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 INTRODUCTION
 PROBLEM ANALYSIS
 OBJECTIVE
 CONCEPT OF REGENERATIVE HEALTH AND
NUTRITION
 INTERVENTIONS
 ACHIEVEMENTS
 CHALLENGES
 WAY FORWARD
 CONCLUSION
• RHN connotes the attainment of
optimal physical and mental
wellbeing through the adoption of
a holistic lifestyle that strengthens
the immune system of the body,
renew the body and mind and thus
prevent diseases,
PRESENTED BY: DR.J.O. AWOYINFA
To reduce the risk of occurrence of
diseases and disorders for
individuals, households and
communities so as to be able to
contribute to the development of a
healthier and productive
population that can create wealth
for itself and the country.
 Genetic
 Nutrition/Water
 Environmental Sanitation/
personal hygiene
 Lifestyle
 Clinical services -- individuals 10% - 20%
80% - 90%
SOURCE: W.H.O ( 2012)
 Poor Nutrition
- Poor eating habits(fatty, salty and sugary
foods)
 Poor Physical Activity
- Little or no exercise ( students, lecturers
and non teaching staff of tertiary
institutions, traders, office workers etc.)
- Sedentary lifestyles
 Poor Environmental Sanitation
• Poor Education/ Lack of Awareness
• Over-medicalization of our health system
• Urbanization is catching up everywhere
• Overall result is that about 30% of our adult
population are dying from Non-Communicable
diseases annually As a result of drug ABUSE,
-We loose vital population/workforce
- Loose productivity and national Income
- make the National Insurance unsustainable
Healthy Diet
“But Daniel purposed in his heart that he would not
defile himself with the portion of the king’s meat,
nor with the wine which he drank” Dan 1:8 NKJV
 Increasing consumption of fruits and vegetables
 Drinking more water
 Reducing salt intake
 Reducing dietary in-take of saturated fats and oils
 Reducing meat intake
 Reducing or eliminating alcohol intake
 Reducing or eliminating smoking
PRESENTED BY. DR. J.O. AWOYINFA
Exercise
• Increase daily physical activity including:
• Stretching
• Strengthening
• Endurance or aerobics
Rest
• Adopting regular relaxation practices to
minimize physical and emotional stress
• Fasting
PRESENTED BY. J.O..AWOYINFA
Environmental Sanitation
 Maintaining personal cleanliness
 Maintaining environmental cleanliness
 Advocate for use of potable water
Alcoholism
 Low alcohol intake
No Smoking
 Quit smoking
PRESENTED BY; DR.J.O. AWOYINFA
Safe sex
 ABC concept (abstain, be faithful, condom
use)
Family planning
 Birth spacing
 Annual Screening
Behavioral enhancing
communication
Creating an enabling
environment
Capacity building and training
Partnership and networking
PRESENTED. BY DR . J.O. AWOYINFA
 Initiate and facilitate a process of learning and
sharing information and skills that encourage
individuals and communities to understand and
adopt behaviors that lead to healthier longer
lives.
Primary Target
 Primary targets: individuals, families,
households, peer groups and institutions
 Tertiary targets: district, regional and national
level institutions and organization
 Water is Drug/Medicine
 Fruits and Vegetables are Medicine/Drugs
 Exercise is Medicine/Drug
 Rest is Medicine/Drug
 Cleanliness is Medicine/Drug
 Food is Medicine/Drug
 Todays;BRAIN STORMING QUESTION;
What Is Drug And What is Medicine?
 Changing behavior involves more than providing
targeted messages.
 To sustain behavior change at individual and
community levels, it is important to provide
enabling environments and support and mediate
new ideas and practices.
 Thus, providing legal framework, social support,
community development and development of
policy recommendations.
 Intentional transfer of knowledge, skills and
resources from one person or group to the other
 Involves the following stakeholders: Agencies of
Ministry of Health, MOE (schools, colleges,
universities, second cycle), agric sector, local
government sector, industries and food
manufacturing companies, NGO, Traditional
Authorities, Restaurant and Hotels, chop bars,
Religious bodies, traders etc.
 To collaborate with stakeholders in public and
private sectors and from lay communities to
support and strengthen the RHN agenda
 The collaboration will target:
- Mobilization of resources(financial, human and
material)
-Establishment of social movement in schools and
communities across the country to change health
behavior
- Working with advocacy groups e.g. NGOs,
Politicians, Keep Fit Clubs, Teachers
Policy and Planning
Policy Development
• Policy document produced
• RHNP strategic plan exist
• RHN forms the basis for the development
of the MOu’s five year POW(2010-13)
• Developed Dietary and Physical Activity
Guidelines
• RHN Textbook for tertiary institutions
RESENTED BY: DR. J.O .AWOYINFA
Capacity Development and Training
• Successfully conducted training in 14 pilot
district
• Trained all health educators in NHS
• Trained all catering officers and hospital
matrons in NHS
• Trained all district staff representatives of NHS
• Have developed and training manuals for nation
wide trainings for the past 4 years.
