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“THE ONLY THING MORE EXPENSIVE THAN EDUCATION IS IGNORANCE”
1
GUIDED BY:
Dr. Pradeep Tangade (Hod &
Prof.)
Dr. Himanshu Punia (Reader)
Dr. Vipul Gupta (Reader)
Dr. Anamika Gupta (Reader)
Dr Vikas Singh (Sr. Lecturer)
Dr. Ankita Jain (Sr. Lecturer)
2
PRESENTED BY:
Dr. Rohma Yusuf
PG 2nd year
Dept. Of Public Health
Dentistry
CONTENTS
 INTRODUCTION
 DEFINITION
 OBJECTIVES
 APPROACHES TO ACHIEVE HEALTH
 MODELS OF HEALTH EDUCATION
 PRINCIPLES OF HEALTH EDUCATION
 CONTENTS OF HEALTH EDUCATION
 STAGES OF ADOPTION OF NEW IDEAS
AND PRACTICES.
3
4
 PLANNING AND MANAGEMENT
 COMMUNICATION
 EDUCATIONAL AIDS
 METHODS OF HEALTH EDUCATION
 HEALTH PROMOTION
 CONCLUSION
 REFERENCES
INTRODUCTION
 Health Education is the process of imparting
information about health in such a way that the
recipient is motivated to use that information for
the protection or advancement of his own, his
family’s or his community’s health.
 Health education is an active learning process,
which aims at favorably changing attitudes and
influencing behavior with respect to health
practices.
5
It is vital to the practice of prevention.
It is the channel for reaching the people and
alerting them to the doctor’s services and to all
other community health resources.
A ‘health educated’ person is well aware of his own responsibility
and of the steps he himself must take to receive the full benefits of
prevention at all levels.
6
DEFINITION
 “Health education comprises consciously constructed
opportunities for learning involving some form of
communication designed to improve health literacy,
including improving knowledge, and developing skills
which are conducive to individual and community
health”
-WHO health promotion glossary 1998
7
WHO Health promotion Glossary1998
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.”
8
National Conference On Preventive
Medicine In USA
“Health Education is a process that
informs, motivates, and helps people to
adopt and maintain healthy practices and
lifestyles, advocates environmental
changes as needed to facilitate this goal
and conducts professional training and
research to the same end”
9
 Green and his co-workers define health education as "Any
combination of learning experiences designed to facilitate
voluntary adaptations of behavior conducive to health".
 Wood has defined health education for the individual as "the
sum of experience which favorably influences habits,
attitudes and knowledge relating to individual, community
and racial health".
10
 Grout defines health education as "a procedure, which
involves the translation of what is known about health
into desirable individual and community behavior
patterns by means of the educational process.
 Turner describes community health education as "a
learning process through which people in a community
inform or orient themselves for more intelligent health
action".
11
 Young and Striffler define health education as
"simply as the provision of health information to
people in such a way that they apply it in everyday
living".
 Nyswander defines health education as follows:
"Health education is a process of change within the
human organism itself which is related to achieving
personal and community health goals.
12
ALMA- ATA DECLARATION
 The declaration in 1978, emphasized the need for individual
and community participation, which gave a new meaning &
direction to the practice of Health Education.
 Definition of Health Education is…
“A process aimed at encouraging people to be healthy, to
know how to stay healthy, to do what they can individually
and collectively maintain health, and to seek help when
needed”.
13
HISTORY
 The word education is derived from the Latin word
"Educare" and "Educere" which means to bring out
and to lead.
 In its broadest sense, it includes knowledge acquired
and characters formed.
14
 Health education would thus mean putting health
knowledge into practice.
 Health education of the public had a beginning as
a discipline of public health in the 1930's.
 It received further importance during World War
II when added emphasis was placed on efforts to
inform people about better nutrition and related
health problems.
15
OBJECTIVES
 INFORMING PEOPLE (Cognitive objective): people
are informed about the different diseases, their etiology
and how to prevent them.
 MOTIVATING PEOPLE (Affective objective):
concerned with clarifying, changing or forming
attitudes,beliefs,values or opinions. After health
information is given it is necessary to motivate them to
alter their lifestyles so that it becomes favorable to
promoting health and preventing disease.
 Motivation is defined as “a combination of forces which
initiate, direct and sustain behaviors.”
16
 GUIDING INTO ACTION (Behavioural objective):
concerned with development of skills and action. A
person who has obtained health information might be
motivated to change his behavior and lifestyle.
However he might need professional help and
guidance so as to bring about these changes and to
sustain these altered lifestyles.
17
APPROACHES TO ACHIEVE
HEALTH
1. LEGAL OR REGULATORYAPPROACH:
 Make use of the law to protect the health of the public
 Government makes laws and regulations to safegauard the
health of the people.
 Eg:-Epidemic diseases act
-Pollution act
-Food adulteration act
-Environmental act
18
DRAWBACKS
19
 They are applicable only at certain times
 May not alter the behaviour of the
individual
 Laws are not democratic since they interfere
with personal choices.
APPROACHES TO ACHIEVE HEALTH
2.ADMINISTRATIVE OR SERVICE APPROACH:
This approach intends to provide all the health
facilities to the people with the hope that they will
use it.
DRAWBACK
It becomes a failure if the service is not based on the felt
needs of the people.
20
APPROACHES TO ACHIEVE HEALTH
3. EDUCATIONAL APPROACH:
 Most effective means for achievement of changes in the
health practices and lifestyles of the community.
 Components –motivation, communication and
decision-making
 Result obtained from this approach is slow but
permanent and enduring.
 Sufficient time should be allowed for the individual to
bring about the desired changes in his behavior.
21
APPROACHES TO ACHIEVE HEALTH
4. PRIMARY HEALTH CARE APPROACH:
 It involves full participation and active involvement of
the people starting from the planning stage till the
delivery of the health services.
 This is based on principles of primary health care i.e.
community participation.
 This can be achieved by providing the necessary
guidance to help people identify their health problems
and to find solutions to these problems.
22
Models Of Health Education
23
 Medical model:
 This model is primarily interested in the recognition and
treatment of disease.
 The emphasis was on dissemination of health information
based on scientific facts.
 The assumption was that people would act on the
information supplied by health professionals to improve
their health.
 This model did not bridge the gap between knowledge
and behaviour and hence was of little or no importance.
24
 Motivational model:
 Adopting to a new behaviour or idea is not simple. It is a
process consisting of several stages through which an
individual is passed before adoption.
 3 stages have been described in the process of change in
behaviour:
25
AWARENESS
we must first
create awareness
of the health needs
and problems
through a
programme of
public information.
MOTIVATIO
N
Interest
• Evaluation
• Decision
making
ACTION
• Adoption
Or
• Acceptanc
e
26
 Social intervention model:
The motivation model ignored the fact that in a
number of situation its not the individual who
needs to be changed but it’s the social enviroment
that shapes the behaviour of the individual and
community.
