Presentation of the health literacy project on stroke prevention and control in Aragon (Spain). Presented on 14 December at the launch of the WHO report Health Literacy Development in the prevention and control of non-communicable diseases The launch of the National Health Literacy Development Project in the prevention and control of stroke in Aragon is presented, based on the five actions recommended by the report. The web addresses to find out more are: Health Literacy Development for the prevention and control of NCDs https://www.who.int/groups/gcm/health-literacy-development-for-ncd-prevention-and-control/ Launch webinar https://www.who.int/news-room/events/detail/2022/12/14/default-calendar/hlreport Stroke Strategy Aragon: https://www.aragon.es/-/estrategia-de-ictus Community Strategy in Primary Care https://atencioncomunitaria.aragon.es/ Aragonese Network of Health https://eps.aragon.es/Promoting Schools Aragon School of Health https://www.saludinforma.es/portalsi/web/escuela-de-salud Contact: escueladesalud@aragon.es

1. NHLDP SPAIN: ARAGÓN
Health literacy for stroke prevention and control
Five recommended actions
Starting the NHLDP
WHO Report Launch Webinar 14 December 2022
Javier Gállego Diéguez. Directorate General for Digital Transformation, Innovation and Users' Rights.
Department of Health. Government of Aragon (Spain) @gallegodieguez

2. Aragón context
1,3 million inhab.
48.000 Km2
20 public hospitals
123 primary care
centres
Health education
(Modolo 1990)
Health literacy
(Nubeam 2000)
Prescriptive Motivational Engagement
Basic Interactive Critical
Paulo Freire
Aragón Health
Plan 2030

3. Community Strategy in Primary Care
Spanish
Stroke
Strategy
Aragon
Stroke Plan
(PAIA)
Stroke
patient
nursing
care plan
Spanish Network
of Patient Schools
School
Municipality

4. NHLDP: Health literacy for stroke prevention and control
Study of social and
gender perspectives
on stroke in Aragon
Social gradient
Rural area
Cultural barriers
Mental health problems
Institutionalised patients
Stakeholders
• Policymakers of health department
• Stroke clinical leaders
• Primary care research group
• Patient school
• AIDA (Stroke patient association) and
other patient and citizen associations
• Public Health

5. NHLDP Aragón: Health literacy for stroke prevention and control
Project aim
 Co-design actions based on the needs, preferences and
strengths of patients
 Improve coordination between care levels in stroke
processes.
 Promote multidisciplinary networking, community-
based actions and asset-based care in relation to stroke.
Outputs
• HQL and eHQL studies. Identification
of the most vulnerable types of
patients. Generation of ideas.
• Reducing uncertainty at discharge
• Strengthening health support
networks
• Defining patient and caregiver
roadmaps
• Involve patient associations
• Linking with community resources
Podcast recording with AIDA
stroke patients' association

6. Conclusions
• Recognise previous experiences, respect the role of stakeholders and
build a shared vision.
• Intersectorial cooperation is a process and an outcome that needs time
and trust.
• The value of health literacy responsiveness of health services.
• The Ophelia approach is easy to adapt to our context.
• The 5 recommended actions are a toolkit for policymakers to integrate
health literacy into NCD prevention and control policies.
Thank you for your attention