TASKFORCE HEALTHYSG REPORT - MOH'S
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HEALTHYSG TASKFORCE REPORT
TAB L E OF CONT ENT S FO R E WO R D
CONTENTS FOREWORD
FOREWORD 3 Over the years, the Ministry of Health (MOH) and the Health Promotion Board (HPB) have been
increasing efforts to encourage Singaporeans to lead healthier lifestyles. However, we recognise
that such efforts need to be extended beyond the health sector and involve other parts of
EXECUTIVE SUMMARY 4
government and society. We understand that in a fast-paced society such as Singapore,
health may not always be at the forefront of our minds. As such, we need to make healthy living
easy, convenient, and accessible, to encourage Singaporeans to embark on their life-long
01
health journeys.
THE STATE OF HEALTH IN SINGAPORE
BURDEN OF DISEASE 8 The HealthySG Taskforce was set up to explore ideas that harness the power of our community,
infrastructure, and technology, to better nudge Singaporeans towards adopting a healthy lifestyle.
MODIFIABLE RISK FACTORS 9 The Taskforce is not just about coming up with a one-off list of recommendations, but it seeks
HEALTH TRENDS AND STATISTICS 10 to generate a national movement, a call to action. In order to succeed in transforming the health
promotion landscape, we will need the active participation of everyone from all walks of life.
SOCIOECONOMIC GRADIENT AND HEALTH INEQUALITIES 13 We hope that this report will raise awareness of the importance of making healthier choices,
so that we may not only lead longer lives, but also enjoy a better quality of life.
02
PUBLIC CONSULTATIONS
MEMBERS OF THE HEALTHYSG TASKFORCE
WHO DID WE CONSULT? 15
WHAT DID WE TALK ABOUT? 16
WHAT DID WE FIND? 17
SUMMARY TABLE OF IDEAS GENERATED 20
ON MENTAL & WORKPLACE HEALTH 22
03
HEALTHYSG TASKFORCE RECOMMENDATIONS CHAIRMAN
THE 3Es – 25
MR BAEY YAM KENG MS LOW YEN LING
EMPOWERMENT 26 Senior Parliamentary Senior Parliamentary
Secretary for Transport and Secretary for Education
ENGAGEMENT 31 Culture, Community and Manpower;
& Youth Chairman of Mayors’
ENVIRONMENT 39 Committee and Mayor of
South West District,
IMPLEMENTATION TIMELINES 46 PA Board
04
CONCLUSION
WORKING WITH SINGAPOREANS, FOR SINGAPORE 49 MR AMRIN AMIN
Senior Parliamentary
ACKNOWLEDGEMENTS 50 Secretary for Health
and Home Affairs
REPORT
ANNEX A: 51
Terms of Reference
TAS K FO RC E
ANNEX B: 52 A/PROF MUHAMMAD MS SUN XUELING
Partner Agencies and Ministries FAISHAL IBRAHIM
Senior Parliamentary
Senior Parliamentary
Secretary for
H E A LT H YS G
Secretary for Social & National Development
Family Development and Home Affairs
and Education
3
EXECUTIVE S U M M ARY EXECUTIVE S U M M ARY
EXECUTIVE Singaporeans are among the For five months between January and May 2019, we actively engaged experts and the public to
help identify gaps in the current health promotion landscape and ideate for potential solutions.
longest living and healthiest More than 300 Singapore residents were consulted via online and face-to-face platforms.
SUMMARY
Participants included health professionals and experts in fields such as public health, social work,
people in the world. health technology, behavioural insights, built environment, sociology, as well as members of the
public, both young and old, from different backgrounds.
This serves as a testament to the strong foundation that
has been laid by the Ministry of Health (MOH), the Health
Promotion Board (HPB) and partners over the years AIM OF THE PUBLIC CONSULTATION
to encourage Singaporeans to lead healthier lifestyles
through efforts such as the Healthy Living Master Plan.
Nevertheless, societal changes and technological progress
continue to pose challenges, such as sedentary lifestyles
and over-consumption of unhealthy foods.
Such lifestyle habits can have a negative impact on our
health. Over the last few decades, chronic diseases in our
population has increased and now make up more than
80% of the disease burden. The key risk factors affecting
the development of chronic diseases in Singapore include
poor dietary habits such as our high salt and sugar
intake, tobacco use, and sedentary lifestyles. In light of GATHER UNDERSTAND GAPS IN IDEATE AND COME
PERCEPTIONS OF THE CURRENT HEALTH UP WITH POTENTIAL
these trends, we recognise that there is still more that
HEALTH FROM PROMOTION LANDSCAPE, AS SOLUTIONS TO BRIDGE
we can do. Moreover, while our overall life expectancy is PEOPLE OF ALL OBSERVED FROM DIFFERENT OR FILL GAPS AND
relatively high, health inequalities exist in our population, WALKS OF LIFE. DEMOGRAPHICS IN THE CHALLENGES.
with higher smoking and overweight prevalence among COMMUNITY.
Singaporeans from lower income families. There is thus
a need for us to move Singaporeans towards healthier
lifestyle habits, to prevent or delay the development of While there were diverse views on what health meant to each individual, many faced similar
chronic diseases amongst our citizens. challenges in leading a healthy lifestyle. To the participants, staying healthy meant being free of
physical illness and mental stress, being physically active, and eating well. Most agreed that health
To collectively enhance the quality of life of all should be a top priority. While many felt that leading a healthy lifestyle was mainly a matter
Singaporeans, we need to coordinate efforts and of personal motivation and commitment, challenges such as time constraints and competing
maximise the use of resources for health in a more demands (i.e. work, caregiving) were key barriers that were difficult to overcome. In fact,
synergistic manner. Going further upstream means that participants shared that they wanted to act on their health, and would appreciate more support
efforts towards health promotion need to be extended – be it from the government or the community around them – to empower them to do so.
beyond the health sector, towards a whole-of-society
REPORT
and whole-of-government collaboration. To overcome these challenges, participants gave ideas that centered around increasing the
accessibility and affordability of healthier living options, to make them more convenient.
