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PORTUGUESE PORTUGUESE HEALTH PROFILEHEALTH PROFILE
EUMAPH/ETC PH-HP
7 th Masters on Public Health
National School of Public Health
2004
A HEALTH PROMOTION A HEALTH PROMOTION PERSPECTIVEPERSPECTIVE
Historical IntroductionHistorical Introduction Early 70’s - precarious situation on the health care sector, evidenced by high infant mortality rates (58,6‰).
April's Revolution in 1974 – implementation of democracy
1979 - implementation of Health Care Centers followed by National Health Service (NHS). Free and universal
Improvement of the Portuguese health conditions are associated with financial, material and human resources development.
Nowadays, the main problems faced by NHS, besides financial crises, are the iniquity in access to health care.
National Health PlanNational Health Plan
Recently approved after a public consultation, the National Health Plan (NHP) 2004-2010 aims to integrate and make easier the coordination and collaboration of all society sectors .
Defines strategic guidelines for the activities that other institutions linked o the health ministry should assure in the context of health gains and efficiency.
The main goals are inspired by the action areas of the Ottawa Charter.
A Health Promotion PerspectiveA Health Promotion Perspective
The several health promotion programmes and projects presented here, were chosen by the 7th Masters Students on Public Health, in order to built the Portugal Health Profile – a Health Promotion perspective, using the HIA-Net support project (coordinated by Maurice Mittelmark, Bergen University).
National Programme of Integrated Intervention on the National Programme of Integrated Intervention on the Health Determinants Related with Life-StylesHealth Determinants Related with Life-Styles
Main goal:
Reducing prevalence of risk factors of non transmissible chronic diseases;
Increasing prevalence and strength of health protective factors related with life-styles trough a social integrated approach.
Proposals and Recommendations from Proposals and Recommendations from the National Council of Mental Healththe National Council of Mental Health
This project gives the guidelines that every health mental services should follow – reorientation of services.
National strategic orientations for mental health promotion by these different sectors:
education, media, individual and family counselling, crisis early intervention, occupational health improvement, social care providers training,civil society programmes
National Strategy Against DrugsNational Strategy Against Drugs
In the scope of the National Action Plan Against Drugs and National Action Plan Against Drugs and AddictionAddiction there has been instituted the Drugs Addiction Drugs Addiction Primary Prevention Municipal PlanPrimary Prevention Municipal Plan which aim to assemble efforts between the Institute of Drugs and Addiction, the municipalities and the civil society.
Priority areas: school environment, family environment, school abandon, leisure sports events.
National Programme for Prevention and National Programme for Prevention and Control of Cardio-Vascular diseasesControl of Cardio-Vascular diseases
Goals:
Increasing the epidemiological vigilance of risk factors and cardio-vascular diseases;Promoting healthy lifestyles, reducing risk factors;Empowering the citizens decision-making on health;Improving the organization of medical care – regular check-up’s.
Asthma and Chronic Obstructive Asthma and Chronic Obstructive Pulmonary Disease (COPD)Pulmonary Disease (COPD)
Main goals:
To contribute to the self-control and empowerment of patients;To promote the adherence to the pharmacological therapy;To promote a correct use of the several inhalers devices;To reduce the use of health care services (hospitalisations and urgencies);To improve quality of life
Diabetic GuideDiabetic Guide An Empowering National ToolAn Empowering National Tool
Aims health promotion and co-responsibility of diabetics self-treatment with the participation of health professionals.
Regional Health Plan 2004-2006 Regional Health Plan 2004-2006 (e.g. Azores)(e.g. Azores)
Strategic orientations: To promote an efficient, integrated health system; To invest in health promotion and disease prevention; To influence the citizens for the responsibility of their health and use of health services.
Health promotion investment will be safeguarded by:Promoting healthy lifestyles; Promoting health education programmes in school; Implementing campaigns against the risk factors; Promoting healthy lifestyles inside of the health services;Influencing citizens for the better use of the health services.
Community intervention project Community intervention project for for maternal and infant health and maternal and infant health and
family planningfamily planning
Developed in two Lisbon’s Health Care Centers, in socially deprived communities
Main goals: To establish an effective link between the Health Centers and the population;To increase the population’s awareness and promote their capacity to solve their own health problems;To develop methods, techniques and materials for ethnic minorities groups.
““Better Activity, More Health” Better Activity, More Health” ProgrammeProgramme
Several local initiatives developed by an urban cities (Oeiras, Tomar), which goal is to alert the townspeople for the adoption of a healthy lifestyle during life-span.
It is a set of initiatives seeking health promotion, general well-being e personal accomplishment.
Municipal Programme of Municipal Programme of Prevention of Alcohol Abuse Prevention of Alcohol Abuse (City Council of Azambuja) (City Council of Azambuja)
Integrates strategic interventions:
informative,
educative
participative actions.
The objectives and the actions should offer continuity and support for other programmes that are already in development through the Municipal Plan of Prevention of Drug Addiction.
Accessibilities ProjectAccessibilities Project
Viana do Castelo (healthy city) developed the Accessibilities Accessibilities ProjectProject, which is based on “Health for All in the XXI Century” document and on the strategic guidelines of “Ottawa Charter”.
Principal purpose:Make city accessible to all individuals and situations, by adapting and eliminating obstacles and barriers, alerting and preventing future situations, and promote the coordination between health promotion institutions.
Project of humanization, improvement Project of humanization, improvement and quality of the medical care given to and quality of the medical care given to
patientspatients
Main Goal: to place the patient into the centre of the organisation, humanization and quality of the medical care.
Implementing Pre-Surgery Visit in a Hospital (Egas Moniz)Pre-Surgery Visit in a Hospital (Egas Moniz):To promote the quality of nursing care by a closer contact with patients; To establish empathic relation nurse/patient/family; To clarify doubts and concerns;To develop the nurses skills.