introduction to health studies health promotion ii controversies and issues n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Introduction to Health Studies Health Promotion II: Controversies and Issues PowerPoint Presentation
Download Presentation
Introduction to Health Studies Health Promotion II: Controversies and Issues

Loading in 2 Seconds...

play fullscreen
1 / 42

Introduction to Health Studies Health Promotion II: Controversies and Issues - PowerPoint PPT Presentation


  • 233 Views
  • Uploaded on

Introduction to Health Studies Health Promotion II: Controversies and Issues. Dennis Raphael School of Health Policy and Management York University, Toronto, Canada. Current Controversies. Health Promotion and Values Values and Health Promotion: The Medical and Social Cases

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Introduction to Health Studies Health Promotion II: Controversies and Issues' - paul2


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
introduction to health studies health promotion ii controversies and issues
Introduction to Health StudiesHealth Promotion II:Controversies and Issues

Dennis Raphael

School of Health Policy and Management

York University, Toronto, Canada

current controversies
Current Controversies
  • Health Promotion and Values
  • Values and Health Promotion: The Medical and Social Cases
  • Individual, Community or Societal Focus
  • Top-Down (Expert) or Bottom-Up (Community) Direction
  • Evidence (Scientific, Lay, Critical)
  • Current Practice: Some Examples
  • A Final Word: Health Promotion Principles from the WHO
  • Exercise: Putting Health Promotion Principles into Action
medical approach traditional biomedical
Medical Approach (Traditional, Biomedical)
  • Health Concept is biomedical, absence of disease and/or disability
  • Leading Health Problems defined in terms of disease categories and physiological risk factors such as physiological deviation from the norm: CVD, AIDS, diabetes, obesity, arthritis, mental disease, hypertension, etc.
values and health promotion the medical traditional and social structural cases
Values and Health Promotion: The Medical (Traditional) and Social (Structural) Cases
  • Medical Health Promotion
    • Scientific Objectivity, Evidence Based, Expert Driven
    • Prudence, Utilitarianism
    • Preserve the Status Quo, Conservatism*
    • *Values identified by David Seedhouse in Health Promotion: Philosophy, Principles, and Practice, New York: John Wiley & Sons, 1997.
socio environmental approach structural
Socio-Environmental Approach(Structural)
  • Health Concept is a positive state defined in connectedness to one's family/friends/community, being in control, ability to do things that are important or have meaning, community and societal structures supporting human development
  • Leading Health Problems defined in terms of psychosocial risk factors and socio‑environmental risk conditions: poverty, income gap, isolation, powerlessness, pollution, stressful environments, hazardous living and working conditions, etc.
values and health promotion the medical traditional and social structural cases1
Values and Health Promotion: The Medical (Traditional) and Social (Structural) Cases
  • Social Health Promotion
    • Fairness, Empowerment, Solidarity
    • Egalitarianism, Social Democracy, Socialism, Marxism*
    • *Values identified by David Seedhouse in Health Promotion: Philosophy, Principles, and Practice, New York: John Wiley & Sons, 1997.
health promotion focus individual community or societal
Health Promotion Focus: Individual, Community or Societal
  • Individual focus sees the target of intervention as the individual. Can be applied within the medical, lifestyle, or structural models.
  • Screening, lifestyle change, emancipatory education.
health promotion focus individual community or societal1
Health Promotion Focus: Individual, Community or Societal
  • Community focus sees the target of intervention as the community.
  • Can emphasize community organizing in the service of medical screening, behaviour change, or effecting structural change.
health promotion focus individual community or societal2
Health Promotion Focus: Individual, Community or Societal
  • Structural focus sees societal institutions as influencing health.
  • Usually recognizes the presence of resource and power inequalities and the need to address these inequalities in society. May involve a class, gender, or ethnicity approach.
top down expert or bottom up community decision making
Top-Down (Expert) or Bottom-Up (Community) Decision-Making
  • Who decides what the health issues are?
  • Who decides how to address these issues?
  • Who benefits from these actions?
  • Much of public health and health policy decisions are made by "experts" whose life experience may share little with those of the clients whose interests they are serving.
  • Public health and health policy decisions may be based traditional models of health that may be too narrow in their outlook and not what citizens want.
evidence in health promotion i
Evidence in Health Promotion I
  • Decision-making in health promotion should be influenced by at least three kinds of knowledge.
  • Instrumental knowledge is also known as traditional, scientific, positivist, quantitative, or experimental and is the dominant paradigm in health research.
evidence in health promotion ii
Evidence in Health Promotion II
  • Lay or Interactive knowledge is derived from lived experience. Also known as constructivist, naturalistic, or ethnographic, knowledge, its focus is on meanings and interpretations individuals provide to events.
evidence in health promotion iii
Evidence in Health Promotion III
  • Critical knowledge is reflective knowledge and is concerned with the role that societal structures and power relations play in promoting inequalities and disenabling people.
current practice in ontario some examples
Current Practice in Ontario: Some Examples
  • Individual/Lifestyle (Heart Health in Ontario)
    • The Ontario Ministry of Health has allocated $17,000,000 over five years to programs that address the cardiovascular health risk factors of tobacco use, poor diet, and physical inactivity.
    • Examples include: smoke-cessation workshops & contests, heart-health recipe contests, nutrition workshops, direct mail print materials, walking trails, screening for CVD risk factors, mailed material about healthy weight, videotapes about lifestyle issues, food label information, etc.
individual lifestyle heart health in ontario
Individual/Lifestyle (Heart Health in Ontario)
  • The program is based on medically oriented models that view the cause of disease as traditional biomedical risk factors of high cholesterol, tobacco use and physical inactivity. It is believed that through community-based activities, these risk factors can be modified.
community healthy communities in ontario
Community (Healthy Communities in Ontario)
  • Healthy Communities Ontario evolved from the Healthy Cities approach of the City of Toronto. Emphasizes local social, economic, and environmental issues.
  • Community animators work with community members to promote discussion and action on the linkages between problems and their root causes.
community healthy communities in ontario1
Community (Healthy Communities in Ontario)
  • Emphasizes participation, multi-sectoral involvement, local government commitment, and healthy public policy.
  • Examples include: Food security in Peterborough.
slide33

