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Rey-chi Chen
Bureau of HP
Dep. of Health TAIWAN
Healthy Community Building-Health
promotion through identifying the community
located in the Western Pacific , about 160 km off China's southeast coast, area of approximately 36,000 sq. km. five longitudinal mountain ranges occupy almost half of the island's the highest peak at 3,952 meters. Only 30 % of the land is available to live. The population is around 23 million.
Bureau of Health Promotion
Top 10 Causes of Death in 2003
No. Cause of DeathMortality Rate(per 100,000)
% of Death
1 Cancer 156.01 27.10
2 Cerebrovascular Disease 54.98 9.55
3 Cardiopathy 52.23 9.07
4 Diabetes 44.38 7.71
5 Accident 36.30 6.31
6Chronic liver disease and cirrhosis
22.98 3.99
7 Pneumonia 22.60 3.93
8 Nephritis and nephrosis 19.08 3.32
9 Suicide 14.16 2.46
10 Hypertension 8.17 1.42
Top 10 Causes of Death 1993-2003 7-8 causes in chronic disease 1951 3 causes in chronic disease
Prevalence in 2003： (age 40 years old and above) Hyperglycemia 12.7% Hypertension 35.0% Hyperlipidemia 16.5%
One death in cancer per 15mins in 2003
Human Ecosystem（ Hancock & Perkins,1985）
SpiritSpirit
BodyBody MindMind
FamilyFamilyPersonal Personal BehaviorBehavior
Human Human BiologyBiology
Phycho-SocioPhycho-SocioEconomicEconomic
EnvironmentEnvironment
PhysicalPhysicalEnvironmentEnvironment
CultureCulture
Sick Sick Care Care
SystemSystemWorkWork
Human-Made Human-Made EnvironmentEnvironment
Lifestyle
BiosphereBiosphere
Bureau of Health Promotion
Unhealthy Behaviors
Diet Exercise Stress Alcohol Tobacco Betel nut
Not knowing the Importance
Lower motivation
Rely on automation equipmet
Genetic,PersonalityTraumaEnvironmentSocial normSupport network
Characteristics
Family influences
Social Pressure
Biochemistry Problems
Risk of Alcoholism
Trauma
Connect sentimentBuild Socio-statusTeenagers show their independence
Accepted by peer group
Freshen up
Stress release
KnowledgeTraditional DietaryExterior DietaryFamily and
EnvironmentHabit and
persistenceConsideration for
Health
Bureau of Health Promotion
Sustainable Community
Bureau of Health Promotion
Migrated from mainland China
Bureau of Health Promotion
Temple Relocation – Ilan County
Community identity --more than 1000 personsmoved 160 meters
Bureau of Health Promotion
Healthy Community Building
WH0: The Declaration of Alma-Ata Health for all by the year 2000 (1978)
WH0: Healthy City (1986)Taiwan,R.O.C.: Healthy Community
Building Program (1999)
Bureau of Health Promotion
Healthy Community Building
Inter-sectoral Cooperation Community Participation Community Decision MakingSustainability
The Components :
Strategies
Coordinationoffice
supervisor
community
Integrated resources
Bureau of HPD.O.H.
County health bureau
Support team
Technical support team and resources
Professional
Public health officer
Bureau of Health Promotion http://hpnet.bhp.doh.gov.tw/hpnet//
Supportive network
Bureau of Health Promotion
Issues implemented Friendly and caring space Greener landscape Healthier farming Market Pavement Sport space
Bureau of Health Promotion
Greener landscape
A Conner of Park at Tainan city
The Pond of Ecology An Open Conference
Ground A Leader Allocation
Bureau of Health Promotion
Friendly and caring space Tamkang
University in Tansui at Taipei county
The blind resource center cooperate with the development association of being no obstacle technology
Bureau of Health Promotion
Local market
Haulien city Typical images- sticking,
dirty, dampish, an dorous place
People fill uncomfortable to shop
After remodeling- a warm treasury for daily life
Bureau of Health Promotion
Healthier farming
Catholic Mercy Hospital in Hsin-chu County
The dietitian and Father
Healthier Eating Custom to change traditional hakka eating custom
Bureau of Health Promotion
Pavement
A Village of Kaohsiung County
The Structure of Population seems Are Elders and Children
The Ruined Space around The Village
Healthier pavement
Bureau of Health Promotion
Sport space A discarded cemetery
in a village, Ilan countyWorkshops and
MeetingsDifferent opinions
groups consolidatea Croquet Court A sport team was
built
The Age of Great Harmony
The world community was equally shared by all. ….
good neighborliness cultivated.
people did not care for parents only their own parents, nor did they treat children only their own children.
Thanks for your attention
aboriginal species in Formosa
