Process evaluation of a community-based intervention program: Healthy Youth Healthy Communities, an adolescent obesity prevention project in Fiji

Waqa, Gade, Moodie, Marj, Schultz, Jimaima and Swinburn, Boyd 2014, Process evaluation of a community-based intervention program: Healthy Youth Healthy Communities, an adolescent obesity prevention project in Fiji, Global health promotion, vol. 20, no. 4, pp. 23-34.

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Title Process evaluation of a community-based intervention program: Healthy Youth Healthy Communities, an adolescent obesity prevention project in Fiji
Author(s) Waqa, Gade
Moodie, Marj
Schultz, Jimaima
Swinburn, Boyd
Journal name Global health promotion
Volume number 20
Issue number 4
Start page 23
End page 34
Total pages 12
Publisher Sage Publications
Place of publication London, England
Publication date 2014-12
ISSN 1757-9759
Keyword(s) adolescents
community intervention program
faith-based organizations
Fiji
Fiji Action Plan
health education
Healthy Youth Healthy Community
obesity
schools
weight reduction
Summary Nearly one-half of the adult population in Fiji between the ages of 15–64 years is either overweight or obese; and rates amongst school children have, on average, doubled during the last decade. There is an urgent need to scale up the promotion of healthy behaviors and environments using a multi-sectoral approach. The Healthy Youth Healthy Community (HYHC) project in Fiji used a settings approach in secondary schools and faith-based organizations to increase the capacity of the whole community, including churches, mosques and temples, to promote healthy eating and regular physical activity, and to prevent unhealthy weight gain in adolescents aged 13–18 years. The team consisted of a study manager, project coordinator and four research assistants (RAs) committed to planning, designing and facilitating the implementation of intervention programs in collaboration with other stakeholders, such as the wider school communities, government and non-governmental organizations and business partners. Process data were collected on all intervention activities and analyzed by dose, frequency and reach for each specific strategy. The Fiji Action Plan included nine objectives for the school settings; four were based on nutrition and two on physical activity in schools, plus three general objectives, namely capacity building, social marketing and evaluation. Long-term change in nutritional behavior was difficult to achieve; a key contributor to this was the unhealthy food served in the school canteens. Whilst capacity-building proved to be one of the best mechanisms for intervening, it is important to consider the cultural and social factors influencing health behaviors and affecting specific groups.
Language eng
Field of Research 111104 Public Nutrition Intervention
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Sage Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30064534

Document type: Journal Article
Collection: Population Health
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