The OHCC works with the diverse communities of Ontario to strengthen their social, environmental, and economic well-being

structural north york heart health coalition
Structural (North York Heart Health Coalition)
  • Produced a report questions the value of reliance on medical and lifestyle approaches to CVD prevention.
  • Stresses differences among Canadians in CVD status.
  • Identified income and social exclusion as causes of CVD.
structural north york heart health coalition1
Structural (North York Heart Health Coalition)
  • Recommended means to
    • Reduce poverty
    • Reduce social exclusion
    • Restore social infrastructure to support health
health promotion principles from the who
Health Promotion Principles from the WHO
  • Health promotion initiatives should be planned and implemented in accordance with the following principles:
  • Empowering: Health promotion initiatives should enable individuals and communities to assume more power over the personal, socioeconomic and environmental factors that affect their health.
health promotion principles from the who1
Health Promotion Principles from the WHO
  • Participatory: Health promotion initiatives should involve those concerned in all stages of planning, implementation and evaluation.
  • Holistic: Health promotion initiatives should foster physical, mental, social and spiritual health.
  • Intersectoral: Health promotion initiatives should involve the collaboration of agencies from relevant sectors.
health promotion principles from the who2
Health Promotion Principles from the WHO
  • Equitable: Health promotion initiatives should be guided by a concern for equity and social justice.
  • Sustainable: Health promotion initiatives should bring about changes that individuals and communities can maintain once initial funding has ended.
health promotion principles from the who3
Health Promotion Principles from the WHO
  • Multi-strategy: Health promotion initiatives should use a variety of approaches, including policy development, organizational change, community development, legislation, advocacy, education and communication, in combination with one another.
a final exercise
A Final Exercise
  • Imagine that you were charged with reducing the use of tobacco among teenagers within a community.
  • What might be some activities be that you would carry out?
  • How would you decide which activities to carry out?
a final exercise1
A Final Exercise
  • What might be some barriers to carrying out your program to promote tobacco use reduction?
  • What principles and values are influencing your program's approach?