S3.23 - Physical activity for health in Africa during COVID-19 and beyond: Translating evidence into action through the co-development of a series of regionalised policy briefs

Tracks
Track 1
Thursday, June 10, 2021
21:10 - 22:25

Details

* Session times are shown in Universal Time Coordinated (UTC). You will need to convert the session time to your local time. You can use this website to do that: https://www.timeanddate.com/worldclock/meeting.html * Each session is scheduled for 75 minutes. Purpose: The purpose of this symposium will be to share the experience of how the COVID-19 pandemic mobilised academics and implementation partners in the African region to develop a series of evidence-based policy briefs to provide guidance on physical activity (PA) for health in Africa. Rationale: The COVID-19 pandemic has exacerbated many health equity issues and quarantine restrictions in some countries have led to a decrease in PA and increased sedentary behaviour. Indirectly however, COVID-19 has presented a "critical moment" for governments to recognise that access to safe and enjoyable PA is a basic human right. The response of civil society to “lockdowns”, closure and phased re-opening of schools and gyms, and careful resumption of sport, has highlighted the urgency of this call to policy- and decision-makers at local and national levels. Only 4 countries in the African region have national PA plans, so for many countries, COVID-19 is the first time that governments have had any regulations concerning PA. Objectives: Our overarching aim is to document the process of developing a series of regionally-contextualised, evidence-based policy briefs providing guidance on PA in Africa, during COVID-19 and beyond. Summary: We will present initial and interactive engagement with the South African national government, offering guidance for PA during the phased “lock down”, subsequent mobilisation of over 40 academics and implementation partners across the African region, representing 9 countries, to contribute to a consultative and iterative process of developing an initial policy brief for the general public, then for children, persons living with disabilities and school sport. Importantly, we will present the structured and ongoing dissemination and impact evaluation. Format: The session will be structured as follows: Lambert EV (University of Cape Town) Introduction (9min) Physical activity for health in Africa during COVID-19 and beyond: from phased lockdown to policy guidance when “opportunity knocks” Kolbe-Alexander T (University of Cape Town) (12min) Developing a Regionally- Contextualised, Evidence-based Policy Brief on Physical activity for Health in Africa during COVID-19 and Beyond Naidoo R (University of KwaZulu-Natal) (12min) Physical activity and health in Africa for children and adolescents with or without disabilities: COVID-19 and beyond-FOR HOMES, SCHOOLS AND COMMUNITIES Christie C (Rhodes University) (12min) Co-creating a policy brief for organized school sport in Africa for children and adolescents: COVID-19 and beyond Interaction: The discussant (Wadende P, Kisii University, Kenya) will summarise the session and lead an interactive dialogue with participants (10-15min).


Speaker

Attendee457
Program Director: Public Health
University of Southern Queensland

Physical activity for health in Africa during COVID-19 and beyond: from phased lockdown to regionalised physical activity policy guidance when “opportunity knocks”

Abstract

Purpose: Our overarching aim was to document the process of developing a regionally-contextualised, evidence-based policy brief providing guidance on PA in Africa, during COVID-19 and beyond. 


Development: An invitation to contribute to the policy brief was extended to the African PA Network (AFPAN),the Global Diet and Activity Research (GDAR) Network and other experts on PA in the region(N>70).Between April-May 2020, a core writing group was established, the first virtual meeting was held and content was outlined. The structure of the brief was based the IDRC (https://www.idrc.ca/en/how-write-policy-brief) policy brief toolkit. 
The literature search comprised published and pre-print evidence previously presented to the South African government, an evolving global database on PA lockdown policies (http://isca-web.org/english/) and hand-searching by the writing group(N=18).The document underwent extensive editing, was approved by the wider advisory group(N=43),visually tailored and copy-edited for readability and contextual-relevance for Africa. Dissemination and evaluation was agreed upon, to ensure a cohesive message when engaging governments and other stakeholders. Members were asked to register dissemination plans and responses via an online database.


Results: The brief comprised an executive summary, background on existing evidence for PA and risk mitigation, emphasizing equity, and incorporated the M.O.V.I.N.G. policy framework (https://www.wcrf.org/int/policy/policy-databases/moving-framework) for actions within three domains: Active Societies, Environments and People. Successful scaled-up examples from LMICs were provided for each.


