Annual Report 2018 WesternCape on Wellness (WoW!) January 2018 – December 2018

Creating a Culture of Wellness Together!

www.westerncape.gov.za/wow

WoW! Annual Report 2018 i Report compiled by: Wellness Team

Date: March 2019

[email protected] Foreword

WoW! (WesternCape on Wellness) is a new and dynamic healthy lifestyle-promoting partnership programme of the Government Department of Health. WoW! promotes and activates the adoption of healthy lifestyles behaviours and the co-creation of wellness-enabling environments by all members of society. This will enable the prevention, reduction and better management of non-communicable diseases (NCD’s), also known as Chronic Diseases of Lifestyle.

Most NCDs, such as diabetes, high cholesterol, high blood pressure, stroke and certain cancers are preventable. Their risk factors are related to lifestyle behaviours that include unhealthy eating, unhealthy weight, lack of physical activity, using tobacco products and excessive alcohol drinking. Through a multi-method Assisted Self-Management Approach WoW! designs and implements co-actions that strengthens knowledge of NCDs and healthy lifestyles. This approach promotes and activates increased fun and free physical activity, healthy eating and healthy weight management at population level.

The Department acknowledges and values the inputs from the diverse range of institutions, organisations and community members who form part of the ever-growing WoW! partnership platform. Importantly, the creative contributions and phenomenal achievements of the expansive network of volunteer WoW! Wellness Champions are inspirational and astonishing. We admire their passion and commitment to making a real difference in and with their respective communities.

WoW! is both a Western Cape Government Cabinet transversal and a Department of Health strategic deliverable towards increasing wellness at population level. This is achieved through the implementation of a collaborative, co-learning and co-action process driven by a continual improvement framework to ensure best, scalable and sustainable practices. Accordingly, WoW! is being implemented incrementally across household, community, worksite and healthcare settings within the Western Cape.

The Department is inspired by the wellness-promoting achievements of WoW! since starting with an initial testing phase in 2015. In addition to health improvements, WoW! is facilitating social connectedness, inclusiveness and gender equity through innovative co-actions that range from free training and workshops to food gardening and cooking demonstrations, fun and free physical activity in public spaces and through exercise groups. These co-actions include an inclusive communication platform that comprises printed and social media. In recognition of significant contributions to public health, WoW! received the PHILA Annual Achievement Award from the Public Health Association of in 2017 and a Gold Award for Public Service Innovation from the Western Cape Government in 2018.

The Department is grateful for all the tireless input and support being received from all the WoW! Partners, Wellness Champions and their WoW! Group Members. We are very proud of and excited about the future of WoW! as this wellness-promoting partnership is growing into a collective movement to Co-Create a Culture of Wellness in the Western Cape!

Dr Beth Engelbrecht Western Cape Government Health: Head of Department March 2019

WoW! Annual Report 2018 2 3 WoW! Annual Report 2018 Table of Contents

Foreword...... 2 1. Introduction...... 6 2. Background to the WoW! initiative...... 7 3. Measurable Outcomes of WoW!...... 9 4. Monitoring and Evaluation...... 10 4.1 Support Managers...... 10 4.2 Monthly Telephonic Report...... 10 4.3 Quarterly Wellness Champion Group Meetings...... 11 4.4 RE-AIM Report...... 11 4.5 Results...... 11 4.5.1 Executive Summary: Phase-1 Report...... 11 4.5.2 RE-AIM Results...... 13 4.6 Key Challenges 2018...... 18 5. Building a Wellness Champion Network...... 19 5.1 Wellness Champion Application Process...... 19 5.2 Wellness Champion Training...... 19 5.2.1 Training Programme...... 20 5.2.2 Champions Trained...... 21 5.3 WoW! Groups...... 21 5.3.1 Worksite WoW! Groups...... 22 5.3.2 Community WoW! Groups...... 23 5.4 WoW! Electives...... 24 5.4.1 Healthy Minds...... 25 5.4.2 Emergency First Aid Responder (EFAR) Training...... 26 5.4.3 Basic Principles of Exercise Instruction...... 27 5.5 Quarterly Wellness Champion Group Meetings...... 28 6. Wellness Promotional Items...... 29 6.1 WoW! Kit Box...... 29 6.2 WoW! Clothing...... 30 7. WoW! Activities...... 31 7.1 Active Public...... 31 7.2 Safe Play Streets...... 32 7.3 Senior Citizen Wellness...... 33 7.4 Community Activations...... 34 7.5 Provincial Gym...... 36 8. Partnership Initiatives...... 37 8.1 Healthy Plant-Based Cooking Train-the-Trainer course...... 37 8.2 House-Hold Vegetable Gardening...... 38 8.3 Qhubeka Bicycle Project...... 39 8.4 Diabetes Screening: Albany Bread...... 40 8.5 Shoes to Move...... 42 8.6 Radio786...... 42 9. WoW! Communication Platforms...... 43

WoW! Annual Report 2018 4 9.1 WhatsApp...... 43 9.2 Facebook...... 43 9.3 SMS...... 44 9.4 Website...... 44 9.5 Email...... 44 9.6 Newsletter...... 44 9.7 Leaflets...... 45 9.8 Recipe Book...... 45 10. Annual WoW! Awards Ceremony...... 46 11. Annual WoW! Healthy Meeting for Reflection and Planning...... 51 11.1 2018 Achievements...... 51 12. The WoW! Partnership Platform...... 52 13. Conclusion...... 53 14. References...... 54

Figure 1: Seven Dimensions of Wellness...... 7

Figure 2: WoW! Partners...... 8

Figure 3: Short-term Outcomes of WoW!...... 9

Figure 4: RE-AIM Report Criteria...... 11

Figure 5: WoW! Phase-1 Results...... 11

Table 1: New Wellness Champions Trained (February to November 2018)...... 21

Table 2: WoW! Worksite Groups across the Western Cape...... 22

Table 3: WoW! Community Groups across the Western Cape...... 23

Table 4: Healthy Minds Elective Training offered...... 25

Table 5: EFAR Elective Training offered...... 26

Table 6: Basic Principles of Exercise Instruction Elective Training offered...... 25

Table 7: Items in WoW! Kit Box...... 29

Table 8: WoW! Active Public Sessions held in 2018...... 31

Table 9: Senior Citizen Wellness sessions held in 2018...... 33

Table 10: Community activations held in 2018...... 35

Table 11: Qhubeka bicycle distribution in East...... 39

Table 12: Diabetes Screening Summary Report...... 41

Table 13: 2018 WoW! Awards Ceremony Winners per categories...... 49

5 WoW! Annual Report 2018 1. Introduction

We are very pleased to share with you the very first AnnualWoW! Report. This report highlights and acknowledges the key wellness-promoting achievements accomplished by a passionate network of Wellness Champions and WoW! Partners from January to December 2018.

We value and are thankful for the sustained commitment, guidance and contributions of all our WoW! Wellness Champions, Partners, Supporters and the extended team members.

This report, recommended by the Wellness Champions, serves as a resource to acknowledge the inspiring achievements towards co-creating wellness-enabling environments and to market the WoW! Healthy Lifestyles initiative towards encouraging more partners and sponsors to join and support the growing movement for the Co-creation of a Culture of Wellness.

Thank you for sharing this report with your family, neighbours, colleagues, wellness and social networks. Please forward to us any recommendations you may have towards co-creating wellness-enabling environments.

Thank you for being WoW!

