Community/Public Health Flashcards
All Great Programs Must Be Strong Ideas
-Assessment
-Goals/Objectives (smaller)
-Management system
-Budget
-Support
-Implement
Program Planning
-Identify Nutrition Problem
-Define parameters
-Collect data
-Analyze data
-Share results
-Set Priorities
Community Assessment Steps
descriptive profile of a sample of participants at ONE point in time
Survey
descriptive profile of a sample of participants thru CONTINUOUS monitoring
Surveillance
-uniform food standards in Aus/NZ
-2002
Food Standards Code
-develops and manages food standards for food (FSC)
-regulates food labels
-imported food
-food recalls
Food Standards Australia and New Zealand (FSANZ)
- General Food Standards
- Food Product Standards
- Food safety Standards
- Primary production standards
“chapters” new joint FSC
labelling, food additives, residue, contaminants
Chapter 1 “general food standards”
food specific (i,e. meat, alcoh, dairy) standards
Chapter 2 “food product standards”
-protection of public health
-info relating to food so consumers make informed choices
-prevent misleading conducts
responsibilities of FSANZ
-policy setting and approval for food regulations
-Australia new Zealand Food Regulation Ministerial Council (ANZFRMC)
FSANZ Nutrition Panel Calculator
helps calculate value for nutrition labels
Energy, protein, carbs, sugar, fat/sat fat, sodium
&
nutrients assoc w claims made
Nutrition Label requirements
additives, ingredients, might cause adverse reaction, storage requirements, supplier info, best before/use by
Additional food label requirements
-different interpretations by states and territories
-amount of resources to enforce compliance
issues facing food standard code (FSC) enforcers
factors that impact health and wellness of individuals
determinants of health
lower life expectancy (younger than 75)
-high rates of chronic disease (malnutrition, obesity, CVD, type 2 diabetes, CKD and tooth decay, eye & ear)
-Low birth weights
Indigenous Stats
born, grow, work, live and age conditions
social det of health
low income, unemployment, inadequate housing, lack of education, no transport, high food costs, food/nutrition literacy
Food insecurity causes in ATSI
campaign/strategy that aims to close the health and life expectency gap between ATSI ppl
Closing the gap
Largest & most comprehensive health survey ever conducted in Australia
-nutrition, phys activity, chronic disease & nutrient biomarkers
ABS-Australian Health Survey
smoking, alcohol, obesity, sedentary
ATSI ppls health risks
funds high quality healthcare for aboriginal ppl
Indigenous Australian’s Health Programme
primary health care service created and run by local aboriginal communities
National Aboriginal Community Controlled Health Organization (NACCHO)
main policy doc for improving helath outcomes for aboriginal
National Aboriginal and Torres Straight Island Health Plan
-veg & legumes
-fruit
-grains
-lean meats, fish, tofu
-dairy
-veg & grains highest
Daily 5 food groups
-saturated fat
-added salt
-added sugar
-alcohol
Guidelines 3 “limit intake of foods”
Min number of recommended VEG serves/day (75 g)
6
Min number of recommended FRUIT serves/day (150 g)
2
Min number of recommended GRAINS serves/day
6
Min number of recommended MEAT/FISH/EGG/NUTS/TOFU serves/day
3
not essential or necessary part of healthy diet
ex: sweets, processed meat, pies, fried food, soft drinks, alcohol
discretionary choices
-bad fats that increase risk of heart disease
ex: butters, palm oil, cakes, processed meats, burgers, pizza, fried foods
saturated fats
2 standards drinks/day
current alcohol limit recc
FS/supply and trade
ex: productive farming systems, productivity policies
food availability
FS/economic and physical access to food
ex: cash crops, remote areas
food access
FS/how the body uses various nutrients in food
ex: nutrition & food safety, diverse diets, adding value to food
Food Utilisation
FS/food being stable at all times
ex: environmental, conflict, job loss
Food stability
iron, vit A and zinc
Common international deficiencies
care from a specialist
-requires specific expertise
secondary care
specialized care in a hospital setting
-requires specialized equipment
ex: heart surgery, dialysis
tertiary care
enabling ppl to increase control over and improve health
health promotion
advocate, enable, mediate
basic health promotion strategies
broader, population-level focus
vs.
narrow focus, local-level
public vs. community nutrtion
-1986
-health promotion/prereqs of health charter
Ottawa Charter
quick, standardized way to compare similar packages foods
-0.5-5
Health Star Ratings
-total energy
-sat fat, sodium and sugar
-protein, fruit veg and fibre
Health Star rating criteria