HSCI 130 Week 11

The framework guiding “Participaction”

Focuses: Social Marketing(selling behavior), Communications, Partnerships

1. Inspire physical activity

2. Consistent and uniform message across physical activity sector

3. Partnerships between organizations to promote physical activity

4. Canada physical activity databases

5. Evaluation of all activities

Lalonde Report

• 1st major government report arguing that formal healthcare is not the most important determinant of health.

• Emphasized lifestyle and personal responsibility.

• 4 major categories: Lifestyle, Human biology, environment, healthcare organization

• Blames victim, health inequalities are not addressed or reduced

Ottawa Charter for Health Promotion

5 action areas:

• Strengthen community action

• Create supportive environment

• Build Health Public Policy

• Develop personal skills

• Reorient Health system

Removing inequalities between income groups as important goal of policy

Focuses on social determinants of health

Pre-reqs for health

peace, shelter, education, food, income, stable ecosystem, sustainable resources, social justice, equity.

Health promotion

process of enabling people to improve and increase control of their health. (socially and environmentally > individually)

Healthy Public Policy

• Health on agenda of policy makers in all sectors (Law, rules, regulations)

• Principle: Make the healthiest choice the easiest choice.

• Some designed to make unhealthy behaviours more difficult, others influence/ change behaviour

Advocacy

1. Working with others to identify areas that cause change

2. Finding partners 

3. Encouraging public dialogue

4. Persuading decision-makers

5. Following up

Example of Public Policy

• Legislation

• Fiscal measures

• Taxation

• Organizational change

 Create Supportive Environments

• Principle: Taking care of each other, communities and natural environments

• Work & Leisure source of health

• Generate SAFE, STIMULATING, SATISFYING AND ENJOYABLE living & working conditions.

• E.g. worksafe initiatives, quitline(supportive social environments), supportive physical environments, recycling programs

Strengthen Community Action

• Principle: Empowerment of community

• Give community sense of ownership over health promotion programs

• E.g. community health centres with local board members

Develop personal skills

• Principle: Individuals need support to change health

• Life skills, coping skills, financial literacy

• E.g. Attending classes that teac

Reorient Health System

• Principle: shift emphases in “health care” to health promotion

• Move away from curative services to preventative health promotion

• E.g.: dietary advice during consultation, prescribing exercise programs, funding health promotion initiatives out of budgets of hospitals

Health Promotion: CPHA

• Addresses health issues in context

• Holistic approach

• Long-term perspective

• Balance between centralized & decentralized decision making on policies

• Multisectoral 

• Knowledge from variety of sources

• Public accountability

Agency always constrained by Structural Conditions