The document discusses designing health systems to promote health. It defines health promotion as enabling people to increase control over their health according to the WHO. It also discusses the five elements of the Ottawa Charter for health promotion: building healthy public policy, reorienting health services, creating supportive environments, strengthening community action, and developing personal skills. The document also defines health systems and discusses how their functions support health promotion goals. It provides strategies for planning health promotion programs and designing health services to promote health in primary care, hospitals, and other residential care settings.

1. DESIGN HEALTH SYSTEM TO PROMOTE
HEALTH PROMOTION
Dr. Rishad Choudhury Robin
ID: 59031975

2. FOCUS AREA
• Health promotion
• Health System
• Relation of Health Promotion and Health System
• Planning a Health Promotion Program
• Designing of Health Services for Promoting Health

3. HEALTH PROMOTION
• The process of enabling people to increase control over, and to
improve, their health (WHO,1986).
• It represents a comprehensive approach to bringing about social
change in order to improve health and wellbeing.
• Health promotion which is reflected by the five elements of the
Ottawa Charter as follows:
Building healthy public policy
Reorienting the health services
Creating supportive environments
Strengthening community action
Developing personal skills

4. HEALTH PROMOTION (CONT.)
• The outside circle, originally in red color, is
representing the goal of "Building Healthy
Public Policies", therefore symbolizing the need
for policies to "hold things together".
• The round spot within the circle stands for the
three basic strategies for health promotion,
"enabling, mediating, and advocacy ", which are
needed and applied to all health promotion
action areas.
• The three wings represent the five key action
areas for health promotion that were identified
in the Ottawa Charter for Health Promotion.

5. HEALTH PROMOTION (CONT.)
• WHO principles of health promotion are
1. Involves the population as a whole in the context of their everyday life,
rather than focusing on people at risk for specific diseases;
2. Directed towards action on the determinants or causes of health;
3. Combines diverse, but complementary, methods or approaches;
4. Aims particularly at effective and concrete public participation;
5. Health professionals, particularly in primary health care, have an
important role in nurturing and enabling health promotion.
(WHO, 2009)

6. HEALTH SYSTEM
• Health systems are defined as the ensemble of all public and
private organizations, institutions and resources mandated to
improve, maintain or restore health.
• Health systems encompass both personal and population
services, as well as activities to influence the policies and actions
of other sectors to address the social, environmental and
economic determinants of health.
(WHO Regional Office for Europe, 2008)

7. RELATION OF HEALTH PROMOTION AND HEALTH
SYSTEM
• Health systems are more than health care and include disease
prevention, health promotion and efforts to influence other sectors to
address health concerns in their policies.
• The structure and magnitude of health systems may vary in the world
due to historical, economic and cultural factors but share a common
set of functions related to service delivery, human and technological
resource development, financing and stewardship.
• These functions cannot be effectively performed without a strong
health promotion focus, particularly in light of today’s social and
economic challenges.
(WHO Regional Office for Europe, 2008)

8. PLANNING A HEALTH PROMOTION PROGRAM
Manage the planning
process
Conduct a situation
assessment
Identify goals,
populations of
interest, outcomes
and outcome
objective
Identify strategies,
activities, outputs,
process objectives
and resources
Develop indicators
Review the program
plan

9. PLANNING A HEALTH PROMOTION PROGRAM
(CONT.)
• Manage the planning process
– To develop a plan to manage stakeholder participation, timelines, resources and
determine methods for data-gathering, interpretation, and decision making.
• Conduct a situation assessment
– To learn more about the population of interest, trends, and issues that may
affect implementation, including the wants, needs, and assets of the community.
• Identify goals, populations of interest, outcomes and outcome
objective
– To use situational assessment results to determine goals, populations of
interest, outcomes and outcome objectives.

