National Health Promotion

Conference
Ministry of Health
Republic of Indonesia
13 September 2017

Mr Sharad Adhikary
Technical Officer
WHO, Indonesia
Health promotion is
defined as processes
that facilitate people
to enhance and Health promotion is the
improve control over process of enabling people
their health (WHO, to increase control over, and
1986) to improve, their health. It is
a positive concept
emphasising personal,
social, political and
institutional resources, as
well as physical capacities.”
(WHO, 1990)
 Health Promotion
Health promotion enables
people to increase control
over their own health. It
covers a wide range of social
and environmental
interventions that are
designed to benefit and
protect individual people’s
health and quality of life by
addressing and preventing
the root causes of ill health,
not just focusing on
treatment and cure.
3 key elements of
health promotion:-
• Good governance for
health
• Increased
opportunities for
‘Health literacy’
• Implementation of
Healthy Settings
Global Declarations on Health Promotion…

Alma Ata on Primary Health Care (1978)

Ottawa Charter (1986)

Jakarta Declaration (1997)

Bangkok Charter (2005)

Nairobi Declaration (2009)

Helsinki Statement (2013)

Shanghai Declarations (2016)
 Health Promotion (Ottawa Charter 1986)

• Strategies for Health • So, health promotion focuses

Promotion: on:
– Enabling individuals to take
control over the determinants
– Build Healthy Public of health;
Policy; – Empowering individuals and
populations to make informed
– Create Supportive decisions about their health;
Environments; – Providing supportive social,
– Strengthen Community economic and physical
environments through diverse
Actions; but complementary strategies;
– Develop Personal Skills; – Equipping systems and sectors
to address the social
– Reorient Health determinants of health; and
Services; – Working in collaboration with a
wide range of sectors.
Health Promotion Objectives
• To promote equity
• To ensure social justice
• To advocate for improved population health outcomes
• To work in partnership
• To ensure intersectoral collaboration
• To promote community engagement
• To support empowerment
• To promote sustainability
• To embrace evidence based practice
• To value contextual knowledge
• To celebrate and value cultural knowledge
• To improve health literacy through system level changes
 Health Promotion Helps in a Way:
1. Large numbers of people affected are addressed for
healthy choices with adequate awareness;
2. Poor health outcomes in different measures are
minimized;

3. Risk factors of both communicable diseases and NCDs

are timely addressed & communicated;

4. Additional health care costs due to limited health literacy

are minimized;

5. Health information demands are complemented; &

6. Contributing effectively to minimize health equity gaps.

 Sustainable Development
Health promotion interventions have
been proven to be effective in
addressing many social, economic
and environmental determinants of
health.
…It is the development
that meets the needs
and aspirations of the
current generation
without compromising
the ability to meet
those of future
generations…
(Brundtland Report, entitled “Our
Common Future," and published by
the United Nations in 1987)
Health: Ensure healthy lives & promote well-being for all at all ages
Targets:
• Reduce the global maternal mortality ratio to less than 70 per 100,000
live Births;

• End preventable deaths of newborns and children under 5 years of age;

• End the epidemics of AIDS, tuberculosis, malaria and neglected tropical

diseases and combat hepatitis, water-borne diseases and other
communicable diseases;

• Reduce by one third premature mortality from non-communicable

diseases through prevention and treatment and promote mental health
and wellbeing;

• Strengthen the prevention and treatment of substance abuse, including

narcotic drug abuse and harmful use of alcohol;

• Halve the number of global deaths and injuries from road traffic
accidents;

• Ensure universal access to sexual and reproductive health-care services, 11

including for family planning, information and education;
Health: Ensure healthy lives & promote well-being for all at all ages
Targets:
• Achieve universal health coverage, including financial risk protection, access
to quality essential health-care services and access to safe, effective, quality
and affordable essential medicines and vaccines for all;

• Substantially reduce the number of deaths and illnesses from hazardous

chemicals and air, water and soil pollution and contamination;

• Strengthen the implementation of the World Health Organization Framework

Convention on Tobacco Control in all countries, as appropriate

• Support the research and development of vaccines and medicines for the
communicable and non-communicable diseases that primarily affect
developing countries;

• Substantially increase health financing and the recruitment, development,

training and retention of the health workforce in developing countries, LDCs,
and small island developing States;

• Strengthen the capacity of all countries, in particular developing countries,

for early warning, risk reduction and management of national and global
health risks 12
 Shanghai Declaration on promoting health in the 2030 Agenda for
Sustainable Development, particularly emphasizes to:
• apply mechanisms as available through full use of public policies;

• strengthen legislation, regulation, and taxation of unhealthy commodities;

• implement fiscal policies as a powerful tool to enable new investments in health;

• introduce UHC as an efficient way to achieve both health and financial protection;

• ensure transparency and accountability by broadening engagement of civil society;

• strengthen global governance to better address cross border health issues;

• respect importance and value of traditional medicine in improved health outcomes;

• prioritize city policies making full use of social innovation & interactive technologies;

• support cities to promote equity and social inclusion, priorities for strong community engagement;

• re-orient health and social services to optimize fair access of people & communities;

• recognize health literacy as a critical determinant of health and strengthen in all population settings;

• increase citizens’ control of their own health and its determinants, through harnessing the potential
of digital technology; and

• Ensure that consumer environments support healthy choices through pricing policies, transparent
information and clear labelling.
 Contributing to social and economic development: sustainable action across sectors to improve
health and health equity (follow-up of the 8th Global Conference on Health Promotion)- 68 WHA
Role of the Government:
• identify and prioritize health issues;
• build knowledge and generate an
evidence base for policy development and
strategic planning;
• assess the effectiveness of action across
sectors and the cost of inaction versus
investment;
• initiate regular and continuous dialogue
with other sectors and with the whole of
society, and create structures for this
dialogue if needed;
• understand the priorities and decision-
making methods of other sectors;
• advocate for health protection and for
social determinants of health to be
addressed in public discourse and public
policies; and
• promote synergy and negotiate trade-offs
between sectors and among potential
institutional
Role of the WHO:
• compile and promote evidence-based
practices for action across sectors;
• promote action on universal health
coverage and the social determinants of
health;
• support policies for global health
protection and health promotion;
• provide guidance and technical assistance
for the implementation of policies across
sectors on various levels of governance;
• provide a platform to advance
multisectoral action to implementation of
the WHO Global NCD Action Plan 2013–
2020 on the Prevention and Control of
Noncommunicable Diseases; and
• work with and provide leadership for
other United Nations organizations and
intergovernmental organizations to
consider health objectives when
implementing and monitoring major
strategic initiatives.
Health promotion strategic actions for South-East Asia: WHO SEARO

• Establish and sustain infrastructure & supports in countries to

coordinate and manage health promotion activities across sectors;

• Strengthen & institutionalize national capacity for health promotion;

• Introduce public legislation, policies, and regulations that promote,

support and project health of all citizens;

• Encourage Member States to create & sustain a political & economic

environment conducive to initiating & maintaining partnership,
alliances or networks for health with multisectoral partners;

• Establish evidence-based information to systematically monitor

health promotion policies, programmes, infrastructures, investment
& interventions; and

• Encourage social mobilization and advocacy for integration of health

promotion across sectors and settings.
Thank You