EG on Non-Communicable Diseases Related to Lifestyles and Social and Work Environments NCD EG Northern Dimension Partnership In

NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp

EG on Non-Communicable Diseases related to Lifestyles and Social and Work Environments

NCD EG Northern Dimension Partnership in Public Health and Social Wellbeing (NDPHS)

WORK PACKAGE DESCRIPTION NCD EG Flagship-A Project

PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (ages 7-15) in Northern Dimension geographical area

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SUMMARY Flagship-A project Work Package descriptions Prevention of over-weight and obesity among schoolchildren (ages 7-15) in Northern Dimension geographical area

 A-WP-I: Project management  A -WP-II: Situation analysis (baseline analysis)  A-WP-III: Project evaluation  A-WP-IV: Toolkit preparation  A-WP-V: Toolkit pilot implementation  A-WP-VI: Informatiion dissemination of project results/ Awareness and advocacy BUDGET SUMMARY

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Flagship- A WP-I : PROJECT MANAGEMENT Lead organisation PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN NORTHERN Participants DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS LEAD ORGANIZATION : Present draft prepared by WP-I FS-A focal Northern Dimension Institute/ Lappeenranta University of Technology/ Finland (Ms Ms Katja Lahikainen, e-mail: coordinator: [email protected] , Tel. +358400570603) Ms Katja Lahikainen Potential further elaboration and lead organization Lappeenranta University of The overall project management will be provided by Northern Dimension Institute/ Lappeenranta University of Technology Technology/ Finland (Ms Ms Katja Lahikainen, e-mail: [email protected] , Tel. +358400570603) Skinnarilankatu 34, 53850 Other Project Partners to be involved: All Project Partners. Lappeenranta, FINLAND Phone: +358400570603 Fax: +35856217199 Description: E-mail: The project needs to be professionally and skilfully implemented and coordinated with all partners involved. A [email protected] Project Steering Group (PSG) will be formed which will be led by the Beneficiary and will also include representatives of all Project Partners. It will meet three times (cf. the work plan) but will mostly work through or (?) electronic communications. Its role will be to ensure: (i) successful overall project management and internal project communication, (ii) internal monitoring and evaluation of the progress against the project milestones Director Jutta Immanen- and identification of possible obstacles and risks, (iii) jointly designing and deploying remedy solutions and Pöyry c/o Mikko Vienonen proposing modifications, if and when required, as well as (iv) contributing to and supporting timely and & Dmitry Titkov completely reporting (through the CBSS Secretariat) to the project co-financiers (cf. WP 3). (NDPHS/NCD Secretariat) International Development A project management group (PMG) will be formed to steer and coordinate the project. Project manager is Collaboration at Finnish responsible for overall coordination and management of the project. The country coordinators are responsible Institute of Public Health for the networking with local partners, support the project activities inside their own country, delivery the jutta.immanen- messages from and to the PMG. Management in the individual project work packages will be provided by the [email protected] WP Leaders as specified further down +358-40-595 2219

The implementation of the project will also be supported by the members of the respective NDPHS Expert Group: Expert Group on Non-Communicable Diseases related to Lifestyles and Social and Work Environments (“NCD”); http://www.ndphs.org/?ncd_eg.

3 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Continued … Flagship- A WPI : Objectives:  To have a Project Steering Group (PSG) to follow up and advise on the process of implementing strategically adjusting work-plans to changing needs and challenges.  To have a dedicated project management group (PMG) that is responsible for operational management of the project (PMG consists of country coordinators, project manager and representative of the financial unit).  To have well selected professionally skilful and innovative implementing team in place.  To have in place good financial and auditing systems for the project.  To have in place innovative and participatory media coordination and information strategy.  To have a system of annual strategic planning , reporting and evaluation (preferably peer- reviewing)

Tasks:  Initiation of project (1-2 month)  define procedures  define management structure . Ongoing . operational management of the project . evaluation of the project events with the feedback forms . Recurrent activities  country control of deliverable  reporting of progress  meetings (EAB and PMG)  review by Commission (EC)  reporting periodically (annual, mid-term, financial information)

Deliverables:  The project is professionally and successfully implemented and lessons learned efficiently disseminated to local, regional, national and international administrators and decision makers.  Realised PMG meetings at least once a month  Internal evaluation with 6 months intervals by PMG  2-3 PSG meetings  National public health leaders feel that they have benefited from the project and NCD indicators show clear signs of improvement.

