FIFA 11 for Health programme: Implementation in five countries in Sub-Saharan Africa

Fuller, Colin W; Junge, Astrid; Amaning, Jacob; Kaijage, Rogasian R; Kaputa, John; Magwende, George; Pambo, Prince; Dvořák, Jiří

doi:10.1177/0017896914523152

Cited by 7 publications

(9 citation statements)

References 15 publications

(28 reference statements)

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“…Although the authors of several studies acknowledged this as a limitation, they explained that randomizing participants was not always logistically possible and adjusted their designs accordingly. For example, when participants could not be randomized across classrooms due to school structure policy and scheduling conflicts, the authors instead assigned clusters of classrooms to an experimental or control condition (Awotidebe et al, 2014;Fuller et al, 2010Fuller et al, , 2011Fuller et al, , 2015. This flexibility in study design is critical given the nature of field research.…”

Section: Study Characteristics and Resultsmentioning

confidence: 99%

A Scoping Review of Sport-Based Health Promotion Interventions With Youth in Africa

Hansell

Giacobbi

Voelker

2020

Health Promotion Practice

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Africa has the highest rates of child mortality and diseases in the world. Research suggests that sport can be an effective way to enhance health knowledge and behaviors among at-risk youth in Africa. Scoping reviews explore both the breadth and depth of a research topic, which allows researchers to conduct a detailed analysis and synthesis of studies to understand how, why, and under what circumstances sport-based interventions are effective. The purpose of this scoping review was to specifically examine the study design, theoretical foundations, sample characteristics, measured and observed outcomes, intervention characteristics, and funding sources identified in previous studies that examined sport as a platform for health promotion with youth in Africa. A total of 916 articles were retrieved from 10 electronic bibliographic databases; 28 studies met the inclusion criteria. Of these, four were randomized controlled trials, while the remaining were open trials with pre-posttest assessments, both with comparison conditions and without. Only 10 studies included a theoretical framework to specifically inform the sport-based intervention implemented. Targeted health outcomes included knowledge and behaviors related to a myriad physical and mental health concerns, such as HIV, clean water use, vaccinations, physical activity, and fitness. Statistically significant improvements were observed in 82% of the studies examined. Our results suggest that sport-based interventions may be effective in improving health knowledge and behaviors among youth in Africa. Recommendations for future research, including methodology and the importance of global partnerships with nonprofit organizations, are discussed.

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Section: Study Characteristics and Resultsmentioning

confidence: 99%

A Scoping Review of Sport-Based Health Promotion Interventions With Youth in Africa

Hansell

Giacobbi

Voelker

2020

Health Promotion Practice

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“…The programme was first introduced in Africa in 2009 and has now been implemented in a total of 23 countries in Africa, Latin America, the Caribbean, South-east Asia and Oceania. The implementations are routinely monitored to assess the impact of the programme on children's health knowledge, 1 and it has been shown that the programme is effective in increasing health knowledge in Africa, [2][3][4] Mexico 5 and Brazil. 6 However, the effects of the programme on the children's health profile and physical fitness have so far not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

‘FIFA 11 for Health’ for Europe. II: effect on health markers and physical fitness in Danish schoolchildren aged 10–12 years

