global health diplomacy: advancing health literacy world health communication associates world...
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Global Health Diplomacy:Advancing Health Literacy
World Health Communication Associates
World Health Organization - Geneva
18 May 2009
Scott C. Ratzan, MD, MPAVice President, Global Health
Government Affairs
Johnson & Johnson
“The extension to all peoples of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health.”
World Health OrganizationPreamble to the
Constitution
Our Goal: Health for the public good
Issues likely to cost society can be addressed with health diplomacy
Pandemics
Chronic disease in developed countries
Developing world disease
Apply our evidence-based approach with Communication
• Over 12 years of research in the peer reviewed Journal of Health Communication had measurable outcomes with communication affecting:
– Knowledge– Attitudes– Awareness– Practices– Perceptions– Intentions– Behavior change, and– Social Change
“Informed opinion and active cooperation on the part of the public are of the utmost importance in the improvement of health of the people.”
World Health OrganizationPreamble to the Constitution
The Opportunity to Advance Health: Health Literacy for the public good
Health Literacy Health Literacy is “the degree to which
individuals have the capacity to obtain,
process, and understand basic health
information and services needed to make
appropriate health decisions.”
Ratzan and Parker, NLM Complete Bibliographies
of Medicine, 2000USDHHS, Healthy People 2010
Institute of Medicine, 2006
Pediatric health literacy -- US
• “Most children and their caregivers [could] benefit from a set of health literacy skills adequate to meet common preventive needs (e.g nutrition, development, home safety, vision and lead screening, immunizations.) AND
•common acute health needs (e.g. Fever, dehydration, upper respiratory tract infections, sexually transmitted infections)”
Source: Source: Sanders LM et al., Literacy and child health: a systematic review. Archive of Pediatric and Adolescent Medicine, Feb. 2009
And Benard Dreyer, American Academy of Pediatrics, 2009
Health Literacy – OECD, EU, US
1. What do we do to stay healthy? • Key areas and numbers: immunizations, blood
levels (glucose, cholesterol), weight, blood pressure), etc.
2. If we are sick, how can we get better?• Can you do quality self care; screening?• Do you rely on the system for health decisions
3. If we are living with illness, how do we
get effective medical care? • Knowledge, information and practice
Health Literacy Scorecard: Globally- Developing and transitional economies
1. What do we do to stay healthy? • Key areas and numbers: body mass index in
range, mineral/salt, immunizations, weight, blood pressure, etc.
• Do I or my family/friends smoke cigarettes?
2. If we are sick, how can we get better?• Can I recognize and understand
signs/symptoms?• When do I seek a health service worker advise?
3. If we are living with illness, how do we get effective medical care?
• Knowledge, information and practice
Measure Health Literacy “what gets measured gets done”
• Incorporate health literacy with
measurable items • Link to global, regional and national
efforts to measure health quality, disparities, and cost
CONCLUSION..
Efforts to impact global health requires health diplomacy
Heqlth diplomacy for children’s
health
Medical sector and research institutionsAcademic institutions, physician associations, individual doctors
• Testing and patient diagnosis• Appropriate treatment and care• Disease management
- hospital and pharmaceutical firms• Research
- epidemiology- scientific and clinical - social
International health associations and organizations (WHO, IDF, World Economic Forum, etc)
• International standard setting- guidelines, protocols- best practice
• Technical assistance• Funding• International coalition building
Private sectorFunding, individuals
• Corp. employee engagement - education and financial support
• Corp in-kind support
Foundations, NGOs• Financial support• Grass roots intervention
- initiate and sustain community action• Lobbying and advising government• Service delivery
Mass mediaPress outlets (TV, Radio, Newspaper, Magazine)Online outlets (Yahoo, Message boards)
• Public forum and information- data dissemination- public feedback and discussion
GovernmentHealth Ministry, Public Health Officials, State and local governments
• Legislation and policy• Direct funding
Possible engagement with the
United Nations and health literacy - 2009
Monograph(September 2009)
ECOSOC Meeting on Promoting Health Literacy(Beijing, 29-30 April 2009)
+ECOSOC Meeting on NCDs in the Middle-East
(Qatar, 10-11 May 2009)+
ECOSOC High Level Segment on Global Health(Geneva, 6-8 July 2009)
UN General AssemblyHigh Level Discussion on Health
(New York,June 2009)
ECOSOC Outcome Report at General Assembly for action under provisions of a resolution on “Global Health and Foreign Policy” (September 2009)
WHCA
For more information:
Scott Ratzan MD
Sratzan2@its.jnj.com
THANK YOU!
Our suggested engagement with health diplomacy
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