By Dr Sam Adjei On behalf of the drafting team Regenerative Health and Nutrition Programme: Highlights of strategies and activities By Dr Sam Adjei On behalf of the drafting team

Goal of RHNP To contribute to the development of healthier and productive population.

Objective of RHNP To reduce the risk of occurrence of diseases and disorders for individuals, households and communities so as to contribute to the development of a healthier and productive population that can create wealth for itself and the country

Strategies Four key strategies have been identified: Behaviour enhancing communication with the view to creating regenerative health consciousness Creating enabling environments Partnership/networking Training/capacity development

Areas covered for each strategy Scope Examples of good practice Concerns or issues to be addressed Activities to address 1 above

BEHAVIOR ENHANCEMENT COMMUNICATION Scope Material Development Mass media Print and electronic School based

Activities Conduct formative assessment to generate the evidence base for RHN advocacy messages Develop and pre test RHN advocacy materials on a continuous basis Identify, select and negotiate appropriate communication channels Create awareness through appropriate macro and micro communication channels

Capacity Development Improve and or develop standard manual that focuses on behavioural change and lifestyle modification, with sections for specific target groups eg cateres, health staff, etc Develop manual for social mobilisation Establish national level master trainers to conduct TOT; training of change agents (regen clubs, schools) at all levels Post-training support and mentoring Review existing institutions to identify needs for support Review and strengthen RHN secretariat to coordinate and support these activities. Support study tours

Activities Stakeholder analysis an establishment of intersectoral committee. Consensus building Stakeholders’ role definition Develop funding mechanisms Develop a mechanism for addressing operational difficulties Develop an M&E Framework Develop an MOU

Partnership and networking Stakeholders Activities Ghana Health Service and other providers Screen at health facilities. Counselling. Provision of information in consulting rooms. Local Government Develop bye laws, provide supportive environment MOE/GES IEC in schools, supportive environment Legislative Agencies Bye laws, policy changes Individuals and Households Take individual level action in relation to RGN Opinion Leaders, chiefs and elders Social mobilization, program champions with power to influence community thinking District Assemblies and decentrali-zed depart-ments Translating national policy into district plans, coordinating effective district level response, enact bye laws, resource mobilisation and M&E Media (Public and Private) Analysis, Dissemination, advocacy and public education Industry Product development, manufacturing & distribution Development Partners Resource mobilization,facilitate policy development, information on best practices access to network of expertise NGOs Advocacy, Service provision, mobilise resources

Enabling environment Provision of health promotion legislation eg food labeling, nutritional value Provision of services Provision of supporting facilities for simple everyday routines such as walking, drinking water, eating kontonmire) Provision of facilities for more complex activities such as strengthening existing public spaces and services Develop model facilities such as chop bars, regen clubs, gyms, and developing regenerative health spaces Physical education in schools Screening services in health facilities, pharmacy shops, Health industry

STRATEGIES FOR IMPLEMENTATION Developmental approach: this approach focuses testing/piloting interventions in our context Scaling up approach: this approach constitutes a more complex, multi-level, multi-faceted set of activities aimed at broadening and sustaining the impact of the programme. Uses existing structures as much as possible District based

Indicators Dietary Environmental Sanitation Exercise % Smoking prevalence rate % overweight/obesity prevalence rate Environmental Sanitation % of HH with access to safe water Exercise % engaged in physical activity

Sustainable financing Government budget support to MOH Other MDAs Funds from development partners Private sources Health insurance Special tax on tobacco and alcohol

MANAGEMENT ARRANGEMENT (Interim) A project Director. This is currently the Director of PPME (MOH) A project Manager A National Intersectoral Committee to be chaired by the Minister of Health or his representative A Technical Working Group with facilitators Task Teams which are subcommittees of the Technical Working Group. Regional RHN Committee under the Regional Minister District RHN Committee under the District Chief Executive

MANAGEMENT ARRANGEMENT (Long term- RHN Commission) To formulate comprehensive national policies and strategies and establish programme priorities relating to RHN and health promotion in general. To provide high level advocacy for RHN. To provide effective leadership in the national planning and support supervision. To expand and coordinate the total national RHN Program. To mobilize, control and manage resources and monitor their allocation and utilization. To foster linkages among all stakeholders. To promote research, information and documentation on RHN. To monitor and evaluate all on-going RHN activities.

THANK YOU and QUESTIONS please…