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The Roles of Universities in Promoting Health 大學在促進健康擔當的角色. Prof. Jack Cheng Vice President & Chairman, Committee on Health Promotion & Protection The Chinese University of Hong Kong 香港中文大學 副校長 鄭振耀教授. WHO Major Charters. Ottawa Charter for Health Promotion 1986 《 渥太華健康促進憲章 》
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The Roles of Universities in Promoting Health大學在促進健康擔當的角色 Prof. Jack Cheng Vice President & Chairman, Committee on Health Promotion & Protection The Chinese University of Hong Kong 香港中文大學 副校長鄭振耀教授
WHO Major Charters • Ottawa Charter for Health Promotion 1986 《渥太華健康促進憲章》 • Bangkok Charter for Health Promotion in a Globalized World,2005《曼谷健康促進憲章》 • WHO Global School Health Initiative,1995世界衛生組織「全球健康學校行動」 Source: Milestones in Health Promotion: Statements from Global conferences, WHO, 2009 (http://www.who.int/healthpromotion/milestones/en/index.html)
Healthy Settings 健康場所 • Healthy Cities– A city that is continually creating & improving the physical, social environments & expanding the community resources that enable people to mutually support each other in performing all functions of life & in developing to their maximum potential.健康城市 -通過持續創造和改善有形環境及社會環境,擴展社會資源,使市民能夠互相支持,維持一切日常生活運作並發揮個人的最大潛能 • Health Promoting Schools– A school that constantly strengthens its capacity as a healthy setting for living, learning and working.健康促進學校 - 通過持續提升學校健康促進,創造一個健康的生活、學習和工作環境 • Health Promoting Hospitals 健康促進醫院 • Healthy Marketplaces 健康市場 • Healthy Workplaces 健康工作間 Source: Health Promotion Glossary, WHO, 1998 (http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf) WHO > Programmes and projects > Healthy Settings > Regional Activities webpage (http://www.who.int/healthy_settings/regional/en/ )
Concepts of Health Promoting University健康促進大學的理念 • Integrate health into the culture, processes & policies of the university 把健康融入大學的文化、政策和日常運作 • Whole settings approach to health promotion – equity, sustainability & health conductive living, working & learning environment制訂全面的健康促進策略,締造一個平等、可持續和健康的生活、工作和學習環境 Source: Tsouros, A., Dowding, G. and Dooris M. (1998), “Strategic framework for the Health Promoting Universities project”, in Tsouros, A., Dowding, G., Thompson, J. and Dooris, M. (Eds), Health Promoting Universities: Concepts, Experience and Framework for Action, WHO Regional Office for Europe, Copenhagen.
Goals of Health Promoting University健康促進大學的目標 • Create healthy working, learning and living environments for students & staff為師生及員工創造一個健康的工作、學習和生活環境 • Increase the health promotion & health education aspects of teaching & research在教學和研究範籌加強健康促進和健康教育元素 • Develop health promotion links with & support health development in the community建立健康促進合作網絡和支持社區健康教育發展 Source: Tsouros, A., Dowding, G. and Dooris M. (1998), “Strategic framework for the Health Promoting Universities project”, in Tsouros, A., Dowding, G., Thompson, J. and Dooris, M. (Eds), Health Promoting Universities: Concepts, Experience and Framework for Action, WHO Regional Office for Europe, Copenhagen.