The Wellness Team

Feroza Lekota, Siphumelele Gqokonqana, Lithakazi Mtabhana, Busiswa Mayekiso, Frederick Marais,

Joanna Janse Van Rensburg, Karen Nieuwoudt

The Extended Wellness Team

Ferdinand Bomvana, Millicent February, Nousheena Firfirey, Julie Fisher, Hilary Goeiman, Nicolette Henney, Rafeeqah

Isaacs, Maureen McCrea, Faith Mkosi, Elizabeth Pegram

WoW! Annual Report 2018 6 2. Background to the WoW! initiative

The Western Cape, in common with other South African Provinces and many other countries, is experiencing a growing burden of non-communicable diseases (NCDs) – also called diseases of lifestyle. These include obesity, diabetes, high blood pressure, high cholesterol, stroke, heart attacks and cancer. Both adults and children can develop NCD’s due to lifestyle choices; including, unhealthy eating, unhealthy weight and a lack of regular physical activity. In South Africa, NCDs accounted for 51% of all deaths in 2013. In the Western Cape, NCDs accounts for 60% of deaths for males and females from 2009 to 2013 (Sheik et al, 2016).

The Western Cape Government Health (WCGDoH) together with its valued partners, including Wellness Champions, are committed to addressing these negative health outcomes through the dynamic WoW! (WesternCape on Wellness) initiative. WoW! promotes, activates and sustains increased physical activity, healthy eating and healthy weight management to prevent, reduce and better manage the burden of NCDs.

WoW! is a partnership platform to promote, activate, expand and maintain a healthy lifestyles movement across multiple settings, including: Household, Community, School, Worksite, Healthcare Facility and Public Space settings. The initiative addresses both individual health and behavioural and social determinants of wellness to co-create wellness-enabling environments. The initial focus is Physical Wellness by addressing NCDs. As an expanding wellness-promoting partnership platform for supported Self-Management, WoW! will ultimately address all 7 Domains of Wellness (Figure 1).

Figure 1: Seven Dimensions of Wellness

7 WoW! Annual Report 2018 WoW! was launched for testing in March 2015. Based on the encouraging monitoring and evaluation results (outlined in section 4.5) coupled with the application of a continuous improvement approach, the design of the initiative is being adjusted continually to ensure that it is contextually appropriate, inclusive and community responsive.

At the heart of WoW! initiative is the Wellness Champions functioning as a network of Peer Leaders towards co-creating wellness-enabling environments. This diverse range of passionate individuals from WCG worksites, households, communities and schools have been trained to partner in WoW! as unpaid volunteer Wellness Champions; outlined in section 5.2. The number of trained Wellness Champions increased from 91 in the 2015/16 (WoW! Phase-1 Testing) to 228 in 2018.

Serving as the foundation of WoW!, is the the innovative WoW! partnership platform that has expanded from 10 partners in 2015/16 to 15 in 2016/17 and 44 in 2017/18. The partners range from transversal and inter- governmental entities (Local, Provincial and National) to cross-sectoral (Academia, Private, NGO, NPO and CBO) institutions as demonstrated in Figure 2. Keeping an inclusive approach, new partners with commitment and expertise in the field of wellness-promotion are welcome and encouraged to join the evolving partnership. In recognition of significant contributions to public health, WoW! received the PHILA Annual Achievement Award from the Public Health Association of South Africa in 2017 and a Gold Award for Public Service Innovation from the Western Cape Government in 2018.

Figure 2: WoW! Partners

The sections below offer a succinct summary of the key actions of the WoW! partnership platform together with the main achievements during 2018. A brief overview of the plans for 2019 is listed at the end of the report.

WoW! Annual Report 2018 8 3. Measurable Outcomes of WoW!

The long-term outcome is to prevent, reduce and better manage NCDs by addressing their key risk factors (individual health behaviour and broader environmental/social determinants).

The short-term outcomes are listed in Figure 3.

Figure 3: Short-term Outcomes of WoW!

9 WoW! Annual Report 2018 4. Monitoring and Evaluation

WoW! is underpinned by a continuous improvement framework to assess and apply lessons learned for immediate corrective actions towards strengthening wellness-promoting actions. The framework includes the assignment of a Support Manger for each Wellness Champion, Monthly Telephonic Reports, Quarterly Wellness Champion Group Meetings and a Quarterly RE-AIM Report. These interconnected methods are outlined below.

4.1. Support Managers

On starting a WoW! Group (comprising volunteer participants) with a structured programme to promote healthy active lifestyles, each Wellness Champion is assigned a Support Manager. The role of the manager is to: (a) undertake, when possible, a site visit to the WoW! Group in order to become familiar with the environmental context and influences (enablers and challenges), (b) assess progress, (c) identify any required co-actions, and importantly (d) offer support, guidance and encouragement.

4.2. Monthly Telephonic Report

The assigned Support Managers, described in section 4.1, conduct telephonic monitoring and evaluation calls with the respective Wellness Champions. The findings are recorded in writing. During early 2019, an on- line version of the report will be tested for scaling across all WoW! sites.

4.3. Quarterly Wellness Champion Group Meetings

Quarterly meetings are conducted with the Wellness Champions to: (a) build and strengthen the ever- expanding network of Wellness Champions, (b) announce any new actions and requirements, (c) address any challenges experienced by the champions and (d) to obtain their recommendations towards strengthen wellness-promoting co-actions.

4.4. RE-AIM Report

The Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) model was employed to evaluate Phase 2 of the WoW! initiative. According to Kessler et.al. (2012, p. 46) RE-AIM is a conceptual model which is useful for the planning, implementation, evaluation, review, and reporting of implementation science and dissemination research. RE-AIM was developed as an appropriate method to evaluate progress in public health and community based interventions (Glasgow, Vogt, & Boles, 1999). The model evaluates 5 dimensions: reach, efficacy, adoption, implementation, and maintenance which occur at multiple levels to determine the public health or population-based impact of a program or policy (Glasgow, Vogt, & Boles, 1999).

The Wellness Champions are expected to complete a RE-AIM Report (Figure 4) on an annual basis. The purpose is to review the reach, effectiveness, adoption, integration and maintenance of WoW! In addition, the findings inform the identification of outstanding achievements of the Wellness Champions and their groups for recognition at the Annual WoW! Award Ceremony described in section 10.

WoW! Annual Report 2018 10

Figure 4: RE-AIM Report Criteria

4.5. Results

4.5.1. Executive Summary: Phase-1 Report

The WoW! initiative was launched in March 2015 for Phase-1 testing during 2015 to 2016/17. The key findings of this phase are tabled in Figure 5 and then summarised with recommendations and conclusions below. These results, together with findings from the continuous improvement framework described in section 4.7, inform the design of the WoW!.

Figure 5: WoW! Phase-1 Results

11 WoW! Annual Report 2018 WoW! Phase-1 Testing

During this phase, WoW! Wellness Champions were largely ‘self-selected’ within 13 provincial departments, 10 schools, and 9 community support groups. Champions underwent training regarding healthy lifestyles, health risk assessment, brief behavioural change counseling and group leadership. They recruited members from their specific settings who were subsequently invited to undergo baseline health risk assessment. All measurements were offered again at 3 months and 6 months. The initiative communicated with members and partners through a Wellness print magazine, monthly newsletter, and weekly health messaging via WhatsApp and SMS text messages. Champions were provided with refresher training every two months.

