Salud Transversal-Consulting, Bogotá, Colombia; School of Medicine, Group of Epidemiology at the Universidad de los Andes, Bogotá, Colombia.
School of Medicine, Group of Epidemiology at the Universidad de los Andes, Bogotá, Colombia.
Prev Med. 2017 Oct;103S:S41-S50. doi: 10.1016/j.ypmed.2016.08.028. Epub 2016 Aug 26.
Multi-sectoral strategies to promote active recreation and physical activity in public spaces are crucial to building a "culture of health". However, studies on the sustainability and scalability of these strategies are limited. This paper identifies the factors related to the sustainability and scaling up of two community-based programs offering physical activity classes in public spaces in Colombia: Bogotá's Recreovía and Colombia's "Healthy Habits and Lifestyles Program-HEVS". Both programs have been sustained for more than 10years, and have benefited 1455 communities. We used a mixed-methods approach including semi-structured interviews, document review and an analysis of data regarding the programs' history, characteristics, funding, capacity building and challenges. Interviews were conducted between May-October 2015. Based on the sustainability frameworks of Shediac-Rizkallah and Bone and Scheirer, we developed categories to independently code each interview. All information was independently analyzed by four of the authors and cross-compared between programs. Findings showed that these programs underwent adaptation processes to address the challenges that threatened their continuation and growth. The primary strategies included flexibility/adaptability, investing in the working conditions and training of instructors, allocating public funds and requesting accountability, diversifying resources, having community support and champions at different levels and positions, and carrying out continuous advocacy to include physical activity in public policies. Recreovía and HEVS illustrate sustainability as an incremental, multi-level process at different levels. Lessons learned for similar initiatives include the importance of individual actions and small events, a willingness to start small while dreaming big, being flexible, and prioritizing the human factor.
多部门策略在公共空间中促进积极娱乐和体育活动对于构建“健康文化”至关重要。然而，关于这些策略的可持续性和可扩展性的研究有限。本文确定了与哥伦比亚两个在公共空间提供体育活动课程的社区项目的可持续性和扩展相关的因素：波哥大的 Recreovía 和哥伦比亚的“健康习惯和生活方式计划-HEVS”。这两个项目都已经持续了 10 多年，使 1455 个社区受益。我们使用了一种混合方法，包括半结构化访谈、文件审查以及对项目历史、特点、资金、能力建设和挑战的数据进行分析。访谈于 2015 年 5 月至 10 月进行。根据 Shediac-Rizkallah 和 Bone 和 Scheirer 的可持续性框架，我们开发了类别，以便独立对每个访谈进行编码。所有信息均由四位作者独立分析，并在两个项目之间进行交叉比较。研究结果表明，这些项目经历了适应过程，以应对威胁其持续和发展的挑战。主要策略包括灵活性/适应性、投资于教师的工作条件和培训、分配公共资金并要求问责制、使资源多样化、获得社区在不同级别和职位的支持和拥护者，以及持续倡导将体育活动纳入公共政策。Recreovía 和 HEVS 展示了可持续性是一个渐进的、多层次的过程。类似举措的经验教训包括个人行动和小事件的重要性，愿意从小处着手而有远大梦想，灵活性，以及重视人的因素。