An effective health education model should be
based on precise knowledge of human ecology
and understanding of interaction between the
cultural, biological, physical, and social
enviromental factors.
PRINCIPLES OF HEALTH
EDUCATION
 1.CREDIBILITY
 2.INTEREST
 3.PARTICIPATION
 4.MOTIVATION
 5.COMPREHENSION
 6.REINFORCEMENT
 7.LEARNING BY DOING
 8.KNOWN TO UNKNOWN
 9.SETTING AN EXAMPLE
 10.GOOD HUMAN RELATIONS
 11.FEEDBACK
 12.COMMUNITY LEADERS
27
CREDIBILITY
It is the degree to which the
message is perceived as
trustworthy by the receiver.
>It should be scientifically proven,
>Based on facts and
>Should be compatible with local
culture and goals.
28
INTEREST
* If the health education topic is
of interest to the people, they
will listen to it.
* Health educator should
identify the “felt needs” of the
people and then prepare a
program that they can actively
participate in to make it
successful.
29
PARTICIPATION
 Health educator should encourage
people to participate in the
program.
 Once the people are given a
chance to take part in the program
it leads to their acceptance of the
program.
 Methods like group discussion,
panel discussions etc. provide
opportunities for people’s
participation .
30
MOTIVATION
 “The fundamental desire for learning
in an individual”
 Health education can be facilitated by
the motivation provided by the desire
to achieve individual goals.
 Motives are of 2 types:
1. Primary e.g. hunger, survival. These
are inborn desires.
2. Secondary motives are based on
desires created by outside forces.
E.g. love, rivalry, rewards
31
COMPREHENSION
 Level of understanding of the
people who receive the health
education.
 Should first determine the level of
literacy and understanding of the
audience and act accordingly.
 words that are strange or new to
the people should not be used.
 Use of technical terms or medical
terms should be avoided.
32
 Eg:-A statement saying “Eat food items that are
cariogenic” may not be comprehensive to the
layman. A better way of explaining would be “
Avoid food stuffs which are sweet and which
stick to your teeth like toffees and pastries. Eat
food items like fruits and raw vegetables which in
addition to being healthy, also help in keeping
your teeth clean.
33
REINFORCEMENT
 This is the principle that refers to the repetition
needed in health education.
 It is not possible for the people to learn new things
in a short period of time, so repetition is a good
idea.
 This can be done at regular intervals and it helps
people to understand new ideas or practice better.
 “Booster dose” in health education.
34
LEARNING BY DOING
 If the learning process is
accompanied by doing new
things it is better instilled in the
minds of people.
 “if I hear, I forget; if I see, I
remember; if I do, I know”
(Chinese proverb).
35
KNOWN TO UNKNOWN
 Before the start of any health education program,
the health educator should find out how much the
people already know and then give them the new
knowledge.
 The existing knowledge of the people can be used
as the basic step up on which new knowledge can
be placed.
36
37
Eg:-A health education program with the aim of
introducing a toothbrush to a rural population will
be better appreciated if the communicator start
the program with “what are you using to clean
your teeth at present” and then going in to details
like “why are you using it” and then connecting it
to the tooth brush and then providing details
about the tooth brush.
SETTING AN EXAMPLE
 The health educator should follow
what he preaches.
 He should set an example to others
to follow.
 Eg:- A health educator who
participate in a program
highlighting the ill effects of
tobacco should not be seen smoking
since it sends a wrong signal and
seriousness of the situation is lost.
38
GOOD HUMAN RELATIONS
 This principle states that the health
educator should have good personal
qualities and should be able to
maintain friendly relations with the
people.
 The health educator should have:
 Kind and sympathetic attitude
towards the people.
 Should always be helpful to them in
clarifying doubts or repeating what is
not understood.
39
FEEDBACK
For any program to be
successful it is necessary
to collect feedback to find
out if any modifications
are needed to make the
program more effective.
40
COMMUNITY LEADERS
 Community leaders can be used to reach the
people of the community and to convince
them about the need for health education.
Like village headman, school teacher or
political worker.
 Leaders can also be used to educate the
people as they will have a rapport and will
be familiar with the people of their
community.
 The leader will have an understanding of the
needs of the community and advice and
guide them.
41
CONTENTS OF HEALTH EDUCATION
A. HUMAN BIOLOGY
B. NUTRITION
C. HYGIENE
D. FAMILY HEALTH CARE
E. CONTROL OF COMMUNICABLE AND NON
COMMUNICABLE DISEASES
F. PREVENTION OF ACCIDENTS
G. USE OF HEALTH SERVICES
42
HUMAN BIOLOGY
 Training of human biology should start from the
kindergarten itself.
 Children are taught about the different parts of the
human body and their functions.
 They are also taught the importance of good
health and methods to keep physically fit.
 Teaching also directed towards the need for
exercise, adequate rest and sleep.
 Information about the adverse habits and its
effects on human body.
43
NUTRITION
People should be taught
about the nutrient value of
food stuff and the effect of
nutrients on health.
It is to help people to
choose optimum and
balanced diets to remove
prejudices and promote
good dietary habits.
44
HYGIENE
 The people are taught about the
importance of hygiene and
methods of maintaining hygiene.
A)Personal hygiene- to promote
good standards of personal
cleanliness.
B)Environmental hygiene- this
comprises two aspects-Domestic
and Community.
45
 Domestic hygiene- keeping the house and
surroundings clean, proper ventilation, adequate
light and fresh air, proper disposal of waste
materials, avoidance of pests, insects etc.
 Community hygiene- care of the surroundings
ensuring proper garbage disposal, adequate
sewage and drainage.
46
FAMILY HEALTH CARE
 Aim here is to strengthen and
improve the health of family
as a unit rather than as an
individual.
 Improving maternal oral
health to improve the oral
health of child should also be
addressed.
47
CONTROL OF COMMUNICABLE &NON
COMMUNICABLE DISEASES
Aim is to provide elementary
knowledge so that they can better
understand common signs and
symptoms of disease and prevention
there by promoting health.
48
PREVENTION OF ACCIDENTS
 People have to taught about the basic safety rules and
how to prevent common accidents which takes place in
their home, in their work place or on the road.
 Health education programs to educate the students,
parents and teachers about the use of mouth guards
when playing contact sports so as to prevent oro-facial
trauma.
 The predominant factor in accidents is carelessness and
the problem can be tackled by health education.
49
USE OF HEALTH SERVICES
People have to be informed about the various health
services and preventive programmes available to them.
They also have to be educated on the proper use of these
services.
They also be encourage to participate in the health
programmes.
50
51
STAGES IN THE ADOPTION OF NEW
IDEAS AND PRACTICES
 Stage of unawareness: Stage in which individual
not aware of new idea or practice.
