The Salut Child-Health Intervention Programme

In 2005, the health authorities of Region Västerbotten initiated the Salut Programme. The initiative got its name from the word “salutogenic” as the basic idea is to promote processes that give children and their parents an opportunity to increase control over their health and ability to improve it. Since 2009/2010 it is a countywide ongoing universal health promotion intervention in a variety of sectors for parents and children 0-18 years, starting already during pregnancy. The Programme has been implemented since 2006 onwards, prompted by alarming reports of child overweight/obesity and trends of increased dental caries, already during preschool age. The programme has been developed and implemented in close collaboration with antenatal care, child health care, dental services, open preschools and schools. The Programme aims to support and strengthen initiated and ongoing health promotion interventions, and universal preventive interventions to improve health and lifestyle among expectant parents and children. The main focus areas are: to promote healthy eating habits, physical activity and good psychosocial health, and to prevent obesity and caries. In other words, the Programme combines both health promotion and universal prevention interventions in order to improve health and well-being, as well as to avoid ill health and disease for the whole population. To achieve the aforementioned aims, the Salut Programme includes a package of interventions using a family-centred approach. The interventions are integrated within ordinary public services. Programme development, implementation and dissemination have been carried out stepwise, with respect to geography, which facilitates evaluation efforts. The Programme has stepwise become a quite unique infrastructure to research on children, their parents and their living conditions. The Programme is followed and evaluated using registers, surveys, interviews, observations and records, and has generated 3 doctoral thesis and 26 international peer-reviewed articles. Purpose: One of the aims is to evaluate the short and long-term results of the Salut Programme in relation to the public health policy goals: maximizing public health and improving health equity while obtaining value for the money. Another aim is to pave the way for children's right to good and equal health by increasing the knowledge regarding preschool children's social-emotional problems.2005年，西博滕（Västerbotten）地区卫生部门启动了Salut项目（Salut Programme）。该项目的名称源自“健康成因（salutogenic）”一词，其核心理念是推动相关进程，让儿童及其家长有能力提升对自身健康的掌控力，并改善健康状况。 自2009/2010年起，该项目成为全县范围内持续开展的全民健康促进干预项目，覆盖0至18岁的儿童与家长，涉及多个行业领域，且早在孕期阶段就已启动相关工作。项目自2006年起逐步落地，其动因源于令人担忧的儿童超重/肥胖报告，以及学龄前儿童龋齿患病率上升的趋势。该项目与产前保健、儿童保健、牙科服务、开放式幼儿园及学校紧密协作完成开发与实施。 该项目旨在支持并强化已启动和正在进行的健康促进干预措施，以及全民预防性干预手段，以改善准父母与儿童的健康状况与生活方式。核心聚焦领域包括：推广健康饮食习惯、体育活动与良好的社会心理健康，同时预防肥胖与龋齿。简言之，该项目融合健康促进与全民预防干预措施，旨在提升全体人群的健康与福祉，规避疾病与健康受损风险。为达成上述目标，Salut项目采用以家庭为中心的干预组合方案，各项干预措施均整合至常规公共服务体系中。项目的开发、实施与推广按地理区域逐步推进，这为评估工作提供了便利。如今，该项目已逐步发展成为研究儿童、家长及其生活环境的独特研究基础设施。项目通过登记系统、问卷调查、访谈、观察与记录开展追踪与评估，迄今已产出3篇博士学位论文与26篇国际同行评议期刊文章。 研究目的： 其一，评估Salut项目相对于公共卫生政策目标的短期与长期成效，即最大化公共健康水平、提升健康公平性并实现资金价值。其二，通过增进对学龄前儿童社会情感问题的认知，为儿童享有优质且平等的健康权利铺平道路。