PAHO technical cooperation will focus on strengthening healthpromotion planning for action. Countries will be supported in setting targets to address their priorities and in building capacity at the local and national level to develop, implement, and evaluate healthpromotion plans for action. HPP is committed to this process and has begun to integrate the technical areas managed by the programs and centers with the healthpromotion strategies as illustrated in Table 1: (a) the creation of healthy and supportive environments in the community, school, and workplace; (b) the establishment of healthy public policy at institutional, local, and national levels, and the development of guidelines to assess their impact; (c) the strengthening of community action for health by implementing training modules to facilitate community participation and support Member States to work with NGOs and other community groups; (d) the development of personal skills, using the health literacy framework, health education, and social communication techniques; (e) the reorientation of health systems and services by supporting countries to implement more integrated models of community, family, and school health, including mental health; (f) strengthening surveillance systems with social and behavioral information; and g) supporting research and evaluation to advance knowledge and best practices.
Healthpromotion is a long-term investment in health and development. The evidence of healthpromotion effectiveness suggests that if properly implemented it, could save money in the medium and long term. Members are urged to consider the appropriate infrastructure for the development and strengthening of healthpromotion planning for action to meet the challenges of the new millennium in the Americas. Successful healthpromotion policies and programs require adequate funding and infrastructure. Surveillance and research if supported will provide policy - makers with the information they need for key decisions in strategic planning. National healthpromotion planning has been effectively developed, implemented, and monitored in Canada, Chile, and Mexico. However, cost-effectiveness analyses are not readily available. Although infrastructure needs and resource mobilization requirements for technical cooperation in healthpromotion do not make extravagant demands for new resources; rather the focus is to engage Members in identifying opportunities to mobilize resources to carry out regional and country activities and facilitate technical cooperation among countries. The Secretariat will require additional human and financial resources to meet the commitments as expressed in the Mexico Declaration. Present levels of resources are inadequate to provide technical cooperation to strengthen healthpromotion planning for action. The Organization should use its considerable influence with other international organizations to take an advocacy role in developing a resource base for healthpromotion planning for action.
Team work is a useful skill which can be learned, and once a productive working relationship is established, then the benefits are very important. There is a reasonable body of evidence which indicates the importance of team work to the level of performance in many different health settings (Clark, Dunbar, Aycock, Blanton & Wolf 2009). Collaboration is a very meaningful challenge for health promoters because it brings together strengths from many people, organizations, sectors or agencies and lead to better decisions which are made by people working together (Jansen 2008). Team working in healthpromotion is able to bring together public or private organizations and groups who would not normally see them selves as heaving a role in promoting health alone. “Teamwork increases these organizations knowledge and understanding of each other, helping to clarify roles and overcome rivalry” (Naidoo and Wills, 2001; p162). Through this process collaboration provides a wider spectrum of knowledge and experience which comes from all those experts. Resources are increased and can be used more effectively by joint commissioning services from health promoters in order to improve people’s health (Jansen, DeVries, Kok & VanOers 2008). Working together provides another important advantage. It develops more significant achievements than by agencies working separately, because amongst others increases access to networks. That is also reinforced by the fact that joint working and collaborative service planning is based on comprehensive picture of local needs and helps to eliminate gaps (Naidoo and Wills, 2001). A multi-professional job: “achieve to bring together a range of professional skills;it shares information; achieves the continuity of care; apportioning and ensuring responsibility and accountability; coordinates in planning resources; coordinates in delivering resources for professionals to apply for the benefit of service users”(Payne, 2000).
Comics are part of the day by day and its evolution as entertainment demonstrates new possibilities of use. The work presented here is an analysis of how important is the use of comics as information documents and opinion formers for education and healthpromotion. A descriptive documentary research about the use of comic in the ield of health, in the period from 2000 to 2016, was carried out in the following sites: SciELO, Biblioteca Virtual em Saúde (BVS), Wiley Online Library. The results show that comics are excellent pedagogical and informative instruments, reaching a wider audience. For this purpose, its elaboration needs special care, taking into account its use as communication tool in favour of health. Thus, comics play a fundamental role in education and healthpromotion, and they are recommended to the dissemination of knowledge so that they change the harmful habits of health, seeking a better quality of life and sustainable development.
