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Data dalam Perencanaan
Promosi Kesehatan
Supriyati
Department of Health Behavior, Environment, and
Social Medicine
Faculty of Medicine, Public Health, and Nursing
UGM
What is health
promotion ?
“Health promotion is the
process of enabling people
to increase control over,
and to improve their
health”
The Ottawa
Charter, 1986
Community
analysis
Targeted
assessment
Program
planning
development
Implementation
Evaluation
(Dignan & Carr, 1992)
The six steps of health
promotion planning
• Manage the planning process
• Conduct a situational assessment
• Identify goals, populations of interest, outcomes
and outcome objectives
• Identify strategies, activities, outputs, process
objectives and resources
• Develop indicators
• Review the program plan
Manage the planning process
• To develop a plan to manage stakeholders
participation, timelines, resources, and
determine methods for data-gathering,
interpretation, and decision making
• Consider the data required to make
decisions at each step and include adequate
time for data collection and interpretation
Conduct a situational
assessment
• to learn more about the population of interest,
trends, and issues that may affect
implementation, including the wants, needs, and
assets of the community
• Includes: what is the situation; what is
making the situation better and what is
making it worse; and what possible
actions you can take to address the
situation
Kerangka untuk Promosi
Kesehatan (Keleher, MacDougall & Murphy, 2007)
Prevensi
penyakit
Strategi
Komunikasi
Edukasi
kesehatan dan
pemberdayaan
Pengembangan
kesehatan dan
komunitas
Perubahan
infrastruktur
dan sistem
Primer
Sekunder
Tersier
Informasi
kesehatan
Kampanye
perubahan
perilaku
Pengetahuan
Pemahaman
Pengembangan
keterampilan
Keterlibatan
Pengembangan
komunitas
Kebijakan
Legislasi
Perubahan
organisasi
Lini bawah Lini atas
INTERVENSI
Pelayanan
primer
Pendekatan gaya hidup
dan perilaku
Pendekatan
ekologis
Socio-ecology of health
promotion intervention
Ecological Health Perspective: Level of
Influence
(McLeroy, Bibeau, Steckler, & Glanz, 1988, cit. Fertman & Allensworth, 2010)
Concept Definition
Intrapersonal
level
Individual characteristics that influence behavior,
such as knowledge, attitude, beliefs, and
personality traits
Interpersonal
level
Interpersonal processes and primary groups,
including family, friends, and peers that provide
social identity, support and role definition
Population level
•Institutional factors Rules, regulations, policies, and informal structures that may
constrain or promote recommended behaviors
•Social capital factors Social networks and norms or standards that may be formal
or informal among individuals, groups or organizations
•Public policy factors Local, state and federal policies and laws that regulate or
support healthy actions and practices for prevention, early
detection, control and management of disease
Health Promotion Principles
(WHO)
• a way of working to enable people to gain
greater control over decisions and actions
affecting their health
Empowerment
• where people take an active part in
decision making
Participative
• taking account of the separate influences
on health and the interaction of these
dimensions
Holistic
• ensuring fairness of outcomes for service
users
Equitable
• working in partnership with other
relevant agencies/organizations
Intersectoral
• ensuring that the outcomes of health
promotion activities are sustainable in
the long term
Sustainable
• working on a number of strategy
areas such as programme, policy
Multi strategy
From Ottawa Charter 1986 to Helsinki
Statement 2013
Global Health Promotion Conference
@ Shanghai 2016
Health literacy
Good governance
Cities and community
health in all setting
What is health literacy
An ability of people to gain access, understand,
appraise and use information to promote and
maintain good health
The capacity to obtain, interpret, understand and
use health information and services to enhance
health
The capacity to Obtain, process, understand basic
health information and services; make appropriate
health care decisions (act on an information); and
Access/navigate health care system
What is health literacy?
• Health literacy represents the cognitive and social skills
which determine the motivation and ability of individuals to
gain access to, understand, and use information in ways
which promote and maintain good health
• Health literacy means more than being able to read
pamphlets and make appointments. By improving peoples’
access to health information and their capacity to use it
effectively, health literacy is critical to empowerment
*Nutbeam D. Health Promotion Glossary. Health Promotion International, 13(4): 349-364.
1999 (also - WHO/HPR/HEP/98.1)
What is “Health”?
