HLTA02H3 Lecture Notes - Lecture 4: Radical Change, Nayak (Title), Tilford
Document Summary
Health promotion: oppression dehumanizing, cruel, unjust, or exploitive treatment or exercise of authority or power, empowerment process through which people gain greater control over decisions and actions affecting their health. 1840+: sanitary phase focus on environmental engineering to provide clean water, sanitation, improved housing, etc. 1910+: education focusing on educating the public about cleanliness, personal behaviour, and personal responsibility for their own ill-health and health. 1930+: therapeutic phase medicalization of public health & strongly associated with the prevention of ill-health through biomedical interventions (vaccines, antibiotics, etc. ) 1970+: the new public health attempt to revive ph and hp and respond to widening health inequalities and increasing cost of health care provision in an ageing society. Prerequisites for health (ottawa charter for health promotion, 1986) This applies equally to all women and men. Major ethi(cid:272)al principles informing hp: autonomy, beneficence, non-maleficence, justice. Autonomy respect for the rights of individuals, and their rights to govern their own lives.