The document discusses strategies for promoting community health. It identifies five priority action areas: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. For each area, it provides examples of relevant policies, environments, community actions, skills, and health services approaches that can be taken to improve population health. The overarching goals are to increase individual and community control over health determinants and enable people to improve their own health.

1. PROMOTING
COMMUNITY
HEALTH

2. Health Promotion
 ‘the process of enabling people to increase control
over, and to improve their health’ (WHO,1986)’.
 ‘Health promotion represents a comprehensive
social and political process, it not only embraces
actions directed at strengthening the skills and
capabilities of individuals, but also action directed
towards changing social, environmental and
economic conditions so as to alleviate their impact
on public and individual health. Health promotion
is the process of enabling people to increase
control over the determinants of health and
thereby improve their health (WHO 1998)’.

3. Priority action areas
Health
promotion
Create
supportive
environments
Build healthy
public policy
Strengthen
community
action
Develop
personal
skills
Re-orient
health
services
3
2
1
4
5

4. 1.Build healthy public policy
 policy action must come from policy
sectors other than health but the health
sector would play a role in public policy
action. how?
 Healthy public policy requires the
coordinated use of all policy levers
available, including ‘legislation, fiscal
measures, taxation, and organizational
change.
 Healthy public policy requires the
identification and removal of obstacles
to the adoption of healthy public
policies in non-health sectors

5. National policies
 National health policy for food and drugs
 National health policy for protection of
water and environment
 National health policy for health care and
health insurance.
 National health policy for social
insurance, equity and social justice.
 National policy for socio-economic
development.
 National policy for health promotion
 National policy for ……etc.

6. 2.Create supportive
environments
 Both the natural and built environments are
inextricably linked with people's health.
 It involves creating conditions that allow
people to have ‘living and working conditions
that are safe, stimulating, satisfying, and
enjoyable.
 both past endeavors and future prospects,
one must take into account the lofty ambition
of this programme of action (HIA, EIA)

7. Healthy environments

8. 3.Strengthen community
action
 strengthening the capacity of people
as active citizens through their
community groups, organizations
and networks to address and
prioritize their problems, shape and
determine change in their
communities.
 The foundational principles for
community development are:
• Empowerment
• Community competence
• Participation
• Issue selection
• Creating ‘critical consciousness’

9. Examples for community actions

10. 4.Develop personal skills
 Supporting personal and social
development through providing
information, education for
health, and enhancing life skills.
 while we must be vigilant
against the temptation and
limitations of an individually
focused, skills development
approach, we must also re-engage
with the most advanced
and progressive elements in this
area of work.

11. Testicular Self-Examination
Breast Self-Examination
Digital measuring for blood pressure

12. 5.Re-orient health services
 universal access to health services
(universality) and the removal of barriers
to access such as, geographic, social,
economic, or cultural (accessibility);
 It demands community participation in
planning, operation, and evaluation of
health services (participation);
 It requires integration across health and
other sectors such as housing,
education, and employment;

13. 5.Re-orient health
services(cont.)
 It recognizes the power of multi-disciplinary
teams working as equal partners for the
health of the community;
 It focuses on a range of services, determined
by the community, that include health
promotion, primary prevention, rehabilitative,
and curative (essentiality); and,
 It demands a commitment to equity
concerning issues of power and resources
(equity and access

14. 3 delays model