Reaching the

1
Reaching the Disadvantaged

• We Love Eating
• PAU education project
• Scientific board and city coordinator meeting
• Barcelona
• 16 June 2014

2
8 Action Verbs

• 1. Contextualise
• 2. Identify
• 3. Universalise
• 4. Exchange
• 5. Integrate
• 6. Demonstrate
• 7. Counter
• 8 Learn

3
Contextualise Enjoy Shopping for Healthy Food
4
Enjoy Cooking
5
Enjoy colourful fruits and vegetables
6
Enjoy Physical exercise
7
Enjoy Drinking Water
8
Enjoy eating together
9
IdentifyAbout 1 in 2 persons have inadequate or
problematic health literacy (HLS-EU Consortium
2012)
10
European Health Literacy Survey-ToolWhat does it
measure ?Accessing, understanding , appraising
and applying
11
Why is Health Literacy important

• Health Outcomes of Weak Health Literacy
• Poorer health choices
• Riskier behaviours
• Less use of preventive services
• More delayed diagnoses
• Poorer understanding of medical conditions
• Less adherence to medical instructions
• Poorer self-management skills
• Increased risk of hospitalization
• Increased mortality risk
• Higher health costs

12
WHO Healthy City publication includes
attributes of health literate http//www.euro.wh
o.int/en/health-topics/environment-and-health/urba
n-health/publications/2013/health-literacy.-the-so
lid-facts
13
Social Gradient
14
Universalise
15
Exchange

• Messages from poorly reached
• Know more about us.
• Reframe hard-to-reach as poorly-reached
  system failures.
• View immunisation as one part of larger health
  challenges.
• Integrate us into mainstream programmes.
• Involve us in all stages of programmes aimed at
  enhancing our inclusion and health.
• Adapt governance and health systems to be more
  inclusive.
• Health Mediators and other community health
  workers are critically important resources they
  need to be supported.
• Be accessible and respectful.
• Beware of incentives that could be viewed as
  bribes for compliance.

16
Integrate
17
Demonstrate

• Attributes of Health Literate City
• Provides political leadership
• Measures/Integrates
• Trains workforce
• Engages with target populations
• Applies universal precautions
• Aids navigation
• Provides understandable materials

18
Counter
19
Learn
20
Thank You

• franklin_at_whcaonline.org
• www.whcaonline.org
• Twitter- _at_franklinapfel