Healthy Universities - Healthy Campus • Models • University of Central Lancashire (1995) • Lancaster University • University of Newcastle • University of Portsmouth • University of Dublin – Trinity College • University of Notre Dame (Indiana) • Beijing CDC Health Promoting Universities • US Department of Health & Human Services • 2010 goals of Healthy Campus • Students can learn & actively participate in shaping & maintaining a strong educational environment, personal & civic responsibilities, opportunities for enhancing individual & community health
The Edmonton Charter for Health Promoting Universities & Institutions of Higher Education,2006 • Institutionally model a health promoting culture & a sustainable working, living & learning environment 推動校園健康促進文化和締造可持續的工作、生活和學習環境 • Take action to improve the learning, working & living environments of staff & students 改善措施,以提供一個健康的學習、工作和生活環境 • Enable & support individuals to live a purposeful life & make healthy lifestyle choices 支持和鼓勵師生建立積極人生觀,選擇健康的生活模式 • Improve health services for staff & students 積極改善校園健康服務 • Encourage staff & students to accept responsibility for their own health & wellbeing 鼓勵師生正視健康的重要性,為本身的健康負責 • Encourage alumni to participate in advocacy of health promoting concepts & to be involved in institutional life 鼓勵校友支持和參與建構健康校園活動 • Prepare students as citizens committed to promoting health in their organizations & communities 提升學生健康促進的知識和技巧,將健康促進理念推廣至社區和機構 • Support health promotion in the community locally, regionally and globally 支持本地及其他地區舉辦的健康促進活動
American College Health Association–Healthy People 2010 & Healthy Campus 2010 A Systematic Approach to Health Improvement Source: American College Health Association (http://www.acha.org/Topics/hc2010.cfm)
CUHK - Moving towards a Health Promoting University香港中文大學邁向健康促進大學
March 10, 2003 SARS Outbreak! 「 嚴重急性呼吸系統綜合症」(非典型肺炎) 2003年3月10日在威爾斯親王醫院爆發 • 4 Medical Professors4名醫學院教授 • 17 Medical students (Med 3, Med 5)17名醫科三年級、五年級學生 • Other frontline doctors, nurses, HCW其他前線醫護人員 • Many Med 3 students live in CU campus在校內學生宿舍居住的多名醫科三年級學生
CUHK Campus (SARS) Task Force中大校園(SARS)專責小組 Membership 成員包括 • PVC, Chairman 副校長 • Director, UHS 保健處處長 • Information Coordinator, UHS 專責小組資訊調協員 (保健處) • Director, IPRO 傳訊及公共關係處處長 • Safety Manager 安全事務經理 • OSA 學生事務處高級主任 • Secretary, UHS 委員會秘書 (保健處) • ITSC 資訊科技服務處代表 • President, CUSA 職員協會主席 • President, CUTA 教師協會主席 • President, CUSU 學生會主席 • President, College SU書院學生會主席 • University Secretary 大學秘書長 • Deputy Registrar 副教務長 • College Coordinator 書院協調員 • Communication Coordinator專責小組聯絡員
Build up Network of SARS Working Groups建立 SARS工作小組網絡 • Faculty / Department level 學院/學系 • Administrative Unit levels 行政部門 • College and hostel levels 書院及宿舍 • Deans of Students 書院輔導長 • Wardens 舍監 • Hostel committees 宿舍管理委員會 • Hostel student involvement 宿生參與 • Postgraduate students 研究生 • Exchange students – Office of Academic Links 交換生 - 國術交流處 • Non-local students – Office of Student Affairs 非本地生 - 學生事務處 • Student Unions level 學生會及學生組織 • CU Teachers’ Association 教師協會 • CU Staff Association 職員協會 • Two-way communications 雙向溝通
Information Channel & Communication Network 溝通渠道和聯繫網絡 • Open Forums, Q & As 公開論壇和問答環節 • Senior Administration 學校管理層 • Department Heads, Unit Heads 學系及部門主管 • Staff and Students 職員及學生 • Special categories 其他組別 • Safety Coordinators 安全協調員 • Exchange students, Mainland students 交換生和內地生 • Hostel students, hostel wardens 宿生和舍監 • University Health Service Hotlines 大學保健處查詢熱線 • Student Counselling Hotlines 學生輔導熱線 • Dept / College SARS Working Group Contacts學系/書院 SARS 工作小組聯絡員 • Hostel Contacts 宿舍聯絡員
