Health Promotion for Community Health Workers

National Certificate in Tamariki Ora 2007

Aims

To define the concept of Health Promotion through:

Defining the origins of Health PromotionLinking Health promotion to Primary Health

Care Exploring its relevance to Primary Health

Care in New Zealand

Health Promotion defined

World Health Organisation direction & intent Primary Health Care and Alma-Ata Health Promotion and the Ottawa CharterTe Tiriti o Waitangi (partnership, protection

and participation) and WHO documents

Ottawa Charter and relationship to Socio-Ecological Determinants of Health

Agesexheredity

Individual lifestyle factors

Social and community influences

Living and working conditions

Socio-economic, cultural & environmental conditions

Build healthy public policy

Create supportive environments

Strengthen community action

Develop personal skills

Reorientate health services

Socio Ecological Determinants of Health, Deprivation Index (DEP) and Equity

The current use of the Deprivation Index by Ministry of Health for funding

EquityHealth inequalities in New Zealand

Health promotion, past, present & future

HistoryTraditional – illness – hierarchy – hospital -

power overPresent – wellness - health promotion –

community - power sharingFuture – Influence of more community

involvement and changes in demographics

Factors that impact upon health promotion

Risk factors e.g. lack of family/whanau support

Protective factors e.g. stable home environment

Resilience

Can you think of further examples?

Development and support for life skills to support best practice

Skills referred to: Listening, assertion, problem solving and self

awareness,

Communication skills: Listening, Empathy, Assertion

Strengths based problem solving skills Emotional Intelligence includes Self awareness The health worker as role model and coach

Why those skills are required:

Three forms of power

1. Power over - deciding for

2. Power with or power sharing - working co-operatively, negotiating

3. Delegating Power to:handing decisions over for others to

make autonomously

Possibilities in health promotion

Reflection on your personal beliefs and values and so you can work :

with a commitment to power with (Partnership) and supporting autonomy (Participation)

With a healthy future focused approach from the perspective of the healthy client (Protection)

Using and teaching life skills (Listening, problem solving, self awareness and assertion)

Conclusion

The belief in and practice of a Health Promotion focus in Primary Health Care settings can reduce health inequities and contribute to New Zealand health gains