 Stage of awareness: Stage in which individual
has some general information about the new idea
or practice, but does not know much about it’s
usefulness, limitations etc.
 Stage of interest: Stage in which individual
shows interest in knowing more about the new
idea or practice.
52
 Stage of evaluation:- Stage in which the individual
tries to find out he advantages and disadvantages of
the new method. He evaluates whether the new
practice will be beneficial to him and his family
 Stage of trial:- Stage in which the individual decides
to put the new idea or method into practice.
Additional information and guidance should be given
at this stage
 Stage of adoption:- Stage in which the individual
finally accepts the new idea or practice as beneficial
to him and adopts it
53
54
Health Education Propaganda
Knowledge and skills actively
acquired(active thinking)
Knowledge instilled in the minds of
the people(facts).
Develops reflective behavior .Trains
people to use judgement before
acting
Develops reflexive behavior; aims at
impulsive action.
Appeals to reason Appeals to emotion
Develops individuality ,personality
and self expression
Develops a standard pattern of
attitudes and behaviors according to
medium used.
Knowledge acquired through self
reliant activity
Knowledge is spoon fed. It is
passively received.
The process is behavior centered-
aims at developing favorable
attitudes , habits and skills
The process is information
centered – no change of attitude or
behavior .
PLANNING AND MANAGEMENT
55
 Planning and evaluation are essential for effective health
education.
 Specifics of health education strategy in a local
community have to be formulated in accordance with its
socio cultural, psycho-social, political, economic and
situational characteristics.
 Health education planning follows the main steps in
scientific planning:
1. Collecting informations on specific problems as seen by
the community.
56
2. Identification of the problem
3. Deciding on priorities
4. Settings goals and measurable objectives
5. Assessment of resources
6. Consideration of possible solutions
7. Preparation of a plan of action ( what will be done?,
when,?, by whom?)
8. Implementing the plan
9. Monitering and evaluating
10. Reassessment of the process of planning
COMMUNICATION
 Communication is regarded as
a two way process of
exchanging or shaping ideas,
feelings and information to
bring about desired changes in
human behavior.
57
Definition:-
Health communication is defined as a key strategy to
inform the public about health concern and to maintain
important health issues on the public agenda.
The use of the mass and multi media and other
technological innovations to disseminate useful health
information to the public, increases awareness of
specific aspects of individual and collective health as
well as importance of health in development.
58
 Communication is essentially the transfer of ideas,
messages or information from one person to another.
 In this process a cycle of communicating messages is
formed between the sender and the receiver.
 The sender is required to conceive the message he wishes
to send, encode this message and then transmit.
 The receiver then is require to receive this message,
decode it and clarify his/her understanding of the
messages.
59
COMPONENTS OF COMMUNICATION
1- SENDER:
 He is the originator of the message.
 His objectives should be clearly defined.
 He should know the interests and needs of his
audience.
 He should know the message.
 He should know the channels of communication.
 He should know his abilities and limitation.
60
2- RECEIVER:
 Audience may be a single person or a group.
 Two types of audience are:
 Controlled- It is held together by a common
interest. It is a homogenous groups.
 Uncontrolled- It is a group which has gathered
together because of curiosity.
61
3- MESSAGE:
 It is the information transmitted by the communicator to the
recipient.
A good message must be:
 In line with the objective.
 Based on felt needs.
 Clear and understandable.
 Specific and accurate.
 Timely and adequate.
 Interesting.
 Culturally and socially appropriate.
62
4- CHANNELS OF COMMUNICATION:
 It is the media used for communication
 The media chosen should be:
-Efficient in transmitting the message
-Attractive to the audience
-Easily understandable by the people
-Able to bring about good response and interaction by
the people.
 The most common channel of communication is
interpersonal or Face-to-face Communication.
63
5-FEEDBACK:
 It is the flow of information from the audience to
the sender.
 It provides an opportunity to modify the message
and render it more acceptable.
 Eg:- Opinion Polls, Interviews, Questionnaire
Surveys.
64
TYPES OF COMMUNICATION
1.One way and two way
communication.
2.Verbal and non verbal
communication
3.Formal and informal
communication
65
One way communication-
Flow of information is one way
i.e. from the sender to the
receiver. The draw backs are:
 Knowledge is imposed
 Learning is authoritative.
 There is little audience
participation.
 No feed back.
66
Two way communication:
 Participation is from both; the
sender and the receiver.
 Learning is active and
democratic.
 It is more likely to influence
behavior.
67
Verbal And Non Verbal Communication:
68
Formal and informal communication
Formal communication
follows lines of
authority.
Informal
communication-
conversing with friends
or colleagues.
69
BARRIERS IN COMMUNICATION
1.Psychological
Barriers
2.Physiological Barriers
3.Environmental
Barriers
4.Cultural Barriers
70
 PSYCHOLOGICAL BARRIERS:
 Emotional disturbances, depression, neurosis,
psychosomatic disorder.
 Special methods and utmost care should be adopted to
convey the message.
 PHYSIOLOGICAL BARRIERS:
 Difficulties in self expression, hearing, seeing,
understanding.
 Channels of communication should be selective.
71
 ENVIRONMENTAL BARRIERS:
 Excessive noise, difficulties in vision and congestion
 It can be overcome by making small groups and using
appropriate channels for communication.
 CULTURAL BARRIERS:
 Patterns of behavior, habits, beliefs, customs, attitudes,
religion, illeteracy, economic and social class
difference.
72
EDUCATIONALAIDS USED IN HEALTH
EDUCATION
 The aids used for transmitting health education are
the main constituent of the armamentarium of
health education process.
 1.Auditary aids
 2.Visual aids
 3.A combination of audio-visual aids
73
 AUDITORY AIDS
 Based on the principles of sound,
electricity and magnetism.
 Useful in reproducing any kind of
words spoken and also helps in
repeating the same.
 Megaphones
 Microphones
 Gramophone records and discs
 Tape records
 Radios
 Sound amplifiers
74
 VISUAL AIDS
 Based on the principles of projection.
 Helps individuals to understand better.
 It is of 2 types:
1.Projected aids
2.Non-projected aids
75
 Projected aids
 Needs projection from a source on to
the screen.
 Films or cinemas
 Film stripes
 Slides
 Overhead projectors
 Transparencies
 Bioscopes
 Video cassettes
 Silent films
76
 Advantages
 Real life situations can be enacted in films
 Self explanatory
 Creates a special interest among the audience to watch
a film
 Situational effects can be shown in a film
77
 Non projected aids
 Do not require any projection
 Black board
 Pictures, cartoons, photographs
 Flip charts, flashcards
 Flannel boards
 Printed materials-- leaflets, pamphlets,
folders, booklets, brochures
 Models, specimens
78
 Combination of audio-visual aids
 Sound and sight can be combined
together.
