Non-Communicable Diseases (NCD) are the leading cause of ill health and premature mortality. Although we know how to mitigate risk factors and prevent NCDs, we have failed to apply this knowledge, especially in disadvantaged populations.

FRESHAIR4Life aims to bridge this translational gap, and gain knowledge, resources and capacity to optimize implementation of multi-level, evidence-based tobacco and air pollution (AP) exposure prevention packages targeting adolescents in disadvantaged populations.

Relevance

Bridging the translational gap

To do so, FA4LIFE will work in five countries: Greece, the Kyrgyz Republic, Pakistan, Romania and Uganda. All face a high NCD burden, but their contexts differ significantly. These differences provide opportunity to gain implementation knowledge and resources that can be extrapolated to settings worldwide. All FA4LIFE activities are supported by dual capacity building: creating youth advocacy and professional leadership.

In each setting, we will:

  1. Perform situational analysis (incl. affordability) and establish sustainable stakeholder engagement teams
  2. Use the Prevention palette method to co-create a tailored, evidence-based FA4LIFE prevention package targeting tobacco and AP exposure in mid- to late adolescents, mindful of equity
  3. Implement, evaluate and iteratively refine the FA4LIFE prevention package
  4. Optimize sustainable implementation and equitable impact by building dual capacity, via youth advocacy digital initiatives, community leadership schools and Teach-the-Teacher programs
  • The UMCG is the academic lead partner in the project's work package 6, in which the health economic value of the different palette strategies is assessed, the economic burden of tobacco and AP exposure is measured, and the cost-effectiveness and scale-up budgets of the final prevention packages is determined.

    The FA4LIFE consortium is led by the LUMC and is made up of different country organizations, and academic and non-academic partners to support the work and research in the five FA4LIFE countries.

  • The FA4LIFE project is making progress towards delivering economic impact by developing methodologies that demonstrate the cost-effectiveness and value for money of NCD prevention interventions. Through our work in WP 6, we have been working with country teams to adapt and refine a methodology that assists in selecting and adapting interventions and their implementation strategies. This includes using the Socio-Technical Allocation of Resources (STAR) approach, which integrates value-for-money assessments with stakeholder engagement to facilitate priority setting.

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