The HealthySG Taskforce, led by Senior Parliamentary This included suggestions to improve the physical and social environment around the individual
– such as making healthier dining options even more readily available, and organising physical
TAS K FO RC E
Secretary (SPS) for Health – Mr Amrin Amin, was hence
set up in November 2018, with the vision to transform activity programmes which they could attend together with friends and family, such as making
our health promotion landscape with the infusion of healthier dining options even more readily available, and organising physical activity programmes
health in various aspects of our lives, policies, and which they could attend together with friends and family, since the community would help to
environment. Together with the SPSes from other bolster motivation to take part. Participants also mentioned how technology could help,
H E A LT H YS G
ministries, the Taskforce explored how best to incorporate by providing them with greater access to services that would allow them lead a healthier lifestyle,
health considerations into each ministry’s work. or giving them more information on healthier habits.
4 5
01
EXECUTIVE S U M M ARY CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E
The feedback gathered from the public consultation gave us valuable insights into the complexity
of how people view health and what influence their behaviours, which in turn, affect their
health outcomes. Personal motivation is key. However, it is also important to ensure that
the surrounding community and environment facilitate healthier lifestyles, given the various
challenges the individual faces in everyday life.
Arising from this, the Taskforce recommendations centred around three thrusts, namely
Empowerment, Engagement, and Environment.
THE 3Es
THE STATE
OF HEALTH
EMPOWERMENT
OF INDIVIDUALS:
Encourage and equip individuals to
take charge of their own health
by lowering access barriers and
leveraging technology.
ENGAGEMENT OF
OUR COMMUNITY:
Targeted programmes, enhancing
service journeys, strengthening
social-health integration.
MODIFYING OUR
ENVIRONMENT:
Enhance physical and social
aspects of the environment to
become more conducive for
healthy living.
IN SINGAPORE
We will elaborate on the eleven recommendations under these three thrusts in this final report.
Collectively, they aim to promote the health of Singaporeans of all ages and backgrounds.
We hope that this HealthySG Taskforce Report will highlight to Singaporeans that healthy living
is a journey rather than a destination, where we can spur and support each other. The key to
our success is also to partner with Singaporeans and the community, to work together,
and ensure effective co-delivery of these initiatives.
Singaporeans are living longer,
but not necessarily healthier
lives. For a better quality
of life, good health in these
added years is key, and this
starts upstream.
6 7
CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E
Disease
BURDEN OF
Modifiable
RISK FACTORS
With the improvements in healthcare services and ongoing health promotion efforts,
Singaporeans are living longer. Between 1990 and 2017, life expectancy at birth
RISKY HEALTH BEHAVIOURS
in Singapore rose by 8.7 years, from 76.1 to 84.8 years on average. The health-
According to the 2017 Burden of Disease study in
adjusted life expectancy (HALE) at birth also rose, increasing by 7.2 years, from
Singapore, behavioural and metabolic risks (blood
67.0 to 74.2 years.
pressure, glucose etc.) were the leading risk factors
for the disease burden.
However, while Singaporeans may be living longer, we need to ensure that these
added years are quality years of life.
Key behavioural risks factors that affect the development
of chronic diseases include poor dietary habits and
SMOKING LACK OF EXERCISE UNHEALTHY DIETS tobacco use. These risk factors are habits and behaviours
that we can change and improve. Hence, it is crucial for
us to intervene and improve health promotion efforts,
+8.3 yea
rs 84.4 so that we can spend as many years of our lives as
Y years possible in good health.
ECTANC
LIFE EXP
76.1
years (Years of life lost) (Years lost to disability)
rs 74.2
+7.2 yea DIETARY
PECTAN
CY years RISK
LIFE EX
67.0 HEALTHY
years TOBACCO
HIGH BLOOD
PRESSURE
1997 ........................ 2017
HIGH FASTING
PLASMA GLUCOSE
REPORT
HIGH
BODY-MASS
To do this, we need to address risk factors for chronic diseases such as cardiovascular diseases, stroke, INDEX
TAS K FO RC E
high blood pressure, and diabetes, which now make up more than 80% of the disease burden. Of the 0 20,000 40,000 60,000 80,000 100,000
total burden, 35% was due to modifiable risk factors, which are defined as risky health behaviours such as
smoking, lack of exercise, and unhealthy diets. DALYs (Disability- Adjusted Life Years)
H E A LT H YS G
1 2
The HALE at birth is the average number of years a person can expect to live in full health at birth. The burden of disease is measured using Disability-Adjusted Life Years (DALYs). This time-based measure is calculated as the sum of the Years of Life Lost (YLL) due to
premature deaths in the population, and the Years Lost due to Disability (YLD) for people living with a health condition or its consequences.
8 9
!
CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E
Singaporeans are exercising
HEALTH TRENDS
more, however leisure time
physical activity remain low
AND
90.0 82.3
81.0 Sufficient Total
80.0 Physical Activity
73.9
Leisure Time
70.0 Physical Activity
60.9
60.0
Based on our national health
surveys, Singaporeans are
50.0
getting more physically active.
In order to better tackle the risk factors that contribute to poorer health This comes mainly from incidental
in Singapore, we need to take a closer look at the trends and statistics of 40.0 physical activities, such as our
these factors to identify possible gaps. daily commute to-and-from work.
29.4
30.0 23.6 While this is a good trend, such
23.3
Dietary Patterns and Physical Activity 19.0 physical activities are generally of
20.0 lower intensity, as compared to
From the latest National Nutrition Survey (NNS) 2018 conducted by moderate-to vigorous-intensity
physical activities, which can
HPB, we have seen improvements in both the diet quantity and quality 10.0
provide additional benefits to
of Singaporeans’ diets. Singaporeans are consuming fewer calories,
one’s health. Leisure time regular
with the average daily energy intake dropping five per cent from 0.0 exercise remains low, and the
2,600kcal in 2010 to 2,470kcal in 2018, although this is still higher than 2007 2010 2013 2017 level of physical activity also
in 2004. Singaporeans are also consuming more wholegrain, fruits and Year reduces with age.
!
vegetables, as well as substituting saturated fat with unsaturated fat.
However, salt and sugar intake remain high3 .
Tobacco
!
Our smoking rate has been
fluctuating between 12% to 14% Prevalence of daily smoking among
in the last ten years, with no clear Singapore residents aged 18-69 years has
pattern of continuous decline. been fluctuating over the years.
Average daily salt intake of Singaporeans was 9.0g,
almost twice the recommended amount of 5.0g as advised by
the World Health Organization.