 Televisions
 Tape and slide combinations
 Video cassette players and records
 Motion pictures or cinemas
 Multimedia computers
 These also include traditional media-
folk dance, folk songs, puppet shows,
dramas
79
METHODS OF HEALTH EDUCATION
1. Individual approach
2. Group approach
-Chalk And Talk (Lectures)
-Symposium
-Group Discussions
-Panel Discussions
-Work Shop
-Conferences Or Seminars
-Role Playing/ Socio Drama
-Demonstrations
3. Mass approach
80
 INDIVIDUALAPPROACH:
 When an individual comes to the dental clinic or health
centre because of illness, the opportunity should be used
to educate him on matters of interest such as the cause
and nature of his illness, its prevention, beneficial diets,
oral hygiene etc.
 This approach can also be used by public health
personnel, since they will be visiting homes and can
interact with the individual and their families
81
 Advantages:
 Can be done in a dentist’s consultation room
 Discussion, argument and persuasion of an individual to
change his behavior is possible
 Opportunity for the individual to ask questions and
clearing doubts
 Disadvantages:
 Small number can benefit
 Health education is given to only who come in contact
with the dental surgeon or with public health personnel
82
GROUPAPPROACH
 CHALK AND TALK (LECTURES)
 “A carefully prepared oral presentation of
facts, organized thoughts and ideas by a
qualified person”.
 Should have an opening statement.
 Group should not be more than 30 people.
 Duration of talk should not exceed 15-20
minutes.
 Should be based on topics of current interest.
 Its effectiveness depends on ability of
speaker to write and draw legibly.
 Disadvantage-one way communication
,learning is passive.
83
 SYMPOSIUM:
 A series of speeches on a selected topic.
 Each speaker presents a brief aspects of the topic.
 There is no discussion among speakers.
 In the end, the audience may ask questions
 The chairman makes a summary at the end of the
session.
84
 GROUP DISCUSSIONS:
 A group is an aggregation of people
interacting in a face-to-face situation.
 Process of identifying problems and finding
solutions collectively by members of group.
 Consist of 6-12 members.
 Participants are seated in a circle.
 Group leader initiates the subject, prevents
side conversations, encourages everyone to
participate and sums up the discussion.
 There should be a recorder who prepares a
report on issues discussed and agreements
reached.
85
 PANEL DISCUSSIONS:
 Panel of 4 to 8 experts sit and discuss
a topic in front of an audience.
 Headed by a chairman who opens the
session, introduces the speakers and
keeps the discussion going.
 Audience are allowed to ask
questions.
 Chairman sums up the different views
presented.
86
 WORKSHOP:
 It consist of series of meetings with emphasis on
individual work with the help of resource persons.
 Total work shop is divided in to small groups and
each groups will select a chairman and a recorder.
 The individuals work, solve a part of the problem,
contribute to group discussions and leave the
workshop with a plan of action for the problem.
87
CONFERENCES OR SEMINARS:
Program range from half day to one week.
Held on a regional, state or national level.
They usually have a theme.
88
 ROLE PLAYING/SOCIO DRAMA:
 Size of the group should be 25
 The audience should take part
 Situation is dramatized to make
communication more effective
 It is followed by a discussion on the
problem
 Puppet shows is a type of socio
drama
 Useful for children’s health
education
89
 DEMONSTRATIONS:
 Procedure is carried out step-by-step in front of an
audience
 Method involves the audience in discussion and
has a high motivational value
 The audience can then carry out the procedure
themselves with expert help
90
MASS APPROACH
 Communication is given to a community where
the people gathered together do not belong to one
particular group
 Advantages:
 Large number of people can be reached
 People of all socio-economic status have access to
health education
 Disadvantage :
 One way communication
91
VARIOUS MASS MEDIA USED ARE:
 Television
 Radio
 News papers/press
 Documentary films
 Posters
 Health exhibition
 Health magazines
 Health information booklets
 Internet
92
93
 Television:
 Coverage to large number of perople
 Can reach illiterates
 Entertaining
 Disadvantage:
 High cost
 Radio:
 Has broader audience than TV
 Can reach illiterates
 Economical
94
 Newspaper/ press:
 Widely disseminated form of literature
 Disadvantage:
 Low leadership in rural areas because of illiteracy.
 Documentary films:
 Provides realism and motion
 Disadvantage:
 High cost
95
 Posters:
 Should be eye catching
 Simple and short message
 Placed in locations like bus stands, hospitals
 Health exhibition:
 Conducted during a fair or festival
 Health magazines:
 Should be in a simple language that the public can
understand
96
 Health information booklets:
 Ministry of health issues a number of booklets and
educational pamphlets on various diseases and methods of
prevention.
 Internet:
 There are number of internet sites providing health
education to the community.
 Disadvantage:
 Expensive
 Accessible to only elite few
 Chances of providing misleading information
HEALTH PROMOTION
“Process of enabling people to increase
control over, and to improve health”.
-Ottawa Charter for Health Promotion, First
International Conference on Health
Promotion, Ottawa 21st November 1986.
97
The five priority action areas for health
promotion
98
 Building healthy public policy:
Health promotion put health on the agenda of policy
makers in all sectors and at all levels, directing them to
be aware of the health consequences of their decisions
and to accept their responsibilities for health.
Eg. At present, carbonated drinks are chaeper than
healthy alternatives. Dental professionals need to lobby
the government to facilitate change in public policies
to reduce the cost of healthy products so that people
can have more healthy options.
99
100
 Creating supportive environments for health:
 Health promotion generates living and working
conditions that are safe, stimulating, satisfying and
enjoyable.
 The protection of the natural and built environments
and the conservation of natural resources must be
addressed in any health promotion strategy.
 Eg. Establishing smoke free areas, healthy catering
services.
 Strengthening community action for health:
 Health promotion works through concrete and
effective community action in setting priorities,
making decisions, planning strategies and
implementing them to achieve better health.
 At the heart of this process is the empowerment
of communities.
 Eg. Establishing self help groups where people
with particular oral health problems can share
their experience and identify the solutions.
101
 Developing personal skills:
 Health promotion supports personal and social
development through providing information, education
for health, and enhancing life skills.
 Eg:-Increasing patient’s knowledge about the role of
sugar and plaque in the etiology of dental diseases and
to develop tooth brushing skills and promote self care.
102
 Re-orienting health services:
 Reorienting health services require a stronger attention
to health research as to changes in professional
education and training.
 There must be a change of attitude and organization of
health services, with the health sector moving
increasingly in a health promotion direction, beyond its
responsibility for providing clinical and curative
services.
 Eg:-Dentists can be encouraged and rewarded for
effective prevention and research activities.
103
CONCLUSION
 Health education have the potential to tackle the
underlying determinants of oral health and thereby
improve the oral health of all sections of society.
 It has an immediate impact on behavior. It is vital
to the practice and prevention and is the channel
for reaching the people and alerting them to health
services and resources.
