Alianzas viperinas - El caso de la selva misionera en “Anaconda”

youth (i.e. at least 60 min of moderate-intensity physical activity on most, preferably all days of the week, including twice weekly activities that aim at increasing or maintaining physical fitness (Kemper et al., 1999). In cases where support or care is required, use is made of the existing school network channels. 3 The Class Moves! ® (De klas beweegt! ®)

This programme offers during normal lessons regular breaks for physical activity, relaxation and posture exercises. The aim is to make physical activity a daily habit, to give the children pleasure, awareness and more self-esteem, and to contribute to a healthy sensor-motor development. The Class Moves consists of calendars; each grade had its own calendar. The calendars contain exercises separated on 10 themes, each for every school month. Teachers need to be trained to use ‘the Class Moves!®’

4 Choose your Card!

This is a newly developed card game approach that works with assignments to be done in the class and at home. The method is especially aimed at raising awareness on the importance of physical activity for health and one’s own physical activity behaviour, self-efficacy, social support, planning skills, of both the children and their parents. The cards can also be used to prepare an Activity- week and an exhibition. The development of ‘Choose Your Card’ was supported by a group of experts on the terrain of physical activity determinants and the implementation of health promotion in schools, and the Dutch Heart Foundation. The cards are used to prepare for an Activity-week and are linked to an exhibition.

5 Parental information service

A service in which the importance of physical activity and sports for children and the role played by parents in supporting and stimulating such activity among their children is emphasized. The information can be given in the parents’ own

language by specially trained information officers. ‘Parental information service’ will take place at least once a year.

6 Activity-week

In the Activity-week some components of JUMP-in are brought together. Parents play an important role in this week. Some examples of activities in this week are: a sport and activity exhibition where products of ‘Choose your Card’ are presented, sports activities and during the week, a warming-up session for parents and children and a sport market where parents and children meet local sport clubs. In this week parental information services will be carried out. ‘The Activity-week’ will take place once a year.

Every school will set up these sports and activities program individually, based on the composition of the pupils and the need of physical activity.

From 2002 until 2004, the pilot of the JUMP-in project was launched in two parts of Amsterdam (Slotervaart and Amsterdam North) at four different primary schools. At those schools, 36% of the children were obese. The pilot study resulted in an improvement of the school-based programme components and the development of materials to support the introduction of the Project at new schools. JUMP-in is nowadays active in seven different parts of Amsterdam, covering 60 schools in total.

A team of the JUMP-in Project goes to the schools on a yearly basis to report and register data of all pupils of sport, fitness, and weight in proportion to length. This data are put in a database and used for follow up of every child separately, to see which specific component needs extra stimulation. When the data is indicating that the child needs professional support and help, the school will contact the school nurse. The two parties will together decide whether or not to refer the child should be send to the Youth Health Service (JGZ). After discussing the possibilities with the parents, a final decision is made. In case the parents

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Figure 42: JUMP-In Source: GGD Amsterdam decide to send their kid to the Service, the outcomes of the consults will be sent to the school and the JUMP-in follow-up database. This results in a feedback system.

Posters, folders and other promotion materials are used to inform the parents about the Project. Workshops are organized as well, to show the parents what is expected from their children, what kind of booklets and instructions will be used and given to teach them about the importance of physical activity and the parents will learn about simple assignments they can do together with their children at home.

Within the JUMP-in Project, there are several smaller initiatives that are implemented by external relations. These programmes are offered as a support of JUMP-in. Several examples of such initiatives are:

On-site Kids fitness, by Sport Access; this gives both pupils and teachers the possibility to do fitness in a mobile fitness centre. This centre can be situated at the school for a maximum of two weeks. While doing sports,

they will also learn about healthy and unhealthy food, their heartbeat and the meaning of calories and fats.

Course Healthy Food, by the Amsterdam homecare; this is a course for parents of a child between 4 and 8 years old who is likely to become overweight. During a couple of meetings, parents will get information about nutrition and how to support their child with healthy eating and physical activity.

