Reychi Chen

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Healthy Community Building-Health promotion
through identifying the community

• Rey-chi Chen
• Bureau of HP
• Dep. of Health
• TAIWAN

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Top 10 Causes of Death in 2003
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• Top 10 Causes of Death
• 1993-2003 7-8 causes in chronic disease
• 1951 3 causes in chronic disease
• Prevalence in 2003 (age 40 years old and above)
• Hyperglycemia 12.7
• Hypertension 35.0
• Hyperlipidemia 16.5
• One death in cancer per 15mins in 2003

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Human Ecosystem (Hancock Perkins,1985)
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Unhealthy Behaviors
Diet
Exercise
Stress
Alcohol
Tobacco
Betel nut

Characteristics Family influences Social
Pressure Biochemistry Problems Risk of
Alcoholism Trauma
Connect sentimentBuild Socio-statusTeenagers
show their independence Accepted by peer
group Freshen up Stress release

• Knowledge
• Traditional Dietary
• Exterior Dietary
• Family and Environment
• Habit and persistence
• Consideration for Health

Genetic,PersonalityTraumaEnvironment Social
normSupport network
Not knowing the Importance Lower motivation Rely
on automation equipmet
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Sustainable Community
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Migrated from mainland China
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Temple Relocation Ilan County
Community identity -- more than 1000
personsmoved 160 meters
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Healthy Community Building

• WH0 The Declaration of Alma-Ata Health for all
  by the year 2000 (1978)
• WH0 Healthy City (1986)
• Taiwan,R.O.C. Healthy Community Building
  Program (1999)

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Healthy Community Building
The Components

• Inter-sectoral Cooperation
• Community Participation
• Community Decision Making
• Sustainability

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Strategies
Healthy and sustainable community
NETWORK
INFORMATION
RESOURCES
DECISION MAKING
Empowerment
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Technical support team and resources
Bureau of HPD.O.H.
Coordinationoffice
Public health officer
Support team
Professional
County health bureau
supervisor
community
Integrated resources
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http//hpnet.bhp.doh.gov.tw/hpnet//
Supportive network
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Issues implemented

• Friendly and caring space
• Greener landscape
• Healthier farming
• Market
• Pavement
• Sport space

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Greener landscape

• A Conner of Park at Tainan city
• The Pond of Ecology
• An Open Conference Ground
• A Leader Allocation

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Friendly and caring space

• Tamkang University in Tansui at Taipei county
• The blind resource center cooperate with the
  development association of being no obstacle
  technology

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Local market

• Haulien city
• Typical images- sticking, dirty, dampish, an
  dorous place
• People fill uncomfortable to shop
• After remodeling- a warm treasury for daily life

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Healthier farming

• Catholic Mercy Hospital in Hsin-chu County
• The dietitian and Father
• Healthier Eating Custom to change traditional
  hakka eating custom

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Pavement

• A Village of Kaohsiung County
• The Structure of Population seems Are Elders and
  Children
• The Ruined Space around The Village
• Healthier pavement

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Sport space

• A discarded cemetery in a village, Ilan county
• Workshops and Meetings
• Different opinions groups consolidate
• a Croquet Court
• A sport team was built

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The Age of Great Harmony
The world community was equally shared by all. .
good neighborliness cultivated. people did
not care for parents only their own parents, nor
did they treat children only their own children.
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Thanks for your attention
aboriginal species in Formosa