 The focus of health education is on people & their
actions through planning and teamwork. Its goal is
to make realistic.
104
REFERENCE
1. S. Peter. 5th edition. Health education and
promotion. Essentials of public health dentistry.
2. K. Park. 23rd edition. Communication for health
education. Textbook of preventive and social
medicine.
3. Internet sources
105
THANK YOU
106

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healtheducation- dr rohma 3rd aug.pptx

  • 1. “THE ONLY THING MORE EXPENSIVE THAN EDUCATION IS IGNORANCE” 1
  • 2. GUIDED BY: Dr. Pradeep Tangade (Hod & Prof.) Dr. Himanshu Punia (Reader) Dr. Vipul Gupta (Reader) Dr. Anamika Gupta (Reader) Dr Vikas Singh (Sr. Lecturer) Dr. Ankita Jain (Sr. Lecturer) 2 PRESENTED BY: Dr. Rohma Yusuf PG 2nd year Dept. Of Public Health Dentistry
  • 3. CONTENTS  INTRODUCTION  DEFINITION  OBJECTIVES  APPROACHES TO ACHIEVE HEALTH  MODELS OF HEALTH EDUCATION  PRINCIPLES OF HEALTH EDUCATION  CONTENTS OF HEALTH EDUCATION  STAGES OF ADOPTION OF NEW IDEAS AND PRACTICES. 3
  • 4. 4  PLANNING AND MANAGEMENT  COMMUNICATION  EDUCATIONAL AIDS  METHODS OF HEALTH EDUCATION  HEALTH PROMOTION  CONCLUSION  REFERENCES
  • 5. INTRODUCTION  Health Education is the process of imparting information about health in such a way that the recipient is motivated to use that information for the protection or advancement of his own, his family’s or his community’s health.  Health education is an active learning process, which aims at favorably changing attitudes and influencing behavior with respect to health practices. 5
  • 6. It is vital to the practice of prevention. It is the channel for reaching the people and alerting them to the doctor’s services and to all other community health resources. A ‘health educated’ person is well aware of his own responsibility and of the steps he himself must take to receive the full benefits of prevention at all levels. 6
  • 7. DEFINITION  “Health education comprises consciously constructed opportunities for learning involving some form of communication designed to improve health literacy, including improving knowledge, and developing skills which are conducive to individual and community health” -WHO health promotion glossary 1998 7
  • 8. WHO Health promotion Glossary1998 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.” 8
  • 9. National Conference On Preventive Medicine In USA “Health Education is a process that informs, motivates, and helps people to adopt and maintain healthy practices and lifestyles, advocates environmental changes as needed to facilitate this goal and conducts professional training and research to the same end” 9
  • 10.  Green and his co-workers define health education as "Any combination of learning experiences designed to facilitate voluntary adaptations of behavior conducive to health".  Wood has defined health education for the individual as "the sum of experience which favorably influences habits, attitudes and knowledge relating to individual, community and racial health". 10
  • 11.  Grout defines health education as "a procedure, which involves the translation of what is known about health into desirable individual and community behavior patterns by means of the educational process.  Turner describes community health education as "a learning process through which people in a community inform or orient themselves for more intelligent health action". 11
  • 12.  Young and Striffler define health education as "simply as the provision of health information to people in such a way that they apply it in everyday living".  Nyswander defines health education as follows: "Health education is a process of change within the human organism itself which is related to achieving personal and community health goals. 12
  • 13. ALMA- ATA DECLARATION  The declaration in 1978, emphasized the need for individual and community participation, which gave a new meaning & direction to the practice of Health Education.  Definition of Health Education is… “A process aimed at encouraging people to be healthy, to know how to stay healthy, to do what they can individually and collectively maintain health, and to seek help when needed”. 13
  • 14. HISTORY  The word education is derived from the Latin word "Educare" and "Educere" which means to bring out and to lead.  In its broadest sense, it includes knowledge acquired and characters formed. 14
  • 15.  Health education would thus mean putting health knowledge into practice.  Health education of the public had a beginning as a discipline of public health in the 1930's.  It received further importance during World War II when added emphasis was placed on efforts to inform people about better nutrition and related health problems. 15
  • 16. OBJECTIVES  INFORMING PEOPLE (Cognitive objective): people are informed about the different diseases, their etiology and how to prevent them.  MOTIVATING PEOPLE (Affective objective): concerned with clarifying, changing or forming attitudes,beliefs,values or opinions. After health information is given it is necessary to motivate them to alter their lifestyles so that it becomes favorable to promoting health and preventing disease.  Motivation is defined as “a combination of forces which initiate, direct and sustain behaviors.” 16
  • 17.  GUIDING INTO ACTION (Behavioural objective): concerned with development of skills and action. A person who has obtained health information might be motivated to change his behavior and lifestyle. However he might need professional help and guidance so as to bring about these changes and to sustain these altered lifestyles. 17
  • 18. APPROACHES TO ACHIEVE HEALTH 1. LEGAL OR REGULATORYAPPROACH:  Make use of the law to protect the health of the public  Government makes laws and regulations to safegauard the health of the people.  Eg:-Epidemic diseases act -Pollution act -Food adulteration act -Environmental act 18
  • 19. DRAWBACKS 19  They are applicable only at certain times  May not alter the behaviour of the individual  Laws are not democratic since they interfere with personal choices.
  • 20. APPROACHES TO ACHIEVE HEALTH 2.ADMINISTRATIVE OR SERVICE APPROACH: This approach intends to provide all the health facilities to the people with the hope that they will use it. DRAWBACK It becomes a failure if the service is not based on the felt needs of the people. 20
  • 21. APPROACHES TO ACHIEVE HEALTH 3. EDUCATIONAL APPROACH:  Most effective means for achievement of changes in the health practices and lifestyles of the community.  Components –motivation, communication and decision-making  Result obtained from this approach is slow but permanent and enduring.  Sufficient time should be allowed for the individual to bring about the desired changes in his behavior. 21
  • 22. APPROACHES TO ACHIEVE HEALTH 4. PRIMARY HEALTH CARE APPROACH:  It involves full participation and active involvement of the people starting from the planning stage till the delivery of the health services.  This is based on principles of primary health care i.e. community participation.  This can be achieved by providing the necessary guidance to help people identify their health problems and to find solutions to these problems. 22
  • 23. Models Of Health Education 23  Medical model:  This model is primarily interested in the recognition and treatment of disease.  The emphasis was on dissemination of health information based on scientific facts.  The assumption was that people would act on the information supplied by health professionals to improve their health.  This model did not bridge the gap between knowledge and behaviour and hence was of little or no importance.