Key findings fromWoW! Phase-1 Testing a) Of the WoW! pilot cohort of nearly 800 members at baseline, more than 80% were either overweight or obese, over 50% of members from schools and community groups were hypertensive, and less than 1 in 4 of all members were meeting recommendations for physical activity (>=150 min/week). b) Barriers to lifestyle change differed according to site. Members from community groups cited “lack of knowledge and resources” as barriers, whereas members from the other two, more well-resourced groups cited “lack of time and inability to prioritise” lifestyle change as the key barriers. c) The overall retention was in line with similar community-based interventions, globally, with 40% of all participants presenting for follow-up at 3 and/or 6 months. Retention in the community groups was significantly higherthan in both other settings. d) “Lack of knowledge” was no longer considered a barrier after programme implementation, whereas “lack of time” was more frequently cited, suggesting greater engagement. e) Marked improvements were seen in both systolic and diastolic blood pressure at 3 months, and systolic blood pressure at 6 months. The proportion of members presenting with hypertension at 3 months halved. f) There were significant improvements in self-reported healthy eating, physical activity, quality of life and general health status, and significant reductions in waist circumference at 6 months, and in time spent sitting. Self-reported smoking changed from 10% at baseline to 0% at 6 months. g) Over 90 WoW! Champions were trained for the pilot phase, and results over 6 months were available from 38 WoW! Groups. Training manuals have been developed and are now being revised, based on feedback from champions in Phase 1.

Recommendations from WoW! Phase-1 Testing a) Challenges to implementation can be addressed through supportive management; self-selection of WoW! Champions; letters of commitment from members and recognition in the workplace. b) Increased emphasis on and support for self-management towards positive lifestyle behaviour change. c) Address time constraints and to help to motivate members to increase the priority of lifestyle change; avoid over-assessment that may be the enemy of engagement. d) More comprehensive training for WoW! Champions and alternative models for personalised messaging, such as print and SMS, that may be more effective and time efficient. e) Greater community engagement and capacity development through the proposed WoW! Community Action Teams (CATs) and the development of a community Wellness Assets Assessment tool (WAAT). f) Provide Web-based online registration, personalised and timeous feedback on health risk assessment. g) Ensure ongoing process evaluation of implementation and engagement.

WoW! Annual Report 2018 12 Conclusions from WoW! Phase-1 Testing a) The Health Champions model is evolving, but has been shown to be effective in changing health risk behaviour and health risk status in members in a number of settings, including schools, worksites and community-based facilities. b) WoW! Wellness Champions, as peer-leaders have been shown to be effective in this test, however, there is a need to address challenges and barriers to implementation and engagement, as well as sustainability, as the programme is scaled up. c) The WoW! Healthy Lifestyles Initiative reflects best practice in comprehensive, community-based health promotion programmes, with promising initial results.

WoW! Phase 2 has largely set about addressing the recommendations based on the results of the pilot programme.

4.5.2. RE-AIM Results

Below is a summary of the key findings from the RE-AIM Report 2018, outlined in section 4.4, as submitted by 50% (40/80) of the WoW! Groups active in September 2018. a) Wellness Champion training: scaled in 2017/18 to include Rural Health Services; 3-day courses delivered in Paarl, Worcester, George and Vredenburg – in addition to those budgeted for and delivered in the Metro Health Services. b) Number of Wellness Champions trained: the number increased from 91 in 2015/16, to 118 in 2016/17, and 228 in 2017/18.

Wellness Champion Training, West Coast District.

13 WoW! Annual Report 2018 c) Number of WoW! Groups: a total of 80 WoW! Groups (Worksites, Healthcare Facilities and Communities) were active at the time of the RE-AIM Report in September 2018. Subsequently, Wellness Champions trained in George (Aug 2018), West Coast (Oct 2018) and the Metro (Oct & Nov 2018) started an additional 27 WoW! Groups. d) Population reach: the results are based on the cross-sectional survey of 50% (40/80) of WoW! Groups conducted in September 2018.

- Number of WoW! Group registered members: 1473. - Number of additional people not registered but casually attend structured WoW! Group activities: 4549. - Number of additional people Wellness Champions engaged with and resulted in them living a healthy lifestyle: 2896. - Number of people who received WoW! leaflets: 5672. e) Health Benefits: from the survey of 50% (40/80) of the WoW! Groups, more than 50% of the Wellness Champions reported that group members had achieved significant health benefits including: weight loss, increased physical activity, increased fitness, healthier eating, better management of NCDs and improved quality of life. f) Household Food Gardens: an innovative model was designed and tested, in partnership with the Great Commissions Network with full funding from WCG Agriculture, for the implementation of 100 new food gardens via the WoW! platform. The success rate was 89% (an increase from 57% prior to partnering with WoW!). Based on this high success rate, additional gardens will be established through this partnership. g) School Bicycles: through a partnership with Qhubeka 3000 bicycles have been awarded to school learners through the WoW! platform at schools in Paarl. The preliminary results indicate improved school attendance, academic performance, increased physical activity and expanded access to economic opportunities at household level. h) Social impact: evaluative and observational data indicate a noticeable increase in social connectedness and inclusivity at intra and inter community levels.

An example of social connectedness at Open Streets in Woodstock.

WoW! Annual Report 2018 14 Remarkable Achievements 2018

• 0A greater interest in Wellness Champions Training. Champions were trained from all 5 Rural Health Districts and across the Metro Health District.

• WoW! Champions and their group members were exposed to additional training including: Healthy Minds, Emergency First Aid Responder, Basic Principles for Exercise Instruction and Household Food Gardening.

• A number of Worksite and Community Champions received awards at the WoW! Awards Ceremony held in September. Some clubs were awarded top honours for the second year running.

• Some established WoW! Groups have formed new groups to offer age specific activities and accommodate members at different times.

• Most WoW! Group members are taking responsibility for their own health by being more active, eating better and better managing their chronic diseases.

• Many worksite groups have succeeded in getting management support for WoWI activities: establishment of wellness coaches, adoption of healthy catering guidelines, healthier options at tuck shops and canteens, flexi working hours and/or time off to allow for physical activity during the day, bicycles for staff to use at work, access to workplace gyms including the provincial gym in Cape Town, time off to attend meetings and training, etc.

Department of Health, Health Programmes Staff doing a physical activity session at the office.

• Both Community and Worksite Champions are very motivated to install healthy lifestyles programmes and proud of their efforts despite limited resources and support in most cases.

• Some community WoW! Groups and members have established food gardens promoting healthy eating and financial wellness.

15 WoW! Annual Report 2018 A household food garden.

• Champions developed themed challenges for their members: sugar reduction, drink more water, steps and squats challenge, etc.

Staff from the Eskom WoW! Group participating in a sugar reduction challenge.

WoW! Annual Report 2018 16 • Some groups have very dedicated members who support the champion by taking the lead in group activities and supporting members.

• WoW! Group activities allow for members to participate in a safe environment.

• Establishment of the Support Manager system is enabling Champions to be linked closer with the WoW! Project team who can assist with their challenges and needs.

• Linking WoW! Groups with other support structures like Community Based Programmes (CBS) and Community Orientated Primary Care (COPC) gives credibility to the programme and opens up resources and support for champions.

• Groups have also formed partnerships with local schools, churches, libraries and health facilities to access their resources, such as venues.

• Interest in the implementation of Safe Play Streets and Active Public in different communities across the Cape Town Metro is increasing.

Safe Play Streets, , Cape Town.

