Implementing the WHO Global

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Implementing the WHO Global Strategy for
physical activity in developing countries South
Africa


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The ESSM Team
Marilyn Anne Noakes 2002.
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Initial Burden of Disease Estimates for South
Africa, 2000
Bradshaw et al. 2003 MRC Report
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What are South Africans doing to address physical
activity for prevention of NCDs?
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Status of NCD prevention, health promotion and
physical activity promotion in South Africa
Government Sector
Dept of Health
Dept of Education
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Status of NCD prevention, health promotion and
physical activity promotion in South Africa
Non-Government Sector
International
National/local
Parastatal

• Sport for All
• ICSSPE
• Health Promoting Schools
• Heart Foundation
• Laureus Sport for Good

• SCORE
• CHIPs
• Little Champs
• SA Diabetes Association
• CANSA
• SA Diabetes Association
• Proposed Youth Charter for Sport and Physical
• Activity Participation Network

(Lack of coordination, message is not uniform
competing for similar and limited funding few
measures of effectiveness in place
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Status of NCD prevention, health promotion and
physical activity promotion in South Africa
Private Sector
Medical and health insurers
Food industry
Wellness industry

• Slimming support groups
• Run/walk programme support groups
• Fitness industry
• Telementoring and IT support platforms for
  fitness evaluation and health risk appraisal

Advocacy at an expert panel level research
funding support campaigns (Special K 10000 Steps)

• Incentivised lifestyle programmes including
  physical activity, and wellness campaigns.
• Measurement started on both process and outcomes

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Barriers and opportunities to implementation of
Global Strategy for PA
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Youth Fitness Charter
30.6 of black South African children are offered
physical education lessons at school (Birth to
Twenty) 40 of the South African youth (grades
4-5) do not regularly engage in vigorous physical
activity (Birth to Twenty) 20 of South African
children (aged 6-12) are classified as obese or
overweight (Health of the Nation, 2004)
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Youth Fitness Charter

• All children have the right to be physically
  active
• Collaboration between key role players (national
  and local government, tertiary institutions,
  NGOs, schools, teachers, parents, the private
  sector and the media) must occur to ensure
  adequate opportunities for all children and youth
• Equality of access and opportunity to participate
  should be made available to all children and
  youth
• Protection of children and youth participating in
  physical activity, including those performing at
  a high level, is essential
• Economic, social, religious and cultural
  diversity should be acknowledges yet embraced.
  Sport should be used as a tool for encouraging
  positive attitudes, bridging barriers and
  accommodating individual differences and
  abilities.

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Move for Health
High prevalence of NCDs in Brazil, coupled with
low prevalence of physical activity.
Dr Victor Matsudo initiated and implemented Agita
Sao Paulo
Agita Sao Paulo expanded to become Agita Brazil
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Move for Health
Based on the success of Agita Sao Paulo, WHO
recommended that World Health Day in 2002, focus
on Move for Health.
World Health Assembly proposed that all WHO
member states celebrate Move for Health Day
ANNUALLY, in its resolution on Diet, Physical
Activity and Health.
ESSM, together with the Department of Health and
other stakeholders are driving Move for Health in
South Africa.
Proposed Move for Health year, Vuka South
Africa, Move for your Health
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Move for HealthSouth Africa!