Aprovechamiento y transformación de residuos sólidos

by East Lancashire NHS.

Trigger: As above, the idea for the centre was community led and thought up by

the community organisation (DCEDT) who identified the opportunity while considering the needs of the local community that were not being met.

The community consultation supported the identified need and was linked to the evidence base through various statistics such as census and public health data which clearly portrayed the poor health of the residents in the ward.

The project was chosen because it was innovative and able to target those communities most in need by delivering healthy living and well-being services on resident’s door steps.

Targeted Communities: Anyone interested in using the centre or accessing our

services is welcome; however, we specifically target residents living in our ward.

Evaluation: An end of funding Big Lottery evaluation was performed, describing

the success of the Chai Centre. In the future, the café will continue to offer the services and the gym and physical activity facilities are expanding to allow more people to access the facilities and a wider variety of activities to be provided including weekend activities to target more family units to access the centre together.

Contact Details:

Kate Reid l Sajda Majeed East Lancashire NHS +44 1282 657 395

[email protected] [email protected]

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This project was an initiative of the London Irish Centre to increase the health of the older and disadvantaged Irish Communities living in London.

Aim: The Irish Healthy Living project was set up to increase the health and health

awareness of the older and disadvantaged Irish Community in London.

Design: The project was initiated by the London Irish Centre in 2003. It is based in

the London Irish Centre, which is the largest Irish Centre in London and has been in existence for 54 years. This location was chosen since the London Irish Centre has a good reputation among the Irish community.

The Initiative provides a range of services that aim to improve from physical and mental health, through engaging clients in activities which they enjoy, e.g. allotment project and providing a safe and supportive environment e.g. literacy and numeracy project.. Other activities include: advice, volunteering, missing persons, survivors service, day centre activities and lunch club.

Support: The Centre received a five years funding from the BIG Lottery fund (i.e.

the National Lottery). Furthermore, Camden Primary Care Crust is providing interim funding.

Partners of the Irish Healthy Living Project are the Irish Centre Housing (ICH), Kasiros, ICAP, High & Dry social club, and Job Powerhouse.

Trigger: Several reports found that the Irish in England have a shorter life expectancy in the host country and access medical services to a lesser degree than the host population. As a general rule migrants live longer in the new host country – this is not so in the case of the Irish.

Targeted Communities: The project mainly targets the older and disadvantaged

Irish community in London.

Evaluation: The Project instructed an independent consultant to carry out a mid

term evaluation covering the period November 2003 to December 2006. The evaluation concluded “the project is implementing activities directly with its target beneficiaries, providing health living information to individuals and groups and encouraging other service providers to address the health needs of the Irish community”. Further, the BG lottery fund has approved the final monitoring form.

Contact Details:

Nell Cutliffe Irish Healthy Living +44 20 7916 2222 [email protected]

Irish Healthy Living Project

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Netherlands

Aim: The School dietician project contributes to the general objective of the

‘Urban Action programme Nutrition and Physical Activity in Rotterdam’, which is: to promote healthy nutrition and physical activity among the youth in Rotterdam to reduce overweight and physical inactivity.

Design: In 2003, the service Sport and Recreation (SenR), the service Youth

Education and Society (JOS) and the Municipality Health Authority (GGD Rotterdam-Rijnmond from 2007 on), started a cooperation to prevent overweight and physical inactivity among the Rotterdam youth.

Since September 2004, the Preventive Youth Health Care (JGZ) uses a national signalling protocol during preventive health examinations to identify overweight youth. In 2007, the JGZ started with the implementation of the national ‘bridging strategy overweight’ (minimum intervention strategy for the prevention of overweight) in Rotterdam. To offer as many overweight children as possible an intervention, dieticians started working on selected schools during the school year 2007/2008 parallel to this program.

The School dietician project is an intervention that is part of the ‘Lekker Fit! Programme’, a school based intervention developed to reduce overweight and inactivity in children at primary schools (grade 1 - 8). The schools that run this programme are selected based on a high prevalence of overweight and the willingness of the schools to implement the programme. The Lekker Fit! Programme consists of an educational package, parental information hours and the introduction of a professional physical education teacher who provides physical activity hours during and after school.

Also, children from grade 3 through 8 have a fitness test at the beginning and end of every school year – a screening for overweight/obesity (BMI) is included in this test as well. The individual results are communicated to parents and children. Children, whose BMI can be improved, are offered the possibility of visiting a school dietician.

The School dietician intervention includes the actual signalling of overweight and the guidance of the parents and the child towards healthier nutrition and increased physical activity. The intake consult takes 45 minutes, and the costs are reimbursed by the School dietician intervention. If a second consult is requested, the parent and the child need to visit a general practitioner first. After this, following consults can take place at the school (max 4 hours per child per year), and the costs are paid by the health insurance of the child. The consults focus on four themes: breakfast, soft drinks, watching TV/use of the computer and playing outside, according to the national minimum intervention strategy.

Support: The programme is supported by the Urban Action programme Nutrition

and Physical Activity in Rotterdam. The dieticians work closely together with Municipal health service Rotterdam-Rijnmond and the Service Sport and Recreation.

Trigger: Overweight and obesity are major public health issues. Overweight is an

increasing problem, also among children. In Rotterdam, almost one out of five children in the second grade of the primary school is overweight; 6.4% is severely overweight – obese.

Targeted Communities: The School dietician project is running on Lekker Fit!

schools in Rotterdam. These schools have – in general – a high prevalence of overweight and most of the parents are from foreign descent.

The School dietician