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Creating Supportive Environments for Health
Stories from the Third International Conference on Health Promotion, Sundsvall, Sweden
edited by B.J.A. Haglund, B. Pettersson, D. Finer, and
Public Health in Action, No. 3
1996, xii + 201 pages [E, F*, S*]
ISBN 92 4 156180 7
Sw.fr. 50.-/US $45.00; in developing countries: Sw.fr. 35.-
Order no. 1390003
A wide-ranging collection of stories, from developed and developing countries alike, illustrating the many ways in which environments can be altered to promote better health. Intended to serve as both a sourcebook of ideas and a stimulus for action, the book concentrates on stories that yield practical lessons about the best strategies for tackling specific problems in specific settings.
The handbook has 13 chapters presented in three parts. Chapters in the first part, on strategies, outline the basic components of supportive environments, explain the health promotion strategy analysis model (HELPSAM), and describe experiences using seven basic approaches to change: policy development, regulation, reorientation of organizations, advocacy, building alliances and creating awareness, enabling, and mobilizing and empowering.
Against this background the second and most extensive part presents and discusses over 140 stories showing how different needs for a supportive environment have been met using a diversity of strategies. These range from the use of legislation to foster school health programmes in China to government policies that encourage healthy eating in Norway, from the role of NGOs in upgrading housing in Malaysia to consumer mobilization to combat hazardous chemicals in the Philippines. To facilitate comparisons, stories are grouped together in separate chapters dealing with education, food and nutrition, home and neighbourhood, work, transport, and social support and care. In story after story, community participation consistently emerges as a strategy that helps give projects the best chance of success.
The final part explains how these diverse experiences can be used to extract several practical lessons and develop basic frameworks for planning and action. Apart from demonstrating the need for planned strategies, these chapters further clarify the HELPSAM model for analysis and planning and introduce the supportive environments action model (SESAME) based on a sequence of eight progressive steps. The handbook concludes with a questionnaire that can be used to compile information about local projects and extract lessons for the future.
Evaluation in Health Promotion
Principles and perspectives
This book is the result of the WHO European Working Group on Health Promotion Evaluation which examined the current range of qualitative and quantitative evaluation methods to provide guidance to policy-makers and practitioners. It includes an extensive compilation and discussion of the theory, methodologies and practice of evaluating health promotion initiatives in Europe and the Americas. The book shows how a health promotion approach offers a comprehensive framework for planning and implementing interventions that can effectively address today's major health-related problems. The authors describe how good evaluations assist initiatives in achieving their goals, provide a wealth of guidance on how to undertake them and call for greater investment in the evaluation of health promotion.
Edited by I. Rootman, M. Goodstadt, B. Hyndman, D. V. McQueen, L.
Potvin, J. Springett
WHO Regional Publications, European Series, No. 92
2001, xxvi + 533 pages [E]
ISBN 92 890 1359 1
Sw. fr. 122.--/US $109.80
In developing countries: Sw.fr. 85.40
Order no. 1310092
Health: An Islamic Perspective
The Right Path to Health: Health Education through Religion, No. 4
Nonserial publication of the WHO Regional Office for the Eastern Mediterranean
1997, 54 pages [E]
ISBN 92 9021 227 6
Sw.fr. 10.-/US $9.00; in developing countries: Sw.fr. 7.-
Order no. 1464014
An authoritative discussion and explanation of practical Islamic rulings pertaining to health and illustrating the principles of health promotion and protection. The booklet draws together and interprets teachings, sayings, and laws previously scattered in numerous religious texts.
The opening section reviews the Islamic concept of health and presents general guidelines for preserving good health and seeking medical treatment. Section two describes specific principles pertaining to cleanliness and personal hygiene, marriage and family life, care of children, immunization, proper nutrition, consumption of safe food and water, and protection of the environment. Teachings and rulings that encourage health promotion and protection are discussed in section three. The final section shows how the Islamic concepts of solidarity, cooperation, self-sufficiency, and perfection in "civilized behaviour" support the concept of community participation as an essential component of primary health care.
Health Promotion: An Anthology
PAHO Scientific Publication, No. 557
1996, xii + 359 pages [E]
ISBN 92 75 11557 5
Sw.fr. 64.-/US $57.60; in developing countries: Sw.fr. 44.80
Order no. 1610557
A collection of 26 landmark papers that have helped shape the concept and practice of health promotion. Health promotion aims to enable individuals and communities to improve and maintain their physical, mental, and spiritual well-being. In selecting papers for inclusion, the compilers were guided by two main objectives: to disseminate a broad range of information taken from the health promotion literature, and to present papers that were crucial to the growth and development of health promotion as a worldwide strategy.
