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Victorian Prevention and Health Promotion
Achievement Program

Schools and Early Childhood Education and
Care Services


22 November 2011

Holly Piontek Walker
Manager, Prevention Leadership & Governance
Healthy Children – context
Victorian Prevention and Health Promotion
Achievement Program


Recognise and support:
   • schools and early childhood education and care services
   • workplaces and workforces
   • local communities and environments
   • health services

To provide safe, healthy and friendly environments for
learning, working and living.
Healthy Children - context


               Parliamentary Inquiry into the Potential for Developing
               Opportunities for Schools to Become a Focus for
               Promoting Healthy Community Living (Sept 2010)
               Nine recommendations, the first:

               That Department Education and Early Childhood Development, in
               consultation with Department Health, review the development and
               implementation of the health promoting schools approach in Victoria



Government response tabled in March 2011, ‘agreed’ or
‘agreed in principle’ to the nine recommendations
Healthy Communities, Healthy Children Steering
Group


Healthy Communities, Healthy Children
•   Co-chaired by Department of Health &
    Department of Education and Early Childhood
    Development
•   DPCD – Sport and Rec Victoria
•   DHS – Offices for Youth and Disability
•   Independent Schools Victoria
•   Catholic Education Office
•   Municipal Association of Victoria

Supported by DEECD-DH Project Team
Health Promoting Schools


A health promoting school is one that constantly strengthens its
  capacity as a healthy setting for living, learning and working




                              Optimal physical
                                  health,

                             Optimal social and
                                 emotional
                               development

                             Optimal learning and
                            cognitive development
Evidence – health promoting schools approach


The HPS approach has shown potential for improving health,
wellbeing and educational outcomes.
Most effective programs:
-promote mental health, healthy eating and physical activity
-utilise a whole-school approach, are sustained.
                                                            (Stewart-Brown 2006)

Key findings:
•Interventions that combine health education with changes to the school
physical and social environment, and have family or community involvement
are more likely to be effective than education alone
                                     (Lister-Sharp et al 1996; St Leger et al 2010)
WHO health promoting schools framework:
international implementation




     Murphy, M 2011 The Health Promoting Schools Framework & Obesity Prevention: Learnings for Victoria (unpublished thesis)
VPHPAP for schools and early childhood
education and care services
Lead role of local government

 Victorian Health Priorities Framework 2012-2022
 • All local governments will have Municipal 'Healthy Communities‘
   Public Health and Wellbeing Plans that are well known to their local
   communities and that promote healthy living.

 Public Health and Wellbeing Act 2008
 • The function of a council is to seek to protect, improve and promote
   public health and wellbeing within the municipal district
Victorian Public Health and Wellbeing Plan
 • MPHWPs the primary strategic planning mechanism for public
   health and wellbeing efforts
Early childhood education and care
 • Municipal Early Years Plans and planning and provision of early
   childhood education and care services
A DRAFT Victorian framework for health promoting schools and early childhood education and care (ECEC)
                                                     services
                             VICTORIAN PUBLIC HEALTH AND WELLBEING PLAN 2011-2015

                                                                                                      HEALTHY EATING & ORAL HEALTH                                        PHYSICAL ACTIVITY




                                                                                   Healthy                     The policies of schools and ECEC services clearly articulate conditions and practices
                                                                                   policies                      necessary to create a physical and social environment which promotes health.




                                                                                                                                                                                                         MENTAL HEALTH AND WELLBEING
                                                      TOBACCO CONTROL
    SCHOOL ACCOUNTABILITY AND IMPROVEMENT FRAMEWORK




                                                                                   Healthy physical          The physical environment of a school or ECEC service facilitates and encourages healthy
                                                                                   environments                 choices and lifestyles in complement to the health messages taught in the school
                                                                                                                                                   curriculum.




                                                                                                                                                                                                                                       NATIONAL QUALITY STANDARD
                                                                                                            Learning reflects a school or ECEC service’s commitment to health promotion by providing
                                                                                   Skills and learning
                                                                                                              opportunities for children and young people to gain knowledge, skills and experiences
                                                                                   competencies
                                                                                                                  which will enable them to take action to improve their health and wellbeing.



                                                                                   Family and                   Structures are established to engage wider school or ECEC communities as active
                                                      ALCOHOL AND OTHER DRUG USE




                                                                                   community links                           participants in the promotion of health and wellbeing.




                                                                                                                                                                                                          SKIN CANCER PREVENTION
                                                                                   Healthy social           A school or ECEC service’s ethos promotes respect, fairness and equality of treatment for
                                                                                   environment                                   all individuals and fosters a sense of belonging.