Support: There are several possibilities for the reimbursements of the costs that are possibly needed for the sport activities organized by the school. Examples of reimbursements that can be used for sport contributions are:

Pupil reimbursement; this is an agreement by the Service Work and Income (DWI) that parents can request for, if their child is between 4 and 18 years of age and living in Amsterdam. The maximum amount is € 225 a year per child.

Fund of sports for Youth; the mission of this fund is to offer to as many children as possible (4-18 years old, living in Amsterdam) the possibility to do sports, if they can’t – because of financial reasons – become a member of a sport club. Maximum amount is € 225 per child, which will be used for the reimbursement of the membership costs, but it might also be used for the sport cloths that have to be bought. The money is directly put on the account of either the school or the sport club.

Trigger: The immediate cause of the JUMP-in Project was the rising amounts of signals of a decrease in physical activity, inactivity and youth obesity. In 2002, at least a quarter of all children living in Amsterdam were not doing any sports outside school.

Targeted Communities: The inclusion criteria for participation of schools are:

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Figure 43: One of the participating schools of the JUMP-IN project.

Source: www.jumpin.nl A location should be present where school sport activities could be

organized in the school or in the vicinity

It should be possible to create extra time to integrate extra-curricular activities

Personnel should be willing to commit to the Project.

The aim of the Project – to promote physical activity among primary-school children – applies to all children. Thus, also the children that are already sport- minded and are not obese can join the activities. However, there are several conditions:

When there is a lack of spots, the children that are not doing any sports will have priority to the children that are already physically active on a regular basis.

The children that are already doing sports can only join an activity when there is not enough interest at the group of non-sporting children.

Non-sporting children who are not overweight (yet) and don’t have any problems in their motoric development, will get priority upon registration. The non-sporting children who are overweight and/or show a problem with their motoric development or their socio-economic status, are a risk group and can get via their schools an adjusted program (for example Club Extra or lessons in Motoric Remedial Teaching).

Obese children with serious physical handicaps will be send to the health services and will get the proper treatment.

The following figure is an example of the composition of a participating school (figure 43).

Evaluation: The effects of the JUMP-in project are currently studied by the Municipal Health Services of Amsterdam, whereby nine intervention schools and ten control schools are involved.

Contact Details:

Drs. J.S.B. de Meij GGD Amsterdam +31 20 555 5701

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Figure 44: Local Active Source: NIGZ

Local Active is a working method in which a Local Action Plan Health Enhancing Physical Activity is developed in a city. Special interest is in promoting more intersectoral co-operation.

Aim & Objectives: The project aims to prevent obesity and overweight by promoting local inhabitants of to be (more) physically active and by informing them about the Dutch guidelines of Health Enhancing Physical Activity (NNGB). Design: An intersectorial working group was built up consisting of: local government, regional public health service, Sport councils and sport club, primary and secondary schools, hospitals, dietician, community health centres, general practitioners, physiotherapists, and companies.

The strength of Local Active is the cooperation between all these parties – working with both regional and local networks. By using this integral approach, joined forces and the inset of different experts, successful local projects can be set up. The local government has an important role in agenda setting and taking the initiative to start with the Local Active project.

The ways of working are divers. This can either consist of: Formation of workgroups per target group

Education of inhabitants through newspapers, radio and internet Creation of optimum conditions to exercise and an active lifestyle Promotion of existing activities (playgrounds, sport association, etc) Create support among organisations and inhabitants

Organize divers local events If necessary: develop activities.

The design of the Local Active project can be split into the following steps: 1 Exploration; orientation of the problem (insufficient physical activity),

resulting in a project proposal

2 Organisations; to design a project structure, to develop, organise and plan the actual approach of the initiative, bring regional and local parties together and eventually develop an action plan.

3 Implementation; start with the Local Active project and monitor it.

4 Evaluation; evaluate the effect of the project, the organisation and the implementation.

5 Anchoring; continue with the project in the city on a regular basis.

Support: For the set up and implementation of Local Active, local already excising budgets are used.

Targeted Communities: The activities are targeting citizens – especially those with a low socio-economic status - who are having an insufficient physical activity and who are obese. The programme can be used for the following groups:

Youth;

Adults/employees;

50+/persons with chronic diseases or who are physically impaired.

Local Active

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