Papers are presented in five parts. The first, on developing a framework, traces the progress of ideas that took root in the 1820s and eventually culminated in the Ottawa Charter for Health Promotion of 1986. "Building healthy public policy" provides the focus for the second part, which makes the case that health promotion has its greatest effect in public policy, in the collective arena rather than the individual. Part three, on strengthening community action, focuses on the challenge of transforming written policy into successful programmes and on methods of evaluating community interventions.
Part four, which addresses the development of personal health skills, examines strategies that help people adopt healthy behaviours and evaluates the media's role in advancing public health initiatives. The anthology concludes with a collection of papers on health promotion for specific groups. The book also reproduces key documents in the health promotion movement in the Americas including the Ottawa Charter for Health Promotion.
Health Promotion and Chronic Illness
Discovering a New Quality of Health
edited by A. Kaplun; editorial advisors: J.
Branckaerts, R. Erben, and H. Milz
WHO Regional Publications, European Series, No. 44
1992, xviii + 461 pages [E]
ISBN 92 890 1307 9
Sw.fr. 68.-/US $61.20; in developing countries: Sw.fr. 47.60
Order no. 1310044
A wide-ranging analysis of the ways in which health promotion approaches can be used to help the chronically ill and disabled exploit their potential to lead healthy and productive lives. Citing a number of promising developments in recent years, the book calls for a fundamental change in society's attitudes towards the chronically ill, whereby emphasis is placed on their potential and due attention is given to their need for support that goes beyond medical care. With this goal in mind, the book evaluates a wealth of recent experiences and research findings in order to identify practical measures that can be pursued by the health care sector, by public and private organizations, and by the chronically ill and their families.
The book features 54 papers authored by experts in cardiology, oncology, pain management, rheumatology, psychology, and rehabilitation, and by representatives of numerous self-help groups throughout Europe. Three main chronic conditions are considered: coronary heart disease, cancer, and chronic pain.
"... a beautifully presented, clearly written and well-referenced book ... essential reading for those involved in the provision and delivery of health care..."
Health Promotion and Community Action for Health in Developing Countries
H.S. Dhillon and L. Philip
1994, vii + 122 pages [E, F, S]
ISBN 92 4 156167 X \
Sw.fr. 25.-/US $22.50; in developing countries: Sw.fr. 17.50
Order no. 1150411
Explains how the tools of health promotion can be used to encourage community action for health, foster healthy lifestyles, and create conditions conducive to good health, even when resources are severely limited. Addressed to policy-makers and planners, the book serves as both a call for intensified action and a rich source book of practical methods for tackling a range of problems.
The book has four chapters. The first reviews the evolution of health promotion as a strategy, in line with the principles of primary health care, for reaching disadvantaged and under-served populations and for giving people greater control over conditions affecting their health. Pertinent facts and figures are used to indicate the magnitude of preventable deaths and disease and the corresponding need to intensify health promotion. Chapter two explains the aims of health promotion and outlines three strategies for action. These involve advocacy for public policies that support health, empowerment of people to make decisions for health, and social support for health.
The third chapter, which constitutes the core of the book, presents and discusses over 50 case studies of health promotion activities in different parts of the world. Organized to reflect the three strategies introduced in chapter two, these case studies illustrate successful approaches ranging from the training of "little doctors" to the use of land-sharing schemes to upgrade urban slums, from earn-while-you-learn programmes for improved literacy to the use of comic magazines to promote hygiene in schools. For each group of case studies, the authors provide a useful discussion of factors that helped determine the appropriateness and effectiveness of the various approaches. The final chapter outlines challenges for future action.
Health Promotion in the Workplace: Alcohol and Drug Abuse
Report of a WHO Expert Committee
Technical Report Series, No. 833
1993, v + 34 pages [C, E, F, R, S]
ISBN 92 4 120833 3
Sw.fr. 7.-/US $6.30; in developing countries: Sw.fr. 4.90
Order no. 1100833
Outlines a range of health promotion initiatives that can be used at the workplace to combat alcohol- and drug-related problems. Intended to provide both conceptual and practical guidance, the report draws upon numerous examples of programmes and strategies to show how health promotion at the workplace can help reduce the absenteeism, occupational morbidity, inefficiency on the job, and safety hazards so often linked to substance abuse. Throughout the report, emphasis is placed on the need to recognize both the multiplicity of factors that contribute to substance abuse and the diversity of cultural settings and attitudes to drinking and drug use around the world.
