Overview of the Joint Action: objectives, expected outcomes, and ...

This presentation is part of the Joint Action JANPA (Grant agreement n°677063)which has received funding from the European Union’s Health Programme (2014-2020)

JOINT ACTION ON NUTRITION AND PHYSICAL ACTIVITY ‐ JANPALAUNCH EVENT

LUXEMBOURG, 28 SEPTEMBER 2015

Overview of the Joint Action: objectives, expected outcomes, and participants

Michel Chauliac, Ministry of Social Affairs, Health, and Women’s Rights, France Salma Elreedy, French Agency for Food, Environmental and Occupational Health & Safety (ANSES),

France


Why a European action on Nutrition and Physical Activity?

• Nutrition and Physical (In)Activity are main determinants of chronic diseases:

‐ Diabetes‐ Many cancers‐ Obesity‐ Cardio vascular diseases‐ Osteoporosis…

• At EU and international level : since 2000, many political initiatives: United Nations 2011 WHO‐Europe Istanbul 2006 WHO‐Europe Vienna 2013 EU conclusions of the Council


At EU and international level : since 2000, many EU political initiatives

– EU Council Resolution on health and nutrition (14 December 2000)

– EU Council Conclusions on:– Obesity (2 December 2002);– Healthy lifestyles (2 December 2003);– Promoting Heart Health (2 June 2004); – Health in all policies (HiAP), (30 November 2006);– Putting the EU strategy on nutrition, overweight and obesity‐related health issues into operation (6 December

2007);– Action to reduce population salt intake for better health (6 June 2010);– Equity and health in all policies: Solidarity in health (8 June 2010);– Innovative approaches for chronic diseases in public health and healthcare systems (7 December 2010)– Closing health gaps within the EU through concerted action to promote healthy lifestyle behaviours (2

December 2011);– Promoting health‐enhancing physical activity (HEPA) (27 November 2012);– Healthy Ageing across the Lifecycle (7 December 2012);– Nutrition and physical activity (July 2014)– Recommendation on promoting health enhancing physical activity across sector (November 2013)

The EU support to the Global Strategy on Diet, Physical Activity and Health at the World Health Assembly of May 2004


At EU and international level : since 2000, many EU political initiatives

WHO and EU action plansWHO : Global action plan for the prevention and control of non communicable diseases 2013‐2020WHO : European Food and Nutrition action plan 2015‐2020 EU Action plan on childhood obesity 2014‐2020

‐ National policies


Existing European mechanisms

For sharing of experiences and policies : – Between Member States, to discuss and to share policies, strategies and practices:

The High Level Group on Nutrition and Physical Activity (since 2007)

– Between stakeholders, to discuss and suggest commitmentsThe EU platform for action on diet, physical activity and health (since 2005)

For conducting research and operational actions :Many projects supported by the Commission, such as: The Food Project, Salux, Move, Health 25, Healthy Children, Community based Childhood Obesity Project, …


Are we winning the battle against childhood obesity in Europe?

Prevalence of overweight among boys aged 7 years - COSI 2010, by country (source: WHO-Europe)

49

45 45

34 3432

30 29 2826 25 25 24 24 24 23

0

10

20

30

40

50

60

GRC ITA** ESP MLT* MKD PRT SVN NOR** BGR IRL HUN LVA LTU CZE SWE BEL


Prevalence gains per 100,000 of the EU population in 2030 based on 2 scenarios WHO Modelling obesity Project 2013 together with UK Health Forum – NOPA II

0

200

400

600

800

1000

1200

Cancer CHD+stroke Diabetes Hypertension

1% decrease in obesity

5% decrease in obesity

Scenario 1 – 3 Million cases avoidedScenario 2 – 9 Million cases avoided


Why a Joint Action?

– Why? During discussions within the High Level Group(HLG) on Nutrition and Physical Activity

– What? Need for a forum for national bodies to cometogether to collectively analyse actions and to discussrecommendations on best practices for childhoodoverweight and obesity prevention.

– How: through the identification, selection and sharingof best practices and data within the countries involved,contributing to capacity building .


JANPA General objective

To contribute to halting the rise in overweight and

obesity in children and adolescents by 2020 in EU,

within the global frame of the “EU Action plan on

childhood obesity 2014‐2020”, and in close link with

the “European action plan for a nutrition and food

policy 2015‐2020”.


JANPA’s overarching characteristics‐ The question of social inequalities in Health and Nutrition

‐A multi‐sectorial approach, with integrated actions

‐ A diversity of issues : economic aspects, information, food reformulation, physical environment, dissemination, stakeholder involvement, …

‐ A variety of settings : pre‐natal, kindergardens and schools, home, health facilities, …

‐ Identify and select (based on rigorous criteria) best practices for action, with the goal of transferring and scaling up successful initiatives to transform “good practices” into regular activities.

