Hbs107 W6-Promoting Health

Front 1

Ottawa Charter

Back 1

First International Conference on Health Promotion, Ottawa, 21 November 1986

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pre-requestists for health
(acc to Ottawa Charter)

Back 2

1. peace
2. shelter
3. food
4. income
5. education
6. social justice
7. equity
8. stable ecosystem

Front 3

5 key aspects of Ottawa Charter (WHO, 1986)

Back 3

1. build healthy public policy
2. reorient health services
3. create supportive environments
4. strengthen community action
5. develop personal skills
and to / by
enable, mediate, advocate

Hint 3

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how can you 'advocate'

Back 4

aim to make underlying determinants as favourable as possible

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how can you 'mediate'

Back 5

consider the interest of more than one group and facilitate compromise

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how can you 'enable'

Back 6

empowering people to stride towards good health themselves, to reach their fullest potential

Front 7

building healthy public policy -
examples

Back 7

no smoking areas, taxation on alcohol, plain packaging for cigarettes, sunsmart,

Front 8

creating supportive environments - examples

Back 8

parks & gardens
playground
walkin/bike tracks
are you OK day

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strengthen community action - examples

Back 9

setting priorities, helping with implementation

Hint 9

e.g. community run activity (clean up Australia day)

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developing personal skills - examples

Back 10

information campaigns

Hint 10

schools, education

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reorienting health services - examples

Back 11

beyond the responsibility for providing clinical services, focus on provention, catering for cultural diversity & minorities

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upstream intervention

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extensive and broad in nature, population focused:
policies, education, housing, work environment, social environment, transport, pollution

Hint 12

organisational development,
economic & regulatory activities,
advocacy

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downstream intervention

Back 13

targeted, explicit proposes, focused on individuals

Hint 13

screening procedures (breast screen) risk assessments (work place health checks) immunisation

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midstream

Back 14

social marketing, behaviour of audience
health information

Hint 14

every cigarette is doing you damage, slip-slop-slap-slide, there is noting healthy about a tan

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problems might impact

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1. individuals
2. family/friends
3. workplace/groups
4. community
5. society

Hint 15

e.g. problem gambling

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potential harm of problem gambling (example)

Back 16

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DHS solutions for problem gambling (example)

Back 17

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health inequalities

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measurable differences and disparities in health between groups (Kawachi et al., 2002)

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health inequities

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inequalities in health which are deemed unfair or stemming from some form of social injustice (Kawachi et al.,, 2002)

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social justice

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fair access to distribution of resources. further, equitable access must supersede individual goad, so that the least advantaged people in the community receive care and services equal to that received by those who are advantaged by resources which incl finances & knowledge (McMurray 2003)

Hint 20

example: closing the gap

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in the early beginnings of health promotions, health was explored in two ways ...

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a) our ability to satisfy needs
b) our ability to change or cope with environment

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historical overview

Back 22

Front 23

LaIonde Report (1974)
for the first time looked at/beyond

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- beyond biomedical model
- introduced 'lifestyle'
- start with 'at-risk groups'

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Build Healthy Policy
(acc Ottawa Ch.)

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health promotion goes beyond health care and includes legislation, fiscal measures, taxation and organisation change

Hint 24

example: buckle up

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creating supportive environments
(acc Ottawa Ch.)

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living and working condition that are safe, stimulating, satisfying and enjoyable

Hint 25

example: worksafety campagnes

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strengthen community action
(acc Ottawa Ch.)

Back 26

setting priorities, making decision, planning strategies and implementing them so that communities control of their own destinies

Hint 26

examples: get of the grog (ind) or Men's Shed

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developing personal skills
(acc Ottawa Ch.)

Back 27

education for health and life skills so people can experience more control over their own health and their environment

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re-orientate health services
(acc Ottawa Ch.)

Back 28

we must move increasingly in the health promotion direction, beyond its responsibility for providing clinical and curative services

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DHS / Dep of Health response to Ottawa Charter

Back 29

Hint 29

Health Promotion Interventions

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how does DHS interventions relate back to Ottawa Ch.

Back 30

Front 31

stages for planning a health promotion program

Back 31

Front 32

needs assessment
(for creating a health promo plan)

Back 32

1. consult key stakeholders
2. awareness of on/off buttons (to get people involved in program)
3. collaborative process

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identify objectives
(for creating a health promo plan)

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1. what are the aims/goals
2. what data will be recorded & how (not just outcomes but also processes)
3. how will the program be evaluated/measured

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theory-based methods/strategies
(for creating a health promo plan)

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1. what framework/model informs the approach
2. often psych or social theories drawn on (i.e. behaviour change)

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program development
(for creating a health promo plan)

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1. who, what, where & when
2. let previous evidence/efforts guid current practice
3. draw on needs assessment results to inform development

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adoption & implementation
(for creating a health promo plan)

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1. how long will it run for
2. who will run it
3. how is it sustainable

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evaluation plan
(for creating a health promo plan)

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1. this is key - does the program work?
2. what will tell you if it did/didn't
3. qual & quant approach (mixed method)

Front 38

health promotion (def)

Back 38

the process of enabling people to increase control over and to improve their health