Post on 16-May-2015
description
TELEMARK
FYLKESKOMMUNE
The Telemark Model
Nordic Public Health Conference
Finland 2011
Anne Karin Andersen
Leader for the Public Health Program inTelemark
Jorunn Borge Westhrin
Leader for Health promoting initiatives for
kindergartens and schools
Her er Telemark fylke!
We
mak
e T
elem
ark
str
on
ger
!
Here is Telemark County!
Population: 169,000
Challenges
• Population
• Level of education
• Social/economic status
• Health
Target Group
1. Children and youth
2. The elderly (65+)
3. Adults – risk groups
We
mak
e T
elem
ark
str
ong
er!
Background
- St.meld. Nr. 16
- Folkehelseprogram 2006-2009
- Evaluering
- Lovfesting
The Public Health Program’s
strategy note 2010-2012 kindergartens and schools
The Public Health perspective is founded in
the plans for the County Councils own
schools and in the Municipalities
kindergartens and schools.
Promote health and reduce differences in
health by carrying out non-stigmatizing
initiatives in kindergartens and schools, jfr
paragraph 2 in the Kindergarten Law and
paragraph 9a in the Education Law, as well as
the Learning Decree.
Main Initiatives 2010 - 2012
Everything with relevance to the Interaction reform
1. Foundation of public health
2. Health overviews and health monitoring
- The “Telemark barometer”
3. Health promoting kindergartens and schools
4. Healthier living and increased daily activity
5. Active Senior Telemark
6. Health promoting workplaces with focus on
availability
7. Communication and professional competence
Telemark fylkesting/-utvalg
The Telemark Model – HEFRES
Chief
Executive Staff Public Health
Regional
partnership
County
Edu. Reg. com. Transport
HS
14
TIK
FK
FM
LO
TT
NHO
RK
AiR
BK
HIT
STHF
NAV
TIK
Network for
Public Health
Coordin.
Municipali-
ties
18 10 w/
partnership
agreements
Other
cooper.
Partners: - Safe Traffic
– All
children
bicycle
and so on
Resource
group HEFRES
Network for
school health
service
Dentistry
Other
resource
groups/
network
HEFRES
Student
and
trainee
rep.
Objective
“A healthy lifestyle and
good health for all
children in kindergartens
and schools”
Why should kindergartens and
schools be used as health promoting arenas?
Kindergartens and schools reach everyone
Establish healthy habits early on
Good investment, also in relation to absence
Satisfies health and education objectives
“Preventative initiatives start
in kindergarten”
* The General Secretary of the Norwegian Cancer Association
describes the health promoting work being done in the kindergartens
and schools as “sykt gode tiltak” (sickly good initiatives).
* “Absence does not begin in High School – focus needs to be in place already
in kindergarten”
Håvard Tjora a teacher who made this statement to the Norwegian
Minister of Education
.
Has this been successful?
“Kindergartens and schools seem generally to be a good arena to work
with Public Health as there are many in the target groups here.
The school arena has also its limitations as there are limits to how much
capacity Public Health can be part of the daily school program. At the same
time, this is a good example of how one has reached out to integrate Public
Health into another sector,
the education sector.”
From Telemark Research’s evaluation of the Public
Health Program in Telemark
1. Holistic approach
2. Foundation – “Health in plans”
-Systematic and long-term focus
3. Conscious choices by key stakeholders
and arenas
4. Follow up on national initiatives
5. Increased availability
6. Make aware in the schools about the link
between health, well-being and education
What has been the most
important success factors?
What is unique?
Holistic approach from kindergartens to high-schools
Physical activity
Diet
Mental health
“The good school health service”
Tobacco and snuff
Alcohol and drug prevention
Foundation – “Health in Planning”
Root in plans and management (administrative and political)
All groups in kindergarten and in the school sector should
be informed and involved
“If the principle is not an active contributor, it will not be likely
that the Health promoting school will be a prioritized area over
time.” – quote from the HEMIL centre.
Founding Telemark - High Schools “Health in Planning”
Quality control the objective of health promoting schools:
The school nurse is more readily available and present at the schools, as
well as that the schools have an operative school health service.
