Health Promotion Settings

Topics: Health care, Population health, Sustainable development Pages: 50 (726 words) Published: October 12, 2014
Main activities in Health Promotion

Settings
programs
training

The setting-based approach

A setting is a social system in which people live,
work, learn, love and play

Characterized by a particular organizational culture,
structure, functions, norms and values.

The setting-based approach

A setting is the context

within which and through which
health occur

The setting-based approach
 A holistic and socio-ecological model of health
 Focus on populations, policy and environments
 Protect human rights, equity and social justice

 sustainability
 Community participation

 Enablement and empowerment

 Cooperation

The setting-based approach

Key elements:
 A healthy working and living environments
 Integrating health promotion into the daily
activities of the setting

 Reaching out into the community

The setting-based approach

Underpinned by:
 Health for all
 Ottawa Charter
 Agenda 21

Sustainable Development

'development which meets the needs
of the present without compromising
the ability of future generations to
meet their own needs'

Principles for Sustainable Development in Israel
(partly) – Agenda 21
 Integrated Resource
Management
 Eco-Efficiency

 Inter-generational and
Intra-generational
Equity

 Environmental and
Social Justice

 Accountability and
Transparency

 Polluter Pays
 User Pays
 Sustainable
Consumption

Source: European Sustainable Development and Health Series:1

The first
health promoting setting
Healthy cities

A Healthy City
One in which residents, business, nongovernmental organizations and the

municipal government work together to
ensure a viable and livable city.

Healthy cities networks

Israel network of healthy cities

Established in 1990 with 4 cities
In 2012 – 50 cities & local authorities,
& 4 regional authorities
Covers >50% of the population in Israel

Israel Network of Healthy Cities
In operation since 1990
A member of the European Network
of National Healthy Cities Networks , lead by WHO

A unit of the Union of Local Authorities
Institutions
School of Public Health, Jerusalem
Israel cancer Association
Nature protection society
Community centers association
4 HMOs
“Beterm”
“Enosh”
“Milenium”
Association of cardiologists
IMA

Members of the Network
Cities
Local councils
Regional councils
Individuals

Ministries
Health
Education
Environment
Welfare
Sports

Membership Criteria – for cities
 A formal decision of the city council to adopt HFA principles  Nominate a multi-sectoral steering committee

 Nominate a city health coordinator
 A commitment to prepare a city health profile

 A commitment to prepare a strategic health development
plan based on the profile

 A commitment to cooperate with the network’s activities.

The Healthy City mode of action

Health
promotion
projects

Sustainable
development
projects

Steering
committee
City profile

Strategic planning for health
& sustainable development

Action plans in city settings

City health profile

 Identify needs of the population
 Determine inequalities in health
 Identify desires and aspiration of the citizens

City Health Profiles
 All Healthy Cities are committed to preparing a City
Health Profile as a basis for their strategic planning

for ‘Health for All’ and Sustainable Development
The profile includes:
 data on the state of health of the population
 socio-economic and environmental determinants

 Identification of social and health inequalities
 Mapping of the services in the city and their usage

A toolkit for preparing city profile
 Enable standardization
A CITY PROFILE
A basis for strategic planning for
health and sustainable
developments
GUIDELINES

 Has operational

definitions
 Forms for extracting
information

 A questionnaire
Updated version 2010

The profile – a...
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