Active Public Yoga, Iziko Museum Whale Well, Cape Town,

17 WoW! Annual Report 2018 4.6. Key Challenges 2018

• Results from the mixed-method continuous improvement framework revealed a recurring theme across the WoW! Groups of difficulties in securing a suitable venue for their activities. This is a particular problem in winter and in unsafe areas. Champions do not always know how to get access to community sport grounds and halls. • Another common theme was finding a convenient time for WoW! activities including screening, WoW! Active Public and other community activations. • Both Community and Worksite WoW! Groups struggled to retain members and get regular attendance. In addition, there was a decline in member numbers during winter. This could be due to not having an enclosed facility and members in general were less motivated to exercise. • Work pressure was also a problem for some WoW! Groups. And some groups became inactive due to a lack of managerial support. • Champions wanted to incentivise group attendance with WoW! branded promotional items such as t-shirts, however financial constraints prevent this. • Sustained communication within WoW! Groups, with the WoW! project team and with other WoW! groups were challenging. This was largely due to a lack of email and internet (including social media) access amongst the participants. • Not all Community WoW! Champions had access to computers, copiers, internet, email, etc. and therefore struggle to keep up with administrative requirements. • Literacy at community level was highlighted as a challenge and because of this WoW! Group Members did not feel confident to attend WoW! training sessions. Health education material was also not always suitable for members who were illiterate. • The Wellness Champions also found the conducting of health screening on their own challenging. This was due to a lack of confidence to do the screening and not knowing how to give feedback to members once they have their results. • Some Wellness Champions found it difficult to source instructors and field specialists, like dieticians, physiotherapists and biokineticists, to present sessions for their WoW! Groups. • Some WoW! Group members had unrealistic expectations about changes in their own health (too much too soon) and about what the WoW! Group should offer them. • Linked with the above challenges, is a lack of resources such as portable equipment for sessions. • Community WoW! Groups linked to NPO’s were frequently affected by staff resigning, leaving the group with no consistent leadership. • Community WoW! Champions and their group members did not always have a means of transport to attend training and community activations.

WoW! Annual Report 2018 18 5. Building a Wellness Champion Network

5.1. Wellness Champion Application Process

All prospective Wellness Champions are required to submit the official “Wellness Champion Training Application Form”, issued by the WCGDoH WoW! team. Successful applicants are required to attend the 3-day Wellness Champion Training course described in section 5.2.

5.2. Wellness Champion Training

Wellness Champion Training, Eden District.

Wellness Champion Training, Cape Winelands District.

19 WoW! Annual Report 2018 Wellness Champions (Peer Leaders) are recruited, trained, resourced and supported to establish and maintain a WoW! Group in their respective settings. The initial free, 3-day training is a requirement to become a Wellness Champion. Training materials are all evidence-based/informed and developed by the UCT-led Training, Implementation, Research and Evaluation Consortium (TIREC) in partnership with the WCGDoH.

5.2.1. Training Programme

The 3-day training programme covers the following:

Day 1: Overview of the WoW! initiative.

Building a wellness champion network.

WoW! Champions reflective experiences.

Healthy eating and drinking.

Day 2: Enabling behaviour change.

Physical activity theory.

Know (measure and interpret) your numbers.

Physical Activity Practical – World Café:

• Body posture for safe exercising demonstration and practical class.

• Home/Office-based exercise equipment demonstration and practical class.

Day 3: Next Steps: WoW! implementation, including M&E.

Knowledge application and critical reflection.

Healthy lifestyle actions.

Participant assessment to test knowledge and competencies.

WoW! Annual Report 2018 20 5.2.2. Champions Trained

The number of trained Wellness Champions increased from 91 in the 2015/16 (WoW! Phase-1 Testing) to 228 in 2018 as per Table 1. During 2018 the training was scaled for delivery in rural parts of the Western Cape; including Paarl, Worcester, George and Vredenburg. In total, 489 Champions have been trained since 2015. Out of these, 380 (77.7%) remained part of the WoW! initiative at end 2018.

Month Number of Metro / Venue attendees Rural February 13 Metro Newlands, Cape Town February 17 Rural Paarl April 25 Metro , Cape Town May 24 Rural Worcester July 26 Metro , Cape Town August 34 Rural George October 26 Rural Vredenburg October 32 Metro Newlands, Cape Town November 31 Metro Newlands, Cape Town TOTAL 228

Table 1: New Wellness Champions Trained (February to November 2018)

5.3. WoW! Groups

WoW! promotes healthy lifestyles using a settings based approach – the workplace and community to address the modifiable risk factors (unhealthy eating and physical inactivity) associated with chronic, non- communicable diseases (NCD’s). The Wellness Champion in these settings engage with people to create a change in the health and wellbeing of individuals, groups and/or communities.

Since 2016, WoW! Champions have established multiple WoW! Groups across the Western Cape in the worksite as well as in community settings, both in the Metro and Rural Health Districts, to promote and sustain healthy living amongst their members. A total of 107 WoW! Groups was active in 2018. Depending on the setting, each group is managed between one to six Wellness Champions;

21 WoW! Annual Report 2018 5.3.1. Worksite WoW! Groups

Worksite WoW! Group, Stikland , Cape Town

Department / Organisation Number of WoW! Groups Department of Health 21 Department of Social Development 14 Department of Economic Development and Tourism 1 Department of Cultural Affairs and Sport 1 Department of the Premier 2 Department of Community Safety 1 Department of Environmental Affairs and Development Planning 1 Department of Treasury 1 Department of Local Government 1 Eskom Western Cape 1 Metrorail / PRASA 2 TOTAL 46

Table 2: WoW! Worksite Groups across the Western Cape

Wellness Champions from the Department of Health have also been trained in all 5 Rural Districts, Cape Winelands, Central Karoo, Eden, Overberg and the West Coast as part of the Department’s Community Orientated Primary Care (COPC) model.

Activities of Worksite WoW! Groups include:

• Wellness days with health screening, wellness talks, healthy food demonstrations and group exercise activities. • Structured exercise sessions: aerobic exercises, walking, Pilates, Yoga and dance. • Networking with other organisations and WoW! Groups. • Chronic support groups at clinics and . • Outreach to old age homes and the elderly. • Implementing catering guidelines and influencing vendors to supply healthy foods. • Policy on physical activity during work hours. • Procurement of bicycles for use by staff. • Appointment of Wellness coaches.

WoW! Annual Report 2018 22 5.3.2. Community WoW! Groups

WoW! Community Group, Macassar, Cape Town

At community level there are 205 trained Wellness Champions across the Western Cape, managing a total of 61 WoW! Community Groups during 2018. These groups are in and from Non Profit Organisations, Community Health Care Workers, Chronic Support Groups, community based organisations, individual community members and pre-existing fitness and wellness initiatives.

Area Number of WoW! Groups Sunwell Cloetesville () 1 Kayamandi (Stellenbosch) 1 1 1 Vrygrond () 1 Wellington 1 Hermanus 1 Phillippi 1 Kenilworth 1 1 Delft 1 Langa 1 Athlone 2 2 Bishop Lavis 3 4 5 Paarl 6 Gugulethu 8 Khayelitsha 9 West Coast 10 TOTAL 61

Table 3: WoW! Community Groups across the Western Cape

23 WoW! Annual Report 2018 Community WoW! Group activities include:

• Healthy eating and physical activity sessions. • Structured exercise sessions: walking, running, swimming, dancing, aerobic exercise, Yoga, hikes, cooking demonstrations, health screening and wellness days. • Food Gardens. • Networking with other WoW! groups, churches, schools, youth and senior’s groups. • Chronic diseases support groups.

All WoW! Groups are monitored and supported by Support Managers from the WoW! Project team. Monthly telephone calls are done to support the group where possible and assess progress made.

Challenges include retention of members, motivation of members, competing demands, suitable venue, suitable time for everyone, weather, access to instructors/guest speakers and limited equipment. The WoW! project team has established links with the (CoCT) for the use of libraries, halls and venues free of charge for WoW! Groups.

5.4. WoW! Electives

Elective training is a 1-day top-up people development sessions offered to trained Wellness Champions. Topics are identified by the Wellness Champions and the WCGDoH WoW! team. The range of topics covered during 2018 are listed below.