Dedicated SARS Webpage 專題網頁 • Daily updates, Chairman announcements每天更新網頁,提供最新資訊和主席報告 • Immediate clarification of rumors即時澄清不實傳聞和謠言 • Medical updates – proper information提供最新和正確的醫療資訊 • CU Forum – responses and queries中大網上討論區 - 回應師生提出的查詢 • Information Coordinator 資訊協調員 • Dedicated ITSC support – day and night資訊科技服務處日以繼夜全力支援 • Buttons – regular first-hand updating delegation專題網頁內的特定欄目 – 由相關單位負責經常更新資料 • Chinese translations 中文網頁
Policy Setup & Implementation 政策制訂執行 • Medical Care 治療 • Medical screening, fever clinic 身體檢查,發燒診所 • Policy on sick leave, maternity leave, contact leave, discharge leave病假、分娩假、緊密接觸者的假期、病人出院後的康復假期 • Policy on suspected cases 處理懷疑受感染個案的安排 • Hostel semi-quarantine measures – Special Purpose Residence部分宿舍樓層作隔離之用 – 特定用途宿舍 • Prevention & Hygiene care 疾病預防及衛生 • Cleaning and disinfection coordination 清潔和消毒工作安排 • Mask Policy and distribution 口罩政策和口罩分發安排 • Suspension of classes 停課安排 • Examination / assessment modifications 學期考試及評核安排 • Student activities & amenities 學生設施及活動安排 • Hostels – house rules, management, hygiene 學生宿舍規則、管理和衛生 • ITSC, HKIX Clean team contingency measures 資訊科技服務處及香港互聯網交換中心的應變措施
Hygiene Charter 「衛生約章」
Fighting SARS: We Care We Serve抗炎總動員 齊關心 齊盡力 • Education 教育 • Schools against SARS 健康校園齊抗炎 • Homework via the Internet 網上功課系統 • An article a day 每日一篇 • Learning in hospitals and during home confinement為留院及家居隔離學童提供學習機會 • Web-based learning 分科網頁學習 • Counselling 輔導 • Hotline counselling services 抗炎輔導熱線 • Studies on psychological reactions to SARS關注非典型肺炎帶來的心理反應和壓力
SARS fighters hailed as Asian Heroes威爾斯親王醫院前線醫護人員榮膺亞洲英雄Time Magazine on 28 April 2003
Committee on Health Promotion & Protection 健康促進及防護委員會 • Make recommendations on policies and action plans in areas of hygiene, prevention of disease on campus and promotion of health就校內有關衛生、疾病預防及促進健康各範疇,向大學提建議和執行計劃 • Coordinate the efforts and resources of various units協調校內有關部門的資源及工作 • Solicit support & develop resources from outside the university through inter-institutional/inter-programme collaborations and grants 跨院校或項目間的合作支援及發展,尋找校外資源及資助 • Monitor the progress of work & evaluate the effective implementation of the aforesaid policies, strategies and action plans 監察工作進度及評估上述政策,策略及執行計劃的成效
Advisory Committee on Health Promotion & Protection 健康促進及防護諮詢委員會 • Promote the idea of health promoting university & recommend policies & programmes in related areas推動健康促進大學理念,向大學提出相關政策和計劃建議 • Educate the on-campus community on the goals/targets for sustaining a health promoting university & health protection measures向大學教職員及學生推廣,建構健康促進大學目標,及健康防護措施 • Collaborate with external organizations & agencies, e.g. WHO, on health promotion & protection programmes與校外組織和機構(如世界衛生組織)合作,推行健康促進及防護計劃 • Membership 成員包括: • Prof. Lee Shiu-hung, Emeritus Professor of Community Medicine (Chairman) • Chairman, Committee on Health Promotion and Protection • Chairman, Senate Committee on Physical Education • Director, School of Public Health and Primary Care • Director, Centre of Health Education and Health Promotion • Director, University Health Service
CHPP webpage: http://www.cuhk.edu.hk/health_promote_protect/index.html
HealthPromoting University – Principles健康促進大學 – 原則 • A holistic & socio-ecological understanding of health對健康、社會生態學有全面的認識 • Focus on populations, policy & environments以社區、政策及環境為重點 • Campus-wide community participation全校師生一起參與 • Cooperation – interdisciplinary跨部門合作 • Communication & consensus有效溝通,凝聚共識 • Integrating health promotion into the daily activities of the university settings把健康促進理念融入大學活動中 • Sustainable integrative actions持續和綜合性的行動 • Reaching out into community把計劃由校園推廣至社區
