Sustained population based prevention of NCDs: From North Karelia Project to North Karelia Center for Public Health. Vesa Korpelainen, North Karelia Center for Public Health
National programme for prevention and control of cancer npcdcsanjalatchi
A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, most heart diseases, most cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others.
GENERAL INFORMATION
GOVERNANCE
FINANCING
MENTAL HEALTH CARE DELIVERY
Mental Health Services
Access to care
HUMAN RESOURCES
MEDICINES
INFORMATION SYSTEMS
Presentation from day 1 of: "Policy setting for improved linkages between agriculture, trade and tourism: Strengthening the local agrifood sector and promoting healthy food in agritourism" Workshop organised by the Government of Vanuatu and CTA in collaboration with IICA and PIPSO, Port-Vila, Vanuatu, 25-27 May 2016
National Diabetes Registry Report 2013-2019: Update of Key FindingsArunah Chandran
This presentation is the update of key findings from the second National Diabetes Registry (NDR) report since the establishment of the registry in Malaysia. It is intended to share the data contained within the NDR for clinicians, public
health specialists and researchers and all those who are interested in the clinical management of diabetes
National programme for prevention and control of cancer npcdcsanjalatchi
A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, most heart diseases, most cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others.
GENERAL INFORMATION
GOVERNANCE
FINANCING
MENTAL HEALTH CARE DELIVERY
Mental Health Services
Access to care
HUMAN RESOURCES
MEDICINES
INFORMATION SYSTEMS
Presentation from day 1 of: "Policy setting for improved linkages between agriculture, trade and tourism: Strengthening the local agrifood sector and promoting healthy food in agritourism" Workshop organised by the Government of Vanuatu and CTA in collaboration with IICA and PIPSO, Port-Vila, Vanuatu, 25-27 May 2016
National Diabetes Registry Report 2013-2019: Update of Key FindingsArunah Chandran
This presentation is the update of key findings from the second National Diabetes Registry (NDR) report since the establishment of the registry in Malaysia. It is intended to share the data contained within the NDR for clinicians, public
health specialists and researchers and all those who are interested in the clinical management of diabetes
A health system, also sometimes referred to as health care system or as healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures.In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary.
New Organogram of Nepalese Health System (Please check the updated slides on ...Prabesh Ghimire
This slide has been updated to accommodate the recent changes. Please check the following link for the updated presentation:
https://www.slideshare.net/PrabeshGhimire/organogram-organization-structure-of-nepalese-health-system-updated-nov-2021
Slide presentation used at one of the breakout/parallel sessions of the 4th National Medical Students' Conference (NMSC). On health policy in the Philippines and the country's Kalusugan Pangkalahatan (Universal Health Care) program.
Health Intelligence & the role of the South West Public Health Observatory (S...South West Observatory
Paul Brown from SWPHO delivers an opening presentation on the role of the South West Public Health Observatory and the fundamentals in understanding public health intelligence.
A health system, also sometimes referred to as health care system or as healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures.In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary.
New Organogram of Nepalese Health System (Please check the updated slides on ...Prabesh Ghimire
This slide has been updated to accommodate the recent changes. Please check the following link for the updated presentation:
https://www.slideshare.net/PrabeshGhimire/organogram-organization-structure-of-nepalese-health-system-updated-nov-2021
Slide presentation used at one of the breakout/parallel sessions of the 4th National Medical Students' Conference (NMSC). On health policy in the Philippines and the country's Kalusugan Pangkalahatan (Universal Health Care) program.
Health Intelligence & the role of the South West Public Health Observatory (S...South West Observatory
Paul Brown from SWPHO delivers an opening presentation on the role of the South West Public Health Observatory and the fundamentals in understanding public health intelligence.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
Gregor Henderson from Public Health England attended the Board meeting to help discussions on the topic.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
Improving Access to Healthcare for Impoverished Communities Rotary International
Interested in global public health? Bridge to Health Medical and Dental has worked in partnership with local grassroots organizations in rural communities in southwestern Uganda and Ethiopia to provide education and training, clinical services, and build innovative solutions to complex problems. Come learn about these initiatives, connect with Rotarians who build sustainable collaborations to improve health and education, and be inspired to take action.
How can and should Health Psychology and Public Health interact? What has been done so far? This is a keynote to the NHS Education for Scotland Trainee Health Psychologist Programme event in Stirling on 21st March 2018
Physical Health Action at Last! by Karen Conlon, SMI Project Lead, Mike Leonard, clinical Pharmacist and Pauline Smith, Physical Healthcare Project Nurse
This is the annual review for Wessex AHSN, which covers the year of 2015-16.
The review outlines what has been achieved throughout the year across our key programmes, how we have worked with other AHSNs and the impact we're having across the health and life science communities.
With a foreword from our CEO Bill Gillespie, and Chair, Fiona Driscoll, the report features interviews with clinical leads, updates from the Wessex Patient Safety Collaborative, Wessex Life Science Cluster and Centre for Implementation Science, and key achievements linked to video content (search terms for wessexahsn.org.uk/videos) all presented in a bright and engaging design.