WoW! Annual Report 2018 24 5.4.1. Healthy Minds

Healthy Minds Training, Cape Town

This unique workshop was developed and presented in partnership with Eskom Western Cape, Health and Wellness Unit. The course included a practical application of various tools to self-assess personal levels of stress and emotional resilience in order to strengthen individual ability to adjust to and manage ever changing life circumstances. Topics covered in this workshop include:

• Managing my Wellness (including tools for self-assessment and action). • Overview of Mental Health; including the various dimensions, destigmatisation and resources for support. • Managing My Stress and Anxiety (including tools for self-assessment and action). • My Emotional Resilience (including tools for self-assessment and action). • Relaxation Techniques.

Training during 2018:

Month Number of Metro / Venue attendees Rural March 17 Metro Lentegeur Hospital October 17 Metro Khayelitsha Hospital

Table 4: Healthy Minds Elective Training offered

Healthy Minds elective training will continue during 2019. Additional partnerships are being formed to expand the content and scalability of this Elective across different settings in the Western Cape.

25 WoW! Annual Report 2018 5.4.2. Emergency First Aid Responder (EFAR) Training

EFAR Training, Cape Town

WoW!, in partnership with WCG Emergency Medical Services (EMS) offered free Emergency First Aid Responder (EFAR) training to Wellness Champions. The 2 day EFAR training programmes has a theory and practical component and participants have to pass the written and practical assessments to receive their qualification which is valid for 2 years.

The EFAR programme trains and dispatches community EFARs to respond to emergencies quickly by being called upon by their neighbours or by being dispatched via the local ambulance communication centre. On the scene, the EFARs are able to keep emergency patients alive until fully equipped ambulances arrive. Basic EFARs are able to do: abdominal thrusts; CPR (chest compressions only); recovery position; stop uncontrolled bleed; basic bandaging and splinting and more.

Training during 2018:

Month Number of Metro / Venue attendees Rural January 20 Metro Sport Science Institute, Newlands

Table 5: EFAR Elective Training offered

EFAR elective training will take place once a quarter during 2019 with rollout to Rural Districts being planned.

WoW! Annual Report 2018 26 5.4.3. Basic Principles of Exercise Instruction

Basic Principles of Exercise Instruction, Cape Town

Wellness Champions are expected to develop a structured physical activity programme for their WoW! Groups. Champions are encouraged to facilitate these session themselves and/or get professional instructors to do so. The one day elective on Basic Principles of Exercise Instruction was developed in response to the need identified by Champions to help them facilitate these sessions.

The one day elective provides Champions with an improved understanding of what an exercise session should entail. It also addresses body posture during exercises and safety to prevent injuries.

Training during 2018:

Month Number of Metro / Venue Facilitator attendees Rural February 25 Metro Sport Science Institute, Sofire Zumba Newlands March 25 Rural Cloetesville Tania from Piloxing SA

Table 6: Basic Principles of Exercise Instruction Elective Training offered

There will be another elective at the beginning of March 2019 in Malmesbury. This is a district that WoW! has not had a chance to go to thus far. Future dates, depending on the demand, will be communicated to all Wellness Champions.

27 WoW! Annual Report 2018 5.5. Quarterly Wellness Champion Group Meetings

Quarterly WoW! Group meeting in Bonteheuwel.

These Wellness Champion meetings took place on a quarterly bases in various areas around the Cape Town Metro.

The purpose of these meetings include:

• Discuss WoW! reporting documents: e.g. RE_AIM and Monthly Telephonic Activity Report. • Discuss new WoW! documents such as screening tools. • Review and evaluate existing and newly developed material. • Touch base with the Champions to understand what their challenges are and to identify possible solutions.

The main challenges with these meetings include: the unavailability of some Wellness Champions, transport to venues and work demands, since some Champions work fulltime. These meetings will continue through 2019 on a quarterly bases at different venues to try and accommodate more Champions.

WoW! Annual Report 2018 28 6. Wellness Promotional Items

6.1. WoW! Kit Box

WoW! Kit Box

Once Wellness Champions are trained and they have established a WoW! Group, they qualify for a WoW! Kit Box. This is a starter kit containing portable equipment they can use to do basic health screening for their members and for indoor and outdoor physical activities.

Each WoW! Group also receives a branded banner to use at their group events to be more visible and to create awareness.

Items in kit box 1 Black plastic storage container 10 Therabands 1 Scale 1 OMROM blood pressure monitor 1 Flash disk with all training material 5 Exercise matts 1 Height meter 5 Skipping ropes 1 Meter wheel 10 Cones 1 Stopwatch 3 Hula Hoops (on request only) 1 Tape measure Recipe books 1 Whistle Other resources 1 Pack of rubber bands 2 Netball balls (only for clubs with a netball team) 1 Nylon bag 2 Rugby balls (only for clubs with a rugby team) 1 Medicine ball 2kg 2 Soccer balls (only for clubs with a soccer team) 5 Mini gym balls 1 WoW! banner

Table 7: Items in WoW! Kit Box

29 WoW! Annual Report 2018 6.2. WoW! Clothing

WoW! Clothing

WoW! branded t-shirts and caps are promotional clothing for trained Wellness Champions. These promotional items are also used as prizes at WoW! Active Public events, WoW! Seniors and other community activations.

For a WoW! Group Member to qualify for a WoW! branded t-shirt and cap, they must meet the following criteria:

• Cap: must be part of the WoW! Group for at least 3 months.

• T-shirt: must be part of the WoW! Group for at least 6 months and had their health screening done.

Wellness Champions should make contact with their Support Manager or email details to wow@westerncape. gov.za to arrange promotional clothing for their qualifying WoW! Group members.

WoW! Annual Report 2018 30 7. WoW! Activities

7.1. Active Public

MITS Spinning Class, Cape Town Railway Station

WoW! Active Public promotes regular physical activity through a range of fun and free exercise sessions for WoW! Groups and the public in open spaces. These sessions were offered every second Wednesday of the month, from 13:15 to 13:45. An average of 11 people attend each of these sessions. The aim is to expand the number of WoW! Active Public sessions offered by Wellness Champions and other WoW! Partners at a range of sites across the Western Cape.

Month Activity Venue February Yoga Whale Well, SA Iziko Museum March Pilates Company’s Garden Tai Chi Whale Well, SA Iziko Museum April Yoga Company’s Garden May Spinning Cape Town Railway Station Pilates Whale Well, SA Iziko Museum June Spinning Cape Town Railway Station Yoga Whale Well, SA Iziko Museum July Pilates Whale Well, SA Iziko Museum August Pilates Whale Well, SA Iziko Museum September Qigong Whale Well, SA Iziko Museum November Yoga Whale Well, SA Iziko Museum

Table 8: WoW! Active Public Sessions held in 2018.

31 WoW! Annual Report 2018 7.2. Safe Play Streets

Safe Play Streets, Gugulethu, Cape Town

WoW! Safe Play Streets aims to create a safer and enabling environment for children to play. This is a global movement aiming at increasing wellness, fun and safe play among children. Children play naturally with portable equipment which WoW!, in partnership with City of Cape Town, bring on the day.

A Wellness Champion must apply for a permit from the City of Cape Town to close a residential street for a short period (up to 2-3hrs). This initiative has been successfully piloted in Gugulethu, Bonteheuwel, Khayelitsha and Woodstock.

During 2019 the initiative will be tested in other areas in the Cape Town Metro and Rural Districts. The WoW! Project Team is working on a Safe Play Streets tool kit to assist other Champions to implement the initiative in their respective areas.

WoW! Annual Report 2018 32 7.3. Senior Citizen Wellness

WoW! Seniors Macassar

The Senior Citizen Wellness event, in partnership with Metrorail, promotes supported self-management for increased wellness amongst Senior Citizens (65+) through fun and free activities. Different wellness promoting sessions were offered focusing on: maintaining/increasing physical mobility, home-based physical activity, healthy eating, chair based exercise and freestyle dancing. During 2018, Albany Bread offered free diabetes education and screening at some events. The event is by invitation only and 70-120 Senior Citizens from different communities were invited each time.