Duration: 12 + 12 + 12 = 36 months Budget WP I: 60.000€ + 60.000€ + 60.000€ = 180.000€ [max 10% of project total cost]

4 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Continued … Flagship- A WPI :

Steering Group members: (add / project country specific ) Country Coordinators: (add / project country specific ) FINLAND  Finnish Institute of Health and Welfare/ International Dept., Director Jutta Immanen-Pöyry c/o Mikko Vienonen & Dmitry Titkov (NDPHS/NCD Secretariat) (E-mail: [email protected], Tel: +358-40-595 2219)

LATVIA  Latvian Centre for Disease Prevention and Control (E-mail: [email protected],Tel.: +371-67501588)

LITHUANIA  Lithuanian Center for Health Education and Disease Prevention under MoH (E-mail: [email protected] , Phone: +370 5 247 7341, Fax: +370 5 273 7397)

RUSSIAN FEDERATION:  Federal Research Institute for Health Care Organization and Information of MoH&SD of Russia (E-mail: [email protected], Phone: +7 495 618 11 09, Fax: +7 495 618 11 09)

POLAND (?)  National Institute of Public Health - National Institute of Hygien, Warsaw (E-mail: [email protected] Phone: +48 22 542 12 29, Fax: +48 22 849 35 13)

NORWAY(?)  To be investigated by Arnhild Haga Rimestad, Norwegian Directorate of Health,( E-mail: [email protected], Phone: +47 480 82 715)

ESTONIA (?)  To be investigated through Director Maris Jesse, Estonian National Institute for Health Development, E-mail: [email protected], Phone: +372 659 3900)

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Flagship-A WP-II : SITUATION ANALYSIS (Baseline analysis) Lead organisation PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN NORTHERN Participants DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS

LEAD ORGANIZATION : WP-II FS-A focal Present draft prepared by coordinator: Russian State Medical University, Kirovogradskaya str. 9-2-170, Moscow, RUSSIAN FEDERATION (Mrs Antonina V. Starodubova, Ass. Professor. Phone: +7926 206862, E-mail: [email protected] ) Mrs Antonina V. Starodubova Potential further elaboration and lead organization Ass. Professor Russian State Medical University, Kirovogradskaya str. 9-2-170, Moscow, RUSSIAN FEDERATION Russian State Medical (Mrs Antonina V. Starodubova, Ass. Professor. Phone: +7926 206862, E-mail: [email protected] ) University Kirovogradskaya str. 9-2- 170, Moscow, RUSSIAN Description: FEDERATION The tools for measurement of the problems and monitoring their progress need to be in place for Phone: +7926 2068621 school-children’s over-weight and obesity, and physical activity. In order to ensure the change in nutritional and E-mail: physical activity patterns in the school-aged children (7-15 years) of project target population, the problems are antoninastarodubova@yand identified through logical framework approach ( LFA, see ANNEX 1 “problem-tree”). Tools for achieving the set ex.ru objectives are indicated in the “objectives-MATRIX” (see ANNEX 2).

Objectives: To create a platform for practical action in schools, families and society on basis of collected country-specific data on the size, impact and effective methods of prevention with focus on two core problems of school-children’s over-weight and obesity namely 1) lack of physical activity and 2) too high energy intake in relation to the energy consumption.

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Continued … Flagship- A- WPII: Tasks:  To find out what is the size and impact of above mentioned core problems of school-children’s over-weight and obesity and lack of physical. Performing necessary base-line investigation in project areas is necessary;  To identify evidence based experiences in the participating countries and through international organizations (WHO, EU) for lessons learned on the methods that work and create positive behavioral change for prevention of identified 3 core problems. Well documented action plans provided by WHO-EURO and EU will be used and adjusted for local needs. The tools will be collected and the experiences will be shared among project implementers and participating target administrations and populations;  Creating a platform for practical action in schools and families and society as a whole to tackle the 3 core problems. Prevalence linked to:  risk-factors  prevalence and habits of food and vegetable consumption  prevalence and habits of physical activity Surveillance data  national level  regional level  local level Identification and assessment of local partners  existing data  validation of existing data Mapping of existing policies (on nutrition/overweight/obesity/prevention/school-age 7-15 years) (also reporting if implementation has succeeded or failed)  national  regional  local Mapping of earlier projects and interventions ongoing or recently completed (on nutrition/overweight/obesity/prevention/school-age 7-15 years)  national  regional  local

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Continued … Flagship- A WPII : Deliverables: Month of delivery from start Number Title of WP Data base with data on prevalence of overweight and obesity and on 1 physical activity in school-aged children (7-15 years) in all participating 2 months countries. Analytical report on problems of school-children’s overweight and 2 obesity in participating countries with detailed analysis of data on 4 months school-children’s physical activity Tools for collecting of information on evidence based experiences in the 3 participating countries and through international organizations for 2 months prevention of overweight and obesity . Report on evidence based experiences in the participating countries 4 and through international organizations for prevention of overweight 6 months and obesity. Analytical report on effective country and international experience in 5 prevention of overweight and obesity in school-aged children (7-15 9 months years). Country-specific recommendations on prevention of overweight and 6 obesity in the school-aged children (7-15 years) based on country 12 months situation.