 Capacity Development and Training
 Trained reps of all community radio stations in
Nigeria,
 Trained members of Nigeria Writers
Association/ Nigeria Publishers Association
 Trained Staff using new and current health
education syllabus
 Trained; chop bar operators, hair dressers,
market traders, market preachers etc
Inter Sect oral Actions
• Nigeria School Feeding Programme has incorporated RHN
into its Strategic Plan
• Children are fed on regent diet (Fruits and Vegetables)
• Orientation for SHEP coordinators from 4 regions on
Regent and application to school children.
• Working with NGO’s and Civil Society Groups to provide
orientation to the general public
• Working with the Food and Drugs Board on food safety
and Nutrition.
• Working with the private sector on environmental
sanitation
• Working with institution for inclusion of RHN in school
and Universities syllabus
PRESENTED BY: DR.J.O.AWOYINFA
Service Provision
 Initiated and influenced the process for the
construction of a ‘Regen’ centres by private
organization
 Carry on free health screening at public
gatherings (Kwahu Easter, Policy Fair,
Wellness Exhibition etc)
PRESENTED BY: DR. J.O. AWOYINFA
• Commitment of institution on
RHN is a limiting factor.
• The provision of potable water,
sanitation and clean markets, use
of fertilizers and other chemicals
to grow fruits and vegetables is a
major problem etc.
PPRESENTED BY. DR J.O. AWOYINFA
• Continue with the Capacity Development and
Communication component of the programme
• The project should continue to use MDAs,
Tertiary and Training institutions for getting
to communities/schools.
• There should be massive communication
Campaign in all regions and districts to drive
the message to the people.
• More NGO’s and Civil Society groups must be
encouraged to participate in the program.
PRESENTED BY: DR. J.O.AWOYINFA
THE ROAD IS ROUGH
THE JOURNEY IS
FAR
BUT
YES!!!!!
WE CAN MAKE IT
College of medicine lecture note 4

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College of medicine lecture note 4

  • 1.
  • 2.  INTRODUCTION  PROBLEM ANALYSIS  OBJECTIVE  CONCEPT OF REGENERATIVE HEALTH AND NUTRITION  INTERVENTIONS  ACHIEVEMENTS  CHALLENGES  WAY FORWARD  CONCLUSION
  • 3. • RHN connotes the attainment of optimal physical and mental wellbeing through the adoption of a holistic lifestyle that strengthens the immune system of the body, renew the body and mind and thus prevent diseases, PRESENTED BY: DR.J.O. AWOYINFA
  • 4. To reduce the risk of occurrence of diseases and disorders for individuals, households and communities so as to be able to contribute to the development of a healthier and productive population that can create wealth for itself and the country.
  • 5.  Genetic  Nutrition/Water  Environmental Sanitation/ personal hygiene  Lifestyle  Clinical services -- individuals 10% - 20% 80% - 90%
  • 6.
  • 8.  Poor Nutrition - Poor eating habits(fatty, salty and sugary foods)  Poor Physical Activity - Little or no exercise ( students, lecturers and non teaching staff of tertiary institutions, traders, office workers etc.) - Sedentary lifestyles  Poor Environmental Sanitation
  • 9. • Poor Education/ Lack of Awareness • Over-medicalization of our health system • Urbanization is catching up everywhere • Overall result is that about 30% of our adult population are dying from Non-Communicable diseases annually As a result of drug ABUSE, -We loose vital population/workforce - Loose productivity and national Income - make the National Insurance unsustainable
  • 10. Healthy Diet “But Daniel purposed in his heart that he would not defile himself with the portion of the king’s meat, nor with the wine which he drank” Dan 1:8 NKJV  Increasing consumption of fruits and vegetables  Drinking more water  Reducing salt intake  Reducing dietary in-take of saturated fats and oils  Reducing meat intake  Reducing or eliminating alcohol intake  Reducing or eliminating smoking PRESENTED BY. DR. J.O. AWOYINFA
  • 11. Exercise • Increase daily physical activity including: • Stretching • Strengthening • Endurance or aerobics Rest • Adopting regular relaxation practices to minimize physical and emotional stress • Fasting PRESENTED BY. J.O..AWOYINFA
  • 12. Environmental Sanitation  Maintaining personal cleanliness  Maintaining environmental cleanliness  Advocate for use of potable water Alcoholism  Low alcohol intake No Smoking  Quit smoking PRESENTED BY; DR.J.O. AWOYINFA
  • 13. Safe sex  ABC concept (abstain, be faithful, condom use) Family planning  Birth spacing  Annual Screening
  • 14.