Month Event details Number of Participants March Seniors Citizens from Bishop Lavis participated in freestyle dancing com- 70 petitions and group sessions on physical mobility and healthy eating. July Senior Citizens from Khayelitsha were invited to this special Mandela 120 Day event and participated in freestyle dancing competitions and group sessions on physical mobility, healthy eating and diabetes awareness and screening. September Seniors Citizens from Mitchells Plain participated in freestyle dancing 80 competitions and group sessions on physical mobility, healthy eating and diabetes awareness and screening. November Seniors Citizens from Macassar participated in freestyle dancing com- 110 petitions and group sessions on physical mobility, healthy eating and diabetes awareness and screening. Total 380

Table 9: Senior Citizen Wellness sessions held in 2018.

33 WoW! Annual Report 2018 7.4. Community Activations

Diabetes Awareness Day, Athlone

Move for Health Day, Overberg District office in Caledon.

Community activations pertain to WoW! Groups launching their groups and/or celebrating and participating in events linked to national and international health days.

WoW! Annual Report 2018 34 Month Event details February Open Streets in Main Road Observatory. The WoW! hub offered basic well- ness screening, skipping, hopscotch, Twister, the WoW! Dance, Zumba etc.

March Open Streets Mitchells Plain. The WoW! hub offered basic wellness screening, skipping, hopscotch, Twister, the WoW! Dance, Zumba etc.

April Bonteheuwel Walking Ladies and clients from Vanguard Day Hospital partic- ipated in a World Day for Physical Activity event.

MEC for Health, Dr Nomafrench Mbombo and WoW! Bonteheuwel Walking Ladies celebrated wellness in action for World Health Day. The ladies partic- ipated in physical activity sessions and health talks. May

The WoW! Team and The Provincial Gym celebrated Move For Health Day with the newly established WoW! group from the Theewaterskloof sub-district at the Overberg District office in Caledon. A WoW! presentation, with a focus on physical activity and healthy eating promotion, was done at the annual World No Tobacco Day workshop. June Men’s Wellness promotion with Eskom Western Cape staff. The event high- lighted the importance of regular health screening for men, eating a bal- anced diet and the benefits of at least 30 minutes of physical activity per day. July WoW! supported the Department of Education West Coast District staff well- ness day in Paarl. Staff members participated in a Pilates session offered by the WoW! team.

September Albany Bread offered information and free diabetes screening at several WoW! events in various communities. WoW! participated in the Cape Winelands District Office Wellness day with a fun walk, Zumba and teaching the WoW! Dance. November WoW! participated in a Diabetes Awareness Day hosted by the Lion’s Club in Athlone. Attendees participated in the WoW! Dance, Zumba, a fun walk and various activities for children. December WoW! hosted a Healthy Meeting for Champions and Partners in the Compa- ny’s Garden. It included reflection on achievements, goal setting for 2019, group exercises and an inspiring motivational talk. WoW! supported the Disability Awareness Day hosted by the South African Police Service (SAPS), Western Cape. Attendees participated in the WoW! dance, Zumba and Afrobics.

Table 10: Community activations held in 2018.

35 WoW! Annual Report 2018 7.5. Provincial Gym

Aerobics session held at the Provincial Gym, Dorp Street, Cape Town.

The partnership with the Provincial Government Gym of the Department of Cultural Affairs and Sport (DCAS) started in September 2018 and allows for WoW! Worksite Champions and their group members to attend free classes every Wednesday from 11:15 – 11: 45. Classes included: Yoga, Pilates, Aerobics, Boot Camp and functional training. In 2019 Zumba and Step classes will be added.

Theraband session held at the Provincial Gym, Dorp Street, Cape Town.

WoW! Annual Report 2018 36 8. Partnership Initiatives

8.1. Healthy Plant-Based Cooking Train-the-Trainer course

Participants preparing healthy food in the Kitchen Laboratory

International funding was obtained from the Humane Society International, U.S.A., to design this new 5-day course, based on a Train-the-Trainer approach. The content is being developed in partnership with the Ubuntu Wellness Academy, GreenMondaySA and the University of the Western Cape. The first phase of the course will be offered to 15 existing Community Wellness Champions. These Champions will qualify as WoW! Plant- Based Cooking Trainers following the successful completion of the course (Group-1). They will then return to their respective communities and each train 10 community members in plant-based cooking (Group-2). The 100 people trained in Group-2 will then each offer plant-based cooking information and recipes to a further 10 community members (Group-3). At the end of the course, a total of 1110 participants will be equipped with knowledge and skills concerning:

• Linkage between wellness and healthy plant-based eating. • Healthy plant-based eating including types of food, cooking and nutrition. • Health, economic, environmental and global benefits of plant-based eating. • Animal ethics. • Meal planning, including food/ingredients and equipment selection and procurement, surface preparation and food handling. • Preserving nutrients during food preparation and cooking, and for food storage. • Green living and for water usage and saving. • Home-based food gardening. • Cooking healthy plant-based recipes/food. • Planning basic healthy plant-based cooking teaching sessions. • Teaching community members and sharing knowledge about healthy plant-based cooking.

37 WoW! Annual Report 2018 8.2. House-Hold Vegetable Gardening

Home-based Food Garden, Bonteheuwel

The Western Cape Department of Agriculture funded the Great Commissions Network (GCN) for community- based training towards the establishment of 100 Impilo Household Food Gardens with Grey Water Harvesting in partnership with WoW!. This project seeks to address and eliminate the issues of poverty and unhealthy eating amongst the people of the Western Cape. The project was implemented with Wellness Champions and their WoW! Groups in the following areas:

• Cape Winelands District: Cloetesville (Stellenbosch); Paarl-East (Paarl); Groendal () • Cape Metropole District: Bonteheuwel; Gugulethu

The 20 beneficiaries from each community received house-hold gardening and water harvesting training and equipment to establish and maintain their own gardens.

The beneficiaries also attended two 1-day follow-up workshops on Basic Business Skills and Healthy Eating. The aim of the business skills workshop was to introduce business concepts and offer practical business ideas such as selling produce from their gardens. The healthy eating workshop had a theory component focused on Non-Communicable Diseases (NCDs) and a practical plant-based cooking demonstration. WoW! also ran a vegetable recipe competition to source recipes for the forthcoming WoW! Community Cookbook.

Following partnering with WoW!, the success rate of the Impilo Food Gardens project increased significantly, from 56% in 2016 to 86% in 2017. Plans are underway to establish at least 100 more gardens in 2019.

WoW! Annual Report 2018 38 8.3. Qhubeka Bicycle Project

Learners from Charleston Hill High School, Paarl

In partnership with Qhubeka (https://qhubeka.org/), 3000 bicycles were distributed to 5 High Schools in Paarl East. Eligible learners applied for and received a bicycle, helmet, basic tools for maintenance and road safety training. In return, the learners signed an agreement committing to arrive on time for school, to improve their academic performance and behaviour.

Main Beneficiary Number of Bikes Date Charlston Hill High School 600 October 2017/Feb 2018 Klein Nederburg High School 600 March - April 2018 Paulus Joubert High School 800 May - June 2018 New Orleans High School 400 July - August 2018 Noorder Paarl High School 600 August - September 2018

Table 11: Qhubeka bicycle distribution in Paarl East.

An impact study will be conducted by the and its partners to assess how having a bicycle improved the lives of the learners and their family.

39 WoW! Annual Report 2018 8.4. Diabetes Screening: Albany Bread

Diabetes screening and education, World Diabetes Day, 14 November.

