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Reaching the “ Disadvantaged ”. “ We Love Eating ” PAU education project Scientific board and city coordinator meeting Barcelona 16 June 2014. 8 Action Verbs. 1. Contextualise 2. Identify 3. Universalise 4. Exchange 5. Integrate 6. Demonstrate 7. Counter 8 Learn.
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Reaching the “Disadvantaged” “We Love Eating” PAU education project Scientific board and city coordinator meeting Barcelona 16 June 2014 Franklin Apfel MD, MHS – Managing Director, World Health Communication Associates
8 Action Verbs • 1. Contextualise • 2. Identify • 3. Universalise • 4. Exchange • 5. Integrate • 6. Demonstrate • 7. Counter • 8 Learn
IdentifyAbout 1 in 2 persons have inadequate or problematic health literacy (HLS-EU Consortium 2012)
European Health Literacy Survey-ToolWhat does it measure ?Accessing, understanding , appraising and applying
Why is Health Literacy important Health Outcomes of Weak Health Literacy • Poorer health choices • Riskier behaviours • Less use of preventive services • More delayed diagnoses • Poorer understanding of medical conditions • Less adherence to medical instructions • Poorer self-management skills • Increased risk of hospitalization • Increased mortality risk • Higher health costs
WHO Healthy City publication – includes attributes of health literate http://www.euro.who.int/en/health-topics/environment-and-health/urban-health/publications/2013/health-literacy.-the-solid-facts
Exchange Messages from “poorly reached” • Know more about us. • Reframe ‘hard-to-reach’ as ‘poorly-reached’ system failures. • View immunisation as one part of larger health challenges. • Integrate us into mainstream programmes. • Involve us in all stages of programmes aimed at enhancing our inclusion and health. • Adapt governance and health systems to be more inclusive. • Health Mediators and other community health workers are critically important resources – they need to be supported. • Be accessible and respectful. • Beware of incentives that could be viewed as bribes for compliance.
Demonstrate Attributes ofHealthLiterate City • Providespoliticalleadership • Measures/Integrates • Trains workforce • Engageswithtargetpopulations • Applies universal precautions • Aids navigation • Providesunderstandablematerials
Thank You franklin@whcaonline.org www.whcaonline.org Twitter- @franklinapfel