HLTA02H3 Chapter Notes - Chapter 7: Nayak (Title), Health Equity, Campbell Collaboration
Chapter 7 Health Promotion
Warwick et al.
Principles and Values
•WHO provides a useful set of values and principles "
Greg and O’Hara key values of health promotion:
1. Focus on upstream approaches
•One of most important considerations in HP is the need to address action on the
upstream determinants of health (fig 7.3)"
•“Upstream” to have come from a story told by Irving Zola recounted to his friend
McKinlay"
•This notion is linked to the primary and primordial lives of prevention outlined
earlier "
•If these determinants are not addressed, health inequalities will worsen and that
poorer health status In low income countries will not improve "
•Has implication for whole define as a health promotion workforce and how
governments fund health promotion work "
2. Non-victim blaming approaches
•Linked to ides about social constructionism and what influences our health, is non-
victim blaming approach to health promotion"
•Victim blaming is an approach to health education that only focuses on the individual
action, resulting in blaming people for their health behaviour and related
consequences"
•Practitioners should resist victim-blaming, as it does not show understanding of the
influence of health behaviour "
•Instead doctors should consider social and economic experiences of peoples lives
and which may explain how and why people behave the way they do "
3. Evidence base
•Been calls to strengthen the evidence base in health promotion"
•Evidence base—concerned with trying to understand which approaches and
methods of working are likely to produce the strongest health improvement "
•Produces a number of challenges for those in HP practice wishing to strengthen
evidence base "
•The principle of generating evidence by providing stronger evaluations of programs
and initiatives as they are developed and implemented and by encouraging the
utilization of the existing evidence base by practitioners, are both key principles of
practice "
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