Background
This paper will focus on the obesity concern of young adults based at the Greater city of Dandenong. Statistical evidences have reflected that the set of population aged 25 to 40 years of old is affected majorly with obesity concerns [3].17.1% of men have been reported to obese while 17.3% of the women have been reported to be obese in accordance with the recent statistical evidence [2]. The major reasons that have been attributed as the root cause of obesity in young adults include poor nutritional intake and high consumption of energy rich diet [1]. The paper would effectively focus on the aspect of including diet modifications in order to promote a healthy lifestyle among the young adults of Dandenong.
In order to spread awareness related to obesity prevention in the greater city of Dandenong, health evaluation camps would be organized across the city. The awareness camps would include collaborating at different levels. The major stakeholders of this campaign would be the primary health officer; young adults aged 25 to 40 years, volunteers and other governmental and non-governmental organizations. Collaboration at different levels such as community, organizational, interpersonal and individual level would be organized. In order to effectively convince and partner collaboration, brochures and pamphlets comprising of a detailed explanation about the highlights of the health evaluation program would be outlined. Further, to provide an insight into the objectives of the program a power point presentation would be designed that would effectively portray the short term and the long term goals of the program and the manner in which the camps would be organized. It should be critically noted here that health promotion and evaluation camps would be arranged across 8 major provinces of the greater city of Dandenong. The initial phase would include obtaining a formal permission from the state government bodies and the city councils within the legislative limit of the greater city of Dandenong. A presentation highlighting the statistical scenario of the prevalence of obesity across the city would be briefed, followed by highlighting the major health determination factors [3]. Further the objectives of the health evaluation camp would be highlighted and the strategies that would be undertaken in order to fulfill the objectives. Primarily the goals would comprise of spreading awareness by virtue of education and obtaining support from the community health centres and educational centres across the city. Sessions would be conducted while dealing with the administration members of these organizations and the importance of a balanced proportion of nutrition would be elaborated [4]. It is expected that on complying with the above stated strategies, effective support would be obtained that would help in partnering with the organizational bodies and successfully conducting the health promotional and evaluation camps.
Community Engagement
Goal
The goal of the obesity prevention plan will be:
- Utilizing obesity preventive measures to improve the health and wellbeing of mid-aged adults (25 to 40 years) through the promotion of healthy food consumption
- Dealing with alcohol related behavior throughout the city of Dandenong.
The SMART objective for the health promotional program will be – to decrease the consumption of fast food products by 30% and decreasing the alcohol behavior by 20% in 25 to 40 year old adults of city of Dandenong within 3 years.
Program design and planning strategies |
Evaluation methods |
|
Policy |
· The local government will commence free full body checkup facilities in every month in specific locations of the city. · This will be a sustainable program as after the check up all the people who are having the risk factor of obesity will be aware of their health and will be able to quit unhealthy food · People who are working in public or private organizations will be provided with water breaks and the canteen of such workplace will contain healthy food so that consumption of fast foods could be controlled. · Taxes will be imposed on fast foods as well as unhealthy beverages in the local level by implementing local governance taxes so that consumption of these could be screened and controlled. |
· Percentage of helathcare organizations providing free health checkup will be assessed. · Percentage of organizations providing water breaks will be evaluated post intervention. Besides canteen and their compliance will also be assessed bi-weekly. · Number of stores proving such food products in high price will be assessed. |
Community |
· Physical activity environment will be created in the community so that physical activity could be increased. · Price of healthy food will be decreased by implementing a local health policy and promotional events for them will be organized so that their consumption could be increased. |
· frequency of such events will be determined with the help of local government · Number of water fountains installed post interventions will be assessed. · Decreased price of healthy food will be evaluated by practical evaluation form the market. |
Organizational |
· All the canteen heads, event managers, local helathcare officers will be provided with educational training so that they can promote healthy eating and water consumption among the mid aged population. · Water fountains will be installed in all the offices so that increased water consumption could be promoted. |
· After each educational session, a small questionnaire will be provided to the participants and the percentage of attendance in the training will be assessed so their understanding of the issue could be assessed. · All the offices will be asked to provide data regarding fountain installation pre intervention. |
Interpersonal |
· All the newsletter and notice board of the community and organizations will be used to promote healthy eating and water consumption. |
· Effectiveness of the notice published and promotional campaignscarried outcould be assessed by the joining of individual in such educational sessions. |
Individual |
· All the mid aged individual will be asked to join a bi-weekly educational program regarding the healthy eating. · Trainings will be organized in officers and helathcare facilities as well as they will be provided with alcohol rejection related booklet to make them quit their alcoholic habit. Some training resources will be provided to the primary health promotional officers. |
· Their understanding will be evaluated using a small questionnaire about the topic. · Participation in training sessions will determine the compliance of employees in the training session. |
The strategies used in this health promotional campaign are supported by the researchers. as mentioned in the research that to decrease the consumption of any unhealthy food or beverages, the first thing governments should do is impose extra taxation so that majority of the consumers cannot afford the product [5]. This will help in saving a majority of the population from that unhealthy product, making them, divert to healthy food options [6]. Besides another studies also mention that water related interventions such as installations of water fountains, providing water breaks are helpful in increasing water intake of the population [7]. Further, educational and training sessions are important in reinforcing educational knowledge [8]. Hence, these are the rationale which helped to decide these strategies for health promotional program for obesity prevention in Dandenong.