Milestones: Month of achievement from Number Title start of WP 1 Clear vision of situation in each participating country. 2 months Understanding of burden of overweight and obesity problems in the 2 4 months school-aged children (7-15 years). Tools available for each country for collection of information on 3 2 months evidence based experiences for prevention of overweight and obesity. Evidence based knowledge of effective experience on prevention of 4 6 months overweight and obesity. Evaluation of effective country and international experience in 5 9 months prevention of overweight and obesity. 6 Clear vision of plan of action for every country. 12 months

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Continued … Flagship- A WPII :

Duration WP II: 12 months per country / region ( 5 countries x 12 months = 60 months) Workload II: 12 person monts ( 5 countries x 12 person months = 60 person months)

Budget WP II: 50,000 € per country / region ( 5 countries x 50,000€ = 250,000€ )

Required partners: Minimum one partner from each participating country ESTONIA ?  To be investigated through Director Maris Jesse, Estonian National Institute for Health Development, E-mail: [email protected], Phone: +372 659 3900) FINLAND  Finnish National Institute of Health & Welfare, Tiina Laatikainen, (E-mai: [email protected] , Tekl: +358 20 610 8936) LATVIA  Latvian Centre for Disease Prevention and Control (E-mail: [email protected],Tel.: +371-67501588)

LITHUANIA  Lithuanian Center for Health Education and Disease Prevention under MoH (E-mail: [email protected] , Phone: +370 5 247 7341, Fax: +370 5 273 7397 NORWAY ?  To be investigated by Arnhild Haga Rimestad, Norwegian Directorate of Health,( E-mail: [email protected], Phone: +47 480 82 715) POLAND ?  National Institute of Public Health - National Institute of Hygiene, Warsaw (E-mail: [email protected] Phone: +48 22 542 12 29, Fax: +48 22 849 35 13

RUSSIAN FEDERATION:  Federal Research Institute for Health Care Organization and Information of MoH&SD of Russia (E-mail: [email protected], Phone: +7 495 618 11 09, Fax: +7 495 618 11 09 .

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Flagship- A -WP-III: PROJECT MONITORING & EVALUATION Lead organisation PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN NORTHERN Participants DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS

LEAD ORGANIZATION: WP-III FS-A Lead Present draft prepared by NDPHS/ NCD-EG (Dr Mikko Vienonen, e-mail: [email protected], +358-50-4421 Organization 877 International independent Potential further elaboration research institute The Centre of Health Economics12/22 Duntes Str., LV-1005 Riga, Latvia (Dr. Iveta Pudule knowledgeable on nutrition enior Public Health Analyst, Phone: +371-67501588, [email protected] ) programmes (to be identified) Other Project Partners to be involved: All project Partners

Description To develop systematic opportunity for local officials, politicians and NGOs and project funders to transfer evidence to follow the project progress and what has been found out and learned and achieved about overweight and obesity prevention and about promoting and facilitating physical activity among school-aged children (7-15) in the project country/region to develop strategies, to select of appropriate tools, set workable targets, to provide effective feedback etc. Best evidence-based intervention practices and lessons learned from the participating country, other partner countries and WHO are reviewed and presented. The aim is to assess, if evidence based intervention have been used and to what extent.

Project evaluation will be done as follows:  Internal evaluations (an interim one and the final one) will be performed by the above-named Project Steering Group, PSG (cf. WP 1). The interim evaluation will be made immediately after the second calendar year of the project has started( (i.e. after the books of the previous 1st implementation year are closed), and the final evaluation will be performed within 2 months after project activities have been completed but before the agreement terminates. These two evaluations will be based on questionnaires to be communicated via email to the WP Leaders. The latter will fill them out (taking into account views of the selected members of the direct target group, and return them to the project management office. Based on the filled out questionnaires the latter will compile the interim report/the final report, which will provide an assessment of (i) the overall progress in the implementation, level of expenditure, partner involvement, obstacles and risk, project impact, and other critical factors, as well as (ii) evaluation of the progress in/achievements by each WP. The CBSS Secretariat will communicate these reports to the PSG.