Involvement of stakeholders: ‐ At national level: through national mechanisms in participating countries‐ At EU level: through the HLG and the Platform


Evidence and Economic rationale for action on childhood obesity “WP4”

WP4 leader: Kevin Balanda, Institute of Public Health, Ireland


WP4 “Evidence and Economic rationale for action on childhood obesity” ‐ Objectives

1. To describe the lifetime impact & cost of (present‐day) childhood obesity

2. Give a breakdown of these impacts and costs according to the year of occurrence

3. Assess the theoretical benefits of reducing childhood obesity by 1% and 5%


WP4: PartnersAssociated partners (basic studies): 1. Croatia2. Italy3. Portugal

Associated partners (advanced studies): 4. Ireland (WP4 leader)5. Greece6. Romania7. Slovenia

Collaborating partners:– DoH (Ireland) – safefood (Ireland) – Joint Research Centre, European Commission


WP4: Deliverables

D4.1 Evidence paper & study protocols (M6)

D4.2 Prevalence & impact report on country level (M18)

D4.3 Country‐specific cost report (M18)

D4.4 Report on benefits of reduced childhood obesity country‐specific (M23)

D4.5 Briefing for EU Ministers (M24)


Nutritional information monitoring and food reformulation prompting “WP5”

WP leader: Karine Vin, French Agency for Food, Environmental and Occupational Health &

Safety (ANSES), France


WP5 “Nutritional information monitoring and food reformulation prompting” ‐ Objectives

• Incite manufacturers to improve the nutritional quality oftheir products (fat, sugar, salt content), by creating a“virtuous circle” with the establishment of nutritionalquality cartographies, including with their own products’position.

• Contribute to improving the understanding on foodinformation by all families; help in determining in thedifferent EU MS the possible improvement of thenutritional composition of foods through the developmentof a new harmonized system for food and nutritionalinformation and monitoring.


WP5: Partners

1. France (WP5 leader)2. Austria3. Romania4. Belgium5. Bulgaria6. Lithuania 7. Norway8. Slovakia9. Slovenia


WP5: Deliverables

• D5.1 Best practices inventory and guidelines forimproving the collection and use (both by thestakeholders and by the consumers) of nutritionalfood information – M20

• D5.2 Pilot study and identification of participantsin a monitoring network ‐M24


Healthy environments by integrated approaches “WP6”

WP leader: Eva Martos, National Institute for Pharmacy and Nutrition (OGYEI), Hungary


WP6 “Healthy environments by integrated approaches” ‐ Objective

Contribute to creating healthier environments in

kindergartens and schools by collecting and analysing

existing good practices (policy approaches and national

level programmes, projects, initiatives and interventions)

designed to improve nutrition and/or physical activity or

prevent childhood obesity in kindergartens and schools.


WP6: Partners18 institutions from 14 countries will participate in WP6:

1. Hungary (WP6 leader)2. Bulgaria3. Estonia4. France5. Germany6. Greece7. Italy8. Latvia9. Luxemburg10. Poland11. Romania12. Slovakia13. Slovenia14. Spain


WP6: Deliverables

• D6.1 Definition and criteria for good practices– M3

• D6.2 Final report of the existing model good practices –M20

• D6.3 Final Guidance document on the integratedapproach and its potentials– M24

• D6.4 Web‐based toolbox for program planners anddecision makers– M24


Early interventions ”WP7”

WP leader: Heli Kuusipalo, National Institute for Health and Welfare (THL), Finland


WP7 ”Early interventions” ‐Objectives

– To improve the quality of public policies andinterventions promoting healthy diets and physicalactivity and diminish sedentary behaviour by developinginformation on models of good actions

– Focus on implementation and transferability (fromresearch to practice/policy) of practical models thattarget pregnant women and families with small childrenand improving tools for counselling for health careprofessionals


WP7: Partners1. Finland (WP7 leader)2. Austria3. Belgium4. Bulgaria5. Czech Republic6. Estonia7. Germany8. Italy9. Luxembourg10. Malta11. Norway12. Portugal13. Romania


WP7: Deliverables

– D7.1 : Descriptive working paper defining good models for multi‐component interventions and actions of nutrition and physicalactivity that are specifically targeted for pregnant mothers andfamilies with small children (M4)

– D7.2 : Report of case studies/examples of actions in Member States(M11)

– D7.3 : Analysis on conditions for successful implementation andtransferability of actions(M18)

– D7.4 : Document which summarises models and recommendsactions for different settings to promote healthy lifestyle in youngfamilies (M20)

– D7.5 : Final report including information/data on national policiesand activities in each MS (M24)


General information


The Consortium– Organisations competent in the field of health, nutrition and physical

activity, nominated by the participating EU Member States and associatedcountries as required by the procedure for Joint actions under the ThirdProgramme for the Union's action in the field of health (2014‐2020).

