Health Promotion

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Promo Power - Core & Charter

  • Health Promotion (WHO): "Process of enabling people to ↑ control over, & improve, their health."
  • Core Principles:
    • Empowerment: People gain control over health.
    • Participation: Involving all in decisions.
    • Equity: Reducing health disparities.
    • Intersectoral Collaboration: Sectors working together.
    • Sustainability: Long-term health benefits.
  • Ottawa Charter (1986, Ottawa, Canada): First International Conference on Health Promotion.
    • 📌 Mnemonic (5 Action Areas): Bad Cats Smell Dead Rats
      • Build Healthy Public Policy (e.g., seatbelt laws)
      • Create Supportive Environments (e.g., smoke-free zones)
      • Strengthen Community Action (e.g., self-help groups)
      • Develop Personal Skills (e.g., health education)
      • Reorient Health Services (focus on prevention) Ottawa Charter for Health Promotion 5 Action Areas

⭐ The Ottawa Charter was adopted at the First International Conference on Health Promotion in Ottawa, Canada, in 1986.

Behavior Change - Mind Matters

  • Health Belief Model (HBM): Predicts likelihood of behavior change. Key constructs:

    • Perceived Susceptibility: Personal risk perception.
    • Perceived Severity: Seriousness of condition.
    • Perceived Benefits: Efficacy of action.
    • Perceived Barriers: Obstacles to action.
    • Cues to Action: Triggers for action.
    • Self-Efficacy: Confidence to act. Health Belief Model Diagram
  • Transtheoretical Model (TTM) / Stages of Change: Describes process of intentional behavior change.

    • Stages: Precontemplation (No intent), Contemplation (Intent in 6 months), Preparation (Action in 1 month), Action (Behavior changed <6 months), Maintenance (Behavior changed >6 months), Termination (No relapse).
    • 📌 Mnemonic: People Can't Prepare All Meals Today.

    ⭐ Relapse is common in TTM, often cycling to earlier stages, not necessarily linearly.

  • Theory of Planned Behavior (TPB): Links beliefs to behavior via intention. Constructs:

    • Attitude: Towards behavior.
    • Subjective Norms: Social pressure.
    • Perceived Behavioral Control (PBC): Perceived ability.
    • These influence intention, which predicts behavior.
  • Model Comparison:

    FeatureHBMTTMTPB
    FocusThreat perceptionStages of changeIntention formation
    Key DriverPerceived threat, benefits vs barriersReadiness to changeAttitudes, norms, PBC

Promoting Health - Action Stations

  • Approaches:
    • Medical/Preventive: Disease prevention (e.g., immunization).
    • Behavioral Change: Lifestyle modification (e.g., healthy diet).
    • Educational: Knowledge for health choices (e.g., hygiene education).
    • Empowerment: Enabling control over health (e.g., SHGs).
    • Social Change: Modifying societal norms (e.g., gender equality).
  • Methods & Examples (India):
    • IEC (BCC): Pulse Polio campaign.
    • Social Marketing: ORS promotion.
    • Advocacy: For pro-health policies (e.g., tobacco tax).
    • Legislation & Policy: COTPA (Tobacco control).
    • Community Mobilization: Swachh Bharat Abhiyan.
    • Intersectoral Coordination: Mid-Day Meal Scheme.

⭐ 'Primordial prevention' is a key strategy in health promotion, aiming to prevent the development of risk factors.

Indian Initiatives - Nation's Pulse

  • National Health Mission (NHM) & National Health Policy (2017): Champion health promotion, preventive/promotive care, wellness, intersectoral action for 'Health for All'.
  • Ayushman Bharat - Health & Wellness Centres (AB-HWCs): Transform primary care. Deliver CPHC: MCH, NCD screening/management, wellness, health promotion.

    ⭐ AB-HWCs aim to shift focus from curative care to comprehensive primary care including wellness and prevention.

  • Key Programs with Strong Health Promotion:
    • Swachh Bharat Abhiyan (SBA): Nationwide cleanliness, hygiene, sanitation (ODF).
    • Anemia Mukt Bharat (AMB): 6x6x6 strategy reducing anemia in vulnerable groups.
    • Eat Right India (ERI): Encourages safe, healthy, sustainable diets.
    • Fit India Movement: Promotes physical activity, sports as a way of life.
    • NPCDCS: NCD prevention, early detection, management strategies.
  • Grassroots Cadre (ASHA/AWW/MPW): Frontline for health education, BCC, screening, referral at community level.

High‑Yield Points - ⚡ Biggest Takeaways

  • Health Promotion, per Ottawa Charter, enables people to ↑ control over & improve health.
  • Ottawa Charter's 5 action areas include Healthy Public Policy & Supportive Environments.
  • Approaches: Medical, Behavioural Change, Educational, Empowerment, Social Change.
  • Primordial prevention (preventing risk factor emergence) is key.
  • IEC & BCC are crucial for effective health promotion strategies.
  • Focuses on positive health & well-being, beyond mere disease prevention.
  • Models like Health Belief Model guide behaviour change interventions.

Practice Questions: Health Promotion

Test your understanding with these related questions

All of the following are methods of health promotion except:

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Flashcards: Health Promotion

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The Hawthorne Effect is a type of _____ bias where the participants change their behavior in response to awareness of being observed

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The Hawthorne Effect is a type of _____ bias where the participants change their behavior in response to awareness of being observed

measurement

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