10 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Continued … Flagship- A WPIII :

Review of the internal evaluations will be performed by the Project evaluation will be done as follows:  Internal evaluations (an interim one and the final one) will be performed by the above-named Project Steering Group, PSG (cf. WP 1). The interim evaluation will be made in early 2013 (i.e. after the 2012 books are closed), and the final evaluation will be performed within 2 months after project activities have been completed but before the agreement terminates. These two evaluations will be based on questionnaires to be communicated via email to the WP Leaders. The latter will fill them out (taking into account views of the selected members of the direct target group, and return them to the CBSS Secretariat. Based on the filled out questionnaires the latter will compile the interim report/the final report, which will provide an assessment of (i) the overall progress in the implementation, level of expenditure, partner involvement, obstacles and risk, project impact, and other critical factors, as well as (ii) evaluation of the progress in/achievements by each WP. The CBSS Secretariat will communicate these reports to the PSG.  Review of the internal evaluations will be performed by the Finnish Ministry of Health and Social Affairs (Finland is the Lead Partner for the NCD Expert Group)] representing the interest of a member state. The Ministry will upon the completion of the project and on basis of the interim evaluations conclude and comment in writing on the following elements (enacted versus planned): project results and accomplishment of the objectives, effectiveness, benefits and sustainability of the action and methodology used, partner performance and adherence to the project timeline.

Both the evaluations and the review will provide basis for the reports to the co-financiers, including to the Contracting Authority (the one for the latter shall consist of a narrative section and a financial section and shall conform to the model in Annex VI to the Grant Contract # nnnn/nnn-nnn).

Objectives: to find out:  if the project had been successful or not.  what kind of differences existed in the outcome in different countries and localities within the countries.  what were the lessons learned.  how sustainable the outcome can be expected to be.

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Continued … Flagship- A -WPII

Milestones A-WP III: Will be defined later Duration A-WP III: 3 months per country / region ( 5 countries x 3 months = 15 months) Workload A III: 3 person monts ( 5 countries x 3 person months = 15 person months)

Budget A- WP III: 12,000 € per country / region ( 5 countries x 12,000€ = 60,000€ )

A-WP III Required partners: For A-WP III no additional partners at country level are needed.

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Flagship- A WP IV : TOOLKIT PREPARATION: Lead organisation PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN Participants NORTHERN DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS A-WP IV FS-A focal LEAD ORGANIZATION: coordinator: Present draft prepared by National Institute for Health and Welfare, P.O. Box 30, FI-00271 HELSINKI, FINLAND (Ms Päivi Mäki , Specialist, Phone: +358-29524-8612, E-mail: [email protected] ) Ms Päivi Mäki (Ms Jenni Lehtisalo, Researcher, Phone: +358-29524-8573, E-mail: [email protected] ) Specialist National Institute for Health and Potential further elaboration and lead organization Welfare National Institute for Health and Welfare, P.O. Box 30, FI-00271 HELSINKI, FINLAND P.O. Box 30, FI-00271 HELSINKI, (Ms Päivi Mäki , Specialist, Phone: +358-29524-8612, E-mail: [email protected] ) FINLAND (Ms Jenni Lehtisalo, Researcher, Phone: +358-29524-8573, E-mail: [email protected] ) Phone: +358-29524-8612 E-mail: [email protected]

Description: WP VI is responsible for the development of guidelines for the prevention of overweight in Ms Jenni Lehtisalo schoolchildren. The guidelines will include a review of current evidence and best practices from participating Researcher countries. An innovative toolkit will be prepared combining all previous experiences known to prevent obesity Finnish National Institute for Health and promote healthy lifestyles among school children. A variety of actions will be taken into account in order and Welfare to consider different levels invoved in prevention: in families in schools, in communities etc. The guidelines will P.O.BOX 30 be reviewed externally before publication. Preparation of innovative toolkit document is needed to bring together 00271 Helsinki best international and national (local) practical information and evidence on preventive activities for overweight FINLAND and obesity prevention, from which most important activities can be chosen country-specificly according to Phone: +358-29524-8573 different needs..

