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Vaud’s strategy to prevent overweight and obesity in children and young people, especially in schools, is far from perfect, according to the Court of Auditors of the Canton of Vaud. While its management, implementation and evaluation need to be improved, coordination on the ground needs to be strengthened, she concludes in an audit published Wednesday.

The Court of Auditors focused on the promotion of a balanced diet and physical activity among children and young people, more particularly in the actions of the Directorate-General for Health (DGS). The latter is, in fact, responsible for the cantonal strategy and the coordination of the various services in this area.

“There were no suspected problems or malfunctions when the audit was launched,” Nathalie Jaquerod, a magistrate at the Court of Auditors of the Canton of Vaud, told Keystone-ATS. “The presence of several partners active in this area, however, left room for improvement”, she says. The Court decided to supervise the coordination and performance of its activities (missions, objectives, organization).

The DGS collaborates with the University Center for General Medicine and Public Health (Unisanté) and the Vaud Association for Assistance and Home Care (AVASAD), two independent institutions placed under the supervision of the DGS. At the same time, the DGS is responsible for school health together with the Directorate General for Children and Youth (DGEJ).

lack of statistics

The list of critics of the Vaud State strategy is long, according to the audit concerning only the actions financed and managed by the Canton. The Court considers that the health promotion strategy is too concise, insufficiently detailed and the data collected is too incomplete.

“The objectives were not assigned to the various actors and are not quantified. Due to incomplete data, the DGS only partially knows the extent of the problem of overweight and childhood obesity. your report.

“Vaud, for example, does not have recent statistics on the prevalence of overweight children. There should also be better monitoring of needs on the ground to better identify vulnerabilities and regional disparities,” notes Ms. Jaquerod.

Another example: Unisanté does not have an overview of school canteens that could still benefit from the “Green Fork” seal aimed at a balanced diet.

Insufficient rating

Consequently, the results of the implemented actions cannot be compared to the quantified objectives to guarantee the monitoring of the health promotion strategy. The lack of financial information also makes it impossible to measure the efficiency of actions, that is, the results obtained with the means invested.

The Court also considers that “the DGS sometimes has difficulties in assuming its role of strategic manager with Unisanté and AVASAD and in delegating operational tasks to them”. On the one hand, the DGS is directly involved in projects that must be carried out by Unisanté. The result is a lack of clarity about its scope of action and slow implementation.

On the other hand, DGS and DGEJ do not sufficiently supervise AVASAD activities in schools. Your expectations are not clearly specified. Finally, the collaboration between Unisanté and AVASAD is insufficient. Sometimes they dedicate resources to the same activities.

“While the canton of Vaud takes the issue of health promotion among young people very seriously, it lacks an analysis of the objectives defined in the cantonal strategy. The impact of the measures on the beneficiaries is not systematic”, summarizes Ms. Jaquerod. As the canton does not have the time and perspective to make such an assessment, it is “very difficult to measure the performance of stocks”, she concludes.

eleven recommendations

The Court identified three areas for improvement to ensure that measures taken are evaluated on the basis of reliable data. Its objective is to improve coordination between actors and fill gaps observed in the analysis of the needs of regions and service beneficiaries.

The Court thus addressed eight recommendations to the DGS, which accepted seven of them, with reservations for three of them. One of these recommendations also concerns the DGEJ, which refuses it. Three recommendations are addressed to actors in the area, one to Unisanté and two to AVASAD, which accept them.

“Recommendations often come together with projects already launched to improve the planning and implementation of services, as well as their monitoring. Some are partially accepted or rejected, usually on issues of governance and coordination, because an analysis on their matter is under way and that it is too early to determine,” the State Council writes on Wednesday in a reaction.

“The four entities in question make this prevention of overweight and obesity, as well as other risk factors for chronic diseases, a priority”, assures the government.

This article was automatically published. source: ats

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