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HEALTH PROMOTION IN PUBLIC HEALTH PRACTICE. WHAT IS ‘HEALTH PROMOTION’ ?. HEALTH PROMOTION. The term ‘HEALTH PROMOTION’ IS : wide-ranging multi-disciplinary philosophical. HEALTH PROMOTION. Tannahill (1985) offers a practical

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HEALTH PROMOTION IN PUBLIC HEALTH PRACTICE


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    1. HEALTH PROMOTION IN PUBLIC HEALTH PRACTICE

    2. WHAT IS ‘HEALTH PROMOTION’ ?

    3. HEALTH PROMOTION • The term ‘HEALTH PROMOTION’ IS : • wide-ranging • multi-disciplinary • philosophical

    4. HEALTH PROMOTION Tannahill (1985) offers a practical model, which brings together 3 service components with overlapping roles and concerns

    5. HEALTH PROMOTION Health Education Preventive Services Health Protection

    6. HEALTH PROMOTION WHAT HEALTH are we promoting ?

    7. HEALTH PROMOTION WHO ‘definition’ is actually a political slogan in the Constitution (1946) “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”

    8. HEALTH PROMOTION ‘HEALTH FOR ALL’ has a more functional and utilitarian approach To attain a level of health that will permit people to lead a socially and economically productive life

    9. HEALTH PROMOTION ‘HEALTH is a resource for everyday living….” (WHO)

    10. HEALTH PROMOTION Health Education Preventive Services Health Protection

    11. HEALTH PROMOTION Prevention is an important component. It has a strong intuitive appeal LEVELS OF PREVENTION WELL EARLY DISEASE LATE DISEASE DEATH Primary Prevention Secondary Prevention Tertiary Prevention

    12. HEALTH PROMOTION • IMPORTANT REMINDER : • Be Evidence-Based • Do Research and Evaluation • Use Appropriate Technology

    13. HEALTH PROMOTION US Preventive Services Task Force Canadian Task Force on Periodic Health Examination MOH Clinical Practice Guidelines 6/2003 – Health Screening Guide to Clinical Preventive Services • Comprehensive reviews of the scientific basis for preventive services

    14. HEALTH PROMOTION Primary prevention is desirable, but limited by knowledge Examples • Immunization • Proper and adequate nutrition • Weight control • Exercise prescription

    15. HEALTH PROMOTION SCREENING Presumptive is an important strategy identification of disease or defect …. unrecognized

    16. HEALTH PROMOTION CONDITIONS FOR SUCCESS IN SCREENING : • Major public health problem • Identifiable pre-clinical phase • Early treatment effective (1) Suitable Disease

    17. HEALTH PROMOTION CONDITIONS FOR SUCCESS IN SCREENING : • Simple to apply and interpret • Cheap (cost-effective) • Painless and safe • Accurate and reproducible • Acceptable to people (2) Suitable Test

    18. HEALTH PROMOTION CONDITIONS FOR SUCCESS IN SCREENING : • Call and recall of appropriate subjects • Adequate and coordinated follow-up • Quality assurance • On-going evaluation (3) Suitable Organization

    19. HEALTH PROMOTION Examples : • hypertension • diabetes mellitus • coronary heart disease • anaemia • nutritional disorders • tuberculosis • cervix cancer • breast cancer Screening may be directed at : • general population • high-risk groups

    20. HEALTH PROMOTION We must go beyond the laboratory, the doctor’s office and the hospital Health Education Preventive Services Health Protection

    21. HEALTH PROMOTION Knowledge Health Education is not just the passive transmission of information. (BEWARE OF INFORMATION OVERLOAD) Beliefs Attitude Practice (Behaviour)

    22. HEALTH PROMOTION Examples : Educational messages must • Achievements in tobacco control • Successes in smoking cessation • Health benefits of non-smoking EXCITE

    23. HEALTH PROMOTION Educational messages must Examples : • Non-smokers staying off tobacco • Smokers helped to quit ENCOURAGE

    24. HEALTH PROMOTION Educational messages must Examples : • How non-smokers can fight temptation • Enable smokers to quit the habit EQUIP

    25. HEALTH PROMOTION Examples : Educational messages must • Adopt non-smoking as desired way of life • Advocate for non- smoking and anti- smoking policies EMPOWER

    26. HEALTH PROMOTION We need to move away from vertical, disease – oriented programmes : CHD Ca DM

    27. HEALTH PROMOTION Let us take the risk-factor approach Ca DM CHD Smoking Diet Exercise

    28. HEALTH PROMOTION • Take the messages to different arenas : • General Public • Schools • Workplace • Healthcare facilities • Community facilities

    29. HEALTH PROMOTION We continue to go beyond the laboratory, the doctor’s office and the hospital Health Education Preventive Services Health Protection Hospital

    30. HEALTH PROMOTION HEALTH PROTECTION : regulations and policies that help to create a supportive healthful environment Examples : • control of environmental hazards • restriction of smoking in public • quarantine measures

    31. HEALTH PROMOTION • Public Health Laws are necessary : • to protect individuals, families and the community • to inculcate responsible and healthful behavior and practices

    32. Individual Liberty HEALTH PROMOTION In any society, there is a need to balance : Public Good versus

    33. HEALTH PROMOTION Public Agencies have a very important role in Health Promotion - political commitment - policy direction - funding and other resources - implementation and enforcement

    34. HEALTH PROMOTION SUPPORTIVE ENVIRONMENT KNOWLEDGE AND SKILLS ACTIONS FOR HEALTH TOTAL COMMUNITY EFFORT