In partnership with Albany Bread (Bread-A-Betix), managed by Education Growth Marketing Sampling (EGMS), free integrated diabetes information sessions and screening tests were conducted by trained educators and nurses to WoW! affiliated groups. The aim of this partnership was to reduce the pressure on the Western Cape Healthcare system by assisting communities to better self-manage their diabetes and to promote healthy living for all.

Screenings were done in various communities while educators provided a 15-minute interactive information session on diabetes and healthy lifestyle management. EGMS used referral letters provided by the WoW! Project Team to refer those with concerning results to their nearest healthcare facility for follow-up and management.

WoW! Annual Report 2018 40 Session Area Number of Number of Already on number screenings referrals treatment 1 Bishop Lavis 58 0 0 2 Gugulethu 58 0 5 3 Bonteheuwel 33 2 2 4 Elsies River 84 0 0 5 Parow 57 0 2 6 Bellville 50 0 0 7 Atlantis 49 0 0 8 Mitchells Plain 88 0 9 9 Delft 55 1 1 10 Mamre 26 0 0 11 Bishop Lavis 28 0 0 12 Mamre, 42 0 8 13 Khayelitsha 84 0 1 Session Area Number of Number of Already on number screenings referrals treatment 14 Athlone 108 2 9 15 Bonteheuwel 169 2 12 16 Gugulethu 174 4 11 17 Macassar 104 1 30 Totals 1267 12 90

Table 12: Diabetes Screening Summary Report

41 WoW! Annual Report 2018 8.5. Shoes to Move

The Shoes2Move campaign www.westerncape.gov.za/shoes2move was launched at the World Confederation for Physical Therapy International Conference in partnership with the South African Society of Physiotherapy in Cape Town during June 2017. This innovative campaign, administered via The Health Foundation, raises funds to supply exercise shoes to members of WoW! Groups who want to start walking or running – to Move for Better Health – but don’t have the financial means for comfortable, supportive shoes. The campaign raised a total of R15 000 during 2017/18 and the first beneficiaries received their shoe vouchers during September 2018. The Shoes2Move campaign enables people in low resource settings to increase their level of health- related physical activity, and to co-create social connectedness and inclusiveness through participation in free group activities.

8.6. Radio786

A partnership has been established with Radio786 for a weekly 15-min broadcast on a range of wellness promoting topics by guest speakers selected by WoW!. A different topic is presented at approximately 19h30 on Fridays.

WoW! Annual Report 2018 42 9. WoW! Communication Platforms

9.1. WhatsApp

The WoW! WhatsApp platform was established in September 2018 and currently has 135 subscribers. They receive 3 healthy lifestyles-promoting messages per week: Motivation Monday, Healthy Eating Wednesday and Physical Activity Friday.

To join the free WoW! WhatsApp Broadcast List: save the number 066 390 6646 on your device; then send a WhatsApp message “Join WoW!” with your Name & Surname to that number. The broadcast list enables only the WoW! Project Team to send messages to recipients and is therefore not a platform for members to chat to each other. Standard data charges apply.

9.2. Facebook

The WoW! Facebook group was started in 2015 as a platform for one of the WoW! Groups to share their stories and photos. In 2016 the group was opened to all WoW! followers and currently has 1341 members and 6 admins. Group members can post health promoting stories, photos and videos.

To join this Facebook group, search for WoW! WesternCape on Wellness (https://web.facebook.com/ groups/1652562524982442/members/)

43 WoW! Annual Report 2018 9.3. SMS

The WoW! SMS platform was established in 2016 in partnership with the Department of Community Safety. There are currently 768 subscribers on the platform. Subscribers receive 3 healthy lifestyles-promoting messages per week: Motivation Monday, Healthy Eating Wednesday and Physical Activity Friday.

To join the free WoW! SMS platform email your name, surname and mobile phone number to wow@ westerncape.gov.za. Standard data charges apply.

9.4. Website

The WoW! Website (www.westerncape.gov.za/wow) was launched in 2017. Visit the website for more information on WoW!, upcoming events, healthy lifestyles promoting articles and tips, as well as healthy recipes.

9.5. Email

The WoW! email address ([email protected]) can be used for all related communication and is monitored by the WoW! team on a daily basis.

9.6. Newsletter

The monthly WoW! Newsletter features stories from WoW! Groups, upcoming events, healthy recipes and information on the health calendar. Submit stories for the newsletter to [email protected].

WoW! Annual Report 2018 44 9.7. Leaflets

WoW! developed the novel Healthy Lifestyle Actions and Be Sugar Smart leaflets and cobranded the Salt and Your Health leaflet from the Heart and Stroke Foundation during 2018.

More than 500 000 of these leaflets were printed in English, and Xhosa and distributed across the Cape Town Metro and all 5 Rural Districts. Leaflets have also been distributed to 100 City of Cape Town Libraries. These leaflets are also available on the WoW! website: www.westerncape.gov.za/westerncape- on-wellness/live-healthy-lifestyle; www.westerncape.gov.za/westerncape-on-wellness/salt-sugar-and-your- health.

9.8. Recipe Book

A dish from the recipe book.

A Recipe Competition was held to identify popular local dishes for the development of a low-resource Community Cookbook based on local favourite foods. The submitted recipes are being scrutinised by Dieticians and Nutritionists, adjusting ingredients and cooking methods to ensure affordable healthy cooking and eating. On completion, the Cookbook will be made available and disseminated widely in both printed and electronic formats. The book aims to encourage healthy eating and a healthy weight management through healthy shopping and healthy cooking methods.

45 WoW! Annual Report 2018 10. Annual WoW! Awards Ceremony

2018 Annual WoW! Awards Ceremony, Pepper Club, Cape Town

The annual WoW! Awards Ceremony took place on 20 September at the Pepper Club in Loop Street, Cape Town. 170 guests attended the event which included Wellness Champions, WoW! Partners and WCG Senior Managers. Luqmaan Shadrach from Radio 786 was the master of ceremonies and Zofire and Thandi provided the entertainment.

The purpose of this annual celebration is to present the main achievements of WoW! and to award the top achieving Wellness Champions and their WoW! Groups. To be considered for a prize, Champions had to submit a RE-AIM report (see section 4.4) highlighting what they did to promote wellness in their group and the broader community. The top Wellness Champions and WoW! Groups received gold, silver or bronze awards in the following categories:

• Worksite WoW! Groups active for less than 12 months. • Worksite WoW! Groups active for more than 12 months. • Community WoW! Groups active for less than 12 months. • Community WoW! Groups active for more than 12 months.

WoW! Annual Report 2018 46 Below is a list of the winning groups in each category:

Worksite WoW! Groups active for less than 12 months.

Club Prize

Wellness Champions received: WoW! Goodie bag Prizes in the BRONZE category WoW! Group received: Bronze Certificate

Department of Health, Mitchells Plain Hospital Wellness Warriors (Mitchells Plain) Department of Health, Youth Hub Gym (Central Karoo District) Department of Health, Huis McCrone Clinic WoW! Group (Wellington) Department of Health, Head Office WoW! Group (4 Dorp Street, Cape Town CBD)

Wellness Champions received: WoW! Goodie bag WoW! Group received: Silver Certificate &WoW! branded cap for each Prizes in the SILVER category club member

Department of Health, Strategic Support Services (4 Dorp Street, Cape Town CBD) PRASA - PDD WoW! Group (Cape Town) Department of Health, Senior Citizen WoW! Group (Central Karoo District) Wellness Champions received: Gold Certificate; Top Wellness Champion badge & WoW! Goodie bag Prizes in the GOLD category WoW! Group received: R5 000 donated by DoH for wellness promotion & Gold Certificate Department of Health, Overstrand Chronics (Overberg District) Department of Health, KwaNo WoW! Group (Eden District)

Worksite WoW! Groups active for more than 12 months.