  • 24. 24  Motivational model:  Adopting to a new behaviour or idea is not simple. It is a process consisting of several stages through which an individual is passed before adoption.  3 stages have been described in the process of change in behaviour:
  • 25. 25 AWARENESS we must first create awareness of the health needs and problems through a programme of public information. MOTIVATIO N Interest • Evaluation • Decision making ACTION • Adoption Or • Acceptanc e
  • 26. 26  Social intervention model: The motivation model ignored the fact that in a number of situation its not the individual who needs to be changed but it’s the social enviroment that shapes the behaviour of the individual and community. An effective health education model should be based on precise knowledge of human ecology and understanding of interaction between the cultural, biological, physical, and social enviromental factors.
  • 27. PRINCIPLES OF HEALTH EDUCATION  1.CREDIBILITY  2.INTEREST  3.PARTICIPATION  4.MOTIVATION  5.COMPREHENSION  6.REINFORCEMENT  7.LEARNING BY DOING  8.KNOWN TO UNKNOWN  9.SETTING AN EXAMPLE  10.GOOD HUMAN RELATIONS  11.FEEDBACK  12.COMMUNITY LEADERS 27
  • 28. CREDIBILITY It is the degree to which the message is perceived as trustworthy by the receiver. >It should be scientifically proven, >Based on facts and >Should be compatible with local culture and goals. 28
  • 29. INTEREST * If the health education topic is of interest to the people, they will listen to it. * Health educator should identify the “felt needs” of the people and then prepare a program that they can actively participate in to make it successful. 29
  • 30. PARTICIPATION  Health educator should encourage people to participate in the program.  Once the people are given a chance to take part in the program it leads to their acceptance of the program.  Methods like group discussion, panel discussions etc. provide opportunities for people’s participation . 30
  • 31. MOTIVATION  “The fundamental desire for learning in an individual”  Health education can be facilitated by the motivation provided by the desire to achieve individual goals.  Motives are of 2 types: 1. Primary e.g. hunger, survival. These are inborn desires. 2. Secondary motives are based on desires created by outside forces. E.g. love, rivalry, rewards 31
  • 32. COMPREHENSION  Level of understanding of the people who receive the health education.  Should first determine the level of literacy and understanding of the audience and act accordingly.  words that are strange or new to the people should not be used.  Use of technical terms or medical terms should be avoided. 32
  • 33.  Eg:-A statement saying “Eat food items that are cariogenic” may not be comprehensive to the layman. A better way of explaining would be “ Avoid food stuffs which are sweet and which stick to your teeth like toffees and pastries. Eat food items like fruits and raw vegetables which in addition to being healthy, also help in keeping your teeth clean. 33
  • 34. REINFORCEMENT  This is the principle that refers to the repetition needed in health education.  It is not possible for the people to learn new things in a short period of time, so repetition is a good idea.  This can be done at regular intervals and it helps people to understand new ideas or practice better.  “Booster dose” in health education. 34
  • 35. LEARNING BY DOING  If the learning process is accompanied by doing new things it is better instilled in the minds of people.  “if I hear, I forget; if I see, I remember; if I do, I know” (Chinese proverb). 35
  • 36. KNOWN TO UNKNOWN  Before the start of any health education program, the health educator should find out how much the people already know and then give them the new knowledge.  The existing knowledge of the people can be used as the basic step up on which new knowledge can be placed. 36
  • 37. 37 Eg:-A health education program with the aim of introducing a toothbrush to a rural population will be better appreciated if the communicator start the program with “what are you using to clean your teeth at present” and then going in to details like “why are you using it” and then connecting it to the tooth brush and then providing details about the tooth brush.
  • 38. SETTING AN EXAMPLE  The health educator should follow what he preaches.  He should set an example to others to follow.  Eg:- A health educator who participate in a program highlighting the ill effects of tobacco should not be seen smoking since it sends a wrong signal and seriousness of the situation is lost. 38
  • 39. GOOD HUMAN RELATIONS  This principle states that the health educator should have good personal qualities and should be able to maintain friendly relations with the people.  The health educator should have:  Kind and sympathetic attitude towards the people.  Should always be helpful to them in clarifying doubts or repeating what is not understood. 39
  • 40. FEEDBACK For any program to be successful it is necessary to collect feedback to find out if any modifications are needed to make the program more effective. 40
  • 41. COMMUNITY LEADERS  Community leaders can be used to reach the people of the community and to convince them about the need for health education. Like village headman, school teacher or political worker.  Leaders can also be used to educate the people as they will have a rapport and will be familiar with the people of their community.  The leader will have an understanding of the needs of the community and advice and guide them. 41
  • 42. CONTENTS OF HEALTH EDUCATION A. HUMAN BIOLOGY B. NUTRITION C. HYGIENE D. FAMILY HEALTH CARE E. CONTROL OF COMMUNICABLE AND NON COMMUNICABLE DISEASES F. PREVENTION OF ACCIDENTS G. USE OF HEALTH SERVICES 42
  • 43. HUMAN BIOLOGY  Training of human biology should start from the kindergarten itself.  Children are taught about the different parts of the human body and their functions.  They are also taught the importance of good health and methods to keep physically fit.  Teaching also directed towards the need for exercise, adequate rest and sleep.  Information about the adverse habits and its effects on human body. 43
  • 44. NUTRITION People should be taught about the nutrient value of food stuff and the effect of nutrients on health. It is to help people to choose optimum and balanced diets to remove prejudices and promote good dietary habits. 44
  • 45. HYGIENE  The people are taught about the importance of hygiene and methods of maintaining hygiene. A)Personal hygiene- to promote good standards of personal cleanliness. B)Environmental hygiene- this comprises two aspects-Domestic and Community. 45
  • 46.  Domestic hygiene- keeping the house and surroundings clean, proper ventilation, adequate light and fresh air, proper disposal of waste materials, avoidance of pests, insects etc.  Community hygiene- care of the surroundings ensuring proper garbage disposal, adequate sewage and drainage. 46
  • 47. FAMILY HEALTH CARE  Aim here is to strengthen and improve the health of family as a unit rather than as an individual.  Improving maternal oral health to improve the oral health of child should also be addressed. 47
  • 48. CONTROL OF COMMUNICABLE &NON COMMUNICABLE DISEASES Aim is to provide elementary knowledge so that they can better understand common signs and symptoms of disease and prevention there by promoting health. 48
  • 49. PREVENTION OF ACCIDENTS  People have to taught about the basic safety rules and how to prevent common accidents which takes place in their home, in their work place or on the road.  Health education programs to educate the students, parents and teachers about the use of mouth guards when playing contact sports so as to prevent oro-facial trauma.  The predominant factor in accidents is carelessness and the problem can be tackled by health education. 49
  • 50. USE OF HEALTH SERVICES People have to be informed about the various health services and preventive programmes available to them. They also have to be educated on the proper use of these services. They also be encourage to participate in the health programmes. 50
  • 51. 51
  • 52. STAGES IN THE ADOPTION OF NEW IDEAS AND PRACTICES  Stage of unawareness: Stage in which individual not aware of new idea or practice.  Stage of awareness: Stage in which individual has some general information about the new idea or practice, but does not know much about it’s usefulness, limitations etc.  Stage of interest: Stage in which individual shows interest in knowing more about the new idea or practice. 52
  • 53.  Stage of evaluation:- Stage in which the individual tries to find out he advantages and disadvantages of the new method. He evaluates whether the new practice will be beneficial to him and his family  Stage of trial:- Stage in which the individual decides to put the new idea or method into practice. Additional information and guidance should be given at this stage  Stage of adoption:- Stage in which the individual finally accepts the new idea or practice as beneficial to him and adopts it 53
  • 54. 54 Health Education Propaganda Knowledge and skills actively acquired(active thinking) Knowledge instilled in the minds of the people(facts). Develops reflective behavior .Trains people to use judgement before acting Develops reflexive behavior; aims at impulsive action. Appeals to reason Appeals to emotion Develops individuality ,personality and self expression Develops a standard pattern of attitudes and behaviors according to medium used. Knowledge acquired through self reliant activity Knowledge is spoon fed. It is passively received. The process is behavior centered- aims at developing favorable attitudes , habits and skills The process is information centered – no change of attitude or behavior .
