HLTH200 Lecture Notes - Lecture 11: Southern Sydney, Relative Risk, Demographic Transition
28 May 2018
School
Department
Course
Professor
Week 11 Lectures
Health Promotion in Low Income Countries
• Complex social problems require innovative solutions
• Shifting in the genre of health promotion
• Primary health care, health promotion, sport 4 dev/social change, social
innovation
Determinants of health
• According to the framework presented, it is not individual behaviour alone
that determines health outcomes
• There are a numver of other factors such as those related to general
background including culture, resources, socioeconomic characteristics etc.
National key result areas
• Pillar 1: sustainable and equitable socio-economic development
o Sustained economic growth
o Poverty and reduced/MDG + achieved
o Food secure and sustainable
o Full employment
o Needs of vulnerable group addressed
• Pillar 2: presv. and promotion of culture
o Historical, cultural property and Bhutanese identity promoted and
preserved
o Indigenous wisdom, arts and crafts promoted for sustainable rural
livelihood
• Pillar 3: conservation and sustainable environment mgnt.
o Carbon neutral/green and climate resilient development
o Sustainable management and utilization of natural resources
o Integrated water utilization and management
o Imp. Disaster resilience and management mainstreamed
• Pillar 4: good governance
o Improved public service delivery, motivated public servants GPMs
o Democracy and governance strengthened
o Gender friendly environment for women’s participation
o Corruption reduced
o Safe society
Process –
• WHO preliminary constulative visit
• Field visits/interviews with key stakeholds → ABB/HR consultative visit
• Multisectoral stakeholder workshop → multisectoral stakeholder debrief →
development NHPPS 2013-2018
Key findings, field visits: health facilities
• Strengths
o Highly motivated and dedicated staff
o Appreciation of need to go beyond IEC
find more resources at oneclass.com
find more resources at oneclass.com
o Existing HP initiatives (e.g. gardens)
o Integration of traditional medicine
o Community health section in district hospitals
o Frequent outreach clinics
o Connection with communities via VHW
• Challenges
o Limited staff to address multiple roles and responsibilities and client
demands
o Overemphasis on IEC- questionable impact
o VHW home visits competes with peoples’ priorities
o VHW have limited capacity beyond advice (eg cow shed locations,
latrines)
o VHW role needs formal acknowledgement and supportive mechanisms
at LG level (eg uniforms, transport)
o Infrastructure (eg lack of water, sanitation,)
o Supportive mechanisms for promoting institutional deliveries
o Early help seeking behaviours (traditional/spiritual healers first point
of contact
o Lack of supportive legislation for enforcement of health policies (eg
cow shed)
o Retention of VHWs
Key findings, field visits: schools
• Strengths
o Existing HP policy
o Highly motivated and dedicated staff
o Appreciation of need to go beyond IEC
o Some focus on physical activities
o Student health cards
o Designated school health coordinator
o Some health issues integrated within related curricula subjects
o Green day
o School clubs
o Gardens and some MOA connection
• Challenges
o Turnover of trained HP coordinator
o Capacity building
o Sports infrastructure
o Transport, students to and from lacking
o Sanitation facilities
o Personal hygiene practices
o Competing roles for health coordinator (teacher/ health care provider)
o Gap between international standards in HP schools and capacity
o Limited opportunities for regular, structured physical activity
o Communicable diseases (prevention of spread)
Key findings, multi-sectoral stakeholder workshop
• Increased involvement of CSOs
• Coordination, engagement with and empowerment of CAGs
• Lack of sanitation/hygiene policy (only exists in draft)
find more resources at oneclass.com
find more resources at oneclass.com
• Creating supportive environments (eg road infrastructure, recreation and
physical activity)
Conceptual overview of National Health Promotion Plan and Strategy (NHPPS)
• Goal
o Promote health and happiness through Intersectoral Collaboration
(HiAP)
• Health promotion intervention areas
o Implementation of Healthy Policy at government and organisational
level; Legislation and Regulation; Economic Intervention; Creating
Supportive Environments; Community Empowerment; Raising Public
Awareness and Engagement; Targeted Interventions; Strategic
Coordination and Building Partnerships; Capacity Building
• Broad strategic directions
o Healthy settings
▪ HP schools; HP health instutions; health villages/towns;
healthy cities
o Capacity building
▪ Within HPD, within health, sector, within other sectors
o Priority health concerns
▪ NCDs, nutrition, water and sanitation, road safety and injury
prevention
o Innovation for sustainability
▪ HP foundation?
Capacity building
• Other sectors, based on situation analysis:
o HP sensitization at policy level
o Develop and implement appropriate training of staff
o Other training/capacity building as required as NHPPS progresses
Football united (creating chances) 2006-2014: humanitarian refugees
• Practical → new languages, cultural and societal values
• Emotional → traumatic experiences
• Can often result in issues of disaffection
• Enabling newly arrived to join the scene
o Too hard, not hR cost, effective
o Issues → financial, cultural, logistic
• Participation in community sport as currently practiced, is largely not possible
for many socio-disadvantaged youth
Sport for development/social change
• Intentional use of sport, physical activity and play to attain specific
development and peace objectives
• Relatively new approach in the field of social development
o 2003 → the UN GA adopted a resolution affirming its commitment to
sport as a means to promote education, health, development and peace
o Established UN Office on S4DP (UNOSDP)
• 2004
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Health promotion in low income countries: complex social problems require innovative solutions, shifting in the genre of health promotion, primary health care, health promotion, sport 4 dev/social change, social innovation. Determinants of health: according to the framework presented, it is not individual behaviour alone that determines health outcomes, there are a numver of other factors such as those related to general background including culture, resources, socioeconomic characteristics etc. Disaster resilience and management mainstreamed: pillar 4: good governance, improved public service delivery, motivated public servants gpms, democracy and governance strengthened, gender friendly environment for women"s participation, corruption reduced, safe society. Process : who preliminary constulative visit, field visits/interviews with key stakeholds abb/hr consultative visit, multisectoral stakeholder workshop multisectoral stakeholder debrief development nhpps 2013-2018. Increased involvement of csos: coordination, engagement with and empowerment of cags, lack of sanitation/hygiene policy (only exists in draft, creating supportive environments (eg road infrastructure, recreation and physical activity)