Having studied the information presented by the Director in Documents CD19/3, Corr., and CE61/151 and Resolution XXIV approved by the Executive Committee at its 61st Meeting; and Recognizing the desirability of augmenting the size and scope of the Special Fund for HealthPromotion, with the objective of further strengthening the health programs of the Americas,
1. To express its deep appreciation to the W. K. Kellogg Foundation for the very generous grant of $3,750,000 for expanded program activities of the Pan American Health Organization, which will enable the Organization to proceed with the construction of a new Headquarters building. 2. To authorize the Director to establish a Special Fund for HealthPromotion, to which at least $187,500 per year shall be appropriated from the regular budget of the Pan American Health Organization until an amount of $3,750,000 has been committed for expanded program activities.
School health service is to enhance healthy growth and development in every pupil and to create a foundation for a healthy adulthood (Mäenpää , Paavilainen & Åsterdt-Kurki, 2007). It is implemented with the cooperation of pupils, teachers and parents (Finnish Ministry of Social Affairs and Health, 2004). It is claimed that one of the core elements of Health Visiting should be safeguarding children (Lowe, 2007). The interest in school hygiene, a more modern predecessor of school healthpromotion, has its origins in the 19th century with the growing interest in public health in general (Leurs, 2008), thus, the Health Visitors play a central role. Health Visitors using the approach of Public Health, assess the health needs of school population with the aim of tacking health inequalities (U.K. Department of Health, 2001b). A systematic assessment of school age health needs helps to identify where services should be focused (U.K. Department of Health, 2001a). Schools and school health services obtain information that when combined would provide a very clear evidence based picture of the health needs of the school age group of children and young people, and thus, this will aid to inform the provision of health education within the curriculum (Sherwin & Smith, 2009). Thus, both health visiting and school health services to promote health for all children and to reduce health inequalities (U.K. Department of Health, 2004).
Considering that both the agreement with the W. K. Kellogg Foundation and the authorization by the XIII Meeting of the Directing Council in Resolution XVI for the establishment of the Special Fund for HealthPromotion envisaged the possibility of allocating a larger amount of funds to the Special Fund for HealthPromotion than the minimum required under that agreement; and
In 2015, the NPHP has been redesigned with new inductors elements for its implementation. The spe- cification of values, the definition of transversal the- mes and operational axes were included, as well as adequacy and update priority issues of policy. This reformulation happened due to the real need for articulation with other public policies to strengthen it and ensure equity, improving the conditions and ways of living, and the affirmation of the right to live dialogue with the reflections of the movements within the healthpromotion.
In brief, of a total of 42,486 PHCUs listed in the SUS directory, 1,600 were randomly selected to participate in the study. This sampling approach allowed to covering all ive Brazilian macroregions and selecting PHCUs proportionally to the number of units in each region. Managers of the selected PHCUs were eligible and invited to participate. Trained interviewers conducted phone interviews that lasted on average 40 minutes. The survey was carried out between January and June 2011. We estimated the sample size assuming that each type of healthpromotion program would be available in 50.0% of the PHCUs, with a 95% conidence interval and 4 percent points of conidence limit. Thus, it would be necessary a sample of 592 PHCUs. The sample was increased by 10.0% to cover possible losses and refusals, totaling 642 PHCUs. Given the study’s multi- purpose characteristic, we sampled 1,600 units so that we could analyze information collected from medical doctors, nurses and health workers from each PHCU. We examined whether any of the following five different types of healthpromotion program was avail- able in the PHCU: promotion of physical activity; smoking cessation; alcohol and illicit drug use cessa- tion; healthy eating; and healthy environment. For each program, information was collected on the kind of activities offered. Data were analyzed using SPSS version 13.1, frequencies of healthpromotion programs were described by category of care unit and macrore- gion. PHCUs were categorized as follows based on the status of implementation of FHS: FHS only; tradi- tional care strategy with no FHS (TRAD); and mixed
The strategy of most sustainability activists, especially those based in wealthy countries, has been timid. The 1992 Earth Summit called for a fundamentally fairer world order, but few Western participants took this seriously. It was at that meeting that US President George Bush famously stated that the lifestyle of the average American was not open to negotiation. Environmentalists often call for ecological and climatic protection for its own sake, but rarely discuss the really difﬁ cult personal, social, and economic actions necessary to achieve this. Finally, very few environmentalists are genuinely engaged with the struggle to reduce global poverty. In short, just as healthpromotion could learn from ecohealth, so too could ecohealth learn from healthpromotion.
ABSTRACT: A reflection is developed on helth promotion as an effort to build a conceptual framework capable of instructing the development of a research proposal that intends to anser the question “what Florianópolis health institutions do in order to promote people’s health?”. The text emphasizes the broad conceptual basis of helth promotion as opposed to the concept of disease prevention. Some historical aspects are covered with particular focus placed on the Ottawa Conference; a few health promoting actions are presented and the nurse’s role is affirmed along with debates on the theme. DESCRIPTORES: Health; HealthPromotion; Nursing.