E-mail: [email protected]

Continued … Flagship- A WP-IV:

13 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Objectives:  to provide reviews of present understanding on the causes, consequences and possible solutions for overweight and obesity acknowledging the situation analysis form WPII  to collect information and empirical evidence what we know about factors contributing to children’s overweight and obesity (e.g. dietary behaviour and physical activity, genetic, physiological, behavioural and environmental determinants and influences) and effective approaches to tackle the overweight/obesity problem  to collect best practices from participating countries in prevention of overweight and promotion of healthy lifestyles among school aged childrento combine evidence-based practices with national and local best practices to develop an innovative toolkit for prevention of obesity and overweight among school children  to identify practices that would be easily modified in different countries and areas.  to identify group-specific practices for different age groups (similar actions not effective for all children aged 7-15)  to develop a set of guidelines for actions and processes for overweight prevention which can be implemented in participating countries (a framework convention on overweight prevention). Country- and area-specific actions may vary according to individual needs and interests.  to define stakeholders and their roles in societies in prevention of overweight and obesity  to provide useful and evidence based information about overweight/obesity prevention for local and national politicians and health policy makers to make policy interventions/changes and to create/support the environment which facilitates children’s and families healthy lifestyles  to provide evidence based information about overweight/obesity prevention for private sector (e.g. media, food and drink industry) and to model collaboration with food and drink industry  to provide practical information and practices for all multisectorial use  to provide evidence based and practical information for primary health care, specialised healthcare services, physicians, physical activity experts, dieticians, public health nurses, teachers and professionals who plan, collaborate or involve in children’s health education and overweight prevention interventions.  to assess the effectiveness and cost effectiveness of previous overweight prevention imnterventions to model multifaceted solutions and initiatives across several sectors how to promote children’s and their families healthy lifestyles and prevent overweight  to define the basis for designing future intervention programmes to prevent obesity among schoolchildren  to advice and define guidelines how to support children who already are overweight  Practically oriented, easy-to-use, toolkit to tackle overweight/ obesity epidemic among school-children is available for multisectorial use

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Continued … Flagship- A WPIV : Milestones A-WP IV: Will be defined later Duration A-WP IV: 12 + 12 + 3 = 27 ( In months) Workload A-WP IV: 36 person monts ( if possible perPartner)

Budget A-WP IV: 200,000 € ( WP IV country specific)

LITHUANIA  Lithuanian Center for Health Education and Disease Prevention under MoH (E-mail: [email protected] , Phone: +370 5 247 7341, Fax: +370 5 273 7397

NORWAY ?  To be investigated by Arnhild Haga Rimestad, Norwegian Directorate of Health,( E-mail: [email protected], Phone: +47 480 82 715) POLAND ?  National Institute of Public Health - National Institute of Hygiene, Warsaw (E-mail: [email protected] Phone: +48 22 542 12 29, Fax: +48 22 849 35 13

RUSSIAN FEDERATION:  Federal Research Institute for Health Care Organization and Information of MoH&SD of Russia (E-mail: [email protected], Phone: +7 495 618 11 09, Fax: +7 495 618 11 09  Russian State Medical University, Kirovogradskaya str. 9-2-170, Moscow, RUSSIAN FEDERATION(Mrs Antonina V. Starodubova, Ass. Professor. Phone: +7926 206862, E-mail: [email protected] )

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Flagship- A WP V: TOOLKIT PILOT IMPLEMENTATION: Lead organisation PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN NORTHERN Participants DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS WP-V FS-A focal LEAD ORGANIZATION: coordinator: Present draft prepared by Mr. Gintautas Butkus NDPHS/ NCD-EG (Dr Mikko Vienonen, e-mail: [email protected], +358-50-4421 877 Ms Ilona Zabeliene Public health administrator Center for Health Education Potential further elaboration and lead organization by and Disease Prevention Center for Health Education and Disease Prevention, Kalvariju str. 153, LT-08221 Vilnius, LITHUANIA Kalvariju str. 153 Mr. Gintautas Butkus, Public health administrator, Phone: +370 5 236 0497, Fax: +370 5 273 7397, LT-08221 Vilnius e -mail: [email protected] LITHUANIA Phone: +370 5 236 0497 Fax: +370 5 273 7397 E-mail: [email protected] [email protected]

(chnge of focal point 20.09.2012) Description: After the situation analysis and formulation of practical intervention strategies through the toolkit (WP-IV), implementation of the strategies will start at selected pilot areas. The main aim of this phase is to improve method for overweight and obesity prevention locally and regionally, and establish a precedent of successful implementation of prevention policies at local level. The aim is to focus on all school children in the pilot areas, not just on overweight and obese risk children. It is important not to stigmatize anyone and send a message that staying normal weight is easy and fun. With children who are overweight the strategy is not to start special diets for weight reduction but rather by increasing suitable physical activity in free time (school breaks and leisure activities).

16 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Continued … Flagship- A WP-V

The action will be integrated together with school officials and families into children’s every day life at home and in school. Target groups for the actions are:  All children aged 7-15  All parents  All teachers  School health staff (school-doctors and –nurses and –psychologists/ curators  School catering staff  School kiosk keepers  Persons working with children on professional or voluntary basis.  Youth houses  Decision makers - local authorities (administration) responsible for health promotion / risk behaviour prevention  Specialists of the health centers  Various non-state actors involved in health promotion and prevention of risk behaviour e.g. non- governmental organizations  Representatives of media  Wide public through media covering  Supermarkets, shop-keepers and kiosk-keepers  Food industry and whole-sale  Fast-food business (MacDonalds, Carrols, pizza and kebab-bars, etc.  etc.