Final recommendations included: i)develop a national plan for PA for health and development, ii)train a cadre of health professionals, educators, coaches & community members to promote PA for health, iii)ensure safe & enjoyable opportunities for PA, through urban planning, provision of parks (public spaces) and low-cost programmes close to where people live; iv)adopt a “whole of government” approach, embedding PA in multiple sectors, devising agile and cost-effective solutions. Dissemination and evaluation are ongoing, following an initial webinar  launch in Sept 2020 (#PhysicalActivity4Africa received 49 retweets,78 likes).The web documents have been disseminated to the WHO, various professional societies, provincial and national government ministries and non-government partners, university and other media outlets and evaluation is ongoing.


Conclusion: We collaborated across the African region,  developing a contextually-relevant policy brief to guide the promotion of PA during COVID-19 and beyond. Reach and impact evaluation will determine the success of this initiative.

Attendee2742
Associate Professor
University of KwaZulu-Natal

Physical activity and health in Africa for children and adolescents with or without disabilities: COVID-19 and beyond-FOR HOMES, SCHOOLS AND COMMUNITIES

Abstract

Introduction: COVID-19 has resulted measures restricting active social interactions such as closure of gyms, parks, open leisure spaces, and schools, resulting in increased sedentary behavior among children and adolescents in some countries. The WHO, along with international PA experts, has emphasized the need for children to remain physically active during this pandemic, for physical and mental well-being. While there is a rapidly evolving evidence-base and guidance documents as to how to promote physical activity (PA), at home and school, they are not contextualized for LMIC settings, with informal and often overcrowded urban spaces, and under-resourced schools.


 


Purpose: We will describe the development of two policy briefs, specifically for PA and health in Africa; the first targeting children and adolescents; the  second, for children and adolescents with disabilities. These policy briefs will serve as tools to guide regional and local decision-makers on implementation of policies and practices that promote PA, while creating healthy, safe and accessible environments in schools for children and educators, and within communities for children and caregivers.


 


Development and dissemination: The development of these policy briefs occurred in parallel with the development of the first policy brief for PA and health in Africa during COVID-19 and beyond. However, this process was initiated in response to a specific request from a provincial government for guidance on PA for children during COVID-19,as schools were considering re-opening in South Africa. An invitation was extended to the original advisory group of PA experts and implementation partners in the region, as well as persons with expertise outside of this initial cohort. A core writing group (N=10)subsequently drafted the policy brief, using an evidence-based approach, incorporating the most recent literature pertaining to COVID-19 and children, community transmission and risk mitigation. The format was based on a template provided by the IDRC. Thereafter, the document was extensively edited and reviewed, reaching consensus with the larger advisory group. The second policy brief followed a similar process, with the primary  difference being its co-creation with disability groups from non-government and government sectors. Both policy briefs were visually tailored and copy-edited to be contextually relevant to Africa. Infographics were developed with key messages suitable for the intended audience and environment. Dissemination and evaluation are ongoing. 

Attendee2774
Associate Professor
Rhodes University

Co-creating a policy brief for organized school sport in Africa for children and adolescents: COVID-19 and beyond.

Abstract

Background: With COVID-19 lockdown restrictions there were limited opportunities to be physically active. As lockdown restrictions eased, participation in physical activity was easier. However, while there was some guidance on elite sport, there were no guidelines for return to sport for school going children. There was a push from many stakeholders to come up with appropriate guidelines to guide return to sport within a school setting.


Purpose: Therefore, the purpose of this policy brief was to provide guidance on return to organized school sport during COVID-19 and beyond. 


Assimilation, development of the brief and dissemination: Over 40 experts, mostly academics, were included. A core writing group comprising 10 individuals from 6 different institutions and departments from South Africa and Kenya drafted the policy taking an evidence-based approach from scientific literature. Literature pertaining to COVID-19 and participation in sport were sought and the document was compiled with consideration given to the preceding two policy briefs. It needed to be written with scientific evidence but in a style that would be accessible to many different stakeholders including government, schools, pupils and parents. It took into consideration the benefits of sport as a driver of physical activity and identified how to mitigate the risks of spreading the virus taking into consideration different phases of the pandemic, age of the scholars and the type of sport. Working with a production team, the readability and aesthetics of the brief were considered considering our target audience. Images of pupils playing sport in different contexts were included as well as infographics to ensure that those reading the brief could clearly extrapolate the appropriate information needed to proceed with a safe return to sport programme. Dissemination was done using the larger consortium and their networks and social media. This presentation will focus on this process, the outcome as well as lessons learned in all phases of the development of this brief.


Chair

Attendee464
Professor And Director
University of Cape Town


Discussant

Attendee1930
Lecturer
Kisii University Kenya

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