  • 55. PLANNING AND MANAGEMENT 55  Planning and evaluation are essential for effective health education.  Specifics of health education strategy in a local community have to be formulated in accordance with its socio cultural, psycho-social, political, economic and situational characteristics.  Health education planning follows the main steps in scientific planning: 1. Collecting informations on specific problems as seen by the community.
  • 56. 56 2. Identification of the problem 3. Deciding on priorities 4. Settings goals and measurable objectives 5. Assessment of resources 6. Consideration of possible solutions 7. Preparation of a plan of action ( what will be done?, when,?, by whom?) 8. Implementing the plan 9. Monitering and evaluating 10. Reassessment of the process of planning
  • 57. COMMUNICATION  Communication is regarded as a two way process of exchanging or shaping ideas, feelings and information to bring about desired changes in human behavior. 57
  • 58. Definition:- Health communication is defined as a key strategy to inform the public about health concern and to maintain important health issues on the public agenda. The use of the mass and multi media and other technological innovations to disseminate useful health information to the public, increases awareness of specific aspects of individual and collective health as well as importance of health in development. 58
  • 59.  Communication is essentially the transfer of ideas, messages or information from one person to another.  In this process a cycle of communicating messages is formed between the sender and the receiver.  The sender is required to conceive the message he wishes to send, encode this message and then transmit.  The receiver then is require to receive this message, decode it and clarify his/her understanding of the messages. 59
  • 60. COMPONENTS OF COMMUNICATION 1- SENDER:  He is the originator of the message.  His objectives should be clearly defined.  He should know the interests and needs of his audience.  He should know the message.  He should know the channels of communication.  He should know his abilities and limitation. 60
  • 61. 2- RECEIVER:  Audience may be a single person or a group.  Two types of audience are:  Controlled- It is held together by a common interest. It is a homogenous groups.  Uncontrolled- It is a group which has gathered together because of curiosity. 61
  • 62. 3- MESSAGE:  It is the information transmitted by the communicator to the recipient. A good message must be:  In line with the objective.  Based on felt needs.  Clear and understandable.  Specific and accurate.  Timely and adequate.  Interesting.  Culturally and socially appropriate. 62
  • 63. 4- CHANNELS OF COMMUNICATION:  It is the media used for communication  The media chosen should be: -Efficient in transmitting the message -Attractive to the audience -Easily understandable by the people -Able to bring about good response and interaction by the people.  The most common channel of communication is interpersonal or Face-to-face Communication. 63
  • 64. 5-FEEDBACK:  It is the flow of information from the audience to the sender.  It provides an opportunity to modify the message and render it more acceptable.  Eg:- Opinion Polls, Interviews, Questionnaire Surveys. 64
  • 65. TYPES OF COMMUNICATION 1.One way and two way communication. 2.Verbal and non verbal communication 3.Formal and informal communication 65
  • 66. One way communication- Flow of information is one way i.e. from the sender to the receiver. The draw backs are:  Knowledge is imposed  Learning is authoritative.  There is little audience participation.  No feed back. 66
  • 67. Two way communication:  Participation is from both; the sender and the receiver.  Learning is active and democratic.  It is more likely to influence behavior. 67
  • 68. Verbal And Non Verbal Communication: 68
  • 69. Formal and informal communication Formal communication follows lines of authority. Informal communication- conversing with friends or colleagues. 69
  • 70. BARRIERS IN COMMUNICATION 1.Psychological Barriers 2.Physiological Barriers 3.Environmental Barriers 4.Cultural Barriers 70
  • 71.  PSYCHOLOGICAL BARRIERS:  Emotional disturbances, depression, neurosis, psychosomatic disorder.  Special methods and utmost care should be adopted to convey the message.  PHYSIOLOGICAL BARRIERS:  Difficulties in self expression, hearing, seeing, understanding.  Channels of communication should be selective. 71
  • 72.  ENVIRONMENTAL BARRIERS:  Excessive noise, difficulties in vision and congestion  It can be overcome by making small groups and using appropriate channels for communication.  CULTURAL BARRIERS:  Patterns of behavior, habits, beliefs, customs, attitudes, religion, illeteracy, economic and social class difference. 72
  • 73. EDUCATIONALAIDS USED IN HEALTH EDUCATION  The aids used for transmitting health education are the main constituent of the armamentarium of health education process.  1.Auditary aids  2.Visual aids  3.A combination of audio-visual aids 73
  • 74.  AUDITORY AIDS  Based on the principles of sound, electricity and magnetism.  Useful in reproducing any kind of words spoken and also helps in repeating the same.  Megaphones  Microphones  Gramophone records and discs  Tape records  Radios  Sound amplifiers 74
  • 75.  VISUAL AIDS  Based on the principles of projection.  Helps individuals to understand better.  It is of 2 types: 1.Projected aids 2.Non-projected aids 75
  • 76.  Projected aids  Needs projection from a source on to the screen.  Films or cinemas  Film stripes  Slides  Overhead projectors  Transparencies  Bioscopes  Video cassettes  Silent films 76
  • 77.  Advantages  Real life situations can be enacted in films  Self explanatory  Creates a special interest among the audience to watch a film  Situational effects can be shown in a film 77
  • 78.  Non projected aids  Do not require any projection  Black board  Pictures, cartoons, photographs  Flip charts, flashcards  Flannel boards  Printed materials-- leaflets, pamphlets, folders, booklets, brochures  Models, specimens 78
  • 79.  Combination of audio-visual aids  Sound and sight can be combined together.  Televisions  Tape and slide combinations  Video cassette players and records  Motion pictures or cinemas  Multimedia computers  These also include traditional media- folk dance, folk songs, puppet shows, dramas 79
  • 80. METHODS OF HEALTH EDUCATION 1. Individual approach 2. Group approach -Chalk And Talk (Lectures) -Symposium -Group Discussions -Panel Discussions -Work Shop -Conferences Or Seminars -Role Playing/ Socio Drama -Demonstrations 3. Mass approach 80
  • 81.  INDIVIDUALAPPROACH:  When an individual comes to the dental clinic or health centre because of illness, the opportunity should be used to educate him on matters of interest such as the cause and nature of his illness, its prevention, beneficial diets, oral hygiene etc.  This approach can also be used by public health personnel, since they will be visiting homes and can interact with the individual and their families 81
  • 82.  Advantages:  Can be done in a dentist’s consultation room  Discussion, argument and persuasion of an individual to change his behavior is possible  Opportunity for the individual to ask questions and clearing doubts  Disadvantages:  Small number can benefit  Health education is given to only who come in contact with the dental surgeon or with public health personnel 82
