Any combination of health education & related organizational, economic & political interventions designed to facilitate behavioral & environmental changes conducive to health.

1. HEALTH PROMOTION
Dr. Dalia El-Shafei
Assist.Prof., Community Medicine Department, Zagazig University
http://www.slideshare.net/daliaelshafei

2. LEARNING OBJECTIVES:
1) Define health promotion.
2) Identify different types of health promotion programs.
3) Demonstrate how to develop and assess health
promotion program.
4) Identify problems facing health promotion in
developing countries.

3. Any combination of health education
& related organizational, economic &
political interventions designed to
facilitate behavioral & environmental
changes conducive to health.
Process of enabling people to increase
control over the determinants of
health to improve their health.
Positive concept to health,
strengthening the reserves for, and
reducing the risks to health.
HEALTH PROMOTION

4. CRITERIA FOR DEVELOPMENT OF HEALTH PROMOTION
PROGRAMS
Address one or more risk factors which is carefully defined, measurable, modifiable &
prevalent among the members of chosen groups, factors that constitute a threat to the
health status & quality of life of target group members.
Reflect a consideration of the special characteristics, needs, and preferences of its
target group.
Include interventions which will clearly and effectively reduce a targeted risk
factors and are appropriate for a particular setting.
Identify & implement interventions which makes optimum use of available
resources.
Should be organized, planned, and implemented in such way that its operation and
effects can be evaluated.

5. TYPES OF HEALTH PROMOTION PROGRAMES
Community-
based health
promotion.
Work site-
based health
promotion.
School-
based health
promotion.
Health
promotion
in health
care setting

6. HEALTH PROMOTION ELEMENTS OR APPROACHES
Healthy
population
Healthy lifestyle
Healthy
surroundings
(setting)
All three approach are part of package

7. HEALTHY POPULATION
All efforts are done to increase health for all life stages and
group.
Since needs of people vary according to their stage in life cycle
or their gender, the population approach encourages initiatives
that focus on health needs and contributions of people at every
life stage.

8. HEALTHY LIFESTYLE
Focuses more on behavior of individuals and how their decisions
and actions can lead to healthier outcomes
Physical
Activity
+ve
mental
health
Avoid
chronic
stress
Healthy
diet
Avoid
smoking
Sleeping
well

9. HEALTHY SURROUNDINGS (SETTING)
Environmental
conditions
Economic
conditions
Social
conditions

10. HOW TO ASSESS HEALTH PROMOTION
ACTIVITIES
Health KAP
Social action
& influence
Legislation &
regulation
Resource
allocation for
health
Improved
health
indicators
↑ Productivity
& ↓
absenteeism
↓ Medical
care
utilization
↓ Health care
cost

11. Role of individual in
health promotion
• Health awareness.
• Early seeking medical
advice.
• Compliance to treatment.
• Healthy habits &lifestyle
• Good nutrition.
• Genetic counseling.
• Change bad health
traditions
Role of government in
health promotion
• Health services.
• Health policy.
• Laws & legislation.
• Environmental health.
• Sufficient budget for
health.
• Co-operation of all
ministries

12. The 1st international conference on health promotion
was in Ottawa in 1986.

13. 5 PRIORITY ACTION AREAS FOR HEALTH PROMOTION WERE
OUTLINED IN THE OTTAWA CHARTER

15. Central to the global
development agenda
Core responsibility for all
of governments
Key focus of communities
& civil society
Requirement for good
private practice
HP
THE 4 KEY COMMITMENTS NEEDED TO MAKE GLOBAL
PROMOTION OF HEALTH

16. • To close the health gap between rich and poor and to address all the harmful effects of trade
products, services and marketing strategies.
HP should be central to the global development agenda:
• Because health is a major determinant of socioeconomic & political development, governments
must give priority to investments in health, within and outside the health sector and provide
sustainable financing for health promotion.
HP should be a core responsibility for all of governments:
• As they often lead in initiating, shaping and undertaking health promotion, they need to have
the rights, resources and opportunities of sustainable contribution. They support for capacity
building.
HP should be a key focus of communities and civil society:
• Private sector has a responsibility to ensure health and safety in the workplace, their employees,
their families and communities. Protect from global environmental change by complying with
international regulations.
HP should be a requirement for good private practice:

17. PROBLEMS FACING HEALTH PROMOTION IN DEVELOPING
COUNTRIES
Poverty Economic priority Education deficiency Political instability
Intersectoral in
cooperation
Commercial interests
Double burden of
diseases
Speed of change