The main plan of the actions in the project involves:  Project presentation, initial consultations with stakeholders and decision makers  Presentation of the results of baseline analysis to decision makers and health authorities  Publication of the results for wide public  Identification of the “windows of opportunities” for changing the situation  Policy design for each pilot area – with support of the national and foreign experts  Campaign focused on implementation of concrete recommendations

The actions of the project propose unique methodology of local/regional management of changes in common societal efforts. For the the schools and health sector the methodology will provide innovative sight and understanding to the phenomena of the overweight and obesity “epidemic” in target population.

17 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Continued … Flagship- A WP-V

Objectives: Management of change of overweight and obesity-prevention & control in pilot area  Learning health impact assessment  Learning health in all policies implementation  Learning NGO collaboration techniques  Learning intersectoral collaboration techniques  Learning media collaboration  Practical testing of strategy implementation techniques, skills, capacities. I.e. joint development of health promotion strategies in selected cases in partner countries local/ regional authorities.  To develop capacity of local officials, politicians and NGOs to transfer evidence about NCD into workable strategy (capacity to develop strategies, to select of appropriate tools, set workable targets, to provide effective feedback etc.). Training will be the most central activity at this stage;  To put the identified recommendations overweight and obesity-prevention strategies and plans into action at selected project sites (preferably at national and selected regional/local levels.

Tasks:  Reviewing and disseminating the knowledge provided by NDPHS baseline survey (WP-II) and implementation toolkit (WP-IV)  Creating good links with schools in pilot areas  Creating good links with children’s parents in pilot areas, starting with events organized in schools for parents  Creating good links with NGOs, clubs and free time activities, which link with children in age-groups 7-15.  Allying with local fruit and vegetable and berry producers to increase the popularity of these products among youth.  Involving parents in pilot areas, starting with events organized in schools for parents  Providing to schools lucrative options to develop school-meal programmes  Providing to schools lucrative options to develop free time activities (“active breaks”)  Providing fast-food sellers lucrative options to develop their menues  folliowing-up pocitive progess with media, and providing positive feed-back to public.  Promoting better and cheaper free-time activities (swimming-pools, bicykle paths, play-grounds, etc)

18 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Deliverables:  Local schools and health sectoer are familiarised with the overweight and obesity prevention method and the possibilities it provides better wellbeing, quality of life and disease prevention.  Local and national politicians and decsion makers are aware of the possibilities to reduce health care expenses by putting a stop to overweight and obesity epidemic.  All other stakeholders are informed about the results including non-state actors. Coalition of stakeholders ready to further changes based and continuation of the process. Position paper of coalition prepared.  Implementation of the local (national) overweight and obesity prevention strategy has been started.  Impact / consequences of implementation are assessed.  Regional/National health care authorities are informed about the achieved results.  The results are presented at the concluding conference of the project.

Milestones A- WP V: Will be defined later Duration A-WP V: 0 + 6 + 12 = 18 months per country / region ( 5 countries x 18 months = 90 months) Workload A-WP V: 6 + 12 = 18 person monts ( 5 countries x 18 person months = 90 person months)

Budget A-WP V: 145,000 € per country / region ( 5 countries x 145,000€ = 725,000€ )

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Continued … Flagship- A WPIV :

Required partners: Minimum one partner from each participating country

Toolkit implementing partners need to be identified locally country by country from local schools and their administration. Organizations responsible for toolkit preparation will together with ministries of education identify the most suitable localities for toolkit testing and implementatation

ESTONIA ?  To be investigated through Director Maris Jesse, Estonian National Institute for Health Development, E-mail: [email protected], Phone: +372 659 3900) FINLAND  Finnish National Institute of Health & Welfare, Tiina Laatikainen, (E-mai: [email protected] , Tekl: +358 20 610 8936) LATVIA  Latvian Centre for Disease Prevention and Control (E-mail: [email protected],Tel.: +371-67501588)

LITHUANIA  Lithuanian Center for Health Education and Disease Prevention under MoH (E-mail: [email protected] , Phone: +370 5 247 7341, Fax: +370 5 273 7397

