Health promoters advocate for people’s rights to good health, social equity, health equality and social justice at an individual, community or national level. The focus of healthpromotion is to empower people and communities to take control of their health and wellbeing, according to the HealthPromotion Forum of New Zealand: Runanga Whakapiki Ake i te Hauora o Aotearoa.
promotion strategy document emerging in 1986, which indicated that ‘health’ is wider than ‘healthcare’ and that health education alone cannot bring about improved health (World Health Organization, 1986). The Charter attempts to address both structural forces that influence health (e.g. policy, environment) and also the individual health choices (agency) that people make (Rütten & Gelius, 2011). The Charter provides five principal areas for action: building healthy public policy; creating supportive environments; strengthening community action; developing personal skills; re-orientating health services (WHO, 1986). These five areas have continued to provide a useful framework for the delivery of healthpromotion and public health programmes (Kickbusch, 2003) and authors claim that the Charter has had a “phenomenal influence” on the development of healthpromotion practice over the past two decades (Nutbeam, 2008, p.436). Despite this endorsement, the explicit application of the Charter to prison settings has been rarely considered (although see Ramaswamy & Freudenberg, 2007; Woodall & South, 2012).
The economist Amyata Sen (1981) sees the issues related to food as about the entitlements one has, famine he argues is rarely the result of a lack of food but of a lack of entitlement. Sen says that famine ‘ is the characteristic of some people not having enough food to eat. It is not the characteristic of there not being enough food to eat.’ Famine is a consequence of people lacking the entitlement to access the available food. This is an important distinction as in the old global order the nation states had some commitment to their citizens and ensuring entitlement, however this was manifested (eg food welfare schemes). The new order owes no such allegiance to its customers. Yet healthpromotion practice acts or reacts in a way that suggests that famines are new phenomena as opposed to age old occurrences influenced by weather and national conditions but also by markets and global trade (Davis, 2002).
We are pleased to invite you to participate in the Southeast Service Cooperative Member HealthPromotion Support Program for your employees and their families. This program offers prevention- oriented healthpromotion services that can help you and your employees get fit, stay fit, and manage your health. SSC Member organizations that participate in the Health Insurance Pools receive an added value and opportunity for funding assistance for the coordination and implementation of your local healthpromotion program. The following information answers the most commonly asked questions about the HealthPromotion Program.
In this course, students learn concepts and acquire skills which are necessary for successful community healthpromotion and development programs. They study the basic principles of community organizing and critique current trends of community development practices using relevant literature. Students also investigate alternative approaches necessary to improve on community development practices through applications in the field.
Considering the prevalence of teenage pregnancy and STIs in young people described previously, feasible, low-cost sexual healthpromotion interventions in schools are greatly needed. Video-based intervention is time and cost effective, and can be used repeatedly (Ferland, Ladouceur, & Vitaro, 2002; Torabi et al., 2000). There are a number of reasons why visual media deserves exploration for its potential for learning and behaviour change within the school setting. A video combines more ways of providing information than other media (e.g. text), allows learning through both verbal and visual means (Wetzel, Radtke, & Stern, 1994), and may be better able to capture students’ attention (Ferland et al., 2002). Some research suggests that, when dealing with young people, simply conveying information is not enough to create positive effects (Donaldson, Graham, Piccinin et al., 1997; Van der Pligt, 1998). A medium that can capture students’ attention and interest is essential for an effective intervention. However there are very few published trials which utilise video interventions in a school setting as the primary and sole intervention method. Typically video education comprises one element of a multi-modal intervention.
716 existence of laws in the workplace, many of the exposures and risk situations, are inevitable. It's crucial for hospitals to benefit from healthpromotion policy. Based on our current knowledge about the importance of lifestyle factors related to the treatment and prognosis of diseases, all hospitals must develop policy, consulting services, training and support of healthpromotion as an integrated part the course of a person's disease and staff. The impact of healthpromotion policy in hospitals is based upon descriptive studies and in this area a low level of evidence is available(4)." "In addition, hospitals are dangerous workplaces of physical threats (like contacting with biological, chemical, and nuclear agents) mental (like stress and night shifts), and social (including night shifts as a factor in social life, and conflicts). Working conditions has the immediate impact on health that in this situation it should be dealt with and hospitals organizations are responsible for these effects and must use these three strategies to improve the health of the employees. The hospital can provide Individual or group services to protect their employees against occupational disease and enable them for the management of diseases and healthpromotion (4).
