TELEMARKFYLKESKOMMUNE The Telemark ModelNordic Public Health ConferenceFinland 2011Anne Karin AndersenLeader for the Public Health Program inTelemarkJorunn Borge WesthrinLeader for Health promoting initiatives forkindergartens and schools
We make Telemark stronger! Her er Telemark fylke!
Here is Telemark County!We make Telemark stronger! Population: 169,000 Challenges • Population • Level of education • Social/economic status • Health Target Group 1. Children and youth 2. The elderly (65+) 3. Adults – risk groups
The Public Health Program’s strategy note 2010-2012 kindergartens and schools The Public Health perspective is founded in the plans for the County Councils own schools and in the Municipalities kindergartens and schools. Promote health and reduce differences in health by carrying out non-stigmatizing initiatives in kindergartens and schools, jfr paragraph 2 in the Kindergarten Law and paragraph 9a in the Education Law, as well as the Learning Decree.
Main Initiatives 2010 - 2012Everything with relevance to the Interaction reform1. Foundation of public health2. Health overviews and health monitoring - The “Telemark barometer”3. Health promoting kindergartens and schools4. Healthier living and increased daily activity5. Active Senior Telemark6. Health promoting workplaces with focus on availability7. Communication and professional competence
The Telemark Model – HEFRES Telemark fylkesting/-utvalg Regional Chief Staff Public Healthpartnership Executive NAV HEFRES Dentistry Municipali- STHF ties Other Network for 18 FM cooper. Public Health 10 w/ County Partners: Reg. com. Transport Coordin. partnership - Safe Traffic HIT Edu. agreements – All children BK Student Resource HS bicycle and group HEFRES AiR 14 trainee TIK and so on rep. NHO Network for school health LO service TIK Other TT resource groups/ RK network FK
Objective“A healthy lifestyle andgood health for allchildren in kindergartensand schools”
Why should kindergartens andschools be used as health promoting arenas? Kindergartens and schools reach everyone Establish healthy habits early on Good investment, also in relation to absence Satisfies health and education objectives
“Preventative initiatives start in kindergarten”* The General Secretary of the Norwegian Cancer Associationdescribes the health promoting work being done in the kindergartensand schools as “sykt gode tiltak” (sickly good initiatives).* “Absence does not begin in High School – focus needs to be in place alreadyin kindergarten”Håvard Tjora a teacher who made this statement to the NorwegianMinister of Education.
Has this been successful?“Kindergartens and schools seem generally to be a good arena to workwith Public Health as there are many in the target groups here.The school arena has also its limitations as there are limits to how muchcapacity Public Health can be part of the daily school program. At the sametime, this is a good example of how one has reached out to integrate PublicHealth into another sector,the education sector.”From Telemark Research’s evaluation of the Public Health Program in Telemark
What has been the most important success factors?1. Holistic approach2. Foundation – “Health in plans” -Systematic and long-term focus3. Conscious choices by key stakeholders and arenas4. Follow up on national initiatives5. Increased availability6. Make aware in the schools about the link between health, well-being and education
What is unique? Holistic approach from kindergartens to high-schools Physical activity Diet Mental health “The good school health service” Tobacco and snuff Alcohol and drug prevention
Foundation – “Health in Planning”Root in plans and management (administrative and political)All groups in kindergarten and in the school sector shouldbe informed and involved“If the principle is not an active contributor, it will not be likelythat the Health promoting school will be a prioritized area overtime.” – quote from the HEMIL centre.
Founding Telemark - High Schools“Health in Planning”Quality control the objective of health promoting schools: The school nurse is more readily available and present at the schools, as well as that the schools have an operative school health service. The schools carry out at least one program for mental health. The schools offer the students healthy food with grains and vegetables and that they gradually remove sugar filled food and drinks. The schools’ athletic facilities are open for the students during breaks and recess. The schools are tobacco free (cigarette and chewing tobacco, etc.) in relevance to the County Council’s decision.Quality control the students school environment: The committees for the school environment is functioning properly and is active The students environment is in agreement with the Education Law §9a
Key cooperating stakeholders and arenasCooperating stakeholders in the school: Head of Department for County Education, Student and Trainee Representative, Principle collegiate in the High Schools, County Governor, Administrative leaders in the kindergartens and schools in the Municipalities, School Health Service, Dentistry Service, Public Health CoordinatorsCooperating stakeholders in the voluntary and private sector: TIK, TTF, All children bicycle, BAMAArenas: County Council, Committee for Competence, Principle meetings in the High Schools, County Governor’s meetings with the school and kindergarten leaders in the municipalities, resource group HEFRES, network groups, Committee for the school environment
Followed up national initiatives “Fiskesprell” (kindergarten and before/after school programs) MER Mental health in the school FRI (middle school) Love and boundaries
“The Key”Making aware/competence about the link between health,well-being and education
How to influence children and youth to a health promoting lifestyle?According to an EU report: • Offer healthy food and drinks • Time and facilities for physical activity • Both families and the local society needs to be involved • Student influence
What can be gained with a healthy diet and physical activity?Educational • Learning ability and concentration is improved • Better school results and learning environment • Less behavioral problemsSocial • Initiatives in the school can level out health differencesHealth • Few illnesses and ailments on the short and long term
TELEMARKFYLKESKOMMUNEGood examplesof what hasbeen done
“Fiskesprell” kindergarten example of a national initiative Telemark – pilot county Objective for the kindergartens -Provide for healthy meals and good habits -Increase the consumption of fish and seafood -Include cooking/meal preparation in educational activities -Root the initiatives in the kindergartens and municipal plans
an example of cooperation with the voluntary sectorObjective Education of young leaders/resource students and more physical activity in the recess period at middle schools – low thresholdConcept The schools choose 10 resource students in the 9th gradeCourse 2-day course Follow-up course (4-6) at own school A gathering for summing up At many schools, the resource students are also used at the elementary school level and in before/after school programs as activity leaders
Telemark Researchabout health promoting dialog“Previously, communication with theschools was more of an evaluation of theschools practice in various areas.Dialog has proven to be more effective inrelation to creating change at theschools.”
Health promoting dialog -Anexample of tool developed in Telemark Cooperation with HEFRES and the student representativeMeet the resource persons for 1.5 hours dialog Principle and some others from the school’s management Student Council Leader School nurse/other in the school health service Contact persons in different fields, for ex. the cafeteria managerObjective Give the school’s leaders good overview and reasoning to make holistic plans Ensure systematic and coordinated health promoting work Collect and distribute good tips and ideas Help with the start up of initiativesArena at the school: Committee for the school environment
Action Plan 2011 Further develop the Telemark Model Rooting and implementation of the criterias for “the good school health service” in the municipalities – 2 year project Contribute to that the schools are tobacco, alcohol and drug free, use at least one program for mental health, follow the guidelines for food in kindergarten and schools and provide activity during the school day and on the school route Contribute to a good functioning and proactive committee for the school environment The High Schools quality control/question and report on the objective of HEFRES and the students school environment Dialog and competence exchange contributes to rooting and implementation of HEFRES in Telemark.
Jorunn Borge Westhrin, firstname.lastname@example.org Anne Karin Andersen, email@example.com/folkehelse