  • 15.
  • 16.
  • 17. Behavioral enhancing communication Creating an enabling environment Capacity building and training Partnership and networking PRESENTED. BY DR . J.O. AWOYINFA
  • 18.  Initiate and facilitate a process of learning and sharing information and skills that encourage individuals and communities to understand and adopt behaviors that lead to healthier longer lives. Primary Target  Primary targets: individuals, families, households, peer groups and institutions  Tertiary targets: district, regional and national level institutions and organization
  • 19.  Water is Drug/Medicine  Fruits and Vegetables are Medicine/Drugs  Exercise is Medicine/Drug  Rest is Medicine/Drug  Cleanliness is Medicine/Drug  Food is Medicine/Drug  Todays;BRAIN STORMING QUESTION; What Is Drug And What is Medicine?
  • 20.  Changing behavior involves more than providing targeted messages.  To sustain behavior change at individual and community levels, it is important to provide enabling environments and support and mediate new ideas and practices.  Thus, providing legal framework, social support, community development and development of policy recommendations.
  • 21.  Intentional transfer of knowledge, skills and resources from one person or group to the other  Involves the following stakeholders: Agencies of Ministry of Health, MOE (schools, colleges, universities, second cycle), agric sector, local government sector, industries and food manufacturing companies, NGO, Traditional Authorities, Restaurant and Hotels, chop bars, Religious bodies, traders etc.
  • 22.  To collaborate with stakeholders in public and private sectors and from lay communities to support and strengthen the RHN agenda  The collaboration will target: - Mobilization of resources(financial, human and material) -Establishment of social movement in schools and communities across the country to change health behavior - Working with advocacy groups e.g. NGOs, Politicians, Keep Fit Clubs, Teachers
  • 23. Policy and Planning Policy Development • Policy document produced • RHNP strategic plan exist • RHN forms the basis for the development of the MOu’s five year POW(2010-13) • Developed Dietary and Physical Activity Guidelines • RHN Textbook for tertiary institutions RESENTED BY: DR. J.O .AWOYINFA
  • 24. Capacity Development and Training • Successfully conducted training in 14 pilot district • Trained all health educators in NHS • Trained all catering officers and hospital matrons in NHS • Trained all district staff representatives of NHS • Have developed and training manuals for nation wide trainings for the past 4 years.
  • 25.  Capacity Development and Training  Trained reps of all community radio stations in Nigeria,  Trained members of Nigeria Writers Association/ Nigeria Publishers Association  Trained Staff using new and current health education syllabus  Trained; chop bar operators, hair dressers, market traders, market preachers etc
  • 26. Inter Sect oral Actions • Nigeria School Feeding Programme has incorporated RHN into its Strategic Plan • Children are fed on regent diet (Fruits and Vegetables) • Orientation for SHEP coordinators from 4 regions on Regent and application to school children. • Working with NGO’s and Civil Society Groups to provide orientation to the general public • Working with the Food and Drugs Board on food safety and Nutrition. • Working with the private sector on environmental sanitation • Working with institution for inclusion of RHN in school and Universities syllabus PRESENTED BY: DR.J.O.AWOYINFA
  • 27. Service Provision  Initiated and influenced the process for the construction of a ‘Regen’ centres by private organization  Carry on free health screening at public gatherings (Kwahu Easter, Policy Fair, Wellness Exhibition etc) PRESENTED BY: DR. J.O. AWOYINFA
  • 28. • Commitment of institution on RHN is a limiting factor. • The provision of potable water, sanitation and clean markets, use of fertilizers and other chemicals to grow fruits and vegetables is a major problem etc. PPRESENTED BY. DR J.O. AWOYINFA
  • 29. • Continue with the Capacity Development and Communication component of the programme • The project should continue to use MDAs, Tertiary and Training institutions for getting to communities/schools. • There should be massive communication Campaign in all regions and districts to drive the message to the people. • More NGO’s and Civil Society groups must be encouraged to participate in the program. PRESENTED BY: DR. J.O.AWOYINFA
  • 30. THE ROAD IS ROUGH THE JOURNEY IS FAR BUT YES!!!!! WE CAN MAKE IT