The Global Programme on Health Promotion Effectiveness

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The Global Programme on Health Promotion
Effectiveness

• 5th Nordic Health Promotion Research Conference
•  Health and Institutional Change 
• Side Meeting Session
• Friday, June 16, 2006

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The Global Programme on Health Promotion
Effectiveness

• A programme coordinated by the International
  Union for Health Promotion and Education in
  collaboration with numerous international,
  regional and international partners.
• Catherine Jones
• GPHPE Coordinator
• International Union for Health Promotion and
  Education
• cjones_at_iuhpe.org

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The Global Programme on Health Promotion
Effectiveness (GPHPE)

• GPHPEs vision and aims
• Publications development
• Products available
• Operational structure
• Distinguishing aspects
• Monograph Volume I
• Indicators of achievement
• Next steps
• Looking forward
• Milestone event

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The Global Programme on Health Promotion
Effectiveness (GPHPE)
VISION The GPHPE is a programme intended to
uncover and find evidence for effectiveness.
This may translate into various approaches in
regions given their current capacity to carry out
this kind of research or related activities. The
intention and goal is to find answers and
solutions based on practice in order to be able
to advise on how interventions could be better
carried out based upon the evidence.
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The GPHPE aims to raise the standards of health
promotion policy and practice worldwide by

• Reviewing evidence of effectiveness in terms of
  health, economic, social and political impact
• Translating evidence to policy-makers, teachers,
  practitioners and researchers
• Stimulating the debate on the evidence of health
  promotion effectiveness.

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GPHPE Publications development

• Variety of approaches being used in the different
  regions
• Publications content should be described in
  terms of the contribution it would be making to
  health promotion
• Agreement on principle of addressing the analysis
  of health promotion effecitiveness through the
  health, economic, political and social outcomes
• Topics vary, but are complementary
• Target of 19th IUHPE World Conference as a major
  dissemination event for the wide range of GPHPE
  products

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GPHPE Products (translations)

• The Evidence of Health Promotion Effectiveness
  Shaping Public Health in a New Europe (IUHPE,
  1999)

• English
• Spanish
• French
• Russian

• Chinese
• Japonese
• Korean
• Mongolien

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GPHPE Products (global level)

• Special global issue of proceedings from the
  Francophone seminar on health promotion
  effectiveness (available)
• Special global issue on mental health promotion
  effectiveness (available)
• Special global issue on health promoting schools
  and effectiveness (available)
• Special global issue on physical activity
  promotion and effectiveness (soon to be released)
• Selection of presentations given and articles
  published on the GPHPE, its aims and goals
• Global monograph Volume I to be released in
  Vancouver, June 2007

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GPHPE Products (examples from the regional
level)

• Europe new publication on the challenges of
  getting evidence into practice
• Latin America report on state of the art of the
  evidence of health promotion effectiveness, rapid
  evaluation guide, and numerous articles and tools
• Africa conceptual framework and working paper,
  pan-African publication commissioned
• North America evaluation tool kit, website,
  framework for community efforts to create
  conditions that promote health

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GPHPE Operational structure

• Global and Regional Leaders/Coordinators
• Global Steering Group
• Partners, interested parties, collaborators, and
  independent scientific consultants across the
  globe
• Potential for creating inter-regional forum
  around particular areas of interest

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GPHPE Regional projects

• Regions focus on developing their own priorities
  and definitions of evidence of effectiveness
• Regions move at their own pace
• Regions take into account their own context and
  develop plans accordingly
• Regions have ownership of their projects, while
  at the same time being full partners in the
  global programme.

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GPHPE Distinguishing aspects

• The GPHPE
• Is a worldwide programme.
• Advocates the importance of effectiveness to
  researchers, practicitioners and decision-makers.
• Will support regional approaches, given the
  different stages of the development of the field.
• Is about drawing into the programme what can be
  learned and valued from each region while giving
  the opportunity for regions to learn from each
  other.

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GPHPE Value added

• The value added of the GPHPEs global vision is
  not only about being able to identify the
  differences between regions with respect to their
  approaches to measuring the effectiveness of
  health promotion, but is really about being able
  to identify the common threads and support the
  strengthening of those linkages and interactive
  sharing of this growing body of knowledge.

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GPHPE Monograph Volume I

• It will propose a critical reflection on the
  state of health promotion effectiveness, founded
  upon issues and questions of global relevance.
• Health promotion effectiveness will be analysed
  from both both theoretical and practical points
  of view.
• This first volume in a multi-volume series will
  set the stage for future accommodation of
  emerging areas of interest and more input from
  the developing world with a larger focus on
  non-Western views of effectiveness.

