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Fostering Health Literacy in Disadvantaged Communities: Insights from Barcelona 2014 Meeting

On June 16, 2014, a pivotal meeting in Barcelona, led by Franklin Apfel, Managing Director of World Health Communication Associates, brought together scientific boards and city coordinators to address health literacy among disadvantaged populations. Key action verbs such as contextualise, identify, and universalise guided discussions on improving health outcomes. The meeting emphasized the importance of engaging "poorly-reached" communities and integrating health initiatives into existing frameworks, enhancing accessibility and understanding to reduce health disparities.

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Fostering Health Literacy in Disadvantaged Communities: Insights from Barcelona 2014 Meeting

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  1. Reaching the “Disadvantaged” “We Love Eating” PAU education project Scientific board and city coordinator meeting Barcelona 16 June 2014 Franklin Apfel MD, MHS – Managing Director, World Health Communication Associates

  2. 8 Action Verbs • 1. Contextualise • 2. Identify • 3. Universalise • 4. Exchange • 5. Integrate • 6. Demonstrate • 7. Counter • 8 Learn

  3. Contextualise Enjoy Shopping for Healthy Food

  4. Enjoy Cooking

  5. Enjoy colourful fruits and vegetables

  6. Enjoy Physical exercise

  7. Enjoy Drinking Water

  8. Enjoy eating together

  9. IdentifyAbout 1 in 2 persons have inadequate or problematic health literacy (HLS-EU Consortium 2012)

  10. European Health Literacy Survey-ToolWhat does it measure ?Accessing, understanding , appraising and applying

  11. Why is Health Literacy important Health Outcomes of Weak Health Literacy • Poorer health choices • Riskier behaviours • Less use of preventive services • More delayed diagnoses • Poorer understanding of medical conditions • Less adherence to medical instructions • Poorer self-management skills • Increased risk of hospitalization • Increased mortality risk • Higher health costs

  12. WHO Healthy City publication – includes attributes of health literate http://www.euro.who.int/en/health-topics/environment-and-health/urban-health/publications/2013/health-literacy.-the-solid-facts

  13. Social Gradient

  14. Universalise

  15. Exchange Messages from “poorly reached” • Know more about us. • Reframe ‘hard-to-reach’ as ‘poorly-reached’ system failures. • View immunisation as one part of larger health challenges. • Integrate us into mainstream programmes. • Involve us in all stages of programmes aimed at enhancing our inclusion and health. • Adapt governance and health systems to be more inclusive. • Health Mediators and other community health workers are critically important resources – they need to be supported. • Be accessible and respectful. • Beware of incentives that could be viewed as bribes for compliance.

  16. Integrate

  17. Demonstrate Attributes ofHealthLiterate City • Providespoliticalleadership • Measures/Integrates • Trains workforce • Engageswithtargetpopulations • Applies universal precautions • Aids navigation • Providesunderstandablematerials

  18. Counter

  19. Learn

  20. Thank You franklin@whcaonline.org www.whcaonline.org Twitter- @franklinapfel

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