10% of 90% of
Singapore’s population Singapore’s population
Smoking prevalance (%)
meet recommended intake exceeded the
recommended intake
REPORT
TAS K FO RC E
H E A LT H YS G
3
WHO recommends reducing daily salt intake to less than 5g, and daily sugar intake to less than 10% of daily energy intake (and further to less than 5% of daily energy for additional Year
health benefits). Preliminary NNS 2018 data showed that the average daily salt intake of Singaporeans was 9.0g, and average daily sugar intake was 10% of daily energy intake.
10 11
CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E CHAPTER 1 - THE S T AT E OF H E A LT H IN SI NGAPOR E
SOCIOECONOMIC
Vaccination GRADIENT and
!
Although chronic diseases make up the bulk of the Overall, while life expectancy and HALE are high
disease burden in Singapore, it is notable that certain at the national level, health inequalities exist in our
infectious diseases contribute significantly to the population. There is a clear socioeconomic gradient
burden as well. Pneumonia, for example, is a serious
Adult vaccination rates in health risk behaviours and outcomes, with higher
INEQUALITIES
lung disease that is consistently ranked as the smoking and overweight prevalence among people
second most common cause of death in Singapore for influenza and from lower income families. Diets tend to be poorer
in the past five years, second only to cancers.
Two common causes of pneumonia are infection
pneumococcus are in this group, with lower protein and higher salt and
sugar consumption.
by influenza virus and pneumococcus bacteria. very low compared
Vaccination against pneumococcus and influenza
to compulsory This is consistent with what has been observed in other developed countries such as in the United
Kingdom, Australia and Japan. These findings have also been published in scientific studies and
are recommended under the National Adult childhood vaccinations. literature reviews, where it has been established that socioeconomic factors such as education and
Immunisation Schedule for personal protection, income levels do affect health statuses. As such, higher mortality and morbidity rates have been
to help lower the risk of developing pneumonia and consistently observed groups with lower socioeconomic statuses (SES) in many countries.
other complications. However, vaccination rates
among adults remain low. In view of the health trends stated above, as well as the health inequalities observed within our
population, we need to have more effective strategies to protect the health of all Singaporeans.
CHILDHOOD VACCINATIONS ADULT VACCINATIONS
95% 96% 14% 12%
Living and
working condition
Work Unemployment
Environment
100%
80% Water and
sanitation
Education
60%
40%
Healthcare
Services
20% Agriculture
and food
0% production
2 1
REPORT
3 Housing
4
TAS K FO RC E
MEASLES, DIPHTHERIA, INFLUENZA PNEUMOCOCCAL
MUMPS AND TETANUS AND 65-74 65-74
RUBELLA PERTUSSIS YEARS OLD YEARS OLD
(DOSE 1 AT 2 (COMPLETED
PRIMARY Dahlgren and Whitehead
Dahlgren and Whitehead
YEARS OLD)
COURSE AT
2 YEARS OLD) model of health determinants
H E A LT H YS G
model of health determinants
show the social and economic
Source: Communicable Diseases Surveillance Singapore 2017 Source: National Population Health Survey 2016/17 Pilot show the social and economic
circumstances that determine
circumstances that determine
the health of a population
12 the health of a population 13
02
CHAPTER 2 - PUBLIC C O N S U LT AT I O N S CHAPTER 2 - PUBLIC C O N S U LT AT I O N S
WHO
Consult? DID WE
More than 300 Singapore residents
consulted via:
PUBLIC aged between
18 and 60 years old In order to understand and gather public views on
the current and future health promotion landscape,
CONSULTATIONS
the Taskforce consulted with members of the public,
• Online Consultation professionals and experts between January and April
on REACH 2019. We engaged over 300 Singaporean residents
aged between 18 and 60 years old, from different
• 4 closed focus group
discussions (FGD) ethnicities and socio-economic backgrounds.
We heard their views on the existing gaps and
‘YOU SPOKE, WE LISTENED’
• 5 open public group sessions challenges in adopting a healthy lifestyle, and sought
ideas on how to address them.
Participants Included:
1
Members of public, both young and old, from
different backgrounds
2
Health professionals and experts in fields such
as public health, social work, health technology,
behavioural insights, built environment, sociology.
REPORT
We engaged the public to We reached out to different
communities through open
better understand the different
TAS K FO RC E
online recruitment and
communities’ motivations, needs, specific avenues such as
and challenges in adopting a social service agencies and
non-governmental organisations.
healthy lifestyle.
H E A LT H YS G
14 15
Talk ?
CHAPTER 2 - PUBLIC C O N S U LT AT I O N S
WHAT
DID WE
ABOUT
Topics Discussed:
In the closed FGDs, professionals in relevant fields,
such as technology, infrastructure and the social
sector, shared their perspectives on healthy living.
Their views helped us to deepen our understanding of
the issues, and they offered ideas on how to tackle the
Physical Diet and challenges of living healthily in different contexts and
Activity Nutrition Tobacco
for different segments of the population.
WHAT DID
find?
Mental Screening and
well-being vaccinations
WE
Public Attitudes Towards Health
Across all public consultation sessions, being healthy
was perceived as an essential part of life – a goal
Public sessions were then organised to build on the everyone strives to either achieve or maintain.
findings from the FGDs, and to gather more views and Healthy living was seen to be beyond physical health,
REPORT
perspectives from diverse participants. Feedback was to include mental health.
sought on gaps and challenges to healthy living, and
ideas and initiatives to address these gaps. Physical health was perceived as a balance between
TAS K FO RC E
eating healthy and exercising frequently. It was
The online consultation served as an additional avenue widely agreed that this was a difficult goal to achieve,
for the public to provide feedback. All the feedback however some participants also recognised that these
and ideas contributed to the development of the final are individual lifestyle choices, which they had better
recommendations, and helped make them relevant and control over. As for mental health, external triggers
H E A LT H YS G
useful for addressing the identified gaps. such as work stress, transitional life issues and juggling
multiple roles and responsibilities were cited as factors
that impact people’s emotional well-being. Some
participants expressed that these were societal issues
that they had less control over.
16 17
CHAPTER 2 - PUBLIC C O N S U LT AT I O N S CHAPTER 2 - PUBLIC C O N S U LT AT I O N S
Overall, findings from the public consultation support
that health is multi-faceted, and goes beyond the
individual, to include socioeconomic and environmental ENVIRONMENTAL
“We only exercise when you factors. Individuals hold personal attitudes, values and
fall sick, only if you see beliefs on what health means and how to attain health.
