Building capacity to increase health literacy K C Tang, Scientist - Health Promotion, WHO Geneva
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Transcript of Building capacity to increase health literacy K C Tang, Scientist - Health Promotion, WHO Geneva
ECOSOC Annual Ministerial Review Regional Ministerial Meeting on
Promoting Health LiteracyBeijing, China 29-30 April 2009
Building capacity to increase health literacy
K C Tang, Scientist - Health Promotion, WHO Geneva
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OutlineOutline
What type of capacity building activities are needed?
What skills and support do health practitioners need?
How can various stakeholders increase health literacy?
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What types of activitiesWhat types of activities
Organizationalcapacity
Workforcecapacity
Communitycapacity
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Workforce capacityWorkforce capacity
Two focal concerns
No shortage of practitioners
High level of competency among practitioners
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Plan health promotion and education actions
Build partnership
Empower community
Market healthy practices
Manage activities
Develop self and other professional's competency(NSW Dept of Health 1994)
Workforce capacity Competency standards for practitionersWorkforce capacity Competency standards for practitioners
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Dear Parent (as addressed),
Council records indicated that Natasha Stevens is due/overdue for the following vaccination:
TRIPLE ANTIGEN 1ST 2ND 3RD CUTPOLIOMYELITIS 1ST 2ND 3RD 4THMEASLES/MUMPS TRIPLE BOOSTER
Please present your child with this card for vaccination at the Lower Civic Hall at 2:20 PM on 14th Dec. If unable to attend or wish to change the appointment date, or you do not intend to continue, continuing elsewhere or changing address. Please contact the HEALTH DEPARTMENT, TOWNHALL, STUART STREET, BALLARAT.
PHONE 313277 (Hawe et al 1998)
Outcome of increased competency (1)
Outcome of increased competency (1)
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Outcome of increased competency (2)
Outcome of increased competency (2)
Dear Mrs Stevens,
MEASLES is still a problem, in BALLARAT, particularly for children aged under the age of 2 years. Some children suffer severe complications.
The children who are most likely to catch measles are those who have not beenimmunized. Immunization is very effective. There is almost no chance of side effects. Clinics are held at the Lower Civic Hall in Main Street from 2-3:40 PMEVERY SECOND WEDNESDAY. Immunization is free!
The next clinic is on Wednesday 14 December.If Natasha is not yet immunized against the measles you should bring him along.
Regards.
Bob ScurryHealth Department Enquires: PH 313277 (Hawe et al 1998)
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Outcome of increased competency (3)
Outcome of increased competency (3)
Results
1st week 3rd week 5th week
Usual card 40 57 67HBM card 49 68 79
% changed 9 11 12
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Organizational capacityOrganizational capacity
The capacity of MOH to promote health
Expertise of individual practitioners is necessary but not sufficient
Other capacity building action areas as well, including policy and plans, financing, information, partnership and delivery mechanisms
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Strengthening health systemsStrengthening health systems
Leadership and Leadership and governancegovernance
Service deliveryService delivery
InformationInformation
FinancingFinancing
HumanHuman resourcesresources
MedicinesMedicines & & technologytechnology
WHR 2007WHR 2007
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Partnerships among NGOs, private sector and government
Program Delivery
Professional Development
Health promotion financing
Policies and Plans
Core of expertise
Collaborative mechanisms within Government
Informationsystems
A
B
C
D
E
F
Partnership focuswithin government
Policy focuswithin government
Partnership focusoutside government
Policy focusoutside government
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Organizational capacitySADC Capacity Building ProgrammeOrganizational capacitySADC Capacity Building Programme
Zambia
0
2
4
6Expertise
Collaboration withinGovernment
Program delivery
Partnerships betweensectors
Professionaldevelopment
Information
Funding
Policies and plans
2008
2005
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Organizational capacity Health promotion financingOrganizational capacity Health promotion financing
Special levy on products
Mandatory funding from general revenue
Payments from health insurance funds
Payments from social insurance schemes
A set percentage from national health budget
Grants and loans from aid organizations
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An example of building organizational capacity An example of building organizational capacity
Advocate for expanding the finance base
Assist in the setting up Health Promotion Foundations
Develop a measure to determine health promotion spending in national health accounts
Explore the possibility of inclusion of a health promotion component in social health insurance schemes
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Community capacityCommunity capacity
ProblemSolvingability
ParticipationCommitment
KnowledgeAbout
community
Communityfacilities
Literacy
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An example of Building community capacityAn example of Building community capacity
Increase health literacy through improved knowledge, adherence and access to anti retroviral treatment of opportunistic infection among people living with HIV/AIDs in Thailand
(Aree Kumphitak et al 2004)
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An example of Building community capacityAn example of Building community capacity
Health education
Mutual support
Participation in the delivery of treatment & care
Availability of quality and affordable medicines
(Aree Kumphitak et al 2004)
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What knowledge & skills are requiredWhat knowledge & skills are requiredA workforce with the right skills mixed -
teachers, communications experts, social and political scientists, engineers, lawyers and managers
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What knowledge & skills are requiredWhat knowledge & skills are requiredHealth Care System – improved access
Government – regulatory role
Society – support for individuals' role in home based care
Media – access to reliable, understandable information
Education – school, adult and professional education
Business – employee health and safety programme(IOM Roundtable on HL, 2006)
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How to increase HL by stakeholders (1)
How to increase HL by stakeholders (1)
Govt / Civil Society / Media / Industry / Universities etc
Support research / policy analysis
Provide seed funding for sustained action
Synthesize evidence and compile technical guides
Set up demonstration projects
Train the trainers
Undertake responsible marketing
Provide quality and affordable medicines