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

Muscle Research Group Metabolic Research Group Neurobiology Research Group Molecular Research Group The ESSM Team Physical Activity & Lifestyle Research Group Clinical Sports Medicine Research Group Thermo- regulation Research Group Marilyn Anne Noakes 2002.

Initial Burden of Disease Estimates for South Africa, 2000 Bradshaw et al. 2003: MRC Report

What are South Africans doing to address physical activity for prevention of NCD’s?

Status of NCD prevention, health promotion and physical activity promotion in South Africa Dept of Health Dept of Education Government Sector: - Consultative Guidelines process for Ageing, Diabetes, for Ageing, Diabetes, Hypertension,, Obesity Hyper- Hypertension,, Obesity Hyper- lipidaemia & Food Based Dietary lipidaemia & Food Based Dietary Guidelines (all include PA) Guidelines (all include PA) - Surveillance (National Youth Risk Behaviour Survey 2002, & Risk Behaviour Survey 2002, & Demographic and Health Survey Demographic and Health Survey 2003) 2003) - Development of a national strategy for Promoting Healthy strategy for Promoting Healthy Lifestyles (2004-present) Lifestyles (2004-present) Partnered and supported by government funded MRC units (NCD and Epi Units), and tertiary institutions Life Skills Curriculum SA Qualifications Authority framework for fitness industry Life Skills Curriculum SA Qualifications Authority framework for fitness industry Dept of Sport & Recreation Recreation Model projects Such as Mass Participation & Indigenous Games Model projects Such as Mass Participation & Indigenous Games

Status of NCD prevention, health promotion and physical activity promotion in South Africa Non-Government Sector: International National/localParastatal Sport for All;Sport for All; ICSSPE;ICSSPE; Health Promoting Schools;Health Promoting Schools; Heart Foundation;Heart Foundation; Laureus Sport for Good;Laureus Sport for Good; SCORESCORE CHIPs;CHIPs; Little Champs;Little Champs; SA Diabetes Association;SA Diabetes Association; CANSA;CANSA; SA Diabetes Association;SA Diabetes Association; Proposed Youth Charter for Sport and PhysicalProposed 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

Status of NCD prevention, health promotion and physical activity promotion in South Africa Private Sector: Medical and health insurers insurers Food industry Wellness industry Incentivised lifestyle programmes including physical activity, and wellness campaigns. Measurement started on both process and outcomes Incentivised lifestyle programmes including physical activity, and wellness campaigns. Measurement started on both process and outcomes Advocacy at an expert panel level; research funding support; campaigns (Special K Steps) Slimming support groups; Run/walk programme support groups; Fitness industry; Telementoring and IT support platforms for fitness evaluation and health risk appraisal Slimming support groups; Run/walk programme support groups; Fitness industry; Telementoring and IT support platforms for fitness evaluation and health risk appraisal

Barriers and opportunities to implementation of Global Strategy for PA: Opportunities: Demonstrated capacity;Demonstrated capacity; Sustainability of programmes in the NGO sector;Sustainability of programmes in the NGO sector; Participation by the private sector;Participation by the private sector; Barriers: Competing priorities (redress and inequity, poverty, Competing priorities (redress and inequity, poverty, violence, communicable diseases, unemployment, violence, communicable diseases, unemployment, lack of housing, undernutrition, cultural constraints) lack of housing, undernutrition, cultural constraints) Lack of central coordination to mobilise existing Lack of central coordination to mobilise existing networks; across different effector arms; networks; across different effector arms; Funding and sponsorship, Funding and sponsorship, Lack of and reluctance for intra-sectoral cooperationLack of and reluctance for intra-sectoral cooperation

Youth Fitness Charter Insufficient school participation High rates of inactivity Unsafe sporting facilities Mass sport spectatorship Family attitudes 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)

Youth Fitness Charter 1.All children have the right to be physically active 2.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 3.Equality of access and opportunity to participate should be made available to all children and youth 4.Protection of children and youth participating in physical activity, including those performing at a high level, is essential 4.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.

Move for Health High prevalence of NCD’s 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

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 “Vuka South Africa, Move for your Health

“Move for Health…South Africa!”