These factors interact with their social environment,
a need to. If I don’t see including their families, friends and communities, and SOCIAL
anything wrong now, I won’t finally intersect with larger systems in the society
and environment these collectively impact on various
do anything. As long as I have health outcomes for the individual.
Interestingly, the mind-sets, motivators and
influences of health across the different age
no illness, it won’t drive me to
groups differed widely. The young adults do anything. “ It is thus crucial to adopt the view of the micro
and youths tended to be more externally (individual), meso (social influence) and macro
motivated, with societal and peer pressure (environment), in understanding health concerns
forming the main sources of influence that and challenges of Singaporeans, as well as to look at INDIVIDUAL
shape their health behaviours. Also, most ways of improving existing programmes, policies,
“healthy behaviours” such as eating well and and initiatives to encourage healthy living in Singapore.
exercising were for aesthetic purposes of
looking good, rather than for better health.
On the other hand, the older working
“Need to set personal goals, adults and elderly were more likely to
because when you have no be intrinsically motivated. There was a
Ideation
stronger sense of personal responsibility
goals in mind, you won’t and accountability for their health
In line with this framework, ideas were generated for these
go anywhere.” outcomes. The idea of ageing gracefully
three tiers based on the five broad health topics. Based on
and ageing well was a greater concern,
and hence actions were generally taken the public feedback received, lack of time for healthier
with the idea of self-maintenance in behaviours (e.g. exercise) and perceived lack of accessibility
mind. Setting personal goals was seen as and affordability of healthier choices were raised as common
important in maintaining one’s health. barriers to participants’ pursuit of good health. Specifically,
participants highlighted that competing demands on time, such
as work and caregiving responsibilities, often made it hard to
exercise during leisure time. Often times, the unhealthy option
was also perceived to be more convenient to opt for when
looking for a quick meal.
Persons from lower income families said that
they faced competing demands for their limited
time and resources. Their priorities were to Many of the ideas generated were hence centred around increasing the convenience, accessibility and
ensure a basic standard of living for their family. “In the heartlands and affordability of healthy options, for food, exercise, and preventive health services.
Tending to the family’s needs, such as their coffee shops, you don’t really
Social support and influence were cited as major factors for many to start getting healthy. Many brought
children’s health and well-being, often took
get healthy options like
REPORT
precedence over their own health. Healthy living up instances in which they continued an exercise regime because they had a friend to exercise with.
would need to be made inclusive, communal, salads. If you want to make Similarly, participants who smoked shared that the support from their family and friends was key to helping
convenient, and affordable in order to engender it yourself, it gets them quit the habit.
TAS K FO RC E
long-term behavioural changes.
quite expensive.” There were also suggestions to further leverage advances in technology to nudge and guide individuals
towards healthier options and behaviours, as these would be easy and effortless to incorporate into their
daily lives.
H E A LT H YS G
These were insightful suggestions, and the Taskforce had taken many of them into consideration in the
crafting of its final recommendations.
A summary of the key insights gathered is provided in the following summary table on the next page.
18 19ideas GENERATED
CHAPTER 2 - PUBLIC C O N S U LT AT I O N S CHAPTER 2 - PUBLIC C O N S U LT AT I O N S
SUMMARY TABLE OF
INDIVIDUAL SOCIAL ENVIRONMENTAL
Physical
• Increase affordability • Increase incentives for • Encourage more group • Create a platform • Create separate • Build more parks
Activity of gym memberships. participating in existing activities as that would to find people with walking and cycling and green spaces
government-run physical be more motivating. similar sporting lanes to encourage that will be nice to
activity campaigns (e.g. interests to make active mobility. run and walk in.
National Steps Challenge). friends and
exercise together.
Diet and
Nutrition • Increase the availability • Increase water coolers
Have more • Increase affordability • Create recipes and • Consider the of healthier options to encourage drinking
educational campaigns of healthier food. cooking demonstration minority or as Singaporeans are water instead of sugar-
for health literacy. videos for easy and disadvantaged groups. eating out more. sweetened beverages
healthy home-cooked food. or introduce sugar tax.
Mental
well-being • Increase awareness about the • Engage companies and • Educational campaigns
avenues that are available for employers to improve to help identify persons • Have more de-stigmatising campaigns
mental health assistance. work-life balance. at risk or in need of as mental illness and mental health
mental health aid. is still seen as a taboo subject.
•••
NO
Tobacco SMOKING
ZONE
• Increase the affordability and • Encourage social and peer support in • Have more no smoking zones.
REPORT
acessibility of smoking cessation tools. quit journeys instead of using scare tactics.
TAS K FO RC E
Screening
and
vaccinations
H E A LT H YS G
• Educate on the • Reduce the cost • Incentivise employers to give time-offs • Make vaccinations and screening
importance of of adult vaccinations. for screening and vaccinations. more easily accessible.
early detection.
Represents ideas that were incorporated into the final recommendations
20 21CHAPTER 2 - PUBLIC C O N S U LT AT I O N S CHAPTER 2 - PUBLIC C O N S U LT AT I O N S
On &
WORKPLACE HEALTH
The Taskforce recognised that mental health is an issue of concern across the various
demographic groups. The feedback highlighted the gaps that exist in the current system.
One main area of concern which participants across the age groups brought up, was the
stigmatisation of mental health. They also commented that it would be helpful if more
information was provided on how they could help those around them who are suffering
from mental health issues.
