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Dr. Dalia El-Shafei
Assist.Prof., Community Medicine Department, Zagazig University
1) Define health promotion.
2) Identify different types of health promotion programs.
3) Demonstrate how to develop and assess health
4) Identify problems facing health promotion in
Any combination of health education
& related organizational, economic &
political interventions designed to
facilitate behavioral & environmental
changes conducive to health.
Process of enabling people to increase
control over the determinants of
health to improve their health.
Positive concept to health,
strengthening the reserves for, and
reducing the risks to health.
CRITERIA FOR DEVELOPMENT OF HEALTH PROMOTION
Address one or more risk factors which is carefully defined, measurable, modifiable &
prevalent among the members of chosen groups, factors that constitute a threat to the
health status & quality of life of target group members.
Reflect a consideration of the special characteristics, needs, and preferences of its
Include interventions which will clearly and effectively reduce a targeted risk
factors and are appropriate for a particular setting.
Identify & implement interventions which makes optimum use of available
Should be organized, planned, and implemented in such way that its operation and
effects can be evaluated.
TYPES OF HEALTH PROMOTION PROGRAMES
HEALTH PROMOTION ELEMENTS OR APPROACHES
All three approach are part of package
All efforts are done to increase health for all life stages and
Since needs of people vary according to their stage in life cycle
or their gender, the population approach encourages initiatives
that focus on health needs and contributions of people at every
Focuses more on behavior of individuals and how their decisions
and actions can lead to healthier outcomes
HEALTHY SURROUNDINGS (SETTING)
HOW TO ASSESS HEALTH PROMOTION
↓ Health care
Role of individual in
• Health awareness.
• Early seeking medical
• Compliance to treatment.
• Healthy habits &lifestyle
• Good nutrition.
• Genetic counseling.
• Change bad health
Role of government in
• Health services.
• Health policy.
• Laws & legislation.
• Environmental health.
• Sufficient budget for
• Co-operation of all
The 1st international conference on health promotion
was in Ottawa in 1986.
5 PRIORITY ACTION AREAS FOR HEALTH PROMOTION WERE
OUTLINED IN THE OTTAWA CHARTER
Central to the global
Core responsibility for all
Key focus of communities
& civil society
Requirement for good
THE 4 KEY COMMITMENTS NEEDED TO MAKE GLOBAL
PROMOTION OF HEALTH
• To close the health gap between rich and poor and to address all the harmful effects of trade
products, services and marketing strategies.
HP should be central to the global development agenda:
• Because health is a major determinant of socioeconomic & political development, governments
must give priority to investments in health, within and outside the health sector and provide
sustainable financing for health promotion.
HP should be a core responsibility for all of governments:
• As they often lead in initiating, shaping and undertaking health promotion, they need to have
the rights, resources and opportunities of sustainable contribution. They support for capacity
HP should be a key focus of communities and civil society:
• Private sector has a responsibility to ensure health and safety in the workplace, their employees,
their families and communities. Protect from global environmental change by complying with
HP should be a requirement for good private practice:
PROBLEMS FACING HEALTH PROMOTION IN DEVELOPING
Poverty Economic priority Education deficiency Political instability
Double burden of
Speed of change