                                                                                                             A school or ECEC service actively seeks out opportunities to enhance and extend expertise
                                                                                   Partnerships for
                                                                                                              and resources to promote health and wellbeing through collaboration with local health
                                                                                   health and wellbeing
                                                                                                                                                and wellbeing services.


                                                                                                    SEXUAL HEALTH AND WELLBEING                                            SAFE ENVIRONMENTS

                                                                                                                 VICTORIAN CHILD AND ADOLESCENT MONITORING SYSTEM
Better coordination of health and wellbeing
activities

• Recognises that schools and ECEC are already working to promote
  health and wellbeing
• Organisations working with schools and ECEC to implement a
  multitude of health and wellbeing programs
    • Will assist schools to better coordinate programs
    • A whole setting approach will better embed health and wellbeing activities
      within the setting
Health priority areas
Strengthening the foundations for health promotion in schools and early childhood education and care services:
Progression through health promotion recognition awards
            Stage 1 – Strengthening
                                                         Stage 2 - Bronze                         Stage 3 - Silver                      Stage 4 - Gold
                 foundations

          Utilise existing or establish new
           Health and Wellbeing Team
                                                      Health and Wellbeing Team             Health and Wellbeing Team              Health and Wellbeing Team
                                                     engages whole school/service          engages whole school/service           engages whole school/service
        Students, parents, staff and the wider     community as active participants in   community as active participants in    community as active participants in
      school/ECEC community are engaged as                 health promotion                      health promotion                       health promotion
       active participants in health promotion

                                                       Endorsed Health Promotion
            Health Promotion Charter
                                                                  Charter
           of commitment is developed
                                                    is displayed in a prominent place


    AUDIT existing health & wellbeing activities
                                                       AUDIT of existing health
                                                    promotion activities and NEEDS
             Conduct NEEDS analysis                     ANALYSIS completed


        Set GOALS and develop a strategy           HEALTH PRIORITY 1 - ESTABLISHED         HEALTH PRIORITY 1 – MONITOR
                                                    Goals set and strategy developed        Activity for this health priority
         Plan for monitoring & evaluation            using “whole setting approach”      reviewed, adjusted and maintained       HEALTH PRIORITY 1 - MONITOR

                                                   HEALTH PRIORITY 2 - ESTABLISHED        HEALTH PRIORITY 2 - MONITOR            HEALTH PRIORITY 2 - MONITOR

                                                                                         HEALTH PRIORITY 3 - ESTABLISHED         HEALTH PRIORITY 3 - MONITOR

                                                                                         HEALTH PRIORITY 4 - ESTABLISHED         HEALTH PRIORITY 4 - MONITOR

                                                                                                                                HEALTH PRIORITY 5 - ESTABLISHED

                                                                                                                                HEALTH PRIORITY 6 - ESTABLISHED


                                                       The school/ECEC goals for              The school/ECEC goals for             The school/ECEC goals for
    The school/ECEC goals for recognition as a
                                                    recognition as a HP setting are        recognition as a HP setting are       recognition as a HP setting are
         HP setting are articulated in the
                                                   articulated in the School Strategic    articulated in the School Strategic   articulated in the School Strategic
        School Strategic Plan or ECEC plan
                                                            Plan or ECEC plan                      Plan or ECEC plan                     Plan or ECEC plan
A Victorian framework for health promoting early childhood education and care services

                                                                             Healthy Eating and Oral Health
                          Healthy policies           Healthy physical           Curriculum and        Family and community           Healthy social        Service partnerships
                                                      environments                 learning                    links                 environment              for health and
                                                                                                                                                                wellbeing
                       The ECEC service has a     Tap water is available     Children are provided    Families are aware of      The service provides a   Links with relevant
                       policy for the provision   indoors and outdoors       with opportunities to    relevant policies and      positive meal            services are established
                       of healthy food and        at all times               learn about healthy      the healthy eating and     environment with         to promote uptake of
                       drinks                                                eating and oral health   oral health focus of the   relaxed, social and      MCHS mouth checks at
                                                  A variety of fresh fruit                            service                    enjoyable experiences.   Key Ages and Stages and
                       ECEC service menus are     and vegetables are                                                                                      regular dental checks.
                       assessed by the            included in service                                 Families provided with     Food is not used as an
                       Victorian Healthy Eating   menus every day and                                 knowledge and              incentive or reward at
                       Advisory Service           encouraged in                                       resources to support       any time
Benchmark




                                                  lunchboxes                                          healthy eating and oral
                       The ECEC service has a                                                         health
                       policy regarding the       Sometimes foods are
                       promotion of food and      discouraged from
                       drinks in the service      lunchboxes and not
                                                  provided by the
                       The ECEC service is        service
                       breastfeeding friendly
                                                  Breastfeeding mothers
                                                  are supported with
                                                  appropriate facilities