Each age group faced their own challenges with
regards to mental health, given that it is a complex
and multi-faceted issue. Among the youths, mental
health issues generally revolved around stress and
anxiety, particularly in the context of managing school
work. With adults, a large part of the discussion was
on issues from the workplace and challenges faced by Senior Minister of State for Health, Dr Amy
trying to achieve work-life balance. For older adults, Khor and Minister of State for Manpower, Mr Zaqy
concerns arose around dementia and ageing. Mohamad, looks into promoting the safety, health and
well-being of workers. Apart from physical health,
The Taskforce noted that a lot of work has been
done for mental health in recent years, such as the Existing efforts are also in place to help address
the Committee also explores how to promote good
mental well-being amongst the workforce, such as
Summary
Beyond the Label Campaign which was launched by the concerns raised by the participants. For youths, providing programmes aimed at helping working Overall, the public consultations
National Council of Social Service (NCSS) in 2018 to NurtureSG had identified mental well-being as an area adults cope with stress, which can lead to burnout if reflected that current initiatives
address the mental health stigma faced by persons of increasing concern for our students. To address not managed properly.
living with mental health conditions in our society, and this, MOE and HPB invested in efforts to strengthen introduced by the government
the enhanced Community Mental Health Masterplan peer support in schools and institutes of higher learning Lastly, regarding mental health issues faced by the to encourage healthy living have
announced in 2017, to support persons with mental (IHLs), by providing resources and training for students. elderly, the Agency for Integrated Care (AIC) has been effective. However, there
health conditions. The Tote Board also set aside funding to develop been promoting a dementia-friendly Singapore.
upstream programmes to help the young achieve better remains challenges, and more can
REPORT
This includes creating a community where citizens
We understand that the key to addressing mental mental well-being and resilience. are aware of dementia and are able to ensure that be done. There were many good
health is to enhance mental resilience, and strengthen their neighbourhoods are safe and easy for persons ideas proposed during the public
medical and community support. As such, MOH will For working adults, the workplace was regularly identified living with dementia to navigate in. For this, they have
TAS K FO RC E
be looking into these areas going forward, while also as the main influence on mental wellness, as it was a consultation process. The discussions
established Go-To Points within the community, which
allowing time for the new government initiatives to primary source of stress for many. Since working adults function as safe spaces for those living with dementia; helped shape the Taskforce’s
bear fruit. These efforts require comprehensive and spend most of their time at work, the workplace also and have created a mobile application that provides recommendations, which will be
long term attention. As such, the Taskforce has not serves as a key touchpoint for participation in health resources for individuals and care-givers alike.
addressed mental health in its recommendations, but programmes. The Tripartite Oversight Committee elaborated in the following chapter.
H E A LT H YS G
the feedback will be relayed to the relevant agencies. for Workplace Safety and Health, which is co-chaired Given the existence of good work to promote physical
and mental health at workplaces, the Taskforce has
also focused its attention on the other areas.
22 2303
CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
THE 3
E S Following the feedback gathered from the public
consultation sessions, the Taskforce adopted the
same three-tiered individual-social-environment
framework and developed eleven recommendations
along three thrusts – the 3Es:
Empowerment Engagement Modifying our
of individuals of our community Environment
HEALTHYSG
Encourage and equip individuals Targeted programmes, Enhance physical and social
to take charge of their own health enhancing service journeys, aspects of the environment to
by lowering access barriers and strengthening social-health become more conducive for
leveraging technology. integration. healthy living.
TASKFORCE
RECOMMENDATIONS
Adult Vaccination HealthySG Programme Health promoting
Subsidies for disadvantaged groups Infrastructure
Smoking cessation Active Living programme for
support working adults and seniors
Healthy Precinct
Toolkit
REPORT
e-Coaching &
To transform our health wearables One-stop service platforms
TAS K FO RC E
promotion landscape with the
infusion of health in various Healthy food
ecosystem
aspects of our lives, policies,
H E A LT H YS G
and environment. Lifelong Virtual Enhanced community
Health Booklet outreach and volunteerism
24 25CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
One 1
RECOMMENDATION
Increase the affordability and
accessibility of vaccinations
BACKGROUND recommended under the
Vaccination is an important National Adult Immunisation
public health intervention.While Schedule (NAIS).
NAIS vaccinations are generally • MOH will subsidise vaccinations recommended
EMPOWERMENT
recommended for personal under the NAIS for Singaporeans and Permanent
Residents. The subsidies will be available at all
protection, they are currently not Community Health Assist Scheme (CHAS) General
subsidised. This could be a reason Practitioner (GP) clinics and polyclinics for
for their low take-up rates. Singaporeans, and at all polyclinics for Permanent
Residents, to be rolled out before end 2020.
OF INDIVIDUALS
High coverage rates of
• With increased affordability and accessibility,
recommended vaccinations can we expect more adult Singaporeans to take up
lower both individual and societal vaccinations, and target a more than three-fold
disease burden, and can lead to increase in coverage to over 50% in five years’ time.
better overall health outcomes for • In the long run, we aim to protect more
the country. Singaporeans from vaccine- preventable diseases.
At the system-level, this will also enable us to
reduce the healthcare costs due to these diseases.
NAIS VACCINATION 18-26 years 27-64 years ≥ 65 years
INFLUENZA dose annually dose annually
dose each
The Taskforce recommends addressing the
PNEUMOCOCCAL* or doses
barriers that prevent Singaporeans from doses
REPORT
HUMAN PAPILLOMAVIRUS
taking greater personal responsibility for their TETANUS, DIPHTHERIA AND PERTUSSIS dose for each pregnancy
health. We want to encourage individuals to
TAS K FO RC E
take charge of their own health by increasing
MEASLES, MUMPS AND RUBELLA doses
the affordability of effective interventions, HEPATITIS B doses
improving accessibility to services, and
H E A LT H YS G
VARICELLA (CHICKENPOX) doses
leveraging technology.
* Pneumococcal vaccines in the NAIS Recommended for adults Recommended for Recommended for
include PCV13 and PPSV23 who have not been previously adults with specific adults who meet
vaccinated or lack evidence of medical conditions age requirement
26 past infection/immunity or indications 27CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Two2
RECOMMENDATION
Make smoking cessation support
BACKGROUND more affordable, accessible, and
comprehensive.
Of the estimated 350,000 daily
smokers in 2017, 1 in 6 thought • MOH, together with HPB, will work with public
about quitting in the next 12 healthcare institutions (PHIs) namely hospitals,
months. However, only 3 in 100 national specialty centres (NSCs) and polyclinics,
to better identify and refer smokers who
smokers actually attempted to quit. wish to quit smoking, to structured smoking
Furthermore, 1 in 7 ever smokers cessation programmes in our healthcare and
had quit completely in their lifetime. community settings.
