Let’s make it the best week ever!

Feed back from last week QUIZ

• Not recorded yet: • 012 - 044 – 047 – 049
 • 063 – 076 – 080 – 086 – 101 • • Time? 🡪 longer (60’) • Number of
Grade: question: 70 🡪 51 seconds/ item
• Average: 68 • Timer? 🡪 set by yourself • Stay
• Range: 34-96 with google form. • Type:
• Good job! 🡪 norm • Definition/ meaning •
referenced test (NRT), Synonym – antonym • Noun–
relative grading. verb-adjective • Prefix-suffix
Feed back from last week QUIZ
Missed Q (wrong answer > correct answer): 1.
Tobacco smoke is the most common ........ in the
house. (contaminate – contaminant)
2. Lead-asbestos-smoke-radon. (lead – smoke) 3. A
 growth of fungus in a home. (dirt - mold) 4. Irritation
– sneezing – cancer – fatigue. (fatigue – cancer)
5. Lack
of
water
(water-
borne –
water-washed)

HEALTH PROMOTION
 /behaviour
change
Video for Practice
Understand content,learnnew
words, practice pronunciation!

1. An
Introduction
to Health
Promotion and the Ottawa charter (Let’s Learn
Public Health), 5:46
https://www.youtube.com/watch?v=G2quVLcJVBk&t=39s
 2. The Community Dialogue Approach - social and behaviour
change for promoting healthy communities (Malaria
Consortium), with text, 3:03
https://www.youtube.com/watch?v=KuJeoHpYEoA
Factors Influencing Health
Status –Henrik L. Bloom

HEREDITY HEALTHCARE
SERVICE
HEALTH
STATUS
 ENVIRONMENT LIFESTYLE/
BEHAVIOR

e.g.? Less healthy Not More healthy

BEHAVIOU WORKWhy
• ODF R Change,
• Hand washing • 3Rs doing Doing ?
improve
What
?
FRAME
Unhealthy
Healthy
 Health Quality
of life

• Mosquito breeding sites
elimination
• Keys to safer food • Green
living
• Preventing air
pollution/ Breathe Life • Save
water
• Healthy house, healthy
Who?
community Method Organizational: organizations,
Behaviour Theory !! Steps social institutions
Tools • Community: relationship
between organizations
• Individual: knowledge,
• Pubic policy makers: local,
How? attitudes, skills •
regional, national
Interpersonal: family, friends,
Enable social networks •

Health promotion is "the process of

enabling people to increase control over,
 and to improve, their health.” (1986 WHO’s Ottawa
Charter for Health Promotion)

The WHO’s 2005 Bangkok Charter for Health Promotion in a

Globalized World defines health promotion as "the process
of enabling people to increase control over their health and
its determinants, and thereby improve their health."
 5 settings in health
promotion approach •
Homes
WHO - 11 settings:
• Schools
cities, villages, municipalities and • Workplaces
communities, schools,
workplaces, markets,
• Public places
homes, islands, hospitals, • Healthcare institutions
prisons, and universities.
Type of health Preventive Curative

services Level of
Promotive health
services Primary Secondary

Rehabilitative Tertiary
Type of audience

Individual Group Mass COMMUNICATION

Ottawa
Charter for Health
Promotion

3 Strategies

*First International Conference on Health Promotion, Ottawa, 21 November 1986

8 Prerequisites 5 Action Areas
 8 Prerequisites (conditions of resources)
❑ Peace ❑ Stable ecosystem
❑ Shelter ❑ Education ❑ ❑ Sustainable resources ❑
Food Social justice and equity
❑ Income

3 Basic
Strategies
1. Advocacy for health:
 • Involves speaking up for groups to gain support for a particular
issue or concern.
• Examples: mass media campaign, lobbying politicians,
organizing pressure groups.
2. Enabling all people to achieve their full health potential:
• Enabling provides the individual with the skills to take actions
to promote or protect health.
• Examples: providing access to information, developing skills
through education, instill motivation to improve health.
3 Basic Strategies
3. Mediating between the difference
interests in society in the
pursuit of health:
• Many groups in the community
have their own interests and
ideas on a particular health
issue. Conflict can occur. This is
where collaboration should take
place.
• Health promotion requires the
coordinated action by all levels
of government, health sectors, non-
government organizations, industry and
media.
5 PRIORITY ACTION AREAS
❑ Buildinghealth public policy ❑
Creating supportive environments
❑ Strengthening
community action ❑
Developing personal
skills
❑ Re-orienting health
 services

Behaviour
change
*Behaviour is anything a person
does which can be observed.
TTM, Prochaska & DiClemente,
CHANGE 1970)
STAGES OF MODEL PRE-CONTEMPLATION Does not recognize
BEHAVIOR (The Transtheoretical Model –
the need for change or is not actively
considering change
 Increase
awareness of
need for
change;
personalized
information
about risk & benefits.