CONTENTS
Introduction
NHM
NRHM
Components of NRHM
NUHM
Components of NRHM
Difference between NRHM and NUHM
Future goals
Conclusion
References
INTRO:
National Health Mission
Ministry of health and family welfare
NHM - approved in May 2013
Sub missions – NRHM & NUHM
It aims at improving and correcting the deficiencies in the health care delivery system with a focus on integrating all thee available healthcare facilities like Ayush along with ongoing vertical programme.
Main programmatic components
- RMNCH+A
- control of NCDs & Comm. d/s
NRHM:
Launched in 5th April 2005 for 7 years by GOI
Intended for 2005 - 2012
Recently extended to 2017
Operational in whole country & Special focus on 18 states
Correct the deficiencies of health system
The Mission adopts a synergistic approach by relating health to determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking water.
Objective of the mission:
Reduction in child and maternal mortality.
Universal access to public health services.
Prevention and control of communicable and noncommunicable diseases, endemic diseases
Stabilization and demographic balance.
Revitalizeimunisation programme
Access to integrated phc.
Revitalize local local health tradition.(Ayush)
Promotion of healthy life style
COMPONENTS UNDER NRHM:
Comprehensive Primary Health Care (CPHC) through Ayushman Bharat Health and Wellness Centers (HWCs)
National Ambulance Services (NAS)
National Mobile Medical Units (NMMUs)
Free Drugs Service Initiative
Free Diagnostics Service Initiative
Community Participation
a)Accredited Social Health Workers (ASHA)
b)Rogi Kalyan Samiti (Patient Welfare Committee) / Hospital Management Society
c)VHSNCs
Mera Aspataal
Kayakalp
SUMAN (Surakshit Matritva Aashwasan)
Mission Indradhanush
TB Harega Desh Jeetega Campaign
Eat Right India Movement, with ‘Sahi Bhojan Behtar Jeevan’
AYUSHMAN BHARATH HWCS:
Ayushman Bharath is an attempt to move from a selectiv approach to health care to deliver range of services like preventive,promotive,curative,rehabilitative,and palliative care
It has 2 components
1) Health and wellness centre(HWCs) 1,50,000
2)Pradhan mantri jan Arogya yojan (PM-JAY)
Health insurance cover 5 lakh / year – 10 crore poor ppl
The first Health and Wellness Centre was inaugurated by Hon’ble Prime Minister on 14th April 2018 in Bijapur district of Chhattisgarh.
So far, 51,484 HWC are formed
Objectives:
upgrading the Sub Health Centers (SHCs) and Primary Health Centers (PHCs) in rural and urban area
provide Comprehensive Primary Health Care
common NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix.
primary healthcare services for Mental health, ENT, Ophthalmology, Oral health, Geriatric and Palliative health care and Trauma care as well as Health promotion and wellness activities like Yoga.
Problem gambling, gambling dependency and gambling addiction as described by health and social workers in focus groups interviews- Gapro care Åland. Anette Häggblom, Åland University of Applied Sciences
Culturally adapted health care, why and how? Kulturelt tilpassede helsetjenester, hvorfor og hvordan? Ole Mathis Hetta, Saami Public Health/samisk samfunnsmedisin.
From words to action. Starting health-information and physical activities for women in a multi-ethnical district in Oslo. Hanne Isaksen and Anne Robertsen.
Den nya lagen om hälso- och sjukvård stöder strukturerna och processerna i främjandet av välfärd och hälsa. Taru Koivisto, Social- och hälsovårdsministeriet i Finland.
Quality of care after first acute myocardial infarction (AMI) a comparison of native Danes and immigrants from Turkey, Pakistan and the former Yugoslavia. Nana Folmann Hempler, University of Copenhagen
Public Health Statistics: why and how? Facts - analysis - plan - action: A better foundation for improving Public Health. Pål Harald Kippenes, Directorate of Health, Norway.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Nfhk2011 vesa korpelainen_parallel2
1. SUSTAINED POPULATION BASED
PREVENTION OF NCDs: From North
Karelia Project to North Karelia Center
for Public Health
Vesa Korpelainen, MSc, MPH
Executive Manager
North Karelia Center for Public Health (North Karelia Project)
Siltakatu 10 A
FIN-80100 Joensuu, Finland
vesa.korpelainen@kansanterveys.info
Pekka Puska
Tiina Laatikainen
Erkki Vartiainen
National Institute for Health and Welfare
3. North Karelia in the beginning of 1970’s
CHD mortality rates among men highest in the
world, short life expectancy
Increasing public discussion and attention to
extremely high CVD mortality
→ North Karelia Project: Community-based
action for CVD prevention
4. Community intervention model of
North Karelia Project
COMMUNITY
action