While there may be a variety of • As there may be different care models within
and across settings that can achieve good quit
reasons why smokers may not be rates, MOH will provide funding for public sector • To support more smokers to quit successfully,
willing or unable to take the first healthcare clusters to test out their proposed MOH will subsidise the cost of treatment for
step, we need to do more to care models in selected PHIs to determine the eligible smokers enrolled in the PHIs’ cessation
most effective model of care. The pilot is planned
nudge smokers to move from to run between March 2020 and March 2022.
programmes during the testing care model
period. The treatment can include behavioural
pre-contemplation to taking actions, support and NRT such as nicotine patches, gums,
and to improve the effectiveness • Target groups will include:
and lozenges to reduce the withdrawal symptoms.
- Inpatients who are smokers (public hospitals);
of programmes in helping smokers
- Expecting mothers and their spouses who - Certified quit consultants will support smokers
to quit successfully. This would during their quit journey, through intensive
are smokers (public Obstetrics &
allow us to reduce the smoking Gynaecology settings); and counselling session(s) and follow-ups for up
prevalence rate, which has remained - Outpatients who are smokers (e.g. polyclinics
to a year. The quit consultant will help to assess
the smoker’s nicotine dependence and motivation
largely unchanged over the past and NSCs)
to quit, and provide advice to assist in quitting
few years. • While smokers can quit unassisted, behavioural and reducing the chances of relapse.
support and nicotine replacement therapy
(NRT) have proven to be effective in increasing - For smokers who have been assessed to be
the success of quitting in those who are suitable for NRT use, he/she will have access to
REPORT
nicotine dependent. fully subsidised NRT during the recommended
period. The programmes are expected to reach at
least 10,000 smokers in the next two years.
TAS K FO RC E
H E A LT H YS G
QuitLine
1800 438 2000
QUIT
4 Only smokers who are contemplating to quit smoking, enrolled in a cessation programme in the participating public healthcare institutions, and have been assessed by a
GUM healthcare professional as being suitable for NRT usage will be able to have access to fully subsidised NRTs during the recommended period.
5 8 – 12 weeks of NRT is recommended for most tobacco users undergoing a tobacco quit attempt. Source: Health Promotion Board-Ministry of Health Clinical Practice
Guidelines 1/2013: Treating Tobacco Use and Dependence
28 29CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Three3
RECOMMENDATION
Provide e-health coaching via
BACKGROUND wearables and personalised
technology.
ENGAGEMENT
Over the years, much has been
done to encourage individuals to • HPB is partnering with industry innovators to nudge
lead healthier lifestyles. Technology Singaporeans towards better habits in physical
activity, sleep, nutrition and emotional well-being.
affords us a way to go even
OF OUR COMMUNITY
further, to empower the individual MIND EXERCISE DIET
to take greater ownership of their
health, and support them via timely
reminders, nudges, and feedback.
In our public consultation sessions,
HEART RATE SLEEP
participants expressed an interest in
technology-enabled solutions, given
the proliferation of mobile phones zzz
and the public acceptance
of wearables. E-health coaching
could be a way to reach our citizens • Individual biometric data such as sleep quality,
heart rate and stress levels, can be collected via
at scale, with the eventual goal
a wearable device, so personalised nudges can
of more personalised messaging, be provided to better encourage users to work
relevant to the individual. towards their health goals.
-
One such initiative is FitBit’s Live Healthy SG
that harnesses technology, behaviour insights
To better engage Singaporeans on
Healthy 365 App
and analytics to help Singaporeans get healthier their health, the Taskforce recommends
through behaviour change
enhancing the citizen’s experience of
- Participants can link their wearables to health
available services, which requires agencies
REPORT
challenges on HPB’s Healthy 365 application
in order to enjoy its incentives and rewards. to be more integrated and targeted in
their programming.
TAS K FO RC E
- With algorithms that could better tailor health
advice, messages and programmes to each
individual in a timely manner, Singaporeans There is also a need to customise health
can take greater ownership of their own promotion for disadvantaged segments, to
H E A LT H YS G
health and get healthier through meaningful
and sustained behaviour change. make it easy and convenient for them to
- Programme was officially rolled out in end adopt and maintain healthy living.
October 2019.
30 31CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Four4 Five5
RECOMMENDATION RECOMMENDATION
Track personal health status
BACKGROUND via Lifelong Virtual Health
Every Singaporean child currently Booklet (vHB).
has a hardcopy Child Health Booklet
• HPB will develop a Lifelong vHB for Singaporeans
that parents use to track and keep to use as a comprehensive, reliable and
relevant health records, such as personalised health repository to monitor and
take charge of their health across their life course.
immunisation history, growth charts,
and developmental progress. • We hope to launch a Minimum Viable Product of
This allows parents or caregivers the vHB by end 2020
to easily monitor the child’s health
status and preventive health needs.
Members of the Taskforce visited Kok Fah Technology Farm with families and were treated to a cooking demonstration and
We want to extend the benefits of educational farm tour to promote healthier eating.
the Child Health Booklet to adults,
such that they would have an easy Targeted help for
BACKGROUND disadvantaged
and convenient way of referring to
their health records. This empowers There is evidence to suggest that there are health groups to improve
the individual to better understand inequalities in our population. In general, people their health.
their health status, nudging them to from lower income background have a higher
• The Taskforce recommends
adopt healthier lifestyle behaviours. prevalence of smoking and overweight/obesity, to provide a more targeted
and exercise less. programme delivery, with
activties and incentives
In terms of nutrition, people from low income
REPORT
that are customised to the
households consume higher proportion of refined needs and circumstances of
the disadvantaged groups.
carbohydrates and lesser protein. These health
TAS K FO RC E
behaviours contribute in part to their poorer • We will focus on improving
health outcomes. Given the unique challenges nutrition for a start,
before expanding to other
that this population segment may face, a targeted areas such as health
H E A LT H YS G
programme, designed around their lifestyles, screening, physical activity,
has the potential to have a better impact on their and mental well-being.
health status.
32 33CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
6
RECOMMENDATION
Targeted active living programmes
BACKGROUND for working adults & seniors.
From the public consultation • Two pilot projects will be jointly introduced by
feedback, we have identified the SportSG and HPB to improve physical activity
levels amongst the working adults and seniors.
need for targeted physical activity
programmes for working adults and 1) The Working Adults Project will target at-risk
Professional, Managers, Executives and Technicians,
seniors. The former is an age group
by offering them an integrated package comprising
that has to balance their careers HPB’s workplace programme and a 12-week
and family, and hence finds it hard Active Health programme, to increase the adoption
of healthy habits and a more active lifestyle.
to maintain healthy habits. For the
seniors, with rising life expectancy, - We will offer Active Health’s physical activity
readiness assessments as part of an integrated
we need to help them age well. package to companies which are participating in
HPB-run workplace activities.