Stanley Ho Centre for Emerging Infectious Diseases Health Promoting Units 健康促進單位 The Nethersole School of Nursing
Campus Health Ambassadors Programme校園保健大使計劃 • Launched 2003, 50-60 students trained to lead promoting & organizing health activities yearly由2003年起,每屆招收50-60名學生接受健康推廣活動培訓 • Develop positive attitudes toward health promotion 對健康促進活動,培養正面和積極的態度 • Topics - health promotion concepts, infectious diseases, food & nutrition, exercise & weight management, mental health, tobacco control, presentation & persuasion skills課程內容:健康促進概念、傳染病、食物及營養、運動和體重管理、心理健康、控煙、演講及游說技巧 • Participate in community health promoting activities, District Board Health Carnival, summer camps for schools, etc.參與社區健康促進活動,如區議會健康嘉年華活動、中學生夏令營等
Health Ambassadors –Health Promotion Projects 保健大使 - 健康推廣活動 Distributing high-calcium milk Booth on First Aid Distributing apple after assembly (03-04) Healthy Diet in Canteen Healthy Tips Electronic display board Table stand and dental floss sample Creating a good sleeping environment
Health Promotion Activities 健康促進活動 • First-aid Certificate Course急救證書課程 • Blood Donation, Organ Donation捐血運動、器官捐贈運動 • Cervical Cancer Prevention 預防子宮頸癌運動 • Hepatitis Prevention 預防肝炎運動 • Immunization Schedule 免疫注射計劃 • Osteoporosis Awareness 預防骨質疏鬆計劃 • Laboratory and Office Safety Training Courses實驗室及辦公室安全訓練課程 • Entrance Health Evaluation 新生入學健康評估
“Healthy Campus, Prosperous Life” Series of Seminars「豐盛人生、健康校園」講座系列 A wide variety of health-related topics: 講座內容包括各類型與健康有關的主題: • Parent and children relationship 家居親子 • Brain Health 7 Tips 大腦健康「七好要訣」 • Healthy Life DIY 快樂人生 DIY • Chinese medicine and health 中醫保健與食療 • Prevention of cervical cancer 預防子宮頸癌 • Bone health 強化骨質有妙方 • Running and Marathon 健康跑步與馬拉松 • Weight management and food 健康秀身,由飲食開始 • Youth drug abuse problem 迷途小丸子,青少年濫藥問題
Psychological Health 心理健康 • Task Force on the Psychological Health of CUHK Students 香港中文大學學生心理健康工作小組 • Vice-Chancellor (Chairman), Provost, PVCs, representatives from Psychology Dept, Psychiatry Dept, Graduate School, Office of Student Affairs and University Health Service 由校長擔任主席,成員包括常務副校長、副校長,以及心理學系、精神科學系、研究院、學生事務處、大學保健處代表 • Promotion of psychological health on campus, enhancement of mental health care services, student advisorsystem, provision of staff training, and Visiting Psychiatrists Scheme 在校園推廣心理健康教育,加強心理健康及預防性支援服務,提升學生輔導及諮詢服務,為職員提供培訓課程,以及與精神科醫生合作為有需要的學生提升支援
Psychological Health 心理健康 • Psychological counselling service 心理輔導服務 • Enhance psychological health awareness via group programmes, talks, pamphlets & internet 透過小組訓練、精神健康講座、 宣傳小册子、互聯網等渠道,提升對心理健康的認識 • Personal growth workshops– self-exploration, self-confidence, emotional management, communication, interpersonal skills個人成長工作坊,包括自我認識、自信建立、情緒管理、壓力處理、溝通技巧和人際關係等
uBuddies Peer Counselling Network朋輩輔導聯網 • Promote a supportive and caring culture on campus 強化校園關顧互助的文化 • Train a team of peer counsellors to help and support fellow students in adjustment to university life and studies發揮朋輩互助的精神,協助同學適應和投入大學生活 Outward bound training歷奇訓練營 Psychological Health First-aid course 精神健康急救証書課程 Peer counselling training workshop 朋輩輔導技巧培訓
Joint Institutions Student Mental Health Promotion 聯校大專生精神健康大使訓練計劃 • Training students as Mental Health Ambassadors to promote awareness of mental health in campus培訓大專生成為精神健康大使,共同推廣精神健康
Outreach Activities 外展活動 • Cadenza: a Jockey Club Initiative for Seniors流金頌:賽馬會長者計劃新里程 • Community projects 社區計劃 • Research training workshop 科研培訓工作坊 • Research 科研計劃 • Public awareness 公眾推廣計劃 • Symposium 研討會 • Training 培訓 CADENZA 18-District Programme to promote positive ageing 流金頌巡回18區公眾教育活動 CADENZA Training Programme in Gerontology 流金頌培訓計劃 Symposium 2009: Primary Care & Older Persons – Key to Medical & Social Integration 流金頌研討會2009「長者與基層健康 - 醫社合作之契機」
