The 130th Annual Meeting of APHA

Abstract #43484

Thandi Puoane, Dr PH, Public Health Programme/ Chronic Diseases of Life Styles, University of the Western Cape/ Medical Research Council, Private Bag X 17, Bellville, 7535, South Africa, 27 219593048, thandi.puoane@mrc.ac.za, Nonkqubela Bantubani, BA (H E), Chronic Diseases of Lifestyle, Medical Research Council, P.O.Box 19070, Tygerberg, 7535, South Africa, Hazel Bradley, BPham, MPH, Health, Joint Primary Health Care, P.O.Box 30745, Tokai, 7966, South Africa, and Mickey Chopra, BSc, BM, DCH, MS, Public Health Programme, University of the Western Cape, Private Bag X17, Bellville, 7535, South Africa.

Objectives: To involve Community Health Workers (CHWs) to identify determinants of Cardiovascular Diseases (CVD), and to design and implement appropriate interventions

Methods: CHWs were trained in conducting interviews, measuring weight, height, waist and hip circumference. They then had their own measurements taken. BMI was calculated and feedback was given on their results. Focus group discussions were conducted to explore their perceptions and beliefs about body weight and physical activity. Photos were taken of the range food available in the local shops and of food preparations and portion sizes. They were also involved in collecting baseline data on the prevalence of diabetes and hypertension, and associated risk factors in their community.

Results: Out of forty-four CHWs (female) measured, only two had normal weight, two were overweight, 25 were obese, and 15 were extremely obese (BMI=40+). A large percentage of them perceived moderately overweight women as attractive and this was associated with dignity, respect, confidence and feeling good about oneself. The negative aspects of obesity were continuous body aches, and tiredness. Photos show very unhealthy food preparations and large portion sizes. Barriers to physical activity included fear of losing weight, personal safety and lack of facilities.

Outcome: Involvement of the CHWs in identifying their own situation helped them realise that they were at risk for CVD, and that they needed to change their lifestyle. A training programme on primary prevention of CVD was developed, and the CHWs are being trained on making healthy choices about food, and on increasing physical activity.

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Learning Objectives:

• The participatory process of involving the community health workers to identify,design,and implement community interventions

Keywords: Community-Based Health Promotion,

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.