Healthy Jozi: A Staged Approach to Better Workplace Food Choices and Chronic Disease Screening and Linkage to Care

健康 Jozi：更好的工作场所食物选择和慢性病筛查以及与护理联系的分阶段方法

• 批准号: MR/Z000467/1
• 负责人: Saye Khoo
• 金额: $ 248.64万
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FZ000467%2F1
• 关键词: Healthy; Jozi; Staged; Approach; Better

Inner-city Johannesburg, in South Africa, mirrors the complex health challenges of middle-income countries. The appeal of city life has led to mass migration to urban areas where people face overcrowding, noise, pollution, crime, drugs, unemployment and other issues. Urban food options and offerings such as the availability of cheap, fast, processed food, along with modern, more sedentary lifestyles, is contributing to an unfolding obesity epidemic.South Africa's ongoing success with the HIV epidemic means the disease is now largely controlled by freely accessible drugs and care. To tackle HIV, South Africa developed and adopted new practices and approaches, not just treating HIV with drugs, but finding those who did not know they were sick, and linking them to health services. This is done in ways that enable patients to get the medicine and care needed but also to understand their condition, how they can help manage it to stay healthy, and what other services they are entitled to. We aim to use what we have learnt to find people with chronic diseases caused by lifestyle changes, especially undiagnosed and untreated high blood pressure and diabetes, which now account for most treatable deaths in South Africa.Many workplaces in the inner city are close to clinics and GPs, providing opportunities to link sick employees to healthcare quickly and easily. We will set up a health screening programme for city workplaces and design a friendly, innovative employee programme to screen for diseases like diabetes and high blood pressure and assist people to link to care at local health clinics. We will design an engaging, inner-city specific healthy food education programme to introduce people to other food choices including where to buy affordable healthy food nearby.The project will be designed by researchers from the University of Liverpool, the University of Witwatersrand in Johannesburg and local employees, managers, community groups, and charitable organisations involved in food activism, including diabetic groups and people involved in public health programmes and medical insurance: all groups with a stake in making screening successful. We aim to get a good understanding of the motivations related to health screening, health seeking and food consumption behaviours in order to be able to address it in an effective way to help people become and stay healthy. We will test the programme in workplaces to see what works and what needs improving, and cost our activities to ensure they are affordable. We will then make recommendations on our findings to policy makers, donors, governments and funders. If our project can find ways to better understand high blood pressure, diabetes and possibly obesity epidemics, using approaches that worked for HIV, we will have begun the process of tackling the challenge of complex lifestyle conditions which in future is likely to include other challenges like mental illness, chronic lung disease and sleep disorders.

南非市中心约翰内斯堡反映了中等收入国家的复杂健康挑战。城市生活的吸引力导致大规模移民到城市地区，人们面临着人满为患，噪音，污染，犯罪，毒品，失业和其他问题。城市食品的选择和产品，例如廉价，快速，加工食品的可用性以及现代，更久坐的生活方式，正在促进不断发展的肥胖流行。为了解决艾滋病毒，南非开发并采用了新的做法和方法，而不仅仅是用毒品治疗艾滋病毒，还发现那些不知道自己生病并将其与卫生服务联系起来的人。这样做的方式使患者能够获得需要药物和护理，但也可以理解他们的状况，如何帮助管理以保持健康以及他们有权获得哪些其他服务。我们的目标是利用我们学到的知识来找到因改变生活方式而引起的慢性疾病的人，尤其是未经诊断和未经治疗的高血压和糖尿病，现在是南非的最可治疗的死亡。内城的许多工作场所都靠近诊所和GPS，为快速和轻松地提供医疗服务的机会提供了机会。我们将制定一个针对城市工作场所的健康筛查计划，并设计一项友好，创新的员工计划，以筛查糖尿病和高血压等疾病，并帮助人们与当地健康诊所的护理联系。我们将设计一项引人入胜的，市中心的健康食品教育计划，以向人们介绍其他食物选择，包括在何处购买可负担的健康食品，该项目将由利物浦大学，约翰内斯堡大学的威特沃特斯斯兰大学的研究人员以及当地员工，经理，社区团体以及培养糖尿病的计划以及包括糖尿病的计划以及包括糖尿病的人以及包括糖尿病成果的人以及包括糖尿病成果的人，包括糖尿病和群体，包括糖尿病和群体。我们的目标是对与健康筛查，寻求健康和食品消费行为有关的动机有很好的了解，以便能够以有效的方式帮助人们变得健康并保持健康。我们将在工作场所测试该计划，以查看什么有效和需要改进的方法，并花费我们的活动以确保它们负担得起。然后，我们将向政策制定者，捐助者，政府和资助者提出建议。如果我们的项目能够通过使用对艾滋病毒作用的方法来更好地理解高血压，糖尿病和可能的肥胖症流行病，我们将开始解决复杂的生活方式疾病的挑战的过程，将来可能还包括精神疾病，慢性肺部疾病和睡眠障碍等其他挑战。