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children cannot choose the environment in which they eat. They have a limited understanding of the consequences of they behaviour. Basically, its a parents job to control the familys calorie intake, and a great deal of parents in Botswana are failing their children in this department. Of course, urbanisation takes its toll too. As more families move into towns and cities, so their healthy diets disintegrate. Living in an urban area dramatically increases your exposure to salt, sugar and fat yielding further escalations in both adult and child obesity. Worldwide estimates show that over 22 million children under the age of five are already obese. What chance do they have? If this trend continues, many of my international peers in this field have suggested that our generation of children may be the first to die at a younger age than their parents.
The average Motswana knows a lot about Malaria, HIV-AIDS and others, but very little about the benefits of diet and exercise.
play: government officials, businesses leaders, school teachers, health care workers and most importantly, you and I as individuals. Is this mission impossible? In my opinion, government has done a great job with public education campaigns for many diseases. And it shows on the ground. The average Motswana knows a lot about Malaria, HIV-AIDS and others, but very little about the benefits of diet and exercise. To me, this signifies a gap or blockage in the flow of information to people who need it. We need to make this information available. Secondly: incentives. One would think that healthy living would be its own reward, but thats not the case. Healthy choices need to be incentivised. In the United Kingdom, for example, health care workers receive a pay bonus if they successfully encourage a patient to quit smoking. (So successful has this idea been that over 250 000 people registered to take part in the UKs first ever stop smoking event in October last year.) Combined with effective public education interventions, its an incentive system that works. Maybe its time we did something similar before its too late.
*Name has been changed.
Mission impossible?
If Botswana wants to become the first country in the world to solve the obesity problem once and for all, I believe everyone has a role to
Prof KIRAN BHAGAT is a cardiologist and founder of Heart Foundation Botswana (HFB). His mission is to empower communities and reduce the overwhelming prevalence of heart disease in this country. Want to learn more? Call +267 371 0300