CONCEPT OF HEALTH PROMOTION AND PREVENTION HERNAN GAVIRIA QUINTERO.

MD in August 2008 Graduate School of UCC CONCEPT OF HEALTH PROMOTION "The Henry E. Sigerist - 1940 promotes health, ensuring a decent standard of living, conditions of employment, education, physical culture and sport as well as the means for rest and recreat ion " Bulletin of the Institute of the History of Medicine INTERPRETATION OF THE CONCEPT OF HEALTH PROMOTION Strategy aimed at developing the potential of individual and collective health PROMOTING MEDIA INTERPRETATION OF THE CONCEPT OF HEALTH PROMOTION Actions education and health information aimed at behavior modification to achieve healt hy lifestyles HEALTH PROMOTION ACTIONS • PEOPLE • HEALTH SERVICES • HEALTH AUTHORITIES • SOCIAL AND PRODUCTIVE SECTORS GUARANTEE ABSENCE OF DISEASE CONDITIONS BEST physical and mental health INDIVIDUAL AND COLLECTIVE DEFINCIONES NEW PROMOTION AND PREVENTION (http://www.minproteccionsocial.gov.co/ ) PROCESS PEOPLE • Improve health • exercise greater control over the same • Role of Determinants of health • Reducing inequality PROMOTION AND PREVENTION STRATEGIES • Formulation of Public Policy • Creating supportive environments for health • S trengthening Community action and participation • Develop healthy personal attit udes • Reorienting health services HEALTH PROMOTION AS A CROSS-SECTORAL ACTION • Mental Health • Reducing consumption of psychoactive substances • Domestic Vio lence • Children • Sexual and Reproductive Health • National Plan and implementi ng Food and Nutrition Policy Food Safety • Health services for adolescents and y outh friendly • Oral Health • Primer days white SECTOR

• Persuasion • • LAW • TAX PROVISION OF SERVICES Intrasectoral HEALTH SECTOR ACTIONS • • ENVIRONMENTAL FACTORS MODIFY LIFESTYLES BACKGROUND OF THE PROMOTION PROMOTION DECENTRALIZATION REGIONAL MANAGEMENT BOARD PROMOTION LIFESTYLES PREVENTION PROTECTION OF INDIVIDUALS OF ENVIRONMENTAL RISK FACTORS SGSSS BENEFIT PLAN ATEP PAC ECAT POS (Pro-Pre) Health Plan LETTER OF OTTAWA - 1986 - WHO HEALTH PROMOTION " Conditions and requirements for health, peace, education, housing, food, income, a stable ecosystem, social justice, equity " STRATEGIES: Development of sound public policy created favorable environments Strengthening of Community Development personal skills, reorient health services DEFORMATIONS OF LETTER OF OTTAWA Confusing and impractical versions Demagogy Dilution Discrediting the conc ept of responsibility Negative attitudes of technocracy immediate local polici es Lack of funding assistance-only health Personal Ignorance of the publ ic and users of the strategy HEALTH WARNING ACTIVITIES Avoid occurrence of specific diseases in individuals or social groups, which by their nature have a large possibility of acquiring (high risk) CRITERIA • EFFECTIVENESS • COST / BENEFIT • • RISK OR LIKELIHOOD SEVERITY OF ITS EFFECT WEAKNESSES OF THE PROMOTION IN THE PAST SNS . HEALTH SECTOR: • Model • Weak participation in welfare-political scenarios and c

ross • Hospital unable to meet public health requirements LIMITED COVERAGE: 60% Population INEQUITY: A poor system for poor SECTORS NOT SHARED INFORMATION SYSTEMS AND PLANNING (State Assistance or Private Insurance, Social Security Boxes DETERMINANTS OF KNOWLEDGE OF THE DISEASE: Factors: Genetic, environmental, soc ial, occupational, behavior of individuals. Provision of services SCIENTIFIC KNOWLEDGE: Epidemiology ACTION OF THE POSSIBILITY OF PREVENTION TYPES OF PREVENTION Activities aimed at: PRIMARY PREVENTION: The individual to reduce the risk of an illness, by reducing the level of risk factors or the likelihood of its occurrence Secondary prevent ion: early detection, timely and effective disease or reduce its duration PREVEN TION TERTIARY: Reduce and minimize the pain, duration, disability, and sequelae of the disease, as well as to promote adjustment to irremediable conditions DIFFERENCES BETWEEN HEALTH PROMOTION AND DISEASE PREVENTION - Objectives - who to target actions Characteristics of models - Auditor s - Strategies PREVENTION VS. PROMOTION COMMON OBJECTIVES: entions To achieve improved health status Promote health interv Basic science

to change public risks and problems. Promote the reorientation of health servi ces to increase prevention and promotion. H. E. Restrepo PREVENTION VS. PROMOTION Prevention Objectives Reduce disease risk factors and disease complications De crease Protect individuals and groups of aggressive agents Promotion Objectives Influence on determinants. Changes in living conditions Influencing public policy decisi ons Improve health / quality of life populations fight for equity and social justice PREVENTION VS. PROMOTION Prevention: Primary models: preventive own public health (PH). specific risks. Clinical Tertiary Type: Clinical. Recovery. Promotion: Ecological models of multiple systems al environment PREVENTION VS. PROMOTION Socio-political Socio-Socio-cultur School: SP to

Prevention: The Role of Auditors Primary: community mobilization and organizat ion, information, education. Secondary: set goals; Tertiary care coverage: p rovide treatment, rehabilitation Promotion: The Role of Auditors Encourage social participation are empowerme nt Advocacy political mobilization, advocacy Influencing Public Policy and Partnerships PPSaludables PREVENTION VS. PROMOTION Primary Prevention Strategies: health education, community development, commun ication and information intersectoral action at times. High: screening, early diagnosis Tertiary: early treatment to prevent relapse clinical management, re habilitation PREVENTION VS. PROMOTION Health Promotion STRATEGIES AND INSTRUMENTS Social participation and community capacity buildin g, empowerment Political: political negotiation, conciliation, consensus, advo cacy, lobbying Information, Communication Education Social Participatory R esearch PREVENTION VS. PROMOTION APPROACHES Prevention = Promotion Risk Approach = Approach = Approach Population Preven tion Individual Promotion = more individual approach less important. Social Political and most important works Promotion = works with the center curve PREVENTION VS. PROMOTION APPROACHES Examples Primary Prevention: Immunizations High salt iodization: Pap smear scree ning tests on newborns Tertiary: Stroke Rehabilitation Diabetes Management Examples Promoting Healthy Environments Healthy Schools Healthy Lifestyles Towns Fight Smoking Exercise Hospitals peaceful coexistence reoriented health service s PREVENTION VS. PROMOTION Prevention = end of curve