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Flagship- A WP VI : a) DISSEMINATION OF PROJECT RESULTS/ b) AWARENESS AND ADVOCACY Lead organisation Participants PREVENTION OF OVER-WEIGHT AND OBESITY AMONG SCHOOLCHILDREN (AGES 7-15) IN NORTHERN DIMENSION GEOGRAPHICAL AREA NUTRITION & OVERWEIGHT / SCHOOL-AREA FOCUS LEAD ORGANIZATION: tentative: Present draft prepared by by NDPHS/ NCD-EG (Mikko Vienonen, [email protected], +358-50-4421 877) Potential further elaboration and lead organization: A-WP-VIa FS-A focal WHO-EURO, Scherfigsvej 8, 2100 Copenhagen, Denmark (Dr Caroline Bollars (DNP-NAO) , Technical Officer coordinator: Nutrition Policy, [email protected] +45-39171530 ) DISSEMINATION OF and PROJECT RESULTS Mrs Arnhild Haga Rimestad, Member of the NDNCD Expert Ggroup, Universitetsgt 2, 0130 Oslo, NORWAY, Phone: +47 24163440, Fax: + 47 24163016, E-mail: [email protected] Dr Caroline Bollars (DNP- NAO) , WHO-EURO Potential further elaboration and lead organization: ? Scherfigsvej 8, 2100 Description: Copenhagen, Denmark Technical Officer Nutrition The project will be very timely from the health policy point of view. All countries and regions are struggling with the Policy, problem of weight increase in population. At present in Northern Dimension about 70 % of adult population are [email protected] oveweight, about 30 % have disturbances in glucose metabolism and about 10 % already suffer from diabetes type-2. +45-39171530 Most of diabetes cases could be prevented among public health professionals but has not received sufficient attention from decision makers as something which would deserve vigorous action. This WP-VII aims at bringing sustainable A-WP-VI FS-A focal long term effects of the project by raising awareness in the whole society at all levels of the importance of changing coordinator: nutritional and physical activity of children. Researched. Childhood overweight and obesity is a increasing and is a AWARENESS AND strong predictor of obesity and diabetes in adulthood. This alarming situation is recogniz evidence clearly shows that ADVOCACY the trend can be permanently changed, diabetes prevented in adulthood and quality of live generally improved. In the Mrs Arnhild Haga Rimestad dissemination of project result the economic consequences and cost of non-action will be emphasized and used as a Member of the NDNCD levarage to give evidence that the practices brought by the project will bring economic gains already in medium term. Expert Ggroup It is to be expected that wide political and public interest will be focused on this project. Therefore it is of utmost Universitetsgt 2, 0130 Oslo, importance tha provide timely and well edited information of its goals and results, when they start to emerge. Well NORWAY oranized website is a key means of information dissemination within the project and its national/regional component. Phone: +47 24163440 Natinal websites are needed in national languages. Media collaboration (press, radio, TV) needs good skills and Fax: + 47 24163016 information. Dissemination of results to international organizations such as WHO, ILO, and NGO umbrella- E-mail: [email protected] organizations is important. Continued … Flagship- A WP-VI Continued … Flagship- A WP-VI

21 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp Dissemination of project results will be done through various channels: (i) the NDPHS’ broad network of members/partners, collaborators and information subscribers, as well as (ii) channels at the disposition of the Project Partners, and (iii) each community coordinator engaged in the project implementation.

Objectives:  Good information exchange between project central management and national/regional components  Goood links with press, radio and TV  Good links with decision makers and administration throughout the project implementation  Good links towards NDPHS, WHO, ILO, EU  Good documentation of project outcomes for different audiences.  Preparation of a dissemination plan for the sustainability and spread of the new methodology developed