10. PLANNING A HEALTH PROMOTION PROGRAM
(CONT.)
• Identify strategies, activities, outputs, process objectives and
resources
– To use the results of the situational assessment to select strategies and
activities, feasible with available resources, that will contribute to the goals and
outcome objectives.
• Develop indicators:
– To develop a list of variables that can be tracked to assess the extent to which
outcome and process objectives have been met.
• Review the program plan
– To clarify the contribution of each component of the plan to its objectives,
identify gaps, ensure adequate resources, and ensure consistency with the
situational assessment findings.

11. DESIGNING OF HEALTH SERVICES FOR
PROMOTING HEALTH
Disease-
based
planning
Health care
and health
inequalities
The primary
care setting
The hospital
(and other
residential
care) settings

12. DISEASE-BASED PLANNING
• Health care is a determinant of health, therefore there is significant
scope for health systems to be configured to take on additional
responsibilities in relation to health promotion.
• Effective treatment of diseases requires a holistic, whole-system
approach.
• Clinicians responsibility is to identify what they can do to reduce the
increasing burden of disease.
• Most clinical work is likely to remain focused on individual patients
rather than populations.
• Health promotion seeks to works across the whole of the health care
continuum.

13. HEALTH CARE AND HEALTH INEQUALITIES
• People with greater need should receive more help than those
with less need
• This assessment of need and subsequent health care provision is
the concept of empowerment.
• When health care services fail to take an empowering approach,
this can actually increase the gap in health outcomes between
population groups.

14. THE PRIMARY CARE SETTING
• Primary care is the main setting for delivery of health and
personal social services and a key component of health
education, early intervention and disease prevention.
• Primary care teams will be facilitated and funded to develop
activities which can promote and protect the health of people
and families through

15. THE PRIMARY CARE SETTING (CONT.)
1
• Identify health issue(s)
• What health issues amenable to health promotion programs.
• Based on health needs analysis and local, regional, national strategic priorities.
2
• Priorities health issues
• What decide on the most important/pressing issue(s).
• Based on local information and other local, regional and national programs.
3
• Develop health promotion programs
• What health promotion activities will be done to address the issue(s).
• Based on Primary Health Care Settings, evidence-based practice and workforce capability and capacity.
4
• Funding for Implementation of Health Promotion Programs
• What health promotion funding entitlement.
• Based on a good quality health promotion program.

16. • Institutional health care offers a particular and unique
opportunity to promote health.
• The hospital and other residential care settings are critical for
further development in relation to health promotion.
• A Health Promoting Hospital is defined as one that ‘incorporates
the concepts of health promotion into its organizational
structure and culture by means of organizational development’
(WHO, 2005).
• It helps to bring about the improved health of staff, patients and
the community.
THE HOSPITAL (AND OTHER RESIDENTIAL CARE)
SETTINGS

17. THE HOSPITAL (AND OTHER RESIDENTIAL CARE)
SETTINGS (CONT.)
• To support the integration of health promotion into the planning
and management of services through the use of service plans
and performance management.
• To facilitate the integration of health promotion across clinical
care (primary/acute hospitals) through integrated health
assessment processes, care pathways and care planning.
• To facilitate the sharing and transfer of knowledge, experiences
and good practice through a process of active networking at
local, area, national and international levels.

18. REFERENCES:
• Ziglio, E., Simpson, S., & Tsouros, A. (2011). Health promotion and health systems:
some unfinished business. Health Promotion International, 26(suppl 2).
• At A Glance: The six steps for planning a health promotion program, Ontario
Agency for Health Protection and Promotion
(https://www.publichealthontario.ca/en/eRepository/Six_ste
ps_planning_health_promotion_programs_2015.pdf).
• Kumar, S., & Preetha, G. (2012). Health promotion: an effective tool for
global health. Indian J Community Med, 37(1), 5-12.
• Health Promotion Strategic Framework. (2011). Retrieved from
http://www.healthpromotion.ie/hp-files/docs/HPSF_HSE.pdf
• A Guide to Developing Health Promotion Programmes in Primary Health Care
Settings. (2003). Wellington, New Zealand: Ministry of Health Retrieved
from http://www.moh.govt.nz.

19. Thank You