Intor My nursing and teaching background PHC focus/experience My Education journey M ed & PhD topics – Cannons Creek school Emphasis this is my understanding of Health promotion
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History – post world war 2 – 1940’s focus and awareness that health requires peace WHO was a rescue organisations became a support for self help & se;f determination – invited in taught and supported local solutions to problems – ask for examples Alma Ata 1978 PHC as essential health care, acceptable to recipients Affordable at local & individual level, universally accessible care supports self help and self determination Read definitions 1 & 2
Discuss so-ec & our social conditions affects our health How health knowledge has changed our view of health Developing & developed countries What is the different focus? Clean water , sanitation, infectious disease, food, war To lifestyle concerns – almost too much information to consider – so why are we not all healthy Discuss Ottawa Charter intend action areas and ask what that might mean in the New Zealand context Reorientate – Primary Health Organisation’s NGO’s iwi & pacific services Personal skills – HP schools & community ed Community action – Primary Health Organisation’s & healthy safer cities Local body Government initiatives
Deprivation Index developed trough a research process to determine the link between poverty and poor health. Found specific contributing factors that can be used to determine the likelihood of poorer health. Income, transport, living space, home ownership, employment qualifications and support all factors form the census that are taken into account. Mesh blocks redefined after each census. Originally called NZDep91 combined 10 census variables which reflect seven dimensions of material & social deprivation The NZDep scale of deprivation for 1 to 10 divides New Zealand into tenths NB the scores apply to areas not people each mesh block contains 90 people Picture clear that areas of increased deprivation experience increased mortality, increased hospital discharge ratios and increased registrations for lung cancer Current used for funding to target greater support for high Dep areas Blunt instrument Equity – what does that mean to you? What are the health inequities you know of in New Zealand
Nursing from army background Training in apprentice style in hospitals Hospital power over situation do as you are told not what you need Present focus on community care – cheaper as well as better for person Focus on wellness coming with prevention rather than cure Why? What do you think the future will be?
Discuss each of the skills ask hoe one can devlopm them How they relate to nursing Role model as nurse to support others ( clients to develop them Also reduces burnout and horizontal violence
Discuss how this can be simple in theory but not so easy in practical terms i.e. when the client is more vulnerable ione day \\ use mothering examples and how your Behaviour needs to be flexible BUT the eye is on the long term goals of autonomy Discuss learning form the schools in this
Transcript of "Health promotion for health workers 2007"
Health Promotion for Community Health Workers National Certificate in Tamariki Ora 2007
Aims <ul><li>To define the concept of Health Promotion through: </li></ul><ul><li>Defining the origins of Health Promotion </li></ul><ul><li>Linking Health promotion to Primary Health Care </li></ul><ul><li>Exploring its relevance to Primary Health Care in New Zealand </li></ul>
Health Promotion defined <ul><li>World Health Organisation direction & intent </li></ul><ul><li>Primary Health Care and Alma-Ata </li></ul><ul><li>Health Promotion and the Ottawa Charter </li></ul><ul><li>Te Tiriti o Waitangi (partnership, protection and participation) and WHO documents </li></ul>
Ottawa Charter and relationship to Socio-Ecological Determinants of Health Age sex heredity Individual lifestyle factors Social and community influences Living and working conditions Socio-economic, cultural & environmental conditions Build healthy public policy Create supportive environments Strengthen community action Develop personal skills Reorientate health s ervices
Socio Ecological Determinants of Health, Deprivation Index (DEP) and Equity <ul><li>The current use of the Deprivation Index by Ministry of Health for funding </li></ul><ul><li>Equity </li></ul><ul><li>Health inequalities in New Zealand </li></ul>
Health promotion, past, present & future <ul><li>History </li></ul><ul><li>Traditional – illness – hierarchy – hospital - power over </li></ul><ul><li>Present – wellness - health promotion – community - power sharing </li></ul><ul><li>Future – Influence of more community involvement and changes in demographics </li></ul>
Factors that impact upon health promotion <ul><li>Risk factors e.g. lack of family/whanau support </li></ul><ul><li>Protective factors e.g. stable home environment </li></ul><ul><li>Resilience </li></ul><ul><li>Can you think of further examples? </li></ul>
Development and support for life skills to support best practice <ul><li>Skills referred to: </li></ul><ul><li>Listening, assertion, problem solving and self awareness, </li></ul><ul><li>Communication skills: Listening, Empathy, Assertion </li></ul><ul><li>Strengths based problem solving skills </li></ul><ul><li>Emotional Intelligence includes Self awareness </li></ul><ul><li>The health worker as role model and coach </li></ul>
Why those skills are required: <ul><li>Three forms of power </li></ul><ul><li>Power over - deciding for </li></ul><ul><li>Power with or power sharing - working co-operatively, negotiating </li></ul><ul><li>Delegating Power to: </li></ul><ul><ul><li>handing decisions over for others to make autonomously </li></ul></ul>
Possibilities in health promotion <ul><li>Reflection on your personal beliefs and values and so you can work : </li></ul><ul><li>with a commitment to power with (Partnership) and supporting autonomy (Participation) </li></ul><ul><li>With a healthy future focused approach from the perspective of the healthy client (Protection) </li></ul><ul><li>Using and teaching life skills (Listening, problem solving, self awareness and assertion) </li></ul>
Conclusion <ul><li>The belief in and practice of a Health Promotion focus in Primary Health Care settings can reduce health inequities and contribute to New Zealand health gains </li></ul>
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