Ørntoft¹,

Fuller²,

Larsen³

et al. 2016

Br J Sports Med

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ObjectivesTo evaluate whether a modified ‘FIFA 11 for Health’ programme for non-communicable diseases had effects on body composition, blood pressure and physical fitness of Danish schoolchildren aged 10–12 years.DesignA cluster-randomised controlled study with 7 intervention and 2 control schools.Participants546 Danish 5th grade municipal schoolchildren allocated to an intervention group (IG; n=402: 11.1±0.4 (±SD) years, 150.1±7.0 cm, 41.3±8.4 kg) and a control group (CG; n=144: 11.0±0.5 years, 151.2±7.8 cm, 41.3±9.0 kg).InterventionAs part of the physical education (PE) curriculum, IG carried out 2 weekly 45 min ‘FIFA 11 for Health’ sessions focusing on health issues, football skills and 3v3 games. CG continued regular school PE activities. Measurements of body composition, blood pressure at rest, Yo-Yo intermittent recovery level 1 children's test (YYIR1C), balance, jump and sprint performance were performed before and after the 11-week study period.ResultsDuring the 11-week study period, systolic blood pressure (−3.5 vs 0.9 mm Hg), mean arterial blood pressure (−1.9 vs 0.4 mm Hg), body mass index (−0.02 vs 0.13 kg/m2) and body fat percentage (−0.83% vs −0.04%) decreased more (p<0.05) in IG than in CG. Within-group improvements (p<0.05) were observed in IG for 20 m sprint (4.09±0.29 to 4.06±0.28 s) and YYIR1C performance (852±464 to 896±517 m), but these changes were not significantly different from CG, and balance or jump performance remained unchanged in both groups.ConclusionsThe modified ‘FIFA 11 for Health’ programme has beneficial effects on body composition and blood pressure for Danish schoolchildren aged 10–12 years, thereby providing evidence that this football-based health education programme can directly impact participants' cardiovascular health profile.

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“…Although such programs have not been fully implemented in many schools, they have the potential of promoting a lifestyle that values regular physical exercises from the grassroots. Similarly, rolling out previous football-based education projects like that of FIFA 11 to more schools across Malawi while delivering key messages on key modifiable risk factors for NCDs would be a key step in increasing awareness of NCDs and enhancing participation in physical activity [1,10].…”

Section: Leveraging the Power Of Footballmentioning

confidence: 99%

“…Few initiatives have been implemented tapping into the power of football in addressing NCDs in Malawi. For example, in 2007, Malawi was among the first 5 countries in Africa where FIFA implemented a pilot project called FIFA 11 for Health which is a football‐based health education initiative aimed at increasing physical activities in children while delivering 11 simple health promotion messages to improve their health knowledge and awareness of disease prevention [10]. The program was implemented in a selected few schools and the results showed that it improved the health knowledge of communicable and NCDs among learners and increased participation and engagement in physical activity [10].…”

Section: Leveraging the Power Of Footballmentioning

confidence: 99%

Tackling noncommunicable diseases in Africa through football: The case of Malawi

Kangwerema¹,

Miggo

Harawa

et al. 2023

Public Health Challenges

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There is evidence that physical inactivity and dietary factors are more common among modifiable risk factors for noncommunicable diseases (NCDs) which are on the rise in Malawi. Football has been shown to have a wide range of health‐related benefits in health education programs, including the promotion of physical activity as a potential intervention in addressing NCDs. In Malawi, few football‐based health promotion programs have been implemented to address NCDs. Among the programs implemented were the Federation Internationale de Football Association 11 for Health initiative which was a school‐based health education program for the youth and the Malawi Ministry of Health's SPORTS FOR HEALTH initiative targeting civil servants. These programs produced significant improvement in physical activity in the participants and also increased their knowledge of both communicable and NCDs. However, these initiatives were not rolled out to many sites across Malawi. As Malawi is tackling rising cases of NCDs, football can be used as a powerful tool in promoting physical activity and it also provides an important platform for the delivery of NCDs’ health promotion messages to a wider audience. Such football‐based initiatives must be designed to directly address modifiable risk factors of NCDs. For successful implementation, there must be a good collaboration among the Ministries of Health and Sports, local football leagues, and other stakeholders.

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FIFA 11 for Health programme: Implementation in five countries in Sub-Saharan Africa

Cited by 7 publications

References 15 publications

A Scoping Review of Sport-Based Health Promotion Interventions With Youth in Africa

A Scoping Review of Sport-Based Health Promotion Interventions With Youth in Africa

‘FIFA 11 for Health’ for Europe. II: effect on health markers and physical fitness in Danish schoolchildren aged 10–12 years

Tackling noncommunicable diseases in Africa through football: The case of Malawi

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