3. Preconception
Pre school age
Children &
Adolescents
Adult
Elder
Jom Mama
Initiatives
Garispanduan
Pengurusan Kantin
Sihat
Healthy meal
for official
meeting
Garispanduan Pemasaran
Makanan & Minuman
kepada Kanak-kanak
Garis panduan
Penguatkuasaan
Larangan Penjualan
Makanan & Minuman Di
Luar Pagar Sekolah
KOSPEN
Kempen berjalan 10,000 langkah
Program
Siswa Sihat
1Malaysia
Kempen FitMalaysia
Program Jom Bantu Rakyat Sihat dan Ceria
Kempen Suku Suku Separuh
MySihat
Garispanduan Perlaksanaan Vending
Machine Makanan & Minuman Sihat
dlm Perkhidmatan Awam
4. Downstream Midstream Upstream
• Build healthy
public policy
• Create
Supportive
Environments
• Strengthen
Community
Actions
• Reorient Health
Services
• Develop personal skills
5. Downstream Midstream Upstream
• Build healthy
public policy
• Create
Supportive
Environments
• Strengthen
Community
Actions
• Reorient Health
Services
• Develop personal skills
6. Exercise Is Medicine Initiative
• The EIM initiative was launched in
2007 by the American College of
Sports Medicine and American Medical
Association.
3 Principles:
• Physical activity should be
monitored as a vital sign.
• Physical activity is an effective
medical modality and should be
prescribed.
• Success of their vision requires top
down and bottom up efforts by 3
key stakeholder groups: health care
providers, exercise professionals,
and the community.
1.Cowan RE. Exercise Is Medicine Initiative: Physical Activity as a Vital Sign and Prescription in Adult Rehabilitation
Practice. Archives of physical medicine and rehabilitation. 2016;97(9 Suppl):S232-7.
1 Reorient Health Services
7. Downstream Midstream Upstream
• Build healthy
public policy
• Create
Supportive
Environments
• Strengthen
Community
Actions
• Reorient Health
Services
• Develop personal skills
9. • A Food Policy Council (FPC) is a type of coalition that
brings together stakeholders from diverse food-related
areas to examine how the food system is working.
(Dahlberg, 1992).
• PedNet Coalition in Columbia, Missouri, is a
community coalition that develop and restore a
network of nature trails and urban “pedways”
connecting residential subdivisions, worksites,
shopping districts, parks, schools, and recreation
centers (PedNet Coalition, 2008).
Butterfoss, F., Goodman, R., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research: Theory and
Practice, 8(3), 315—330.
National Coalition for Promoting Physical Activity. (n.d.). State coalition handbook: Strategies & techniques. Washington, DC: Author.
2.1 Strengthen Community Actions
10. A Literature Review of the Scope & Impact of Mobile Health Clinics 2016
2.2 Strengthen Community Actions
11. Downstream Midstream Upstream
• Build healthy
public policy
• Create
Supportive
Environments
• Strengthen
Community
Actions
• Reorient Health
Services
• Develop personal skills
15. 1. Am J Public Health. 2013;103:1949–1953. doi:10.2105/AJPH.2013.301279
2. Cobiac LJ, Tam K, Veerman L, Blakely T (2017) Taxes and Subsidies for Improving Diet and Population Health in Australia: A Cost-Effectiveness
Modelling Study. PLoS Med14(2): e1002232.
3.1 Build healthy public policy
16. A comparison between MyPlate dietary recommendations and the money allocated
by USDA on research
https://pingree.house.gov/legislation/local-food
3.1 Build healthy public policy
17. 3.1 Build healthy public policy
Demand and Supply of vegetable in Malaysia (2011-2020)
Source: DOA, and DOSM, 2016
20. Work place based programs
Humana Go 365 Wellness Program
• Go365 is a personalized wellness and rewards program by
the employers for the employees, initiated by the American
insurance company (Humana).
• Helps employees make healthier decisions and guides them
on their well-being journey.
• The members earn points for completing various healthy
lifestyle activities
• Points are ultimately redeemable for rewards.
4.2 Create support environment
Source: https://www.humana.com/go365
21. Navajo Healthy Stores
• Intervention trial on the Navajo Nation that
sought to increase availability of healthier
foods in local food stores and to promote
these foods at the point of purchase and
through community media.
• The food store intervention was associated
with reduced overweight/obesity.
4.3 Create support environment
Gittelsohn J, Kim EM, He S, Pardilla M. A food store–based environmental intervention is associated with reduced BMI and improved psychosocial factors
and food-related behaviors on the Navajo nation. The Journal of nutrition. 2013;143(9):1494-500.
23. Better Facilities for Walking and Cycling
• Improving the safety and transportation infrastructure used by
pedestrians and bicyclists was found to encourage more people to walk
and cycle on a regular basis, providing them with valuable exercise,
mobility options, independence, and even fun.
I. The Active Community Environments (ACE) program
II. You Bike- Taiwan
4.5 Create support environment
1.Pucher J, Dijkstra L. Promoting safe walking and cycling to improve public health: lessons from the Netherlands and
Germany. American journal of public health. 2003;93(9):1509-16.
2. http://www.youbike.com.tw/
EIM showed great success and was adopted by countries like UAE and Jordan.
The target weekly physical activity level was set by the Centers for Disease Control and Prevention and World Health Organization. Persons falling below the weekly target physical activity level should be prescribed physical activity and/or referred to an exercise professional for implementation support.
Kospen, the newly introduced national-level healthy community program, is an initiative under National Blue Ocean Strategy to encourage people to adopt a healthy lifestyle. Under the program, trained volunteers will be sent to villages to do health screenings similar to those undertaken at health centers and clinics.
In Knoxville, Tennessee, an FPC monitors and evaluates the performance of the city’s food system and recommends actions to improve it. A major accomplishment of the FPC was improving access to competitively priced nutritious foods by changing the city bus routes so that poorer inner city residents could reach outlying supermarkets
2. includes 5,000 individuals and 75 businesses, government agencies, and nonprofit organizations
Mobile Health Clinics (MHCs) have been proven as a successful and cost-effective model of healthcare delivery that is uniquely positioned to assess and fulfill the needs of underserved populations nationwide
including :
Online educational assessments, preventive screenings, and fitness activities.
Developed by The Department of Transportation, Taipei City Government in order to encourage citizens to use bikes as short-distance transit vehicles.
Aimed to improve the environment and the quality of life of the citizens.
Taipei's bike-sharing program is one of the most successful in the world with a national network of bike lanes, stretching 4,017 kilometres in 2014.
School-based nutrition education programs
In the United States," the national health promotion and disease prevention objectives encourage schools to provide nutrition education from preschool through 12th grade .