                                                  Children are                                        Families are invited to    Families provided with   External services are
Recommended practice




                                                  encouraged to                                       engage in healthy          information and          invited to support
                                                  undertake oral                                      eating and oral health     support to create        healthy eating initiatives
                                                  hygiene practices in                                education                  positive meal            at the service
                                                  settings where                                                                 environments in the
                                                  appropriate                                         CALD families provided     home
                                                                                                      with opportunities to
                                                                                                      discuss values and
                                                                                                      expectations for
                                                                                                      healthy eating




National Quality Standard 2 – Children’s health and safety
Element 2.2 - Healthy eating and physical activity are embedded in the program for children.
Element 2.2.1 - Healthy eating is promoted and food and drinks provided by the service are nutritious and appropriate to the age of the child.
A Victorian framework for health promoting schools

                                                                              Healthy Eating and Oral Health
                          Healthy policies            Healthy physical           Curriculum and        Family and community           Healthy social        Service partnerships
                                                       environments                 learning                    links                 environment              for health and
                       The school policy for the   Tap water is available     Students are provided    Families are aware of      The school provides a           wellbeing
                                                                                                                                                           Dental health check ups
                       provision and               indoors and outdoors       with opportunities to    relevant healthy eating    positive meal            are promoted and
                       promotion of food and       at all times               learn about healthy      and oral health policies   environment with         supported
                       drinks adheres with the                                eating and oral health   and initiatives            relaxed, social and
                       DEECD School Canteens       School food services                                                           enjoyable experiences
                       and Other School Food       provide a variety of       The healthy eating and   Families provided with
                       Services policy             fresh fruit and            oral health curriculum   knowledge and              Food is not used as an
Benchmark




                                                   vegetables and limit       is consistent with       resources to support       incentive or reward at
                       School canteen and          occasional foods.          school policy            healthy eating and oral    any time
                       lunch order menus are                                                           health
                       assessed by the             A variety of fresh fruit
                       Victorian Healthy Eating    and vegetables are
                       Advisory Service            encouraged and
                                                   occasional foods are
                                                   discouraged in
                                                   lunchboxes



                                                   Children encouraged        Students have            Families are invited to    Families provided with   External services are
                                                   to undertake oral          opportunities to         engage in healthy          information and          invited to support
                                                   hygiene practices in       engage in food-related   eating and oral health     support to create        healthy eating initiatives
Recommended practice




                                                   settings where             activities such as       education                  positive meal            at the school
                                                   appropriate                planning and shopping                               environments in the
                                                                              for meals, growing and   CALD families provided     home
                                                                              cooking foods            with opportunities to
                                                                                                       discuss values and
                                                                                                       expectations for
                                                                                                       healthy eating
                                                                                                       School excursions to
                                                                                                       local fruit and
                                                                                                       vegetable retailers and
                                                                                                       markets facilitate
                                                                                                       healthy eating
                                                                                                       behaviours
Consultation process


Consultation strategy to engage and seek feedback in the
  development phase:
•    Focus groups with a sample of schools and ECEC
•    Organisations working with schools and ECEC to promote
     health and wellbeing
•    Expert Advisory Panel
•    Forums with health professionals
Round-table discussion


• What are the top three strengths and weaknesses
  of the Achievement Program?


• As health professionals working with schools and
  early childhood education and care services:
•    What resources, training and support would you require
     to work with the Achievement Program?

•    What would assist you to engage schools and ECEC to
     participate in the Achievement Program?

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Vphpa ppresentation (pptminimizer)

