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Health Promotion for NCD Prevention - WB Seminar. Global Perspective on Health Promotion. Tang Kwok-cho Senior Professional Officer Health Promotion 14 September 2004. A Global Perspective on Health Promotion - Outline. What is the context for health promotion?
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Health Promotion for NCD Prevention - WB Seminar Global Perspective on Health Promotion Tang Kwok-cho Senior Professional Officer Health Promotion 14 September 2004
A Global Perspective on Health Promotion - Outline What is the context for health promotion? What are we doing right now? Why are we doing those? How are we going to get those done?
New context for health promotion Demography Epidemiology Environment Urbanization Globalisation Health promotion models and methods
What are we doing right now? Set strategic priorities Strengthen capacity to promote health Build partnership with prime movers on health promotion
Strategic priorities Adopt integrated NCD prevention and control programmes Reduce health inequities within and between countries by addressing social determinants Meet the opportunities and challenges of globalization
Why integrated programmes (1) Common behavioural risk factors Four of the most prominent NCDs - cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes Are linked by common risk behavioural risk factors – tobacco use, unhealthy diet and low physical activity
Why integrated programmes (2)Synergetic combination of HP strategies A synergetic combination of HP strategies is required and has been proven most effective
Why integrated programmes (3)Continuing, coordinated & shared care Integrated effort by different sectors (curative and prevention etc) within the MOH and within different ministries (road and transport and trade etc)
Why integrated programmes (4)Partnership with key partners outside the government Integrated effort by key players, including Members States International agencies Aid organisations Civil societies Professional association The private sector Individuals and groups in the wider community
Why health inequities and addressing social determinants Poor and marginalised people get sicker and die sooner than people in more privileged social positions People's health seeking behaviour differ in accordance with their social positions
Why managing globalization • Globalization is a double edged sword • Legal and regulatory measures may be required to tackle the marketing and sales of unhealthy products • (self regulation Vs statutory regulation)
Capacity to promote health Institutional capacity – start from the MOH Structures Helpful mechanisms Attitude towards change Relationship Policy Funding Leadership Activities Rewards Expertise
Why strengthened capacity Sustainable integrated HP strategies Outcome-oriented, country-focused, equity-drive, community-based and cost-efficient interventions
Who the prime movers are Prime movers at international level, including UN agencies (WB, WTO) International NGOs/civil societies Aid organisations Professional associations Trans-national corporations The media
Why partnership with prime movers Healthy is everyone's business and it needs to be promoted at the community, national and internationally level MOH and WHO are no longer the guardian of health, respectively, at the national and international level
How to set the strategic priorities Through WHO Executive Board, World Health Assembly and Global Conferences Through the 6th Global Conference on Health Promotion Title: Policy and partnership for action – addressing the determinants of health To be held on 7-11 August 2004 at Bangkok
Proposed outcomes of the Global Conference Outcomes of the 6th Global Conference on HP Examples of successes and lessons learned to promote health Frameworks and strategies for health promotion to address the socio-economic and environmental determinants of health Framework, models and methods for policy development, partnership building and sustainable integrated HP strategies The Bangkok Charter Goals, targets and progress indicators as well as establishment of a process with mechanisms to monitor progress and impact
How to strengthen capacity to promote health Global Program on Health Promotion Effectiveness Country-wide capacity building projects Information dissemination Technical assistance Collaboration with academic and research institutes and WHO CCs
How to build partnership of prime movers Networking and alliance