinvention of existing wheels, quality promotion & investingin local craftmanship to fit the wheels to the right bike

Page 6: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Healthy Municipality Manual

Windows of opportunity?

Partners?

Neighborhood analyses?

Which interventions?

Timing Policy cycle

Social Marketing

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Health behavior themes:

● Linked to local policy cycles

● Integrated approaches

● Inspiring examples

● Intervention - advice

18 mei 2011

Alcohol

Tobacco

Mental Health

Injuries

Sexual health

Obesity

Sport & Exercise (2012)

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Important: Policy realisation

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Healthy ageing for young people focusses on:

● Learning how to chose

● Learning how to learn

● Learning how to live

Context: at home – at school - with friends / in club s

Healthy learning & living

Page 10: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Prosperity

Page 11: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Divorce….

Page 12: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Leisure time…

Page 13: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

Municipal support for Health Literacy? | 09 March 201213

More leisure time…

Page 14: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Dutch youth

….according to Google-images

Page 15: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Dutch youth

….volgens Google-afbeeldingen

Page 16: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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….…starts with the parents !

A healthy life style of youth ….

Page 17: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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And can be strenthened

at school!

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Page 19: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Page 20: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Whole school health

Integrated approach:

• Orientation & Organisation

• School profile

• Selection & realisation of

Intervention

• Evaluation

Page 21: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Success factors

● What’s the trending topic at school?

● Who has innovative ideas?

● Who are the formal and the informalleaders?

● What works?

● How does it fit?

● Is it entertaining & inspiring?

● 1+1 = 3+

With respect for the expertise of all partners involved!

Page 22: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Whole school health promotion

Promotion with ‘vignet’

-Now for primary schools

� Commitment by schools

To be developed for

- secundary Schools (VO) &

- vocational colleges (MBO)

Page 23: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Page 24: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

Municipal support for Health Literacy? | 09 March 201224

RIVM together with the Dutch Youth Institute (NJi)& the Dutch centre for youth health care (NCJ)

Collaboration with Dutch Institute for sport & exercise (NISB) and Movise (welfare)

Page 25: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

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Database with health promotion interventions

Over 2400 interventions

Quality assessment:

● Manual & process evaluation?

● Theory based?

● Effect – evaluation?

#RecognisedHealthy

� 166 interventions(#ErkendGezond)

Reinvention of existing wheels nolonger necessarye vinden!

18 mei 2011

Page 26: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

Municipal support for Health Literacy? | 09 March 201226

Database with health promotion interventions

Over 2400 interventions

Quality assessment:

● Manual & process evaluation?

● Theory based?

● Effect – evaluation?

#RecognisedHealthy

� 166 interventions(#ErkendGezond)

Reinvention of existing wheels nolonger necessarye vinden!

18 mei 2011

Page 27: Mariken Leurs - Municipal support for Health Literacy? · 1 09 March 2012 Municipal support for Health Literacy? Local challenges & opportunities for health promotion Mariken Leurs

Municipal support for Health Literacy? | 09 March 201227

Health promotion for seniors:137 projects for 65+; only 7 recognised

Erkende Leefstijlinterventies

1. In de put, uit de put 55+ : mental health

2. Vallen verleden tijd : fall reduction

3. Focus on balance : fear reduction for fall-accidents

4. In Balance : Fall reduction project

5. Halt! U valt: Fall reduction project

6. Voor Elkaar in de Buurt : social participation

7. Exercise garden for seniors : outdoor exercise

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Health promotion for juniors:24 recognised & 22 well described (total 624)

Erkende Leefstijlinterventies

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Trendingtopic #YouthImpulsHealthyLiving

● New government programme targetting youth

● Via schools & social media

● Participation, co-creation & crowd-sourcing

● Empowerment of schools & promotion use of recognisedintervention

● Empowerment of youth using

to resist unhealthy choices

2,5 years, starting this summer

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What & how to include for maximum impact?

What are the opportunities for the Dutch North? How to contribute & how to use??