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Health promotion foundation south africa - Davison Munodawafa
 

Health promotion foundation south africa - Davison Munodawafa

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Financing Health Promotion: WHO Africa Region Perspective.

Financing Health Promotion: WHO Africa Region Perspective.

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    Health promotion foundation south africa - Davison Munodawafa Health promotion foundation south africa - Davison Munodawafa Presentation Transcript

    • Financing Health Promotion: WHO African Region perspective Dr Davison MUNODAWAFA, Coordinator,Determinants & Risk Factors (DRF), Health Promotion Cluster, WHO Regional Office for Africa, Brazzaville, Congo E-mail: munodawafad@afro.who.int
    • Outline Introduction – Health promotion definition and Functions Current Situation - Major risk factors and key determinants (tobacco, alcohol and key determinants) and Opportunities Challenges Required actions Way forward and Conclusion
    • HEALTH PROMOTION DEFINITION A PROCESS OF ENABLING PEOPLE TO INCREASE CONTROL OVER THEIR HEALTH AND ITS DETERMINANTS, THEREBY IMPROVE THEIR HEALTH. (OTTAWA CHARTER, 1986). IT IS A SOCIAL AND JUST INVESTMENT; IT INVOLVES VARIOUS PLAYERS TO ADDRESS HEALTH RISK FACTORS AND THE DETERMINANTS OF HEALTH USING A MULTISECTORAL APPROACH.
    • The Health Promotion Foundation Manage and coordinate funds; Ensure adequate and sustainable financing arrangements; Increase awareness about health gains; Produce country-specific evidence; Create the demand for health promotion; Ensure broad participation and commitment; and Providing effective stewardship.
    • Current Situation Risk Factors Key Determinants Health Promotion Funding sources in the WHO African region and world
    • Tobacco use in the African region* Prevalence among adults: 6%-36%; 1 in 10 adolescents use tobacco; 1 in 2 adolescents is exposed to tobacco smoke in public places; 1 in 5 adolescents is influenced by tobacco advertising. * WHO Report on the Global Tobacco Epidemic, 2008 and 2009
    • The WHO Framework Convention on Tobacco Control (WHO FCTC) In the African Region 41 countries have ratified the treaty; Full implementation of the Convention is an obligation including: – Comprehensive legislation: taxation; smoke-free places; advertising; health warnings; protection of public health policies from tobacco industry interference; awareness raising; – Coordination mechanism: multi-sectoral committee, action plan; – Monitoring and evaluation: data dissemination and use. Mobilisation of resources and partnership
    • Alcohol Consumption and Consequences Drinkers drink at a markedly higher level (average of 37L pure alcohol/per person /per yr) Highest prevalence of heavy episodic drinking in the world (25% of drinkers engage in harmful drinking) Most of the alcohol-related deaths are attributable to injuries (43%) 7 out of 10 adults in the region abstain from alcohol;
    • The key determinants of health requiring Health promotion: TheFactors that Produce Disease, Disability and Premature Deaths Upstream Intermediate Downstream Education system  Gender  Living conditions Welfare state  Socioeconomic  Working conditions Labor market  Ethnicity  Individual and collective behavior Political system  Social cohesion  Health and social care Economic system  Literacy  Distribution of power, money and resources Social Structure Individual’s social status Intermediary FactorsStructural Determinants of IntermediaryHealth Determinants of Health
    • Health Promotion Financing experiences Social protection schemes (Education, nutrition Social health insurance Earmarking or special levy through Act of Parliament (Zimbabwe AIDS Fund 3% of taxable income set aside for HIV/AIDS) South-East Asia (Thailand, India, Nepal); Western Pacicific Region (Australia, New Zealand,Tonga, Mongolia, Malaysia); Europe and United State States
    • Opportunities for Health Promotion Fund 1. Strengthen national capacity and leadership for health promotion; 2. Supporting health systems based on the PHC approach; 3. Putting the health of mothers and children first; 4. Accelerate actions for communicable and noncommunicable diseases prevention; 5. Accelerate response to addressing the key determinants of health; 6. Support attainment of national goals e.g., MDGs and immunization etc.,
    • Challenges to establishing a Health Promotion Fund  Organized opposition or resistance from outside and within health sector including competing interests;  Leadership for multisectoral and interdisciplinary actions e. g., civil society, NGOs, health experts, private sector;  Participation of all stakeholders including communities  Funding to implement agreed actions; e.g. FCTC, global alcohol strategy, etc  Documentation, monitoring and evaluation of HPR fund actions (accountability, transparency and value for money)  Integration of HPR fund activities into national priorities, plans and systems.
    • Required Actions for financing Health promotion Fair financing of health promotion actions Market responsibilities Empowerment of individuals and communities Gender equity Good governance Health equity in all policies
    • Way Forward – Convergence of Actions Price and tax measures to reduce demand for tobacco and alcohol Ban sales of tobacco and alcohol products to and by minors Ban on tobacco and alcohol advertising, promotion and sponsorship
    • ConclusionA national social dialogue on establishing Health PromotionFoundation using tobacco and alcohol tax should be convenedat all levels. This debate should take place at the political anddecision-making levels, civil society and with parliamentariansfocusing on legislative action, policy options and innovativefinancing respectively.Who shall floss between the fangs of cobra?There is need for a strong leadership and collective solidarity among various players ( A coalition of the willing).