Post on 15-Jan-2017
transcript
Empowering residents in disadvantaged communities
to become (more) activePhil Veasey, C3 Collaborating for Health
8 October 2015
Recognise me?• Boy aged 7• Lives in an urban area of higher deprivation• Family access limited to local amenities with poor access to fresh food • Poor diet, with high intake of fizzy drinks, snacks and convenience food• Likes to play ‘Super Mario’ on the computer after school• Local area has low access to green space and the park is poorly lit at night • Sport and leisure facilities are the other side of town and are expensive•Parents have a poor understanding of nutrition and healthy food options• Struggles with concentration at school
Outlook: high risk of obesity, increased risk of type 2 diabetes, low educational attainment, service use and co-morbidities later in life.
Reverse causality/ resilience/ salutogenic approaches
Desolate play spaces
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‘Desolate play facilities’
•
A disused car park
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For the attention of Roy Hogsdon and Sir Chris Hoy
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Excellent policy and rhetoric!
Healthy London aims to deliver
14,000healthymeals
Regular fitness programs and
health workshops for
3,000children and their families
Safe playspaces for2,500children
Access to health education and a
community health advisor
for3,000
children and their families
2,000hours
volunteeredby Morgan
Stanleyemployees
BMX in Southwark
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• Risk factors are identified for NCDs: physical inactivity, unhealthy eating and drinking, tobacco use
• A starting point is defined in the community (e.g. ahealth centre) and surveyed using CHESS methodology.
• All locations for physical activity, food shops and places where alcohol can be purchased are assessed and mapped
The CHESS tool
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Boys group in Wandsworth
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Families in Westminster
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Westminster insight session
•
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Wandsworth teenagers insight session
Focus group in Southwark
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Filming on the Isle of Dogs
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A community blue print for change
1.Community empowerment is key!
2. A very local physical activity and sports offer for young people
Weekly roaming distance for middle class sporty male
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Golf
WalkGolf
Pilates
Tennis
Gym
Swim
Run
5 miles
Average steps per day June 2015 =18,000
Weekly roaming distance for young person aged 12-14 in a disadvantaged community
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School sport opportunities
Soccer kick around x 2
Youth club x2
500 m
Weekly roaming distance young Bangladeshi mother (child 0-5) in a disadvantaged community
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Outdoor local play x 4
Visit
to fr
iend
x 1
(indo
or p
lay)
GP visit x2
Mile End Children’s Centre x 1
Fam
ily v
isit
x 1
500 m
Toy House visit x 1
Typical travel patterns to engage in physical activity
3. Mobilise the asset
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Community walks
Community games
Workplace wellness
Coaching in the cage
Parcour training
Youth clubs
Training community activators
A new model for sports centres
Sports centre
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The Copper Box experience
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And finally … communication is the key!
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