The evaluation method that were chosen for the objectives decided by the public health organizers and implemented for health promotional plan for obesity prevention were also backed by several researches [9]. Researcher mentions that to evaluate the understanding of any session, questionnaires are appropriate as it helps to reinforce the provided knowledge in the individual [10]. Further, evaluation methods chosen for taxation, prove rise and decrease were also chosen as per the need of the strategies and hence, the evaluation methods were relevant [11].
Sustainability and Governance play an important role in determining the effectiveness of a program. The goals would be assimilated into the health care system by means of action plan that would use different strategies as mentioned in Table 1. Further, it must also be mentioned that strategies to prevent the problem related to obesity would also be adapted at workplaces in order to ensure healthy living. This would be done by organizing marathons and other sporting events to boost employees to engage themselves in healthy lifestyle.
In order to administer a thorough governance an autonomous governing committee would be framed that would stringently monitor the effectiveness of the programs. The autonomous governing committee would comprise of four members that would include representatives from local governing body, private and public healthcare organizations, non-governmental organization and the coordinator of this health care promotion program. The funding of the project would be obtained from the non-government organization and the funds acquired would be managed by the accounts department of the health promotion team. The autonomous reference committee would be responsible for governing and regulating the entire project. The evaluation of the program would be stringently monitored by the quality control department of the health evaluation camp. The quality control department would be stringently monitor the program at every level and ensure that trained individuals are employed across all the eight centers of the health evaluation camps. Further, it should also be noted that a panel of trained nutritionists would be responsible for designing an effective nutrition plan according to the basal metabolism index of the participants. It is critical to note here that the participants would majorly be of the middle-aged group belonging to approximately 25-40 years; hence rehabilitation action plans would also be undertaken. This would be done in order to apply effective modification in the life style of the individuals. Hence, it is expected that after a time period of 4 years the project would effectively help in the reduction of obese individuals and ensure a healthy life style.
- Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The lancet. 2014 Aug 30;384(9945):766-81.
- Vandevijvere S, Chow CC, Hall KD, Umali E, Swinburn BA. Increased food energy supply as a major driver of the obesity epidemic: a global analysis. Bulletin of the World Health Organization. 2015;93:446-56.
- Department of Health and Human Services. Victorian Population Health Survey 2014: Modifiable risk factors contributing to chronic disease. Melbourne: 2016.
- Australian Institute of Health and Welfare. Australia’s Health 2018. Canberra: Australian Institute of Health and Welfare, 2018 Contract No.: Australia’s health series no. 16. AUS 221
- Mytton OT, Clarke D, Rayner M. Taxing unhealthy food and drinks to improve health. BMJ: British Medical Journal (Online). 2012 May 15;344.
- Stuckler D, McKee M, Ebrahim S, Basu S. Manufacturing epidemics: the role of global producers in increased consumption of unhealthy commodities including processed foods, alcohol, and tobacco. PLoS medicine. 2012 Jun 26;9(6):e1001235.
- Willis RM, Stewart RA, Giurco DP, Talebpour MR, Mousavinejad A. End use water consumption in households: impact of socio-demographic factors and efficient devices. Journal of Cleaner Production. 2013 Dec 1;60:107-15.
- Madani A, Watanabe Y, Vassiliou MC, Fuchshuber P, Jones DB, Schwaitzberg SD, Fried GM, Feldman LS. Long-term knowledge retention following simulation-based training for electrosurgical safety: 1-year follow-up of a randomized controlled trial. Surgical endoscopy. 2016 Mar 1;30(3):1156-63.
- Morey LC, Skodol AE. Convergence between DSM-IV-TR and DSM-5 diagnostic models for personality disorder: Evaluation of strategies for establishing diagnostic thresholds. Journal of Psychiatric Practice®. 2013 May 1;19(3):179-93.
- Leske DA, Hatt SR, Liebermann L, Holmes JM. Evaluation of the Adult Strabismus-20 (AS-20) questionnaire using Rasch analysis. Investigative ophthalmology & visual science. 2012 May 1;53(6):2630-9.
- Bunnell R, O’Neil D, Soler R, Payne R, Giles WH, Collins J, Bauer U, Communities Putting Prevention to Work Program Group. Fifty communities putting prevention to work: accelerating chronic disease prevention through policy, systems and environmental change. Journal of community health. 2012 Oct 1;37(5):1081-90.