The schools carry out at least one program for mental health.
The schools offer the students healthy food with grains and vegetables and
that they gradually remove sugar filled food and drinks.
The schools’ athletic facilities are open for the students during breaks and
recess.
The schools are tobacco free (cigarette and chewing tobacco, etc.) in
relevance to the County Council’s decision.
Quality control the students school environment:
The committees for the school environment is functioning properly and is
active
The students environment is in agreement with the Education Law §9a
Key cooperating stakeholders
and arenas
Cooperating stakeholders in the school:
Head of Department for County Education, Student and Trainee Representative, Principle collegiate
in the High Schools, County Governor, Administrative leaders in the kindergartens and schools in the
Municipalities, School Health Service, Dentistry Service, Public Health Coordinators
Cooperating stakeholders in the voluntary and private sector:
TIK, TTF, All children bicycle, BAMA
Arenas:
County Council, Committee for Competence,
Principle meetings in the High Schools,
County Governor’s meetings with the school and
kindergarten leaders in the municipalities, resource group
HEFRES, network groups, Committee for the school environment
Followed up national initiatives
“Fiskesprell”
(kindergarten and before/after school programs)
MER
Mental health in the school
FRI (middle school)
Love and boundaries
“The Key”
Making aware/competence about the link between health,
well-being and education
How to influence children and
youth to a health promoting lifestyle?
According to an EU report:
• Offer healthy food and drinks
• Time and facilities for physical activity
• Both families and the local society needs
to be involved
• Student influence
What can be gained with a
healthy diet and physical activity?
Educational
• Learning ability and concentration is improved
• Better school results and learning environment
• Less behavioral problems
Social
• Initiatives in the school can level out
health differences
Health
• Few illnesses and ailments on the short and long term
TELEMARK
FYLKESKOMMUNE
Good examples
of what has
been done
“Fiskesprell” kindergarten example of a national initiative
Telemark – pilot county
Objective for the kindergartens
-Provide for healthy meals and good habits
-Increase the consumption of fish and seafood
-Include cooking/meal preparation in educational activities
-Root the initiatives in the kindergartens and municipal plans
an example of cooperation with the voluntary sector
Objective
Education of young leaders/resource students and more physical activity in the recess
period at middle schools – low threshold
Concept
The schools choose 10 resource students
in the 9th grade
Course
2-day course
Follow-up course (4-6) at own school
A gathering for summing up
At many schools, the resource students are
also used at the elementary school level
and in before/after school programs as activity
leaders
Telemark Research
about health promoting dialog
“Previously, communication with the
schools was more of an evaluation of the
schools practice in various areas.
Dialog has proven to be more effective in
relation to creating change at the
schools.”
Health promoting dialog -An example of tool developed in Telemark
Cooperation with HEFRES and the student representative
Meet the resource persons for 1.5 hours dialog
Principle and some others from the school’s management
Student Council Leader
School nurse/other in the school health service
Contact persons in different fields, for ex. the cafeteria manager
Objective
Give the school’s leaders good overview and reasoning to make
holistic plans
Ensure systematic and coordinated health promoting work
Collect and distribute good tips and ideas
Help with the start up of initiatives
Arena at the school: Committee for the school environment
Gode tiltak –
Action Plan 2011
Further develop the Telemark Model
Rooting and implementation of the criterias
for “the good school health service” in the
municipalities – 2 year project
Contribute to that the schools are tobacco,
alcohol and drug free, use at least one
program for mental health, follow the
guidelines for food in kindergarten and
schools and provide activity during the school
day and on the school route
Contribute to a good functioning and
proactive committee for the school
environment
The High Schools quality control/question and
report on the objective of HEFRES and the
students school environment
Dialog and competence exchange contributes
to rooting and implementation of HEFRES in
Telemark.
Jorunn Borge Westhrin,
jorunn-borge.westhrin@t-fk.no
Anne Karin Andersen,
anne-karin.andersen@t-fk.no
www.telemark.no/folkehelse