The Building a Culture of Peace at Schools Project a can be considered an initiative favorable to healthpromotion at school, in a broad and participatory perspective. This project was conceived by one of the Non-Governmental Organizations represented in the Network, and its programming proposed the discussion of expanded themes, which interface with social determinants such as: ethnicity, race, respect for diversity, gender and sexuality, mediation of conflicts and practice of restorative justice. In its structuring, it had workshops aimed at teachers, students and parents/guardians. (FJ 05 - observation at the municipal school on 05/06/2017; FJ 06 - observation at state school on 06/21/2017).
In light of this framework, we believe that the practical events provided for students to develop healthpromotion competencies are in the level of testing and technicism, in which practice is understood as a moment of “training”. Thus, the teachers control the experimentation process, presupposing that the theory has been entirely learnt and practice is the moment to the student consolidate or test what was already taught. This understanding confirms the perspective discussed by Schon 13 , in which the teacher, based on his repertoire of themes and examples, leads students to experimentations of the type of “seeing how and doing like”, guided by control, distance and objectivity, typical of scientific rationality 13
ABSTRACT A review of the literature was carried out in order to systematize the knowledge pro- duced in the field of healthpromotion with an emphasis on the challenges and strategies for the implementation of intersectoriality. The databases consulted were Lilacs, SciELO, Web of Science and Science Direct and identified publications referring to the period between 2006 and 2017. The corpus had 28 articles, analyzing the aspects related to the methodology and results of the studies. It was verified that the studies have highlighted the discussion of contextual weak- nesses related to managerial and operational aspects of healthpromotion interventions. It is concluded that investments are necessary in case studies that allow analyzing concrete interven- tions aimed at healthpromotion, adding new explanations and establishing coherence with the complexity of the different contexts in Primary Health Care.
Abstract – The International Classification of Functioning, Disability and Health (ICF) is a classification of the World Health Organization (WHO). It is a reference document for the description of phenomena related to functioning and disability. The aim of the present study is to assess the relationship between the theoretical assumptions of ICF and the field of HealthPromotion. The dissemination of ICF has been widely documented in literature over the last few years, however, there is a large gap between enthusiasm with the paradigm change that the classification proposes and its effective incorporation in the different environments of health care. This study presents an example of ICF operation- alization. The biopsychosocial evaluation model of ICF presented is a strategy of light technology in health that advances towards the proposals of the field of HealthPromotion. Key words : Decision making; Disability and health; Healthpromotion; International classification of functioning.
towards the implementation of the core priorities laid out in the National HealthPromotion Policy (PNPS, acronym in Portuguese) and current chal- lenges, highlighting aspects that are essential to ensuring the sustainability of this policy in times of crisis. It consists of a narrative review drawing on published research and official government documents. The PNPS was approved in 2006 and revised in 2014 and emphasizes the importance of social determinants of health and the adoption of an intersectoral approach to healthpromotion based on shared responsibility networks aimed at improving quality of life. Progress has been made across all core priorities: tackling the use of tobacco and its derivatives; tackling alcohol and other drug abuse; promoting safe and sustainable mobility; adequate and healthy food; physical ac- tivity; promoting a culture of peace and human rights; and promoting sustainable development. However, this progress is seriously threatened by the grave political, economic and institutional cri- sis that plagues the country, notably budget cuts and a spending cap that limits public spending for the next 20 years imposed by Constitutional Amendment Nº 95, painting a future full of un- certainties.
Abstract This article examines progress made towards the implementation of the core priorities laid out in the National HealthPromotion Policy (PNPS, acronym in Portuguese) and current chal- lenges, highlighting aspects that are essential to ensuring the sustainability of this policy in times of crisis. It consists of a narrative review drawing on published research and official government documents. The PNPS was approved in 2006 and revised in 2014 and emphasizes the importance of social determinants of health and the adoption of an intersectoral approach to healthpromotion based on shared responsibility networks aimed at improving quality of life. Progress has been made across all core priorities: tackling the use of tobacco and its derivatives; tackling alcohol and other drug abuse; promoting safe and sustainable mobility; adequate and healthy food; physical ac- tivity; promoting a culture of peace and human rights; and promoting sustainable development. However, this progress is seriously threatened by the grave political, economic and institutional cri- sis that plagues the country, notably budget cuts and a spending cap that limits public spending for the next 20 years imposed by Constitutional Amendment Nº 95, painting a future full of un- certainties.