Assist with coping, CONTEMPLATION Recognizes

reminders, finding problem and is
alternatives, avoiding slips considering
RELAPSE change Motivate; encourage
May occur and making specific plan.
start the cycle
again PREPARATION
Is getting ready
to change
MAINTENANCE
Is adjusting to
PERMANENT EXIT change and is
practicing new skills and
behaviors to
 Assist with developing & implementing concrete action plan; help set goals.
& relapses applicable. ACTION
as sustain change Is initiating change

Assist with feedback, reinforcement.

STRATEGY
problem solving,
social support and

Stages of Change Model

Stage Definition Potential Change Strategies
Pre Has no intention of taking action change; personalized information
contemplation within the next 6 months about risk & benefits
Increase awareness of need for
Contemplation Intends to take action in the next 6 Maintenance Has change behavior for more than 6
months months
Preparation Intendsto take action within the next 30 Motivate; encourage making specific plan
days and has taken some Assist with developing &
behavioral steps in this direction implementing concrete action plan; help set goals
Action Has changed behavior for less than 6 months Assist with feedback, problem solving, social support
and Assist with coping, reminders, finding alternatives,
reinforcement avoiding slips & relapses as applicable
5 Doors Theory
of behaviour
change (L. Robinson)
BEHAVIOR CHANGE COMMUNICATION (BCC) is the strategic use of
communication approaches to promote changes in knowledge, attitudes, norms, beliefs and
behaviors. It
coordinates
messaging across a
variety of
communication
channels to reach
multiple levels of
society.

Radio, television,
newspaper,
billboards, print
material, internet

Social mobilization,
community based
media
 Counseling, peer
communication, client
provider interaction,
group presentations

*The AIDA is a model used in marketing that

AIDA model
 campaign)

Consumer becomes
interested by learning about
product benefits and how it
fits with lifestyle

Consumer develops a
favourable disposition
towards the product/ idea
‘PRODUCT’:

product, idea or information

(usually through advertising or
describes the steps a customer goes Consumer forms a buying intention, asks • Tangible:
through in the process buying a around, engages in trial and makes a commodities
product/idea/behaviour. purchase (adoption to new behaviour) • Intangible: services, ideas, behavior.
Communication for Behavioral Impact, COMBI, is a method directed
at enacting behavior change to benefit health and social development which
blends multiple communication strategies with market research to better
encourage precise behavioral outcomes.

COMBI Mantra #1
Do nothing - make no posters, no t-shirts, no pamphlets, no videos, no
caps, do nothing… until one has set out specific, precise behavioural
goals or objectives.
COMBI Mantra #2
Do nothing - make no posters, no t-shirts, no pamphlets, no videos, no
caps, do nothing… until one has carried out a situational “market”
analysis in relation to preliminary behavioural goals/objectives.
ENVIRONMENTAL
HEALTH
PROMOTION
 Environmental health promotion can be defined as any planned process
employing comprehensive health promotion approaches to assess, correct,
control, and prevent those factors in the environment that can potentially
harm the health and quality of life of present and future generations

ODF

URBAN
COMMUNITY LED
TOTAL SANITATION
(CLTS)
*CLTS is a behaviour change tool used in
the sanitation sector in developing countries
with the aim to stop open defecation.

Terminology related to Behaviour Change

• Health Promotion
• Health Education
• BCC: Behaviour Change Communication
• SBCC: Social and Behaviour Change
Communication • SM: Social Marketing (for Public
Health)
• COMBI: Communication for Behavioural Impact • ACSM:
Advocacy, Communication, and Social Mobilization • HiAP:
Health in All Policies
• KAP: Knowledge, Attitude, Practice
• IEC: Information, Education and Communication
Individual
Assignment
• Video presentation
• Theme: “Three things that make
changing behavior is not an easy
task.”
• Put yourself in the position of a
health promoter.
• Submit in google drive.
• Deadline: Friday 13thNov 2020, 5:00
PM
 Arrangement for the week
Date Time Agenda
Tue, 10 Nov 2-3 pm Quiz on Vector Control + Health Promotion Wed,
11 Nov 2-3 pm Quiz on Air + Soil

Thu, 12 Nov 2-3 pm Quiz on Clean Water + Waste Water Fri, 13

Nov 1-2.30 pm Zoom meeting: recap and other things Next
week To be determined (remedy & others)

Behavior is the end result of a

prevailing story in one's mind:
change the story and thebehavior
willchange.

Thank You!