maintenance
External
project
input
Changes
in health
behavior
and risk
factors
Changes
in
disease
rates and
health
COMMUNITY ORGANIZATION
-mass media
-health and other services
-other organizations
-industry, business
-legislation
Opinion leaders
-formal
-informal
Early adopters
POPULATION
-knowledge
-motivation
-skills
-social support
-environmental support
influence
diffusion
5. 6. COMMUNITY
ORGANIZATION
5. ENVIRONMENTAL
SUPPORT
4. SOCIAL
SUPPORT
3. PRACTICAL
SKILLS
2. PERSUASION
1. KNOWLEDGE
BEHAVIOUR MODIFICATION MODEL
(modified by P. Puska and A. McAllister)
NORTH KARELIA PROJECT
PRIVATE SECTOR
POPULATION
PUBLIC POLICY
Media
•Health and other
•public services
•NGOs
•Industry, business
•Legistlation
6. Change in age-adjusted mortality rates
North Karelia, males aged 35–64 (per 100 000 population)
•extension of the Project
• nationally
•start of the North Karelia Project
•North Karelia -85%
•All Finland -80%
Rate per 100 000
1969-
1971
2006 Change
from 1969-
1971 to
2006
All causes 1509 572 -62%
All
cardiovascular
855 182 -79%
Coronary
heart disease
672 103 -85%
All cancers 271 96 -65%
Coronary heart disease
•Gain of nearly 10 healthy years
• in North Karelian popupaltion
7. Effect of risk factors on decreasing
CHD mortality in Finland 1982-1997
16 % 7 % 9 %
37 %
22 %
9 %
Cholesterol
Smoking
Blood pressure
Improved treatment
Sec. Prevention
Unknown
Laatikainen et al. Am J Epid 2005
8. North Karelia Project has shown
• Prevention of cardiovascular and many other NCDs is
possible and pays off
• Population based prevention is the most cost effective and
sustainable public health approach to CVD control
• Prevention calls for simple changes in some lifestyles
(individual, family, community, national and global level
action)
• Influencing diet and especially quality of fat is a key issue
• Many results of prevention occur surprisingly quickly
(CVD, diabetes) and also at relatively late age
• Comprehensive action, broad collaboration with dedicated
leadership and strong government policy support are key
elements for success
10. North Karelia
PROVINCE OF HEALTHINESS
Peoples’ health consciousness and health
behaviour
Health knowledge of decision-makers and
commitment of stakeholders
Evaluation
Monitoring
Information
Indicators
POHJOIS-KARJALAN
KANSANTERVEYDEN KESKUS
toiminnallinen ja fyysinen keskus, joka
• kehittää
• koordinoi ja
• tekee terveyden edistämistyötä
11. Key stakeholders on regional level
•POHJOIS-KARJALAN
KANSANTERVEYDEN KESKUS
toiminnallinen ja fyysinen keskus, joka
• kehittää
• koordinoi ja
• tekee terveyden edistämistyötä
Regional Council of North Karelia: Welfare plan
Hospital district: Primary health care unit, professor of health
promotion
University of Eastern Finland, University of Applied Sciences
Regional units of NGOs
17. REGIONAL
GROUPS
• SMOKEFREE
• PA
• NUTRITION
• NGOs
REGIONAL STAKEHOLDERS
NORTH KARELIA CENTER
FOR PUBLIC HEALTH
MUNICIPAL DECISION-MAKING
• evaluation of influences of decisions
• common indicators
MUNICIPAL HEALTH
PROMOTION GROUP
• action plan
SUPPORTSYSTEM FOR
NGOs
• plan
• training
• feedback
ENTERPRICES
• wellbeing of
employees
• social responsibility
MONITORING EVALUATION INFORMATION
DATA/
KOWLEDGE
Collaboration – community organisation - public health
18. Health promotion structure, municipal model
Municipal management group
Acts often as a steering group for health and welfare promotion
Health
services
Social
sector
Education Culture
and PA
services
Technical
depart-
ment
Environ-
ment
Health and welfare promotion group
- Chairman
- coordinator
Working
group 1
Working
group 2
Working
group 3
•Modified: THL 2010, 15.
20. •Health and
welfare
How things are?
•Mikä on väestön
hyvinvoinnin ja palvelujen tila
indikaattoritiedon valossa?
•Virkamiesten
kokoama ja
tulkitsema
hyvinvointitieto:
kansallisesti sovitut
indikaattorit ja muu
täydentävä tieto.
How they should
be?
•Mitä kehittämistarpeita
hyvinvoinnin ja palvelujen
tilasta nousee ja mitä
tavoitteita asetetaan?
•Poliittisten päättäjien
sitoutuminen kehittä-
miskohteisiin, tarvitta-
viin lisäresursseihin,
kehittämistyöhön,
hankkeisiin.
How the goal will
be achieved?
•Mitkä ovat hallintokuntien
toimenpide-ehdotukset
tavoitteisiin pääsemiseksi?
•Hallintokuntien
toimenpiteiden
suunnittelu ja
niihin
sitoutuminen.
Information
Objective
Action
21. goal
action
data
evalua
tion
Electornic welfare report
package of essential data for welfare planning and desicion making
is prepared in collaboration with different administrative sectors in municipality
easy to use
structured
same basic indicators in every municipality
strenghtens intersectoral collaboration
http://www.hyvinvointikertomus.fi/
demo demo
-> health