• This will be manifested as a ‘healthy living By tapping on their respective
passport’ programme for lower income families, - The aim is to help individuals understand their
domain expertise, SportSG and
with incentives/rewards given upon completion health and fitness baseline through a
of healthy living activities such as HPB can develop integrated and comprehensive assessment protocol developed
holistic programmes for these two by Active Health for adults.
- Guided healthier eating trails, supermarket identified population two groups. - A pilot involving three companies (Sushi Express,
tours, cooking classes and nutrition
Chinese Swimming Club, and Raydent Supplies
workshops.
started in October 2019.
- Subsequently, other components such as
health screening and mental wellness can be
weaved in for holistic engagement.
- The healthy living activities will be tailored
to meet their needs and circumstances, such
as literacy levels, working hours, and access. • We will also actively identify social service
It will also aim to address affordability via agencies and community volunteer groups
REPORT
tailored messaging and education. who serve the lower income families to weave in
the healthy living components to the services
• Trained HPB Health Ambassadors will also they already provide. This would ensure that
TAS K FO RC E
partner with and engage the families, to provide health is included on their agenda, and in their
support on their journey. conversations with these families.
• We will explore multiple channels to reach • We aim to reach at least 15,000 residents after
out to this community, among which existing launch of the full programme in Q2 2020.
H E A LT H YS G
networks and platforms under the Ministry of On-site assessments to help
Social and Family Development (MSF) and individuals understand their health
People’s Association (PA) would be key. and fitness baselines and obtain
tips on how to manage and/or
improve their health.
34 35CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Seven7
RECOMMENDATION
One-stop Service Platforms.
BACKGROUND
• To better synergise government services and
There are numerous services and resources to make it more convenient for the
public, three one-stop service platforms
facilities for health and wellness
are recommended.
which are available to the public.
1) The Ministry of Culture, Community and Youth
Examples include government
(MCCY) and SportSG will embark on an initiative
facilities booking, rewards systems to make the search for available spaces more
and programmes calendaring. convenient, and enhance citizens’ experience in
booking facilities.
Common one-stop service platforms
should be built to help Singaporeans • The initiative will provide citizens with seamless
enjoy better access to these public access to sports and community facilities,
2) The Integrated Seniors’ Pilot aims to improve resources by creating a more to make it easier for citizens to participate in
sports and community activities.
and maintain functional mobility among seniors seamless and convenient experience.
aged 50 years and above. Seniors will attend • We will roll it out by Q3 2020.
a 6-week programme by HPB to learn about
falls prevention, importance of strength, balance 2) SportSG and HPB are running the Incentives
and flexibility exercises and be equipped with Exchange Project which will allow Singaporeans to
strategies to minimise the risk of injuries, in the redeem their reward points across the platforms.
event of a fall.
• Singaporeans may convert their HPB Healthpoints
Upon completion of the 6-week programme, to ActiveSG Credits.
seniors will be encouraged to attend an extended
programme by SportSG, which will reinforce the • This will incentivise greater participation and
importance of strength, balance and flexibility enable cross-promotion of health promotion
through regular and progressive exercises. activities by both agencies.
In addition, seniors will also be introduced to a wide
variety of exercise programmes and sports interest • It is expected to commence in Q2 2020.
groups as a way to seed strong social bonds
among the seniors and sustain active living through 3) SportSG and HPB will also jointly roll out a
REPORT
sports and exercise, at the same time, maintaining calendar of physical activity programmes.
- We will roll the pilot out in selected ActiveSG
functional fitness. and PA venues, including community • The joint calendar will offer and allow citizens
centres of pre-selected group representation to view programmes offered by participating
- This pilot will raise awareness of strength,
TAS K FO RC E
constituencies (GRCs) and such as Hong Kah agencies to suit their needs, ages, abilities
balance and flexibility (SBF) exercises which aids
Community Centre and Bukit Gombak Sport and interests.
in fall prevention.
Centre, by Q4 2019.
- It would also serve to help maintain and improve • We will roll it out by Q3 2020.
- These two pilots will support healthy habits in
functional fitness through both SBF exercises
H E A LT H YS G
working adults in transition, and help
and regular participation in sports.
seniors maintain strength and prevent falls.
36 37CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
8
RECOMMENDATION
Enhance community activation via quality
volunteer engagements.
BACKGROUND
Volunteers are key to
MODIFYING OUR
community outreach efforts.
Community bonding and building
health conversations are
ENVIRONMENT
mutually reinforcing.
To this end, HPB will enhance
its engagement, training and
deployment plan for its volunteers,
the Health Ambassadors,
to maximise this potential.
• We aim to enhance the outreach of health volunteers • Pilot the integration of HPB Health Ambassador
by shifting from quantity to quality, from an network with public hospital volunteers:
ad-hoc touch-and-go, to a longer-term relationship
building between volunteers and residents. - Cross-train and deploy volunteers to optimise
volunteer pool.
• Volunteers will receive enhanced volunteer training
by HPB to include health skills (for example, skills - Expand range of volunteers’ skills to better
in conducting an exercise class for seniors) and meet beneficiaries’ needs.
soft-skills (for example, in the areas of
- Target to implement the integrated volunteer
Our environment encompasses
communication and befriending).
both physical (e.g. facilities and
REPORT
programmes across the public hospitals by
Q1 2020.
• HPB will pilot the integration of HPB Health
Ambassador network with public hospital volunteers,
infrastructure) and social (e.g. availability
of food options and social programming)
- Early pilots include assisting with Horticultural
TAS K FO RC E
which includes the following:
Therapy Sessions for rehab patients in Yishun
Community Hospital, promoting post-screening
health coaching services with SingHealth
aspects, and the Taskforce recommends
under their Eastern Community Health Outreach making both domains more conducive to
healthy living and influencing individual
H E A LT H YS G
programme, and participating in the National
University Hospital System’s Health Peers training.
- On-board other agencies’ volunteer networks choices to that end.
in the future via SG Cares.
38 39CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Nine9
RECOMMENDATION
Continuous enhancements to the Built Environment to support
healthy living.