Outreach Projects 外展計劃 • “Stand TALL” project – Medical & rehabilitation service for earthquake victims in Sichuan「站起來」計劃 - 為四川大地震的傷者提供治療和康復訓練 • Public Health Humanitarian Initiative-advance research, practice and policy in humanitarian assistance to disadvantaged & marginalized populations人道支援計劃 -在貧困地區進行公共衛生研究及實踐人道支援計劃 • Project Vision – Medical relief project targeting at eliminating unnecessary blindness in China「亮睛工程」– 扶貧復明工程,為內地貧困眼疾病患者提供免費復明手術
Health Promoting School 健康促進學校 • The Centre for Health Education and Health Promotionof CUHK launched the Hong Kong Healthy Schools Award Scheme in 2001–WHO recognization香港中文大學健康教育及促進中心於2001年開始推行「香港健康學校獎勵計劃」- 是首個本地計劃獲得世界衛生組織西太平洋區認可及達致世界衛生組織標準的健康促進學校計劃 • Sponsorship from Quality Education Fund, the ‘QEF Thematic Network on Healthy Schools’ initiated 2010/11to establish a collaboration network in further development of health promoting school concepts & promoting to local schools 「優質教育基金健康校園網絡計劃」於2010/11學年起開展,建設一個以健康促進學校發展架構為基礎的學校支援網絡,進一步將健康校園實踐理念推廣至全港所有學校
1st Asia-Pacific Conference on Healthy Universities 2007第一屆亞太區健康大學會議 • 35 universities signed a Declaration on Healthy Universities 35所亞太區大學代表共同簽署「健康促進大學宣言」
Asia-Pacific Network of Healthy Universities亞太地區健康大學合作網絡 • Put health high on the policy & learningagenda of member institutions 共同制訂政策,提升促進健康的技能 • Promote and facilitate healthy lifestylesthrough:採納以下態度,致力推行健康生活模式 : • Leadership and commitment勇於承擔及履行承諾 • Innovation and partnership-building創新及建立伙伴關係 • Knowledge exchange & sharing experiences交流知識及分享經驗 • Capacity-building & active engagement提升能力及主動參與
School of Public Health and Primary Care 公共衞生及基層醫療學院
University Student Health Surveys 大學生健康調查 CUHK School of Public Health & Primary Caresurveys: 香港中文大學公共衞生及基層醫療學院進行的調查 : • Health survey on freshmen of 4 universities in Hong Kong, Macau, Kunming & Shantou在香港、澳門、昆明、汕頭四所大學進行新生健康調查 • Body mass index 體質指數 • Physical exercise 運動參與 • Alcohol consumption 飲酒狀況 • Drinking frequency飲酒頻率 • Smoking status吸煙狀況 • Depression symptoms 抑鬱征狀 • Pathological internet use 病態性上網 • Responsiveness of University Students to Influenza in HK香港大學生對流感的應變準備
Bachelor of Science in Public Health Programme 公共衞生理學士課程 • First undergraduatepublic health programme in Hong Kong 全港首個公共衞生學本科生課程 • Programme content related to health: social determinants, environmental impact, lifestyles, law & ethics, biostatistics & epidemiology fundamentals, emergency preparedness & disaster response, infectious disease, health services reform 課程內容:社會的健康因素、環境對健康的影響、健康生活模式、健康法律及道德、生物統計學及流行病學基礎、危急預防及災難應變、傳染病學和醫療服務改革等
Roles of Universities in Health Promotion大學在促進健康擔當的角色 Summary 摘要 • To promote & protect the health of students & staff促進和保障師生員工的健康 • To create holistic health-conducive working, learning & living environment with sustainability締造一個全面可持續和健康的工作、學習和生活環境 • To develop health promotion in teaching & research發展健康促進教育和研究 • To be a resource to promote good health practices at the university & the community at large為大學和社會提供健康促進最佳實踐方法和模範
Keys to Success 成功要訣 ? • Understanding & commitment at all levels to the idea of health promoting university全體師生認同健康促進大學理念 • Achieve organizational development for health大學發展以推動健康為首要目標 • Establish structure advocated to improve health建立支援促進健康的組織架構 • Communicate health advocating concepts across to the entire university把促進健康訊息推廣普及致全校師生 • Put concepts into self-sustaining programmes把理念轉化為可持續計劃 • Dedicated teams to develop & implement the project專責團隊策劃及執行有關計劃 • Define success criteria for process & outcomes制訂計劃成效的表現指標和跟進工作