ECOSOC Annual Ministerial Review Regional Ministerial Meeting on

Promoting Health LiteracyBeijing, China 29-30 April 2009

Building capacity to increase health literacy

K C Tang, Scientist - Health Promotion, WHO Geneva

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OutlineOutline

What type of capacity building activities are needed?

What skills and support do health practitioners need?

How can various stakeholders increase health literacy?

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What types of activitiesWhat types of activities

Organizationalcapacity

Workforcecapacity

Communitycapacity

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Workforce capacityWorkforce capacity

Two focal concerns

No shortage of practitioners

High level of competency among practitioners

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Plan health promotion and education actions

Build partnership

Empower community

Market healthy practices

Manage activities

Develop self and other professional's competency(NSW Dept of Health 1994)

Workforce capacity Competency standards for practitionersWorkforce capacity Competency standards for practitioners

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Dear Parent (as addressed),

Council records indicated that Natasha Stevens is due/overdue for the following vaccination:

TRIPLE ANTIGEN 1ST 2ND 3RD CUTPOLIOMYELITIS 1ST 2ND 3RD 4THMEASLES/MUMPS TRIPLE BOOSTER

Please present your child with this card for vaccination at the Lower Civic Hall at 2:20 PM on 14th Dec. If unable to attend or wish to change the appointment date, or you do not intend to continue, continuing elsewhere or changing address. Please contact the HEALTH DEPARTMENT, TOWNHALL, STUART STREET, BALLARAT.

PHONE 313277 (Hawe et al 1998)

Outcome of increased competency (1)

Outcome of increased competency (1)

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Outcome of increased competency (2)

Outcome of increased competency (2)

Dear Mrs Stevens,

MEASLES is still a problem, in BALLARAT, particularly for children aged under the age of 2 years. Some children suffer severe complications.

The children who are most likely to catch measles are those who have not beenimmunized. Immunization is very effective. There is almost no chance of side effects. Clinics are held at the Lower Civic Hall in Main Street from 2-3:40 PMEVERY SECOND WEDNESDAY. Immunization is free!

The next clinic is on Wednesday 14 December.If Natasha is not yet immunized against the measles you should bring him along.

Regards.

Bob ScurryHealth Department Enquires: PH 313277 (Hawe et al 1998)

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Outcome of increased competency (3)

Outcome of increased competency (3)

Results

1st week 3rd week 5th week

Usual card 40 57 67HBM card 49 68 79

% changed 9 11 12

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Organizational capacityOrganizational capacity

The capacity of MOH to promote health

Expertise of individual practitioners is necessary but not sufficient

Other capacity building action areas as well, including policy and plans, financing, information, partnership and delivery mechanisms

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Strengthening health systemsStrengthening health systems

Leadership and Leadership and governancegovernance

Service deliveryService delivery

InformationInformation

FinancingFinancing

HumanHuman resourcesresources

MedicinesMedicines & & technologytechnology

WHR 2007WHR 2007

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Partnerships among NGOs, private sector and government

Program Delivery

Professional Development

Health promotion financing

Policies and Plans

Core of expertise

Collaborative mechanisms within Government

Informationsystems

A

B

C

D

E

F

Partnership focuswithin government

Policy focuswithin government

Partnership focusoutside government

Policy focusoutside government

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Organizational capacitySADC Capacity Building ProgrammeOrganizational capacitySADC Capacity Building Programme

Zambia

0

2

4

6Expertise

Collaboration withinGovernment

Program delivery

Partnerships betweensectors

Professionaldevelopment

Information

Funding

Policies and plans

2008

2005

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Organizational capacity Health promotion financingOrganizational capacity Health promotion financing

Special levy on products

Mandatory funding from general revenue

Payments from health insurance funds

Payments from social insurance schemes

A set percentage from national health budget

Grants and loans from aid organizations

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An example of building organizational capacity An example of building organizational capacity

Advocate for expanding the finance base

Assist in the setting up Health Promotion Foundations

Develop a measure to determine health promotion spending in national health accounts

Explore the possibility of inclusion of a health promotion component in social health insurance schemes

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Community capacityCommunity capacity

ProblemSolvingability

ParticipationCommitment

KnowledgeAbout

community

Communityfacilities

Literacy

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An example of Building community capacityAn example of Building community capacity

Increase health literacy through improved knowledge, adherence and access to anti retroviral treatment of opportunistic infection among people living with HIV/AIDs in Thailand

(Aree Kumphitak et al 2004)

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An example of Building community capacityAn example of Building community capacity

Health education

Mutual support

Participation in the delivery of treatment & care

Availability of quality and affordable medicines

(Aree Kumphitak et al 2004)

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What knowledge & skills are requiredWhat knowledge & skills are requiredA workforce with the right skills mixed -

teachers, communications experts, social and political scientists, engineers, lawyers and managers

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What knowledge & skills are requiredWhat knowledge & skills are requiredHealth Care System – improved access

Government – regulatory role

Society – support for individuals' role in home based care

Media – access to reliable, understandable information

Education – school, adult and professional education

Business – employee health and safety programme(IOM Roundtable on HL, 2006)

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How to increase HL by stakeholders (1)

How to increase HL by stakeholders (1)

Govt / Civil Society / Media / Industry / Universities etc

Support research / policy analysis

Provide seed funding for sustained action

Synthesize evidence and compile technical guides

Set up demonstration projects

Train the trainers

Undertake responsible marketing

Provide quality and affordable medicines