  • 1. Victorian Prevention and Health Promotion Achievement Program Schools and Early Childhood Education and Care Services 22 November 2011 Holly Piontek Walker Manager, Prevention Leadership & Governance
  • 3. Victorian Prevention and Health Promotion Achievement Program Recognise and support: • schools and early childhood education and care services • workplaces and workforces • local communities and environments • health services To provide safe, healthy and friendly environments for learning, working and living.
  • 4. Healthy Children - context Parliamentary Inquiry into the Potential for Developing Opportunities for Schools to Become a Focus for Promoting Healthy Community Living (Sept 2010) Nine recommendations, the first: That Department Education and Early Childhood Development, in consultation with Department Health, review the development and implementation of the health promoting schools approach in Victoria Government response tabled in March 2011, ‘agreed’ or ‘agreed in principle’ to the nine recommendations
  • 5. Healthy Communities, Healthy Children Steering Group Healthy Communities, Healthy Children • Co-chaired by Department of Health & Department of Education and Early Childhood Development • DPCD – Sport and Rec Victoria • DHS – Offices for Youth and Disability • Independent Schools Victoria • Catholic Education Office • Municipal Association of Victoria Supported by DEECD-DH Project Team
  • 6. Health Promoting Schools A health promoting school is one that constantly strengthens its capacity as a healthy setting for living, learning and working Optimal physical health, Optimal social and emotional development Optimal learning and cognitive development
  • 7. Evidence – health promoting schools approach The HPS approach has shown potential for improving health, wellbeing and educational outcomes. Most effective programs: -promote mental health, healthy eating and physical activity -utilise a whole-school approach, are sustained. (Stewart-Brown 2006) Key findings: •Interventions that combine health education with changes to the school physical and social environment, and have family or community involvement are more likely to be effective than education alone (Lister-Sharp et al 1996; St Leger et al 2010)
  • 8. WHO health promoting schools framework: international implementation Murphy, M 2011 The Health Promoting Schools Framework & Obesity Prevention: Learnings for Victoria (unpublished thesis)
  • 9. VPHPAP for schools and early childhood education and care services
  • 10. Lead role of local government Victorian Health Priorities Framework 2012-2022 • All local governments will have Municipal 'Healthy Communities‘ Public Health and Wellbeing Plans that are well known to their local communities and that promote healthy living. Public Health and Wellbeing Act 2008 • The function of a council is to seek to protect, improve and promote public health and wellbeing within the municipal district Victorian Public Health and Wellbeing Plan • MPHWPs the primary strategic planning mechanism for public health and wellbeing efforts Early childhood education and care • Municipal Early Years Plans and planning and provision of early childhood education and care services
  • 11. A DRAFT Victorian framework for health promoting schools and early childhood education and care (ECEC) services VICTORIAN PUBLIC HEALTH AND WELLBEING PLAN 2011-2015 HEALTHY EATING & ORAL HEALTH PHYSICAL ACTIVITY Healthy The policies of schools and ECEC services clearly articulate conditions and practices policies necessary to create a physical and social environment which promotes health. MENTAL HEALTH AND WELLBEING TOBACCO CONTROL SCHOOL ACCOUNTABILITY AND IMPROVEMENT FRAMEWORK Healthy physical The physical environment of a school or ECEC service facilitates and encourages healthy environments choices and lifestyles in complement to the health messages taught in the school curriculum. NATIONAL QUALITY STANDARD Learning reflects a school or ECEC service’s commitment to health promotion by providing Skills and learning opportunities for children and young people to gain knowledge, skills and experiences competencies which will enable them to take action to improve their health and wellbeing. Family and Structures are established to engage wider school or ECEC communities as active ALCOHOL AND OTHER DRUG USE community links participants in the promotion of health and wellbeing. SKIN CANCER PREVENTION Healthy social A school or ECEC service’s ethos promotes respect, fairness and equality of treatment for environment all individuals and fosters a sense of belonging. A school or ECEC service actively seeks out opportunities to enhance and extend expertise Partnerships for and resources to promote health and wellbeing through collaboration with local health health and wellbeing and wellbeing services. SEXUAL HEALTH AND WELLBEING SAFE ENVIRONMENTS VICTORIAN CHILD AND ADOLESCENT MONITORING SYSTEM
  • 12. Better coordination of health and wellbeing activities • Recognises that schools and ECEC are already working to promote health and wellbeing • Organisations working with schools and ECEC to implement a multitude of health and wellbeing programs • Will assist schools to better coordinate programs • A whole setting approach will better embed health and wellbeing activities within the setting