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Global Perspectives on Health Promotion
Effectiveness

• Volume I will consist of four sections
• 1- Introduction
• 2- Reports from the field
• 3- Recent fields of practice that challenge the
  assessment of the effectiveness of health
  promotion
• 4- Global debates about effectiveness of health
  promotion

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Global Perspectives on Health Promotion
Effectiveness

• 1- Introduction
• The introduction will aim to place this endeavour
  in context, in light of the major international
  initiatives and documents on health promotion
  practice and effectiveness assessment.
• The introduction will include a separate
  comprehensive chapter that will provide regional
  reports from the various GPHPE regional projects.
  This section will consist of a composite of
  answers to a set of questions on what specific
  points and issues make each given region unique,
  on the state of the art in their region, and on
  the unique aspects for their region and what
  effectiveness means in their professional and
  cultural context.

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Global Perspectives on Health Promotion
Effectiveness

• 1.1- Regional perspectives

- What is unique about your region in terms of
assessing evidence and effectiveness of health
promotion interventions? - What has made your
task to carry out your work possible and
productive? - What has made your task difficult?
- What would have made it possible to accomplish
more? - What would you consider to be your
regions five most significant accomplishments
(list of publications, presentations, etc. where
applicable)? - How would you compare and contrast
your work with that of other regions?
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Global Perspectives on Health Promotion
Effectiveness

• 1.1- Regional project contributors

- Mary Amuyunzu-Nyamongo, African Project Leader
and Coordinator - Ursel Broesskamp-Stone,
European Effectiveness Project Coordinator -
Steve Fawcett, North American Effectiveness
Project Co-Leader - Marcia Hills, North American
Effectiveness Project Co-Leader - Albert Lee,
Northern Part of the Western Pacific
Effectiveness Project Leader and Coordinator -
Marilyn Metzler, North American Effectiveness
Project Coordinator - Alok Mukhopadhyay,
South-East Asian Effectiveness Project Liaison -
Jan Ritchie, South West Pacific Effectiveness
Project Leader and Coordinator - Ligia de
Salazar, Latin American Effectiveness Project
Leader and Coordinator - Viv Speller, European
Effectiveness Project Leader
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Global Perspectives on Health Promotion
Effectiveness

• 2- Reports from the field
• This section will focus on substantive areas with
  already seemingly proven hard evidence of
  effectiveness. The authors will be faced with the
  challenge of stepping back and looking at why
  that particular area has been able to (or has not
  been able to) demonstrate effectiveness, and if
  so how it has been done (methodology, etc.). The
  author of chapters in this section will reflect
  on the following challenges What to do with any
  "insufficient evidence" conclusions? And, how to
  get evidence-based recommendations out to the
  users?

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Global Perspectives on Health Promotion
Effectiveness

• 2.1- Reports from the field
• Effective health promotion against tobacco use
  Karen Slama, Cynthia Callard, Yussuf Saloojee,
  and Bungon Rithiphakdee
• The effectiveness of mental health promotion
  Margaret Barry, Eva Jané-Llopis, Maurice
  Mittelmark, Vikram Patel, and John Raeburn
• School-based health promotion Lawry St. Leger,
  Lloyd Kolbe, Ian Young
• Community-based initiatives Marcia Hills et al.
• Policies for health evidence, negotiation and
  hypo-effects Evelyn de Leeuw
• Physical activity and effectiveness Trevor
  Shilton et al.
• Pending chapter topics Obesity, Healthy Cities

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Global Perspectives on Health Promotion
Effectiveness

• 3- Recent fields of practice that challenge
  effectiveness assessment of health promotion
• The aim of this section is to look at the subject
  areas of the chapters and see what (if any) is
  the role of effectiveness in each of them
  specifically. These are topics which are
  considered very important and their significance
  is undeniable however, they are areas where
  interventions are scarce at present.

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Global Perspectives on Health Promotion
Effectiveness

• 3.1- Recent fields of practice that challenge
  effectiveness assessment of health promotion
• Urbanisation and effectiveness of networks in
  health promotion Howard Frumkin, David V.
  McQueen, Sandro Galea, Michael Greenberg, David
  Vlahov, and Nick Freudenberg
• Peace building what can health promotion
  contribute? Anne Bunde-Birouste et al.
• Expanding the health promotion evidence base to
  enhance the effectiveness of interventions that
  address social determinants Marilyn Metzler et
  al.
• Evidence challenges that contemporary
  globalization poses to health promotion practice
  Ron Labonte
• The role of governance in health promotion
  effectiveness Marilyn Wise
• Pending chapter topics Sustainable development

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Global Perspectives on Health Promotion
Effectiveness

• 4- Global debates about effectiveness of health
  promotion
• This section is primarily a discussion section,
  where key issues and questions can be approached
  and explored in a developmental, yet critical,
  manner within certain frameworks or situations.
  Authors will consider whether or not one could
  even assess effectiveness in these areas, or if
  the terms evidence or impact have relevance for
  these areas. The content areas of the chapters
  in this section are recognised as underlying
  values of the field of health promotion, but the
  question remains as to whether or not evidence,
  effectiveness, outcomes, impact have any role in
  nurturing, guiding or developing these areas. If
  so, why and where?