This study aimed to analyze the contributions of Popular Education in Health for the elderly empowerment in the community context. It is characterized as a qualitative research, type action research, which were studied issues related to prevention and promotion of health of the elderly in the community set- ting, through the Popular Education in Health, among the Project activities extension “Popular Education and Health Care for the Family (PEPASF)”, the Federal University of Paraíba, in João Pessoa, PB, Brazil. The participants were 40 elderly (but here we used the answers of three of them), 90 students (but here we used the answers of three of them) of design and 3 professionals (here we used the answers of one physician and two community health work- ers), from local health services. The analysis showed the implication of expe- rienced by the People’s Education care so to promote the health of the elderly in the empowerment perspective, promoting new attitudes in the face of situ- ations of life. It was noticed that care so developed by PEPASF contributed to the promotion of the health of the elderly followed, encompassing the dimen- sions, social, physical and subjective, inherent in the human being. By valuing aspects of the subjectivity of the elderly, the project has expanded the pros- pects for comprehensive healthpromotion, demonstrating significant benefits to improve the quality of life of these people, opening new horizons for the search for autonomy and empowerment, as well as the transformation unjust and exclusionary social realities.
Finally, data were extracted by the model instrument and validated for data collec- tion  and then organized into two frames, where the first of them contained: pres- entation of studies, references, place of study, objective, method database. The second framework was composed of the item “healthpromotion” after established the FHT as- sistance model. This framework was illustrated by counting the number of times each result appeared being grouped by similarity. These groupings emerged the potential, weaknesses and challenges. These results were presented descriptively and analyzed in the literature light.
Health management is considered as an all-embracing task. Occupational Health department specialists play an integral role in job design and work re-organisation. Healthpromotion is emphasised both in production methods and techniques used and in the specific health qualities of end products.
In this series we examine individual healthpromotion interventions, yet, as mentioned already, programme de- signers must consider multiple strategies to simultan- eously address the factors that affect care-seeking and care practices in the home. Other authors have grappled with how best to ensure implementation of complex in- terventions is ‘as right as feasibly possible’ in real-world conditions , and some suggest that for interventions that are unsuccessful, research-based evidence should help determine whether “the intervention was inherently faulty (that is, failure of intervention concept or theory), or just badly delivered (failure of implementation)” . We were unable to make these assessments based on the papers in this series. Nevertheless, the papers propose that interventions may often not achieve their desired objectives because of lack of attention to import- ant issues at the design and implementation stages and because of failure to engage with intended beneficiaries and the wider community. With robust formative re- search, including careful consideration of the contextual factors highlighted in this series, programmes will be better able to implement interventions that improve ac- cess to and use of skilled care, during pregnancy, child- birth, and after birth. A participatory approach that encourages dialogue between different actors including women, men, community members and health providers appears to be an important feature for success.
Expert for Holland indicated the Regional Public Health Centers (GGDs), Centrum Gezonde Leven and health/ public health professionals. GGDs are involved in different activities focused on prevention of infectious diseases, sexually transmitted diseases, vaccination programs, environmental health and many others, including also community health prevention activities related to the elderly (wpg). The Centrum Gezonde Leven (CGD) activities are connected to HP and prevention. CGd acts within the structure of the Dutch National Institute for Public Health (RIVM), focuses on the effective local HP activities. The questionnaire responses indicated also HS professionals: a) physiotherapist, dieticians & mental health practitioners; b) general practitioners (GP’s). On the basis of Dutch law, municipalities (gemeente) are responsible for HP and prevention activities (the idea of HPA understood as a community interest sphere). The Dutch Association of Mental Health and Addiction Care (GGZ) was also included into HS. CGD is responsible for education of elderly, developing, support and realization of HP and HP4OP (prevention of depression, loneliness, promotion of active movements, accidents and fall prevention, healthy nutrition, monitoring health status). In the Netherlands the right of elderly to healthpromotion is being underlined,
Well established healthpromotion concepts include a commitment to social justice and equity, holistic and ecological conceptions of health, addressing the complexity of individual level and environmental determinants of health, the empowerment and participation of people (International Union for HealthPromotion and Education, 2007; Porter, 2006; Tremblay & Richard, 2011), a salutogenic approach (Antonovsky, 1996; Robison, 2004; Robison & Carrier, 2004) and evidence-based practice (Hulme-Chambers & Walker, 2012; Lin & Fawkes, 2007; McQueen, 2001; Nutbeam, 1996, 1999; Raphael, 2000; Rychetnik & Wise, 2004). These concepts align with concepts of other critical science disciplines. However, there is some criticism within the healthpromotion field that healthpromotion still needs to establish its theoretical foundations to achieve its purported goals and aspirations (Antonovsky, 1996; Buchanan, 2006; Eriksson & Lindstrom, 2008; Lowe, 2002; Lundy, 2010; Raphael, 2000; Tremblay & Richard, 2011). Authors of this paper posit that to strengthen the discipline’s theoretical foundations, greater attention to the realisation of the underlying critical and strength-based concepts, or values and principles (Gregg & O'Hara, 2007a) of global strategic healthpromotion policies and charters is necessary. They also assert the need to learn from other disciplines that have chartered similar waters, for example, critical social science.