Club Prize

Wellness Champions received: WoW! Goodie bag Prizes in the BRONZE category WoW! Group received: Bronze Certificate

Department of Treasury (Cape Town CBD) Wellness Champions received: WoW! Goodie bag Prizes in the SILVER category WoW! Group received: Silver Certificate &WoW! branded cap for each club member Chrysalis Academy (Tokai, Cape Town) Department of Economic Development and Tourism (Cape Town CBD) Department of Health Bellville Health Park (Bellville, Cape Town) Department of Community Safety; Amaqhawe Group (Cape Town CBD) Department of Health, Emergency Medical Services (EMS) Eden District (George) Department of Health; Hospital (Cape Town) Eskom Western Cape Department of Environmental Affairs and Development Planning, Green Lighting (Cape Town CBD)

47 WoW! Annual Report 2018 Wellness Champions received: Gold Certificate; Top Wellness Champion badge & WoW! Goodie bag Prizes in the GOLD category WoW! Group received: Trophy donated by Heart & Stroke Foundation; R13 000 donated by DoH for wellness promotion & Gold Certificate Department of Health Stikland Hospital Guinea Fowl Group (Cape Town)

Community WoW! Groups active for less than 12 months.

Club Prize

Prizes in the BRONZE category Wellness Champions received: WoW! Goodie bag

WoW! Group received: Bronze Certificate

Omega Bonteheuwel (Bonteheuwel) Siyazama Church Group (Gugulethu) Movement 4 Health (Khayelitsha) Eagle Wings (Mitchells Plain) Tuscany Glen (Mfuleni) Your Body Matters with Tee (Kennilworth) Defeaters (Kraaifontein) Feminique Fitness Club (Mfuleni) Wellness Champions received: WoW! Goodie bag

Prizes in the SILVER category WoW! Group received: Silver Certificate & R2 400 Shoes2Move voucher for 8 pairs of shoes

WoW! Gugs Divas (Gugulethu) Kulture Group (Vanguard) Inenceba Youth Group (Kwezi) Wellness Champions received: Gold Certificate; Top Wellness Champion badge & WoW! Goodie bag Prizes in the GOLD category WoW! Group received: R5 000 donated by DoH for wellness pro- motion & Gold Certificate Perfect Fit 360 – Athlone Club

WoW! Annual Report 2018 48 Community WoW! Groups active for more than 12 months.

Club Prize

Prizes in the BRONZE category Wellness Champions received: WoW! Goodie bag

WoW! Group received: Bronze Certificate

Drakenstein Community Group (Paarl) Nolungile (Langa)

Prizes in the SILVER category Wellness Champions received: WoW! Goodie bag

WoW! Group received: Silver Certificate & R2 400 Shoes2Move voucher for 8 pairs of shoes

SUNWELL (Cloetesville) Zamazama Community Group (Site C Khayelithsa)

Prizes in the GOLD category Wellness Champions received: Gold Certificate; Top Wellness Champion badge & WoW! Goodie bag

WoW! Group received: R13 000 donated by DoH for wellness promotion & Gold Certificate

Bonteheuwel Walking Ladies (Bonteheuwel) Department of Health Macassar CDC & Community WoW! Group (Macassar ) Schools Smoothies Gardening & Community Projects (Gugs) Senior Legioene & Chicago Seniors (Paarl East)

Table 13: 2018 WoW! Awards Ceremony Winners per categories.

49 WoW! Annual Report 2018 Annual WoW! Awards Ceremony Winners

WoW! Annual Report 2018 50 11. Annual WoW! Healthy Meeting for Reflection and Planning

Group exercise session, Company’s Garden, Cape Town

On 6 December 2018 the second annual WoW! Healthy Meeting for Champions and Partners was held at the Gardens Commercial High School in the Company’s Garden. Activities on the day included: a fun walk, group exercises, participating in a WoW! Amazing Race, an inspiring motivational talk by one of the Wellness Champions and reflection on achievements for 2018.

11.1. 2018 Achievements

The Wellness Champions reported the following key achievements for the year:

• A number of Champions received awards at the WoW! Awards Ceremony held in September. • Personal achievements that inspires others. • Getting people who have never exercised before to take charge of their lifestyle. Seeing results like: losing weight, eating healthier, making better choices and living positively. • Various new groups were launched. • New strategic partners to strengthen group offerings. • Setting and achieving group goals by working together. • Successful awareness creating events at various community groups. • Starting a community vegetable garden using containers. • Overcoming challenges at work to continue with group activities. • Educated colleagues and created awareness. • Adoption of Healthy Catering Guidelines in a Government Department. • A number of Champions have started groups with seniors who previously did not have anything health related to do. • Successful youth groups established to educate the youth and keep them busy. • Many WoW! Group members have now joined running clubs, gyms and/or training at home. • Group members have started their own groups based on WoW! • Enabling group members to better self-manage their health.

51 WoW! Annual Report 2018 12. The WoW! Partnership Platform

The innovative and ever-evolving WoW! partnership platform has expanded from 10 partners in 2015/16 to 15 in 2016/17 and 44 in 2017/18. The partners range from transversal and inter-governmental (Local, Provincial and National) to cross-sectoral (Academia, Private, NGO, NPO and CBO). Keeping an inclusive approach, new partners with commitment and expertise in the field of wellness-promotion are welcome and encouraged to join the evolving partnership.

We would like to acknowledge all the valued guidance, contributions and co-actions from all the WoW! Partners towards the achievements and successes of the growing Wellness Movement facilitated via this partnership platform, and towards Co-Creating a Culture of Wellness in the Western Cape.

WoW! Annual Report 2018 52 13. Conclusion

WoW! is an evolving wellness-promoting partnership platform. Despite multiple challenges and limitations, promising results reveal:

• Individual Behaviour Change • Co-creation of Wellness-Enabling Environments • Social Connectedness, Inclusiveness and Gender Equity

Several new offerings are being planned for implementation during 2019/20, including:

• One-day Wellness Activist Workshop • Healthy Plant-based Cooking course • PhysiFun/Physical Activity Fun for Children Elective • Wellness Self-Management Manuals and Notebooks: o Early Childhood Development (ECD) o Pregnancy o NCD Management o Weight Management: child and adult o Living with Chronic Pain o Cancer Survivor o Senior Wellness • Community Cookbook • Safe Play Streets Toolkit with easy guidelines for members of the public who would like to start a Safe Play Streets activation in their residential neighbourhood. • Beach Mat for people using wheelchairs. The mat will enable wheelchair users to cross the beach sand and reach the water with ease.

WoW! values and celebrates the fantastic contributions and achievements of all the Wellness Champions and Partners! We are very excited about the Wellness Journey forwards, onwards and upwards in 2019 – Creating a Culture of Wellness Together!

Contact us for more information:

Email: [email protected]

Website: www.westerncape.gov.za/wow

Facebook: WoW! WesternCape on Wellness

53 WoW! Annual Report 2018 14. References

• Glasgow, R. E., Vogt, T. M., Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322–1327. • Kessler, R.S., Purcell, E.P., Glasgow, R.E., Klesges, L.M., Benkeser, R.M. and Peek, C.J., 2013. What does it mean to “employ” the RE-AIM model?. Evaluation & the health professions, 36(1), pp.44-66. • Sheik, S., Evans, J., Morden, E., Coetzee, D. (2016) Non- Communicable Diseases in the Western Cape. Burden of Disease Update. Western Cape Government: Health. Online:https://www.westerncape.gov. za/assets/departments/health/burden_of_disease_update_ncds_.pdf

WoW! Annual Report 2018 54 NOTES

57 WoW! Annual Report 2018