สไลด์บรรยาย "Health literacy for NCDs prevention and control" ของป๊าในงาน Prince Mahidol Award Conference (PMAC) 30 มกราคม 2562 ที่โรงแรม Central World

1. Health Literacy for NCDs
Prevention and Control
Thira Woratanarat MD, Assistant Professor
Department of Preventive and Social Medicine,
Faculty of Medicine, Chulalongkorn University

2. Topics
• Importance of NCDs
• Definition of health literacy
• Issues to consider in real life practice
• What Thailand is doing right now…

3. Importance of NCDs

18. Definition of Health Literacy

20. Definition of Health Literacy
• 170 research articles: 19 original articles with the
definition of health literacy
• 17 different definitions
• 12 different patterns
Source: Sorensen K, Van den broucke S, Fullam J, et al. Health literacy and public health:
A systematic review and integration of definitions and models. BMC Public Health. 2012;12:80-93.

21. Health Literacy
•Ability to search, access,
understand, and make use of health
information
•Various Thai words “ความแตกฉาน
ด้านสุขภาพ”, “การรู้เท่าทันด้านสุขภาพ”,
“ความรอบรู้ด้านสุขภาพ”, “ความฉลาด
ทางสุขภาวะ”

26. Health Literacy

27. Issues to consider in Real Life Practice

28. RationalIrrational
80% 20%
Knowledge and Skills
Emotion and Context

29. RationalIrrational
80% 20%
Knowledge and Skills
Emotion and Context

30. Rational
 Provision: Mandatory, Default option
 Context: Environment, Friend, Family, Timing
 Culture, Belief
 Social trend, Marketing, Advertisement
Irrational
80% 20%
 Availability
 Affordability
 Accessibility
 Applicability
 Usability (Ease of use)
 Understandability
 Usefulness
Knowledge and Skills
Emotion and Context

31. Rational
 Provision: Mandatory, Default option
 Context: Environment, Friend, Family, Timing
 Culture, Belief
 Social trend, Marketing, Advertisement
Irrational
80% 20%
 Availability
 Affordability
 Accessibility
 Applicability
 Usability (Ease of use)
 Understandability
 Usefulness
Knowledge and Skills
Emotion and Context

32. Rational
 Provision: Mandatory, Default option
 Context: Environment, Friend, Family, Timing
 Culture, Belief
 Social trend, Marketing, Advertisement
Irrational
80% 20%
 Availability
 Affordability
 Accessibility
 Applicability
 Usability (Ease of use)
 Understandability
 Usefulness
Knowledge and Skills
Emotion and Context

33. Health Literacy Interventions

34. Multi-sectoral Literacy-based Approach
(Australia)
Health Literacy in All Policies
(US)
Make it easy
(Scotland)
Health Literacy Interventions in Health Promotion Policy
(Ireland)
Pilot Projects to Increase Health Literacy in Vulnerable Areas (China)
Health Literacy Interventions in Health Promotion Policy (Singapore)

35. Knowledge and Skill Interventions in Specific Populations (Japan)
Health Literacy to Routine Services
(Canada)
Health Literacy Interventions through Multisectoral Collaboration
(New Zealand)
Health Literacy to Routine Works
(Taiwan)
Health Literacy Interventions in Hospitals
(Italy)
Health Literacy Interventions through Innovations and Experience Sharing
(Israel)

36. WHO

37. WHO High Level Commission on NCDs
•Technical consultation in Geneva on 21st-22nd March 2018
•More than 100 ideas and recommendations to counteract non-
communicable diseases

38. Education
Campaign
Marketing
Population
Setting based education
Experience based interventions
(school meals, garden)
Engagement along life course
Advocacy initiatives
Simple and short messages
Interactive and participatory
surveillance system
Nudge
Laws and regulations
Universal interventions
Healthy action as the default option
Front-of-package label
By Thira Woratanarat MD
Chulalongkorn University

39. What Thailand is Doing Right Now…
•11th National Health Assembly, December 2018
•Consensus on a Public Policy on “Health Literacy for NCDs
Prevention and Management”
•This Public Policy is going to be approved by National Health
Commission and to be acknowledged by Thai cabinet in 2019

40. “Health Literacy for NCDs Prevention and Management”
•National mechanism and
systems to counteract the fake
health information
•Strategies to strengthen and
support industry/business for
healthier products and services
to alleviate NCDs
•Health literacy interventions
through multisectoral and
multidisciplinary collaboration at
local level
•Benefit packages in all major
health schemes to include
products and services for HL
interventions
•Strengthen HL R&D for NCDs

41. Thank You