– It includes:– ministries– public health and nutrition agencies and institutes– universities

– 26 countries: 25 of the 28 EU Member States, as well as Norway, willparticipate in the JA.

– Coordination by France:– Ministry of Social Affairs, Health, and Women’s Rights,– ANSES (French Agency for Food, Environmental and Occupational Health & Safety)


JANPA Partners1. Austria: BMG, AGES2. Bulgaria: NCPHA, MoH BG, MF‐SU‐UHL3. Belgium: FPS‐Health, WIV‐ISP (IPH)4. Croatia: HZJZ, HZZO5. Cyprus: MoH6. Czech Republic: SZU7. Estonia: NIHD 8. Finland: THL, STM9. France: ANSES, DGS, INRA 10. Germany: FAU, DGE, Aid/GIL, BMG,

BMEL11. Greece: ATEITH, AHEPA12. Hungary: OGYEI, OEFI13. Ireland: IPH IRL, UCC‐CHDR, DoH,

safefood14. Italy: ISS, MoH

15. Latvia: SPKC16. Lithuania: SMLPC 17. Luxembourg: MISA, La Ligue18. Malta: MEH19. Norway: HDIR20. Poland: SUM21. Portugal: MS22. Romania: IOMC, UBB, NIPH23. Slovakia: UVZSR24. Slovenia: NIJZ25. Spain: AECOSAN26. Sweden: PHA, NBHW

In addition to: – WHO‐Europe– JRC, EC


JANPA Coordination– Coordinate the activities and the implementation of the JA

– Ensure compliance with the JA workplan in terms of results andtiming

– Ensure the quality of the work and of the deliverables and results

– Ensure effective communication with CHAFEA and the EC andtimely delivery of all reports and deliverables

– Manage the relationships between partners with regards to the JA,resolve possible conflicts, ensure effective internal communication,address questions related to Intellectual Property Rights (IPR)


General timetable

Duration: 27 months, Sept. 2015 to Nov. 2017

– M1 (Sept. 2015): start of JANPA, Public launch event, 1stGeneral assembly

– M3 (End of Nov. 2015): JANPA website completed– M13 (Sept. 2015): 2nd General assembly– M24 (Aug. 2017): completion of work of technical WPs– M27 (Nov. 2017): end of JANPA: 3rd General assembly, final

public report, position paper, final conference in Paris


Evaluation activities ”WP3”

WP leader: Maria Hassapidou, Alexander Technological Educational Institute of

Thessaloniki (ATEITH), Greece


WP3 Evaluation ‐ Objectives• To define, plan and carry out a systematic evaluation of the project,

including the level of accomplishment of the project objectives, as well asthe impact and expected effects and outcomes.The evaluation will assess the success of a project, in terms of:

• results – have the objectives been met? and• quality – do the results meet the needs of the stakeholders?

• The evaluation work package will help ensure• the implementation of the project according to plan (in cooperation

with the Coordinator),• the appropriate execution of its tasks,• the quality of deliverables• the assessment of both outcomes and impact of JANPA, with special

attention given to the evaluation of the efficiency, effectiveness andsustainability of the Joint Action itself.


WP3 Deliverables

• D3.1 : Evaluation methodology and plan [M3]• D3.2 : Interim evaluation report n°1 [M7]• D3.3 : Yearly evaluation report n°1 [M13]• D3.4 : Interim evaluation report n°2 [M19]• D3.5 : Yearly evaluation report n°2 [M25]• D3.6 : Final evaluation report [M27]• D3.7: Publishable final evaluation report [M27]


Dissemination activities ”WP2”

WP leader: Angela Spinelli, National Institute of Health (ISS), Italy


WP2 Dissemination activities ‐ Objectives– Raise knowledge about nutrition and physical activity and the contributions that the JA will make to the issue

– Involve stakeholders in the process of identifying solutions and applying the JA outputs

– Ensure the project's visibility through traditional and new media tools

– Document each major advancement of the JA– Allow a bi‐directional dialogue among partners, stakeholders, policy makers and the general public


WP2 Deliverables Timeline

M0


JANPA Website: www.janpa.eu

Coming soon!


Discussion with WP leaders

– WP1 “Coordination”: Michel Chauliac and Salma Elreedy, France

– WP2 “Dissemination”: Angela Spinelli, Italy– WP3 “Evaluation”: Maria Hassapidou, Greece– WP4 “Evidence and Economic rationale for action on

childhood obesity” : Kevin Balanda, Ireland– WP5 “Nutritional information monitoring and food

reformulation prompting ”: Karine Vin, France– WP6 “Healthy environments by integrated approaches”:

Eva Martos, Hungary– WP7 “Early interventions”: Heli Kuusipalo, Finland


e‐mail: [email protected]

Thank you for your attention!

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