  • 14. Strengthening the foundations for health promotion in schools and early childhood education and care services: Progression through health promotion recognition awards Stage 1 – Strengthening Stage 2 - Bronze Stage 3 - Silver Stage 4 - Gold foundations Utilise existing or establish new Health and Wellbeing Team Health and Wellbeing Team Health and Wellbeing Team Health and Wellbeing Team engages whole school/service engages whole school/service engages whole school/service Students, parents, staff and the wider community as active participants in community as active participants in community as active participants in school/ECEC community are engaged as health promotion health promotion health promotion active participants in health promotion Endorsed Health Promotion Health Promotion Charter Charter of commitment is developed is displayed in a prominent place AUDIT existing health & wellbeing activities AUDIT of existing health promotion activities and NEEDS Conduct NEEDS analysis ANALYSIS completed Set GOALS and develop a strategy HEALTH PRIORITY 1 - ESTABLISHED HEALTH PRIORITY 1 – MONITOR Goals set and strategy developed Activity for this health priority Plan for monitoring & evaluation using “whole setting approach” reviewed, adjusted and maintained HEALTH PRIORITY 1 - MONITOR HEALTH PRIORITY 2 - ESTABLISHED HEALTH PRIORITY 2 - MONITOR HEALTH PRIORITY 2 - MONITOR HEALTH PRIORITY 3 - ESTABLISHED HEALTH PRIORITY 3 - MONITOR HEALTH PRIORITY 4 - ESTABLISHED HEALTH PRIORITY 4 - MONITOR HEALTH PRIORITY 5 - ESTABLISHED HEALTH PRIORITY 6 - ESTABLISHED The school/ECEC goals for The school/ECEC goals for The school/ECEC goals for The school/ECEC goals for recognition as a recognition as a HP setting are recognition as a HP setting are recognition as a HP setting are HP setting are articulated in the articulated in the School Strategic articulated in the School Strategic articulated in the School Strategic School Strategic Plan or ECEC plan Plan or ECEC plan Plan or ECEC plan Plan or ECEC plan
  • 15. A Victorian framework for health promoting early childhood education and care services Healthy Eating and Oral Health Healthy policies Healthy physical Curriculum and Family and community Healthy social Service partnerships environments learning links environment for health and wellbeing The ECEC service has a Tap water is available Children are provided Families are aware of The service provides a Links with relevant policy for the provision indoors and outdoors with opportunities to relevant policies and positive meal services are established of healthy food and at all times learn about healthy the healthy eating and environment with to promote uptake of drinks eating and oral health oral health focus of the relaxed, social and MCHS mouth checks at A variety of fresh fruit service enjoyable experiences. Key Ages and Stages and ECEC service menus are and vegetables are regular dental checks. assessed by the included in service Families provided with Food is not used as an Victorian Healthy Eating menus every day and knowledge and incentive or reward at Advisory Service encouraged in resources to support any time Benchmark lunchboxes healthy eating and oral The ECEC service has a health policy regarding the Sometimes foods are promotion of food and discouraged from drinks in the service lunchboxes and not provided by the The ECEC service is service breastfeeding friendly Breastfeeding mothers are supported with appropriate facilities Children are Families are invited to Families provided with External services are Recommended practice encouraged to engage in healthy information and invited to support undertake oral eating and oral health support to create healthy eating initiatives hygiene practices in education positive meal at the service settings where environments in the appropriate CALD families provided home with opportunities to discuss values and expectations for healthy eating National Quality Standard 2 – Children’s health and safety Element 2.2 - Healthy eating and physical activity are embedded in the program for children. Element 2.2.1 - Healthy eating is promoted and food and drinks provided by the service are nutritious and appropriate to the age of the child.
  • 16. A Victorian framework for health promoting schools Healthy Eating and Oral Health Healthy policies Healthy physical Curriculum and Family and community Healthy social Service partnerships environments learning links environment for health and The school policy for the Tap water is available Students are provided Families are aware of The school provides a wellbeing Dental health check ups provision and indoors and outdoors with opportunities to relevant healthy eating positive meal are promoted and promotion of food and at all times learn about healthy and oral health policies environment with supported drinks adheres with the eating and oral health and initiatives relaxed, social and DEECD School Canteens School food services enjoyable experiences and Other School Food provide a variety of The healthy eating and Families provided with Services policy fresh fruit and oral health curriculum knowledge and Food is not used as an Benchmark vegetables and limit is consistent with resources to support incentive or reward at School canteen and occasional foods. school policy healthy eating and oral any time lunch order menus are health assessed by the A variety of fresh fruit Victorian Healthy Eating and vegetables are Advisory Service encouraged and occasional foods are discouraged in lunchboxes Children encouraged Students have Families are invited to Families provided with External services are to undertake oral opportunities to engage in healthy information and invited to support hygiene practices in engage in food-related eating and oral health support to create healthy eating initiatives Recommended practice settings where activities such as education positive meal at the school appropriate planning and shopping environments in the for meals, growing and CALD families provided home cooking foods with opportunities to discuss values and expectations for healthy eating School excursions to local fruit and vegetable retailers and markets facilitate healthy eating behaviours
  • 17. Consultation process Consultation strategy to engage and seek feedback in the development phase: • Focus groups with a sample of schools and ECEC • Organisations working with schools and ECEC to promote health and wellbeing • Expert Advisory Panel • Forums with health professionals
  • 18. Round-table discussion • What are the top three strengths and weaknesses of the Achievement Program? • As health professionals working with schools and early childhood education and care services: • What resources, training and support would you require to work with the Achievement Program? • What would assist you to engage schools and ECEC to participate in the Achievement Program?