Nairobi Conference on Health Promotion: Promoting Health & Development: Closing the Implementation Gap

1. 7th GLOBAL CONFERENCE ON
HEALTH PROMOTION
Promoting Health And Development:
Closing The Implementation Gap
26th-30th OCTOBER 2009
NAIROBI -KENYA
Prepared By:
Mohammad Aslam Shaiekh
Master of Public Health (MPH)
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2. Introduction
26th-30thOctober 2009 Nairobi –Kenya
Over 600 experts from more than 100 countries
participated in the conference, which issued the
Nairobi “Call to Action.”
Call to Action identifies key strategies and
commitments required for closing the
implementation gap in health and development
through health promotion.
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3. Logo
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Logo has three symbolic elements related to the conference,
its theme and its location
♦ The outer circle: the fading swirls of this logo reflect the
unfinished element of health promotion, the implementation
gap.
♦ Africa centered globe: recognize that first global health
promotion conference to be hosted in the Africa continent.
♦ The color: Red, green and black, represent the flag of
hosts country, the Republic of Kenya.Aslam Aman

4. Overview: 7th Global Conference
on Health Promotion
 The urgency of health promotion
 A global conference
 The implementation gap
 Mobilizing global champions
 The process
 The immediate outcomes
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5. The urgency of health promotion
 The financial crisis threatens the viability of national
economies in general and of health systems in particular.
 Global warming and climate change exert a toll in human
life, especially in lower income countries.
 Security threats create a sense of shared uncertainty for
communities around the world.
 The inexorable growth of non-communicable conditions
in low and middle-income economies, and the threat of
potentially catastrophic pandemics.
 The burden of ill-health is increasingly recognized to be
inequitably distributed, between and within countries.
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6. A global Conference
 In this conference, Health promotion was seen to be an
essential, effective approach in line with the renewal of
Primary Health Care as endorsed by the Executive Board
of WHO:
 To achieve the agreed international health
development goals(MDG):
eradication of poverty
addressing specific diseases like malaria, tuberculosis,
HIV/AIDS and
broader issues like under nutrition, reproductive, maternal
and child health.
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7. Contd…
 To address the emergence of non-communicable
diseases(NCDs), a group of conditions which are
growing at epidemic rates in low and middle income
countries such as injury, and mental disorders.
 To tackle the issue of inequities in the distribution
of health (gender, social class, income level,
ethnicity, education, occupation, and other
categories).
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8. The Implementation Gap
Three major gaps identified to be effectively addressed:
 the gap in health programmes where the evidence about
good health promotion practice could be more effectively
incorporated,
 the gap in policy-making and intersectoral
partnerships where the social determinants of health, or
the inequitable health impacts, have not been considered
and
 the gap in health systems, making the capacity of a
health system to promote health itself an indicator of
performance.
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9. Mobilizing global champions
 The conference aims for a target 250 invited
participants who represent a global voice for health
promotion and who reflect the political nature of the
conference agenda.
 They will include health promotion practitioners and
academics, together with:
 high level representatives from bilateral and
multilateral development agencies
 national and local level policy-makers and
multisectoral teams from developing countries
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10.  representatives of civil society
 representatives from global health programs with an
interest in health promotion.
Prior to the conference, and beyond it, a wider web-based
consultative process will be set up to garner true global
representation and follow-up for the call to action.
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11. The process
 The participants will examine the gaps and the role of
health promotion in closing them. The discussions,
workshops, case studies and plenary sessions will be
organized in five main tracks and an Africa Day:
 Community empowerment
 Health literacy and health behavior
 Strengthening health systems
 Partnerships and intersectoral action
 Building capacity for health promotion
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12. The immediate outcomes
Technical product
 A consultation is under way with global health
programs, developing a practical package of evidence on
health promotion interventions that addresses the top
health risks and the conditions with the highest disease
burden.
Call to action
 A political statement that calls for the inclusion of health
promotion outcomes within the design of development
programs will be drafted through an expert- and Web-
based consultation in the months leading up to the
conference and will be adopted on the last day of the
conference
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13. Call to Action to Mobilizing Global
Champions
 WHO and other UN partners;
 International development organizations;
 Governments, politicians and policy makers at all levels;
 Public, civil society, non-governmental and private
organizations, and practitioners;
 Individuals, families, communities, community-based
organizations and social networks
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14. Thematic tracks
Five thematic tracks:
 Community empowerment
 Health literacy and health behavior
 Strengthening health systems
 Partnerships and inter-sectoral action
 Building capacity for health promotion
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15. Track 1: Community
Empowerment
 Is more than the involvement, participation or
engagement of communities.
 Implies community ownership and action that explicitly
aims at social and political change.
 Process of re-negotiating power in order to gain more
control.
 Focus on the conceptual and practical issues in building
empowered communities.
 Community empowerment in action: Self-Employed
Women’s Association (SEWA) in Gujrat India
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16. Track 2: Health literacy
and health behavior
 Recognizes the issue of power and how power relations
affect access to information and its use,
 Examine the issues involved in achieving health literacy
in this comprehensive sense, and identify strategic
actions needed to lead the way forward.
 Examine the role of other sectors in contributing to
health literacy, and consider advocacy with and strategic
alliances with the education sector - and at all levels,
international, national and local - to achieve this.
 Health literacy in action: prevention and control of
malaria without using DDT in America.
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17. Track 3: Strengthening
health systems
 In a world threatened by emerging crises, health systems
have tended to lurch from priority to priority.
 Focus on practical linkages between Health Promotion
and health systems. It will showcase efforts such as those
that achieve universal coverage especially in low income
countries, in reaching hard-to-reach groups and/or
financing primary health care.
 Thailand's health successes: by adopting PHC
approach
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18. Track 4: Partnerships and
inter-sectoral action
 A 'whole of government' approach to health works
closely with other sectors (finance, education,
agriculture, environment, housing and transport) to
examine how their policies can help achieve their own
objective while also improving health.
 Explore practical aspects of achieving such inter-sectoral
collaboration and partnerships.
 Healthy city Marikina Philipins: adopted the
different initiatives in response to endemic dengue.
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19. Track 5: Building capacity for
health promotion
 Address the issues involved in mainstreaming efforts to
build leadership
 Highlight the evidence that countries with higher levels of
health promotion capacity also achieve higher levels of
development, as indicated by Human Development Index.
 Explore efforts to build leadership, secure sustainable
financing, develop knowledge and skills for intersectoral
collaboration in health promotion across countries.
 Health promotion leadership development program: by
western pacific region of WHO
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20. Conclusion
It summarizes the state of the art in health
promotion and provides a practical and
comprehensive guide to take action.
The Nairobi Call to Action for Closing the
Implementation Gap in Health Promotion has
strong global support, is urgently needed and
will make a profound difference to people
lives .
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21. References
 WHO, 2009, Mainstreaming Health Promotion, draft of
technical document in development for the Global
Conference on Health Promotion
 Kickbusch, I. (2000) Health literacy: addressing the
health and education divide, Health Promotion
International
 WHO. Background Note: Regional Preparatory
Meeting on Promoting Health Literacy
 WHO World Health Report, (2008) Primary Health
Care: Now more than ever
 Baum, F. (2008) Foreword to Health promotion in
action: from local to global empowerment
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THANK YOU
Aslam Aman