  • 83. GROUPAPPROACH  CHALK AND TALK (LECTURES)  “A carefully prepared oral presentation of facts, organized thoughts and ideas by a qualified person”.  Should have an opening statement.  Group should not be more than 30 people.  Duration of talk should not exceed 15-20 minutes.  Should be based on topics of current interest.  Its effectiveness depends on ability of speaker to write and draw legibly.  Disadvantage-one way communication ,learning is passive. 83
  • 84.  SYMPOSIUM:  A series of speeches on a selected topic.  Each speaker presents a brief aspects of the topic.  There is no discussion among speakers.  In the end, the audience may ask questions  The chairman makes a summary at the end of the session. 84
  • 85.  GROUP DISCUSSIONS:  A group is an aggregation of people interacting in a face-to-face situation.  Process of identifying problems and finding solutions collectively by members of group.  Consist of 6-12 members.  Participants are seated in a circle.  Group leader initiates the subject, prevents side conversations, encourages everyone to participate and sums up the discussion.  There should be a recorder who prepares a report on issues discussed and agreements reached. 85
  • 86.  PANEL DISCUSSIONS:  Panel of 4 to 8 experts sit and discuss a topic in front of an audience.  Headed by a chairman who opens the session, introduces the speakers and keeps the discussion going.  Audience are allowed to ask questions.  Chairman sums up the different views presented. 86
  • 87.  WORKSHOP:  It consist of series of meetings with emphasis on individual work with the help of resource persons.  Total work shop is divided in to small groups and each groups will select a chairman and a recorder.  The individuals work, solve a part of the problem, contribute to group discussions and leave the workshop with a plan of action for the problem. 87
  • 88. CONFERENCES OR SEMINARS: Program range from half day to one week. Held on a regional, state or national level. They usually have a theme. 88
  • 89.  ROLE PLAYING/SOCIO DRAMA:  Size of the group should be 25  The audience should take part  Situation is dramatized to make communication more effective  It is followed by a discussion on the problem  Puppet shows is a type of socio drama  Useful for children’s health education 89
  • 90.  DEMONSTRATIONS:  Procedure is carried out step-by-step in front of an audience  Method involves the audience in discussion and has a high motivational value  The audience can then carry out the procedure themselves with expert help 90
  • 91. MASS APPROACH  Communication is given to a community where the people gathered together do not belong to one particular group  Advantages:  Large number of people can be reached  People of all socio-economic status have access to health education  Disadvantage :  One way communication 91
  • 92. VARIOUS MASS MEDIA USED ARE:  Television  Radio  News papers/press  Documentary films  Posters  Health exhibition  Health magazines  Health information booklets  Internet 92
  • 93. 93  Television:  Coverage to large number of perople  Can reach illiterates  Entertaining  Disadvantage:  High cost  Radio:  Has broader audience than TV  Can reach illiterates  Economical
  • 94. 94  Newspaper/ press:  Widely disseminated form of literature  Disadvantage:  Low leadership in rural areas because of illiteracy.  Documentary films:  Provides realism and motion  Disadvantage:  High cost
  • 95. 95  Posters:  Should be eye catching  Simple and short message  Placed in locations like bus stands, hospitals  Health exhibition:  Conducted during a fair or festival  Health magazines:  Should be in a simple language that the public can understand
  • 96. 96  Health information booklets:  Ministry of health issues a number of booklets and educational pamphlets on various diseases and methods of prevention.  Internet:  There are number of internet sites providing health education to the community.  Disadvantage:  Expensive  Accessible to only elite few  Chances of providing misleading information
  • 97. HEALTH PROMOTION “Process of enabling people to increase control over, and to improve health”. -Ottawa Charter for Health Promotion, First International Conference on Health Promotion, Ottawa 21st November 1986. 97
  • 98. The five priority action areas for health promotion 98
  • 99.  Building healthy public policy: Health promotion put health on the agenda of policy makers in all sectors and at all levels, directing them to be aware of the health consequences of their decisions and to accept their responsibilities for health. Eg. At present, carbonated drinks are chaeper than healthy alternatives. Dental professionals need to lobby the government to facilitate change in public policies to reduce the cost of healthy products so that people can have more healthy options. 99
  • 100. 100  Creating supportive environments for health:  Health promotion generates living and working conditions that are safe, stimulating, satisfying and enjoyable.  The protection of the natural and built environments and the conservation of natural resources must be addressed in any health promotion strategy.  Eg. Establishing smoke free areas, healthy catering services.
  • 101.  Strengthening community action for health:  Health promotion works through concrete and effective community action in setting priorities, making decisions, planning strategies and implementing them to achieve better health.  At the heart of this process is the empowerment of communities.  Eg. Establishing self help groups where people with particular oral health problems can share their experience and identify the solutions. 101
  • 102.  Developing personal skills:  Health promotion supports personal and social development through providing information, education for health, and enhancing life skills.  Eg:-Increasing patient’s knowledge about the role of sugar and plaque in the etiology of dental diseases and to develop tooth brushing skills and promote self care. 102
  • 103.  Re-orienting health services:  Reorienting health services require a stronger attention to health research as to changes in professional education and training.  There must be a change of attitude and organization of health services, with the health sector moving increasingly in a health promotion direction, beyond its responsibility for providing clinical and curative services.  Eg:-Dentists can be encouraged and rewarded for effective prevention and research activities. 103
  • 104. CONCLUSION  Health education have the potential to tackle the underlying determinants of oral health and thereby improve the oral health of all sections of society.  It has an immediate impact on behavior. It is vital to the practice and prevention and is the channel for reaching the people and alerting them to health services and resources.  The focus of health education is on people & their actions through planning and teamwork. Its goal is to make realistic. 104
  • 105. REFERENCE 1. S. Peter. 5th edition. Health education and promotion. Essentials of public health dentistry. 2. K. Park. 23rd edition. Communication for health education. Textbook of preventive and social medicine. 3. Internet sources 105

Editor's Notes

  1. Irst