reaching the “ disadvantaged ”

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World Health Communication Associates Reaching the “Disadvantaged” Reaching the “Disadvantaged” “We Love Eating” PAU education project Scientific board and city coordinator meeting Barcelona 16 June 2014 Franklin Apfel MD, MHS – Managing Director, World Health Communication Associates

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Reaching the “ Disadvantaged ”. “ We Love Eating ” PAU education project Scientific board and city coordinator meeting Barcelona 16 June 2014. 8 Action Verbs. 1. Contextualise 2. Identify 3. Universalise 4. Exchange 5. Integrate 6. Demonstrate 7. Counter 8 Learn. - PowerPoint PPT Presentation

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Page 1: Reaching the  “ Disadvantaged ”

World Health Communication Associates

Reaching the Reaching the “Disadvantaged” “Disadvantaged”

“We Love Eating”PAU education project

Scientific board and city coordinator meeting Barcelona

16 June 2014

Franklin Apfel MD, MHS – Managing Director,World Health Communication Associates

Page 2: Reaching the  “ Disadvantaged ”

8 Action Verbs

• 1. Contextualise• 2. Identify• 3. Universalise • 4. Exchange • 5. Integrate• 6. Demonstrate• 7. Counter• 8 Learn

Page 3: Reaching the  “ Disadvantaged ”

Contextualise Enjoy Shopping for Healthy Food

Page 4: Reaching the  “ Disadvantaged ”

Enjoy Cooking

Page 5: Reaching the  “ Disadvantaged ”

Enjoy colourful fruits and vegetables

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Enjoy Physical exercise

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Enjoy Drinking Water

Page 8: Reaching the  “ Disadvantaged ”

Enjoy eating together

Page 9: Reaching the  “ Disadvantaged ”

IdentifyAbout 1 in 2 persons have inadequate or

problematic health literacy (HLS-EU Consortium 2012)

Page 10: Reaching the  “ Disadvantaged ”

European Health Literacy Survey-Tool

What does it measure ?Accessing, understanding , appraising and applying

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Why is Health Literacy important

Health Outcomes of Weak Health Literacy•Poorer health choices•Riskier behaviours•Less use of preventive services •More delayed diagnoses •Poorer understanding of medical conditions•Less adherence to medical instructions •Poorer self-management skills •Increased risk of hospitalization •Increased mortality risk•Higher health costs

Page 12: Reaching the  “ Disadvantaged ”

WHO Healthy City publication – includes attributes of

health literate http://www.euro.who.int/en/health-topics/environment-and-health/urban-health/

publications/2013/health-literacy.-the-solid-facts

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Page 13: Reaching the  “ Disadvantaged ”

Social Gradient

Page 14: Reaching the  “ Disadvantaged ”

Universalise

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Exchange

Messages from “poorly reached”1.Know more about us.2.Reframe ‘hard-to-reach’ as ‘poorly-reached’ system failures.3.View immunisation as one part of larger health challenges.4.Integrate us into mainstream programmes.5.Involve us in all stages of programmes aimed at enhancing our inclusion and health.6.Adapt governance and health systems to be more inclusive.7.Health Mediators and other community health workers are critically important resources – they need to be supported.8.Be accessible and respectful.9.Beware of incentives that could be viewed as bribes for compliance.

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Integrate

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Demonstrate

Attributes of Health Literate City•Provides political leadership •Measures/Integrates•Trains workforce•Engages with target populations•Applies universal precautions•Aids navigation•Provides understandable materials

Page 18: Reaching the  “ Disadvantaged ”

Counter

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Learn