Tasks: A-WP VIa DISSEMINATION OF PROJECT RESULTS Tasks: A-WP VIb AWARENESS AND ADVOCACY  Information about the project and its products will be disseminated through/during:  The NDPHS’ regular dissemination channels: the website (www.ndphs.org), e-news (http://www.ndphs.org/?e-news; approx. 14,000 subscribers), e-newsletter (http://www.ndphs.org/?e- newsletter; approx. 800 subscribers), the NDPHS Project Database (http://www.ndphs.org/?database) and, possibly, a press-release (http://www.ndphs.org/?press-releases; approx. 300 subscribers);  Project Partners’ own dissemination channels (websites, newsletters, etc.);  Relevant events – both internal ones (such as the NDPHS Committee of Senior Representatives meetings and the meetings of the respective NDPHS Expert Groups (NCD EG (cf. http://www.ndphs.org/?ncd_eg) and PPHS EG (cf. http://www.ndphs.org/?pphs_eg) as well as external events attended by the NDPHS representatives. The experiences and knowledge generated through this project will be shared within the NCD EG in a form of a policy dialogue and exchange of best practices. If the idea is endorsed by the NDPHS Committee of Senior Representatives, the NCD EG will develop a set of policy recommendations for the NDPHS Partner Countries for presentation to, and possible adoption by the NDPHS Partnership Annual Conference (the highest decision-making body within the NDPHS; held at a ministerial level every second year (cf. http://www.ndphs.org/?pac);  The community coordinators who will be responsible for the project visibility in each participating community and will identify local channels such as community websites and media. They will receive information from the WP VI Leader in formats suitable for media and the Internet.  The overweight and obesity prevention and physical activity promotion manuals/toolkits and recommendations for local prevention/ promotion work among young people (the sets tailored for each participating community) will be disseminated by the though direct mailing to the direct target group (engaged local public health specialists, achool-administrators, practitioners and policy-makers) and also discussed with some of them during meetings;  The overweight and obesity prevention and physical activity promotion manuals/toolkits for local prevention work 22 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp among school aged children (the generic set designed for other communities in the Northern Dimension area) will be submitted to the NDPHS NCD EG for further dissemination to relevant actors in their respective countries;  Specifically in Lithuania (to be further discussed) developed, described and piloted cooperation model featuring links between different specialists and institutions will be disseminated to the Public Health Bureau Association in one selected project location and presented during annual Public Health Bureau Association meeting and, through it, to all municipalities in Lithuania.

Milestones A-WP VIa Dissemination of project results:  Information distribution in websites of the project partners (general and national web-sites)  Dissemination seminar outside pilot districts  Final Conferences  Project publications

Duration A- WP VIa: 0 + 3 +6 = 9 months Workload WP VIa: 0 + 3 +6 = 9 person monts Budget WP VIa: 50,000€

Milestones A-WP VI b Awareness and advocacy:  to be elaborated Duration A- WP VI b: 0 + 3 +6 = 9 months Workload WP VI b: 0 + 3 +6 = 9 person monts Budget WP VIb: 50,000€

23 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp ANNEX: Stakeholder analysis Flagship-A (potential involvement and partners)

ESTONIA FINLAND May need to think more certain priority or gap-areas to join in? ? To involve: To involve:  MoSW&H  Tallinn University  THL/ NIHW  MoH  MoEducation  Pilot municipalities (Turku, Helsinki?)  NGOs: TEKRY, Heart ass., Diabetes League …  Northern Dimension Institute / NDI/ Lappeenranta  KL/ Association of Local & Reg. Authorities GERMANY LATVIA Need to approach (NCD Chair) to involve?: ALL COMPONENTS ARE RELEVANT  Deutsche Diabetes Gesellschaft (Dr Dietrich Garlichs & Dr Stefanie To involve: Gerlach)  MoH/ Latvia  Centre of Health Economics  MoEducation & Sciences  Municipalities (selected pilots)  NGOs?

LITHUANIA NORWAY: Only some parts relevant for Norway ALL COMPONENTS ARE RELEVANT To get: To involve:  Monitoring and surveillance for comparative data with our  MoH/ Lithuania geographical area  MoEducation & Sciences  Toolkits for intervention (cafeteria/ school meals and physical activity  MoEnvironment / Community planning) during school  Municipalities (selected pilots)  Politicians involvement and convincing health education  NGOs? To give:  Vilnius Univ. ( & Kaunas ? )  Action plan for physical activity and plan with other sectors  Center for Health Education and Disease Prevention  Reducing marketing of unhealthy food To involve:  MoH / Relevant ministers  Norwegian Directorate of Health  Public Health Institute  NGOs (Diabetes, Cancer, Heart) …

24 NCD_8-8-4b_FLAGSHIP-A_OLD_WORK-PACKAGES_25pp POLAND: RUSSIA To involve: May need to think more certain adjustments regarding national  MoH peculiarities and needs?  National Institute of Public Health - National Institute of Hygiene To involve:  MoH&SD  MoH/Kaliningrad & other pilot regions ( SPb, others?)  Health Centres (pilots)  Federal Public Health Research Institute/ FRIHOI/ Moscow  Research Institute of Nutrition/ RAMS  Russian State Medical University  MoEduc.  NGOs (selected) SWEDEN: NHV/ Gothenburg Need to approach (NCD Chair) to involve?: To involve: need to think?  National Board of Health  Research parts/ Funding is needed.  National Board of Education  NCM/ CPH  SKL (Swedish Municipalities and Counties)  NGO: School nurses and doctors ass.  NIPH/ Östersund (Head of Dept. Pia Lindeskog)

WHO-EURO  Joao Breda/ Nutrition unit