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Global Health Diplomacy: Advancing Health Literacy . World Health Communication Associates World Health Organization - Geneva 18 May 2009 Scott C. Ratzan, MD, MPA Vice President, Global Health Government Affairs Johnson & Johnson. Our Goal: Health for the public good.

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Global health diplomacy advancing health literacy l.jpg

Global Health Diplomacy:Advancing Health Literacy

World Health Communication Associates

World Health Organization - Geneva

18 May 2009

Scott C. Ratzan, MD, MPA

Vice President, Global Health

Government Affairs

Johnson & Johnson


Our goal health for the public good l.jpg
Our Goal: Health for the public good

“The extension to all peoples of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health.”

World Health Organization

Preamble to the Constitution


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Issues likely to cost society can be addressed with health diplomacy

Pandemics

Chronic disease in developed countries

Developing world disease


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Apply our evidence-based approach with Communication diplomacy

  • Over 12 years of research in the peer reviewed Journal of Health Communicationhad measurable outcomes with communication affecting:

    • Knowledge

    • Attitudes

    • Awareness

    • Practices

    • Perceptions

    • Intentions

    • Behavior change, and

    • Social Change


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The Opportunity to Advance Health: diplomacyHealth Literacy for the public good

“Informed opinion and active cooperation on the part of the public are of the utmost importance in the improvement of health of the people.”

World Health Organization

Preamble to the Constitution


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Health Literacy diplomacy

Health Literacy is “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”

Ratzan and Parker, NLM Complete Bibliographies of Medicine, 2000

USDHHS, Healthy People 2010

Institute of Medicine, 2006


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Health Literacy Framework diplomacy

Health Literacy


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Pediatric health literacy -- US diplomacy

  • “Most children and their caregivers [could] benefit from a set of health literacy skills adequate to meet common preventive needs (e.g nutrition, development, home safety, vision and lead screening, immunizations.) AND

  • common acute health needs (e.g. Fever, dehydration, upper respiratory tract infections, sexually transmitted infections)”

  • Source: Source: Sanders LM et al., Literacy and child health: a systematic review. Archive of Pediatric and Adolescent Medicine, Feb. 2009

  • And Benard Dreyer, American Academy of Pediatrics, 2009


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Health Literacy – OECD, EU, US diplomacy

  • What do we do to stay healthy?

    • Key areas and numbers: immunizations, blood levels (glucose, cholesterol), weight, blood pressure), etc.

  • If we are sick, how can we get better?

    • Can you do quality self care; screening?

    • Do you rely on the system for health decisions

  • If we are living with illness, how do we

    get effective medical care?

    • Knowledge, information and practice


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    Health Literacy Scorecard: Globally- Developing and transitional economies

    • What do we do to stay healthy?

      • Key areas and numbers: body mass index in range, mineral/salt, immunizations, weight, blood pressure, etc.

      • Do I or my family/friends smoke cigarettes?

  • If we are sick, how can we get better?

    • Can I recognize and understand signs/symptoms?

    • When do I seek a health service worker advise?

  • If we are living with illness, how do we get effective medical care?

    • Knowledge, information and practice


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    Measure Health Literacy transitional economies“what gets measured gets done”

    Health Literacy

    • Incorporate health literacy with measurable items

    • Link to global, regional and national efforts to measure health quality, disparities, and cost


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    CONCLUSION.. transitional economiesEfforts to impact global health requires health diplomacy

    • Government

    • Health Ministry, Public Health Officials, State and local governments

      • Legislation and policy

      • Direct funding

    • Medical sector and research institutions

    • Academic institutions, physician associations, individual doctors

      • Testing and patient diagnosis

      • Appropriate treatment and care

      • Disease management

        • hospital and pharmaceutical firms

      • Research

        • epidemiology

        • scientific and clinical

        • social

    • Foundations, NGOs

      • Financial support

      • Grass roots intervention

        • initiate and sustain community action

      • Lobbying and advising government

      • Service delivery

    Heqlth diplomacy for children’s health

    • International health associations and organizations (WHO, IDF, World Economic Forum, etc)

      • International standard setting

        • guidelines, protocols

        • best practice

      • Technical assistance

      • Funding

      • International coalition building

    • Private sector

    • Funding, individuals

      • Corp. employee engagement - education and financial support

      • Corp in-kind support

    • Mass media

    • Press outlets (TV, Radio, Newspaper, Magazine)

    • Online outlets (Yahoo, Message boards)

      • Public forum and information

        • data dissemination

        • public feedback and discussion


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    Possible engagement with the transitional economiesUnited Nations and health literacy - 2009

    ECOSOC Outcome Report at General Assembly for action under provisions of a resolution on “Global Health and Foreign Policy”

    (September 2009)

    ECOSOC Meeting on Promoting Health Literacy

    (Beijing, 29-30 April 2009)

    +

    ECOSOC Meeting on NCDs in the Middle-East

    (Qatar, 10-11 May 2009)

    +

    ECOSOC High Level Segment on Global Health

    (Geneva, 6-8 July 2009)

    Monograph

    (September 2009)

    WHCA

    UN General Assembly

    High Level Discussion on Health

    (New York,June 2009)


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    Our suggested engagement with health diplomacy transitional economies

    For more information:

    Scott Ratzan MD

    [email protected]

    THANK YOU!


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