• A state of complete physical,
mental, and social well-
being, and not merely the
absence of disease or injury (WHO)
• health as the capacity to carry out
their daily activities  ability to
function
Health is a resource for everyday life, not the objective of living (Ottawa Charter, 1986)
Promosi kesehatan itu kontekstual
Terima kasih

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Data and Planning for Health Promotion

  • 1. Data dalam Perencanaan Promosi Kesehatan Supriyati Department of Health Behavior, Environment, and Social Medicine Faculty of Medicine, Public Health, and Nursing UGM
  • 2. What is health promotion ? “Health promotion is the process of enabling people to increase control over, and to improve their health” The Ottawa Charter, 1986
  • 3.
  • 5. The six steps of health promotion planning • Manage the planning process • Conduct a situational assessment • Identify goals, populations of interest, outcomes and outcome objectives • Identify strategies, activities, outputs, process objectives and resources • Develop indicators • Review the program plan
  • 6. Manage the planning process • To develop a plan to manage stakeholders participation, timelines, resources, and determine methods for data-gathering, interpretation, and decision making • Consider the data required to make decisions at each step and include adequate time for data collection and interpretation
  • 7. Conduct a situational assessment • to learn more about the population of interest, trends, and issues that may affect implementation, including the wants, needs, and assets of the community • Includes: what is the situation; what is making the situation better and what is making it worse; and what possible actions you can take to address the situation
  • 8. Kerangka untuk Promosi Kesehatan (Keleher, MacDougall & Murphy, 2007) Prevensi penyakit Strategi Komunikasi Edukasi kesehatan dan pemberdayaan Pengembangan kesehatan dan komunitas Perubahan infrastruktur dan sistem Primer Sekunder Tersier Informasi kesehatan Kampanye perubahan perilaku Pengetahuan Pemahaman Pengembangan keterampilan Keterlibatan Pengembangan komunitas Kebijakan Legislasi Perubahan organisasi Lini bawah Lini atas INTERVENSI Pelayanan primer Pendekatan gaya hidup dan perilaku Pendekatan ekologis
  • 10. Ecological Health Perspective: Level of Influence (McLeroy, Bibeau, Steckler, & Glanz, 1988, cit. Fertman & Allensworth, 2010) Concept Definition Intrapersonal level Individual characteristics that influence behavior, such as knowledge, attitude, beliefs, and personality traits Interpersonal level Interpersonal processes and primary groups, including family, friends, and peers that provide social identity, support and role definition Population level •Institutional factors Rules, regulations, policies, and informal structures that may constrain or promote recommended behaviors •Social capital factors Social networks and norms or standards that may be formal or informal among individuals, groups or organizations •Public policy factors Local, state and federal policies and laws that regulate or support healthy actions and practices for prevention, early detection, control and management of disease
  • 11. Health Promotion Principles (WHO) • a way of working to enable people to gain greater control over decisions and actions affecting their health Empowerment • where people take an active part in decision making Participative • taking account of the separate influences on health and the interaction of these dimensions Holistic
  • 12. • ensuring fairness of outcomes for service users Equitable • working in partnership with other relevant agencies/organizations Intersectoral • ensuring that the outcomes of health promotion activities are sustainable in the long term Sustainable • working on a number of strategy areas such as programme, policy Multi strategy
  • 13. From Ottawa Charter 1986 to Helsinki Statement 2013
  • 14. Global Health Promotion Conference @ Shanghai 2016 Health literacy Good governance Cities and community health in all setting
  • 15. What is health literacy An ability of people to gain access, understand, appraise and use information to promote and maintain good health The capacity to obtain, interpret, understand and use health information and services to enhance health The capacity to Obtain, process, understand basic health information and services; make appropriate health care decisions (act on an information); and Access/navigate health care system
  • 16. What is health literacy? • Health literacy represents the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand, and use information in ways which promote and maintain good health • Health literacy means more than being able to read pamphlets and make appointments. By improving peoples’ access to health information and their capacity to use it effectively, health literacy is critical to empowerment *Nutbeam D. Health Promotion Glossary. Health Promotion International, 13(4): 349-364. 1999 (also - WHO/HPR/HEP/98.1)
  • 17. What is “Health”? • A state of complete physical, mental, and social well- being, and not merely the absence of disease or injury (WHO) • health as the capacity to carry out their daily activities  ability to function Health is a resource for everyday life, not the objective of living (Ottawa Charter, 1986)
  • 18. Promosi kesehatan itu kontekstual