attempt a small-scale process evaluation, or audit, of the participants’ perspectives of the project. This may be preferable to no evaluation at all, for at the very least, practitioners will want to know if the intervention had any negative consequences for the participants. If you can only manage a limited evaluation, then practitioners need to ensure that core aspects are evaluated, and recognise that the results are unlikely to be generalisable to other settings. Because most funded healthpromotion projects are usually short, process, or impact evaluations are more realistic for healthpromotion practitioners, than outcome evaluations. 12
The topic of ethical practice in healthpromotion demands a critical analysis that includes the historical, social and political perspectives that underpin ethics; and the often incompatible, imprecise and rarely debated ethical principles that underlie healthpromotion practice, 2,3 and pose dilemmas in practice. 4 For example, there is tension between ecological approaches to healthpromotion and those that focus on an individual’s lifestyle ‘choices’. Furthermore, healthpromotion ends are largely sought after as if they are an unequivocal ‘good’. 1 The need for such debates is growing 1,2,5-7 as the ethical foundation of public health has been assumed rather than clearly identified 8,9 .
Healthpromotion is a broad concept that includes the physical, mental, and social well- being whereby individuals must have the necessary level of power in order to identify and realize a positive insight that focuses on the dimensions of social and personal health (WHO, 1986). The process of enabling, and what is seen as enabling, is shaped by the paradigm and construct of health used in research and/or practice. Major healthpromotion paradigms are identified as interpersonal, social, and behavioural and each model is associated with particular definitions and theories, which in turn, guide the values and goals that are incorporated into a research process (Goetzel et al., 2011). In the 2010 an evidence-informed framework was developed on the implementation of patient-centred health risk assessment (HRA) tools for providers, policymakers, health plans, payers, researchers, and consumers (Goetzel et al., 2011). These improved health outcome measures identified patients’ variable health risks and provided follow-up behavior changes and interventions that could be implemented over time. As well, research has considered subjective assessment tools such as self-report health surveys to be a significant link between disease severity and quality of life health outcomes (Bayliss, Ellis, & Steiner, 2005).
medications as part of their core obligations under the right to health; failure to take reasonable steps to ensure that people who suffer pain have access to adequate pain treatment may result in the violation of the obligation to protect against cruel, inhuman and degrading treatment” p1. Moreover, the politicized nature of healthpromotion is about “representing marginalized populations, advocating equity, giving voice to the powerless and educating people in civic rights, democracy and politics, that is, in citizenship. In this respect, healthpromotion represents a humanist discourse aimed at creating a more equal and just society” : p608).
With the increasing number of Mexican Americans in our population, culturally competent care to diverse groups of people is critical and informed through new research. Existing research affirms these women are underserved and under-researched with poor resources, knowledge deficits, disadvantaged living conditions, and marginalization experiences that lead to alarming cardiovascular risk (R. C. Becker, 2005; Christian, et al., 2007; Gierach, et al., 2006). A younger Hispanic subgroup that is expected to grow exponentially as a proportion of the total US population, Mexican-American women are in a position to greatly benefit from new research (Office of Minority Health, [OMH], 2006; Therrien & Ramirez, 2000). Healthpromotion research, however, in this subgroup is limited, making it a priority area. Future development of sex-specific and culturally sensitive strategies to promote heart-healthy lifestyles in this growing cohort of women is anticipated to effectively eliminate health disparities associated with CHD (Allen & Szanton, 2005; Lerman & Sopko, 2006). Study results can then inform nurse scientists and clinicians, as well as healthcare administrators and public policymakers.