Health Promotion Strategies...•Caplan and Holland 1990 •Beattie’s 1991 •Tones and...
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Health Promotion Strategies An Overview Professor Bettina Borisch, MD, MPH, FRCPath Institute of Global Health University of Geneva Annecy, July 4th, 2019 EASO Summer School: Training the Trainers in the Prevention and Management of Obesity – Les Pensières 1-5 July 2019
Transcript of Health Promotion Strategies...•Caplan and Holland 1990 •Beattie’s 1991 •Tones and...
HealthPromotionStrategiesAnOverview
ProfessorBettinaBorisch,MD,MPH,FRCPathInstituteofGlobalHealthUniversity ofGenevaAnnecy,July4th,2019
EASOSummerSchool:TrainingtheTrainers inthePrevention andManagementofObesity – LesPensières 1-5July2019
Prof.BettinaBorisch,ExecutiveDirector
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GlobalCharterforthePublic’sHealth
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OttawaCharterforHealthPromotion
• TheOttawaCharterisaclearstatementofactionforhealthpromotion,widelyusedbythehealthpromotionsector.• TheOttawaChartercameoutofthefirstInternationalConferenceonHealthPromotionheldinOttawa,Canada,inNovember1986.Theconferenceaimedforactiontoachieve‘Healthforall’bytheyear2000andbeyond.• TheChartergavehealthpromotionasolidframework,andhealthpromotersanidentity.
Models ofHealthPromotion
• Tannahilll 1985• CaplanandHolland 1990• Beattie’s 1991• Tones andTilford’s 1994• Naidoo andWills 2000
Tannahill 1985
CaplanandHolland1990
Beattie1991
Tones andTilford 1994
• Empowerment model• Goal:enabling peoplegaincontroloftheir health• HP=publichealth policy Xhealth education• Educationis keytoempowerment• Empowerment is aim ofHP• Enhances individual autonomy
Naidoo andWills2000
1. Medcial2. Education3. Behaviour4. Empowerment5. SocialChange
Remember therole SocialDeterminantsofHealth play inhealth andthat ofpolitics,powerandreponsability!
Theparadigmofevidence-basedpublichealthwhichgrewfromevidence-basedmedicinehasbroughtwithitbothanawarenessoftheneedtoapplyrigorousevidencemoresystematicallytopublichealthandanawareness thatpublichealthinterventionsareusuallymorecomplexthanclinicalinterventionsandlesssusceptibletorandomized,controlledtrials.
WhyaGlobalCharterforthePublic’sHealth?
• NewchallengesforPHinaglobalizedworld• ContextoftheSustainabledevelopmentgoals• Classicaldeterminantsofhealth:poverty,food,water,inequity;butalsoenvironment,climate,economy• HowshouldtheglobalPHcommunitypositionthemselvestoinfluenceallactorsacrossthewholespectrum• ”Public’sHealth”
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AGlobalCharterforthePublic’sHealth
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TheGlobalCharterforthePublic’sHealth
• IsbasedontheAlmaAta,OttawaandShanghaiDeclaration• ReadsinthecontextoftheSustainableDevelopmentGoals• IsatoolforallPHactionsandnotdevotedtoaspecialtopic
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Allignsectors
Empowerpeople
MissionHealthandwellbeing
ValuesEquityAccess
21st centuryhealthleadership
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Leadershipinpublichealth
• 21st centuryleadershipinvolves• Buildingcoalitionswithotherpeopleandorganizationssothattogethertheycanachieveobjectivesthattheycouldnotachieveontheirown;• Forgingsuchcoalitionswithinandacrossthepublicandprivatesectors,civilsocietyandNGOs(collaborativegovernance)• Areasofaction:inequalityreduction?
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Areasofaction
1. Moreequitableandadequatelyresourcedpublicservicesandinstitutionscontributetogreatersocialinclusionandfairerdistributionofresourcesandopportunitiesinsociety
2. Accesstohealthservicesshouldbebasedonneedratherthenontheabilitytopay
3. Taxationofunhealthycommodities,taxationsystemingeneral4. Protectionofminorities5. Reducinginequalitythroughsocialspending6. PHtoadvocatefor,provideandsupportgoodgovernance
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Institutionsmatter/governance
• Governanceisabasicmeasureofthestabilityandperformanceofasociety• Thewaypublicfunctionsarecarriedout,publicresourcesaremanagedandpublicregulatorypowersareexercised,…
• Needs newforms ofleadership
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Negotiatingthepoliticalchoiceforhealthinthefaceofotherinterests
Creatingalliancesfor
healthoutcomes
Improvingrelationships
betweenactorsthroughhealth
Contributingtohealthsecurityandpeacebuilding
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NewFunctionsinPublicHealth
ChallengesforPublicHealthtoaddressinequity:canwemeetthem?
• Wehaveto!Inequity(exclusion)willdestroyoursocieties- instability• Thebestpredictorofastate'sstability,peacefulnessandhealth ishowitswomenandother“minorities”aretreated.(WomenStatsDatabase,VMHudson).• Populistmovementsgainsupportbyproposingashamversionofsolidarity:solidaritywithonlysomepeople– notall.• Donotletpoliticalmovementssplitpeople,thoseandthe“others”!
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PublicHealthWorkforce -ValueofFemale Leadership
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Womenmakeup75%oftheglobalpaidhealthworkforce
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4%Womencomprise
ofhealthcarecompanyCEOs
DiversitygapsinhealthcareBorisch-Erice-2019
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ImpactofdiversityintheFortune500
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Fortune500companieswithatleast3womendirectorshaveexperiencedan:
Increaseinreturnoninvestedcapital
Increase in return on sales
Increase in return on equity
66% 42% 53%
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Where’sdiversity?Thetop10leadershipcompetencies,rankedby195globalleaders
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Percentageofrespondents
Strongethicsandsafety 67% Has high ethical and moral standards
Self-organizing 59 Provides goals and objectives with loose guidelines/direction
56 Clearly communicates expectations
Efficientlearning 52 Has the flexibility to change opinions
Nurturesgrowth 43 Is committed to my ongoing training
Connectionandbelonging 42 Communicates often and openly
39 Is open to new ideas and approaches
38 Creates a feeling of succeeding and failing together
38 Helps me grow into a next-generation leader
37 Provides safety for trial and error
We would improve leadershipand increase female leadership
atthe sametime!
Thank you – Grazie– merci!
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