• To further support healthy living among residents, HDB will continue enhancing the planning and design
of both existing and new estates.
BACKGROUND
In developing Housing & Development Board (HDB) towns, HDB continues to
plan, design and programme spaces to promote healthy living by encouraging
physical activity. Where possible, such spaces are also introduced to older
estates through upgrading and rejuvenation programmes.
Beyond HDB towns, NParks has also put in place more than 350 parks and
gardens linked by approximately 300km of park connectors. Our green spaces - Tengah Town will have community spaces close - Where possible, the environment of older
are curated to attractmore people to go outdoors and reconnect with nature. to residents’ doorsteps, a car-free town centre estates will also be improved through upgrading
for better walkability, and a 5km-long forest and rejuvenation programmes, such as through
The Ministry of Transport (MOT) and Land Transport Authority (LTA) corridor to connect residents with nature. introducing new or improved community
spaces, amenities, and connectivity infrastructure.
have built an extensive network of 200km of covered link-ways to make
walking to the nearest transport hub a more pleasant experience. There is
currently also about 440km of cycling paths, including park connectors.
To encourage more Singaporeans to participate in active mobility like walking
and cycling, MOT/LTA will continue enhancing our physical environment with
supporting infrastructure.
REPORT
TAS K FO RC E
Photo by: NParks Photo by: NParks
• NParks will continue enhancing its parks to attract more visitors and to encourage a more active lifestyle.
H E A LT H YS G
- Enable both young and old to experience health and well-being effects of nature through more
therapeutic gardens and nature playgardens, as well as organise more healthy lifestyle activities with
Photo by: LTA
HPB and SportsSG.
40 41CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
Ten10
RECOMMENDATION
Encourage greater community
BACKGROUND ownership in shaping environments
via the Healthy Precinct Toolkit
Presently, health promotion policies
(HPT).
and programmes are largely
government-led. However, a much- • The MOH Office for Healthcare Transformation
(MOHT) has developed a HPT to empower
needed complementary approach the community and its leadership to take
is to facilitate more community ownership of, and shape their social and physical
ownership in enhancing their environment based on their needs.
lived environment to facilitate • This involves a three-step process:
healthy living. (i) engage the community to understand their needs;
This is important as the community (ii) collaboratively plan and coordinate solutions
• MOT and LTA will work together with agencies to with relevant stakeholders; and
triple the distance of our cycling path network by can provide useful insights on the
2030. LTA will also add another 150km of covered issues that matter most to them. (iii) evolve and refine initiatives to support
link-ways to the existing 200km to facilitate a healthy living.
Residents may play a part in deciding
more comfortable walking environment.
how best to infuse health in where • As part of the development of the Healthy Precinct
- By 2030, eight in ten households will be within a Toolkit, MOHT established a Co-Creators’ Group
they live, that is best suited to their
ten-minute walk of a train station. in July 2019. The Co-Creators’ Group consists of
needs and preferences. volunteers from Jurong Spring grassroots
• On 2 November 2019, MOT and LTA rolled out the organizations, VWOs, HPB Health Ambassadors,
Active Commute Grant for co-funding of end-of- and SportSG Team Nila.
trip facilities such as showers and lockers at
workplaces to allow commuters to freshen up at
their destinations.
- This will make it easier and more convenient for
Singaporeans to walk, run or cycle to work, and
stay physically active and healthy.
REPORT
TAS K FO RC E
H E A LT H YS G
42 43CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S CHAPTER 3 - H E A LT H YS G TAS K FO RC E R E C O M M E N D AT I O N S
11
RECOMMENDATION
Eleven
BACKGROUND
In recognition that Singaporeans are dining out more frequently, HPB
introduced the Healthier Dining Programme (HDP) in 2014 to encourage
Singaporeans to choose healthier options when eating out. Since December
2016, the HDP was extended to the mass meal settings, specifically hawker
centres and coffee shops. Currently, 100% of hawker centres have 50%
of stalls offering at least one healthier option under the HDP. HPB continues
to work with various partners across the food ecosystem to increase the
accessibility and availability of healthier options.
• MOHT held multiple engagement sessions • The DET will be piloted in two precincts, Jurong
with the Co-Creators’ Group to design the HPT. Spring and Woodlands, through a Healthy Precinct
An initial concept, defined within the HPT, is a Committee, while exploring other potential sites.
Digital Engagement Tool (DET). The DET aims to The pilot in Jurong Spring started in Q4 2019.
empower community leaders to collect non-
• Formation of a Healthy Precinct Committee has
sensitive public opinions about their neighbourhood.
begun in Jurong Spring, with key community
This will provide ground sensing on the precinct’s
volunteers taking the lead to scout for and recruit
health behaviours and its health-influencing socio-
health-enthusiastic members for the Committee
environmental determinants allowing the community
to intervene on their own.
These founding volunteers have engaged multiple
community groups serving resident seniors,
The Taskforce recommends a two-prong approach to improve the
- A trial of the first component of the DET (version families, ethnic minorities and vulnerable segments, food ecosystem with greater availability of healthier options.
REPORT
0.1), a digital survey, was successfully completed to ignite interest and rally support for their
on 27th August 2019, with a closed group of community’s health promotion efforts. Over time, 1) Incorporate health as a consideration in Price-Quality 2) HPB will increase the number of stalls that offer
39 people. In collaboration with an identified group the Committee will be able to use the Healthy tenders for new eating houses tendered out by HDB. at least two healthier options by 400 by 2021.
TAS K FO RC E
of users within Jurong Spring, MOHT is currently Precinct Toolkit to improve the healthy behaviours
working on version 0.2 of the DET. of their community. If successful, the toolkit • A portion of the tender score is dedicated to health • This is expected to increase the availability of
can then be rolled out to other Healthy Precinct component, to encourage healthier food offerings healthier options at eating houses and hawker
- Version 0.2 includes a refined dictionary for the or products. centres, reducing the barrier to healthier eating.
Committees or similar committees across the nation.
digital survey component based on feedback from
H E A LT H YS G
August 2019, and the next immediate DET • 21 tenders have been awarded so far, and HDB will • By reaching the target, it is estimated that an
component – an automated report that allows be tendering about 34 more in the next five years. additional 500,000 meals bought by
users to filter results by demographics. MOHT consumers per month, or six million per year,
will test version 0.2 in late 2019. would be healthier.
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