Health Promotion in the 21st Century Future Directions

1
Health Promotion in the 21st Century Future
Directions

• Week 12

2
Health Promotion Recap

• Historical evolution of concepts of health
  health promotion
• Models of health Clinical /Role function
  /Adaptation /Eudaimonistic
• Approaches to health promotion
• Behavioural Lalonde Report 1974
• Socioenvironmental approach Ottawa Charter 1984

3
Health Promotion Recap (cont.)

• The Ottawa Charter adopted the WHO (1984)
  definition of health
• Health is viewed as the extent to which an
  individual or group is able, on the one hand, to
  realize aspirations and satisfy needs and on the
  other hand, to change or cope with the
  environment. Health is seen as a resource for
  everyday living not the object of living. Health
  is a positive concept emphasizing social and
  personal resources as well as physical capacities.

4
Ottawa Charter for Health Promotion

• Fundamental conditions/resources for health
  peace, shelter, education, food, income, stable
  ecosystem, sustainable resources, social justice,
  equity
• Strategies for health promotion
• Advocacy for health at all levels areas
• Enable people by providing opportunities
  resources
• Mediate coordinated action by governments, social
  economic sectors, volunteer organizations

5
Epp Report

• 3 major health challenges reducing inequities,
  increasing prevention enhancing coping
• Identified mechanisms to address self-care,
  mutual aid healthy environments
• Specific strategies were also identified
  fostering public participation, strengthening
  community health services coordinating healthy
  public policy

6
Strategies for Population Health - Determinants
of Health

• Income social status
• Social support networks
• Education
• Employment working conditions
• Physical environments
• Biology genetic endowment

• Personal health practices coping skills
• Healthy child development
• Health services
• Gender
• Culture
• Social environments

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What will be the focus of health promotion
activities in the future?

• How will we decide what directions to take?
• Research statistical data collection to
  determine what the current key health issues in
  Canada are.
• What are the current key health issues in Canada?

8
Advisory Committee on Population Health outlines
3 priorities for action

• Renewing reorienting the health sector
• Investing in the health well-being of key
  population groups
• Improving health by reducing inequities in income
  distribution and in literacy education

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Discussion Questions

• What areas of health promotion have been
  successful in improving the health of Canadians?
• What areas of health promotion still need to be
  addressed?
• What are key population groups in Canada that are
  particularly vulnerable to poor health outcomes?
• What are key strategies to address the needs of
  these population groups?
• Summarize the potential effects of persistent low
  income on health risk.
• Who are the key population groups that are
  effected by persistent low income and why?
• What is the influence of literacy access to
  education on health risks?

10
A Vision for the Future (THF pg. 188)

• Positive, supportive living and working
  conditions in all communities 
• A safe, high-quality physical environment 
• Opportunities for healthy development and support
  for individual choices that enhance health and
  foster independence 
• Appropriate and affordable health services that
  are accessible to all 
• Reductions in preventable illness, injuries and
  premature death

11
How can nursing contribute to this vision?
RNAO response to Romanow Report
RNAO Speaking out Ontario
CNA Position Statements