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Global Perspectives on Health Promotion
Effectiveness

• 4.1- Global debates about effectiveness of health
  promotion
• Feasibility for health promotion under various
  political conditions Ligia de Salazar et al.
• Evidence David V. McQueen
• Introducing equity as a value for health
  promotion evaluation Louise Potvin, Pascale
  Mantoura, Valéry Ridde
• Measurement, methodology and surveillance issues
  Stefano Campostrini, David V. McQueen, and
  Adrian Bouman
• Development of the field of health promotion
  structurally and institutionally Maurice
  Mittelmark, Catherine Jones, Marie-Claude
  Lamarre, Martha Perry, and Marilyn Wise
• The role of theory David V. McQueen and Thomas
  Abel
• The need to develop a unique, separate set of
  tools for carrying out settings-based research
  Mark Dooris, Doug McCall, Evelyn de Leeuw
• Interactive processes in global partnership a
  case study of the GPHPE Hope Corbin and Maurice
  Mittelmark
• The IUHPE approach direct and sustained dialogue
  with decision-makers, using the evidence of
  health promotion effectiveness as the
  foundational impetus Catherine Jones, Anne
  Bunde-Birouste, Spencer Hagard, Maurice Mittelmark

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Monograph coordination team
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Ednas challenge

• Upon this gifted age, in its dark hour,
• Rains from the sky a meteoric shower
• Of facts...they lie unquestioned, uncombined.
• Wisdom enough to leech us of our ill
• Is daily spun but there exists no loom
• To weave it into fabric...
• Edna St. Vincent Millay (1892-1950)
• Huntsman, What Quarry?
• New York Harper Brothers, 1934

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Some indicators of achievement by the GPHPE will
be 1/3

• 1. Representativeness
• the extent to which health promotion initiatives
  from a diversity of countries, cultures,
  languages and peoples is represented in the
  monograph series and throughout the overall
  programme
• the extent to which health promotion
  interventions and projects are distinctively
  recognised.

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Some indicators of achievement by the GPHPE will
be 2/3

• 2. Quality of reflection
• the ability of the monograph to propose analyses
  developed to distinguish the specific features of
  effective health promotion
• the ability of an adequate number of critical
  examples from practice and other contexts to be
  sought out and presented, as well as the reviews
  of effectiveness which will take place.

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Some indicators of achievement by the GPHPE will
be 3/3

• 3. Relevance of knowledge for use
• the extent to which the knowledge obtained from
  the programme is documented in the monograph
  series and then translated into use by
  practitioners in the field
• the extent to which the knowledge obtained
  influences research priorities, as well as impact
  on advocacy for policy and decision making
• the general improvement in the knowledge-base for
  better education, training and capacity building
  of health promotion professionals.

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GPHPE Next steps

• Enlargement and strengthening of regional
  initiatives
• Increased networking and exchange across regions,
  increasing synergy to develop capacity
• Strengthening and existing partnerships
• Indentifying gaps where more research is needed
  on health promotion effectiveness

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Looking forward2010 a global health promotion
odyssey!

• GPHPE Monograph Volume II
• Demograhpic changes
• Sexual health
• Indigenous health promotion
• Ethics and health promotion effectiveness

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In what direction do we want to go?
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It depends what were searching for
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We need all of you to join us in the journey to
get there!

• Are we missing any critical work that should be
  invited for Volume I and beyond?
• What are some of the emerging issues and burning
  questions that we can already include in planning
  for the next volume?
• How can we continue to ensure that the quest for
  the collection and sharing of evidence for health
  promotion effectiveness is opened up beyond the
  borders of a Western perspective?

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GPHPE milestone event Final countdown to the
next world conference

• Assessing effectivenes of health promotion is a
  major theme of the 19th IUHPE World Conference
  on Health Promotion and Education to be held in
  Vancouver, BC, Canada, June 10-15, 2007
  www.iuhpeconference.org
• Health Promotion comes of age Science, Policy
  and Practice for the 21st Century