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Health Promotion in CR

Health Promotion in CR. Věra Kernová National Institute of Public Health Prague Milena Kalvachová Ministry of Health, Czech Republic. Health - Definition. State of full physical, mental and social well-being, not only absence of disease and disability (WHO, 1948)

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Health Promotion in CR

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  1. HealthPromotionin CR Věra Kernová National Institute of Public Health Prague Milena Kalvachová Ministry of Health, Czech Republic

  2. Health - Definition • State of full physical, mental and social well-being, not only absence of disease and disability (WHO, 1948) • The reduction in mortality, morbidity and disability due to detectable disease or disorder, and an increase in the perceived level of health (WHO, 1999)

  3. Health Promotion • Process enabling individually and collectivelly increase control over determinants of their health, and improve health status. (WHO, 1998) • It does not mean only responsibility of the health care system, but also individual responsibility for health expressed via life style. (Kebza, 2005)

  4. IMPORTANT AREAS FOR CONSIDERATION IN HEALTH PROMOTION Creating supportive environments Building a healthy public policy Strengthening community action Developing personal skills Reorientating health services

  5. Determinants of Health • Life style (50%) • Environment (cultural, economic, social and physical conditions of life) (20%) • Genetic background (20%) • Health care system (10%)

  6. Components of Health Promotion • Health protection implemented by public health policy • Health education • Intervention programmes

  7. Health PromotionImportant Policy Documents • Ottawa Charter (1986) • Health for All 21 and WHO key strategies • European Health Policy ( 1999) • National Health Programme (1995) • National Environment and Health Action Plan of CR (1998) • Law No. 258/2000 on Public Health Protection (2000) • Longterm Programme on Improving Health Status of Inhabitants of CR – Health for All 21 (2002)

  8. Ottawa Charter (1986) • Health promotion should be a part of a community policy and practice. • Environment should enable and promote health. • People should be able to gain information, knowledge and skills enabling development of health. • Health services should more orient on health promotion and support.

  9. WHO - Key strategies of health promotion • Strategy on environment and children health (2002) • Global strategy on nutrition, physical activity and health (2003) • Framework convention on tobacco control (2003) • European action plan against alcohol (2003) • Declaration on mental health for Europe (2005)

  10. EU Health Policy(Amsterodam Treaty, art. 152) Goals: • Eliminate risks affecting health, • Strengthen health protecting factors, • Improve life style and quality of health, • Decrease incidence of diseases by screening, early detection a early treatment, • Contribute to the reduction of costs on health care.

  11. National Health Programme • Short-term strategy approved by government in 19991 • Middle-term strategy approved by government in 1992 • Long-term strategy approved by government in 1995 Health for All 21 approved by government in 2002

  12. National Health Programme Goals: • Increase the knowledge of people on healthy life style • Increase the knowledge of people on possibilities of disease prevention • Encourage changes of behaviour • Create coalitions for health promotion in the society

  13. HEALTH PROMOTION STRATEGIES • According to WHO • Workers at workplace : Health promotion activities can be carried out at workplace because of following reasons --Capitative population -- physical facilities --- availability of resources -- easy to do follow up

  14. Conti.. • for employees • Saves time • Saves money • Decreased stress

  15. Adolescents • To reduce behavioural & life style problem • To prevent risk taking behaviour such as rash driving, indulging in sexual activities • Promotion activities include • Developmental process changes • Disadvantages of unprotective sexual act • Nutrition

  16. Conti… • Accident prevention • Healthy life style • Emotional & mental health • Hygienic conditions • Health assessment • Physical exercises • Counseling

  17. Conti.. • Elderly • Women & children • Legislative approach law related to prevention of motor vehicle accidents should drive without consuming alcohol Use of seat belts ,helmets.

  18. STRATEGIES • Proper health system • Safe environment • Public participation • IEC • Health research • Welfare programmes • Healthy life style • Public participation

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