Health Promotion

Didik Setiawan, PhD., Apt

- Faculty of Pharmacy,
- Center for Health Economic Studies,
Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
Community pharmacist’s main activities (WHO)

Processing of prescriptions
Care of patients or clinical pharmacy
Monitoring of drug utilization
Extemporaneous preparation and small-scale manufacture of medicines
Traditional and alternative medicines (some countries)
Responding to symptoms of minor ailments
Informing health care professionals and the public
Health promotion
Domiciliary services (home care)
Agricultural and veterinary practice
Introduction

In the past, healthcare professional generally see a medical

condition as disease-oriented request

Currently, they provide information to promote and maintain

good health, to support people’s actions and behaviors related
to health, and to contribute to improving quality of life

Health promotion – lifestyle change and personal choice

Current issues with health promotion

“Telling” vs “discussing” mode

People-centered health promotion

Using health education,

prevention, and health protection
 Lesson learned

Myths related to health promotion

1. Individual exercise control over their
health

Smoking cessation Baby and child health Healthy eating Physical activity

Contraception and
Drug misuse Stress Oral health
sexual health

Concordance in
Promotion of
medicine-taking (e.g. Prevention and early
Prevention of screening and
for treatments to diagnosis of cancer
accidents vaccination
prevent heart disease (e.g. skin cancer)
and osteoporosis) programmes
2. The unenlightened Public

Lack of information à least healthy

lifestyle choices

Example from smoking

pharmacists need to adapt the message

to the circumstances of the recipient.
3. Information alone change behavior

The expertise
of pharmacists
can solve or
Contradictive reduce the
information chaos
may generate
some chaos
•Autism side effect
of vaccines
 Stage of Change Model

From Pharmacy practice, From: Blenkinsopp, Panton and Anderson 1999; adapted
from Berger 1997 which contains a more detailed version
 Implication for pharmacists
Stage Behavior
intervention
The individual is content with current Listen and respond to questions.
Pre-contemplation behavior and has no intention of Attempts to persuade unlikely
changing; is not considering change to be successful
The person is thinking about the
Listen and respond to questions.
Contemplation possibility of changing, but has made no
Provide information
plans to change
The decision has been made to change
Help in planning and goal-
Preparation and the person is getting ready to make
setting
the change
Encourage return to pharmacy
Action The cange is implemented to discuss progress. Supportive
approach
Continue supportive approach.
The person works to prevent relapse to Encourage discussion of possible
Maintenance
the previous behaviour problems that might lead to
relapse. Give positive feedback
Questions to identify the situation

• Have you ever thought about changing/stopping?

• Would you like to try to change?
• Would you like some information about…?
• If you could use some help, I’m available here, just ask to speak
to me
Health promotion in pharmacy practice
Health promotion activities

• Using the pharmacy premises effectively (display of posters and leaflets)

• Providing an advice or counselling area
• Using written information opportunistically to supplement verbal advice (e.g.
using a leaflet on healthy eating, as well as selling a bulk laxative)
• Offering one to one advice about individual behaviours (e.g. smoking cessation),
this might be linked with the sale of nicotine replacement therapy.
• Offering clinics (perhaps in conjunction with local medical practices) on specific
topics such as the menopause
• Targeting individuals known to be at risk (e.g. those receiving prescription
medicines for angina, osteoporosis) and discussing management options,
involving family, friends and carers in management if appropriate and
considering with the individual
• Networking with other health professionals and health agencies to participate in
activities and campaigns that address the local community’s health needs
Some evidence regarding Health promotion
by pharmacists
Assignment 1

• Create 5 groups in one class

• Find an evidence about the impact of health promotion by
pharmacist
• Make a review about it
• Send both the review and the evidence to
d.didiksetiawan@gmail.com
• Write the subject:
• Promkes_Kelas (A/B/C)_Kelompok(1-7)
• Deadline is a week after the lecture
Assignment 2

• The same groups (5) prepare the lecture

• The main reference (pharmacy practice will be provided)
• Week 9. The role of pharmacists in the multidisciplinary health care
provider
• Week 10. Pharmaceutical care on ethnic minority, geriatric and pediatrics,
pregnancy and breastfeeding
• Week 11. Pharmaceutical care on mental disorder and injecting drug users
• Week 12. Pharmacovigilance
• Week 13. Pharmacoepidemiology and drug utilization
• Send the power point at least 2 days in advance
• Subject: Class(A/B/C)_Week(number)
Didik Setiawan, PhD., Apt

Email: d.didiksetiawan@gmail.com
Phone/WA: +62 81 226 700 119
www.ches.ump.ac.id