Rissel Chris, Innes-Hughes Christine J, Thomas Margaret, Wolfenden Luke
NSW Office of Preventive Health, South Western Sydney Local Health District, Australia,
NSW Office of Preventive Health, South Western Sydney Local Health District, Australia.
Public Health Res Pract. 2019 Mar 6;29(1):2911908. doi: 10.17061/phrp2911908.
This paper reflects on characteristics that have supported state-wide scale-up, implementation, program maintenance, monitoring and evaluation of the Healthy Children Initiative (HCI), and reports on how the HCI has become embedded into the policies and practices of primary schools and early childhood services in New South Wales (NSW), Australia. Type of program: The HCI is a multistrategy, settings-based approach to prevent childhood obesity. It currently comprises three flagship primary prevention programs that have been scaled up for delivery across NSW.
This paper draws on the authors' experiences implementing and evaluating the HCI to reflect on characteristics that have supported its state-wide scale-up, successful implementation, program maintenance, monitoring and evaluation.
The 'Munch & Move' program, a flagship HCI program, promotes and supports organisational change in relation to healthy eating, physical activity and small-screen-time practices in early childhood services. The program has reached 89.0% (3348/3766) of all services in NSW (December 2017) (i.e. 89.0% of services have been trained and received support to implement the program). Another flagship program, the 'Live Life Well @ School' program, promotes and supports healthy eating and active living in primary schools. The program has reached 83.1% (2133/2566) of all primary schools (December 2017).
NSW has taken the long-term strategic approach, as recommended by the World Health Organization, and maintained continual investment in the prevention of childhood overweight and obesity. This unique delivery model of a state-wide coordinated approach in specific settings, including clear monitoring and reporting systems, has potential for application in other jurisdictions as well as other program contexts. Future directions must include a focus on more population groups, and attention to the food and physical environmental factors that affect active living and healthy eating.
本文探讨了有助于在全州范围内扩大、实施、维持、监测和评估健康儿童倡议（HCI）的特征，并报告了HCI如何融入澳大利亚新南威尔士州（NSW）小学和幼儿服务的政策及实践中。项目类型：HCI是一种基于多策略、以环境为基础的预防儿童肥胖的方法。它目前包括三个旗舰一级预防项目，已在新南威尔士州扩大实施。
本文借鉴作者实施和评估HCI的经验，以探讨有助于在全州范围内扩大、成功实施、维持、监测和评估该项目的特征。
旗舰项目“咀嚼与运动”计划促进并支持幼儿服务机构在健康饮食、体育活动和减少小屏幕使用时间方面的组织变革。该计划已覆盖新南威尔士州89.0%（3348/3766）的服务机构（2017年12月）（即89.0%的服务机构已接受培训并获得实施该计划的支持）。另一个旗舰项目“在学校健康生活”计划，促进并支持小学的健康饮食和积极生活方式。该计划已覆盖83.1%（2133/2566）的小学（2017年12月）。
新南威尔士州采取了世界卫生组织建议的长期战略方针，并持续投资于预防儿童超重和肥胖。这种在特定环境下全州范围协调方法的独特实施模式，包括明确的监测和报告系统，有可能应用于其他司法管辖区以及其他项目背景。未来的方向必须包括关注更多人群，并关注影响积极生活和健康饮食的食物及物理环境因素。