The most extensive section reviews a wide range of different programmes and strategies, across cultures and over time, in order to demonstrate various options for health promotion at the workplace, whether in developing countries or in the industrialized world, at the community level or in large enterprises. Concerning the controversial issue of mandatory screening and testing for drug use, the report cites a number of reasons why performance appraisal, with its emphasis on "fitness for work", is inherently preferable. Readers are also alerted to the particular vulnerability of certain occupational groups, including migrant workers, seafarers, shift workers, and workers in the retail alcoholic beverage industry and the pharmaceutical industry.
Other sections point out the need for continuous evaluation of health promotion programmes, discuss the special demands of multicultural situations, and outline problems in developing countries, where a primary health care approach is presented as the most realistic option.
Increasing the Relevance of Education for Health Professionals
Report of a WHO Study Group on Problem-Solving Education for the Health Professions
WHO Technical Report Series, No. 838
1993, iv + 29 pages [E, F, S]
ISBN 92 4 120838 4
Sw.fr. 8.-/US $7.20; in developing countries: Sw.fr. 5.60
Order no. 1100838
Explores various ways to increase the relevance of education for health professionals as a strategy for improving the quality of health care and increasing access to services. Noting that the health work-force can account for up to 70% of the recurrent health budget, the report concentrates on innovations in education that can make learning easier and more efficient while also producing graduates equipped with the knowledge and skills most relevant to priority health problems. Particular attention is given to factors that are known to influence the success of two sets of innovations: those dealing with the learning process and those dealing with the relevance of education to community needs and practice.
The report is presented in five sections. The first explains why innovations in the methods and objectives of education are desirable and shows what these changes can be expected to achieve. The second section offers advice on how to evaluate the effects of innovations in the education of health professionals, giving particular attention to recent practical experiences in the use of problem-based and community-based learning. Arguing that educational institutions should have a role in shaping health policy, the third section considers how institutions can work together with communities to identify and solve priority health problems. Readers are also given advice on the development of curricula that address the wider aspects of health, health promotion, and prevention of illness. The remaining sections discuss strategies for change applied to health systems and to educational institutions, and consider a number of organizational and practical issues.
Health Promotion Research: Towards a New Social Epidemiology
edited by B. Badura and I. Kickbusch
WHO Regional Publications, European Series, No. 37
1991, x + 496 pages [E]
ISBN 92 890 1128 9
Sw.fr. 78.-/US $70.20; in developing countries: Sw.fr. 54.60
Order no. 1310037
A collection of twenty-one state-of-the-art reviews illustrating the ways in which research in the social sciences can improve understanding of the social determinants of health and disease and shape policies that promote health. Examples of specific interventions and their results are also provided.
The book has five main parts. The first part focuses on strategies for improving public health policy. Articles describe various methodological and conceptual approaches that can be used to assess problems, identify risk factors, guide policy choices, and test programmes of health promotion. Articles in the second part, focused on social and behavioural factors, discuss the links between economic status and disease and consider the extent to which stress, coping styles, social supports, and lifestyle factors will influence individual differences in susceptibility to disease.
Papers in the third part explore the ways in which families, workplaces, and hospitals can serve as settings for communicating health messages and promoting healthy practices. Population-oriented health promotion is assessed in the fourth part, which considers how policies should be changed to meet the special needs of women, the unemployed, the elderly, and the chronically ill. The book concludes with a discussion of the role of community-based action in health promotion, including information on the outcome of various European programmes for the prevention of cardiovascular diseases and on the contribution of voluntary organizations and self-help groups.
Health Promotion through Islamic Lifestyles: The Amman Declaration
The Right Path to Health: Health Education through
Religion, No. 5
Nonserial publication of the WHO Regional Office for the Eastern Mediterranean
1996, 44 pages [E]
ISBN 92 9021 216 0
Sw.fr. 10.-/US $9.00; in developing countries: Sw.fr. 7.-
Order no. 1465014
Presents and discusses a declaration formally adopted at a meeting convened to consider how health-related Islamic teachings might be used to persuade individuals and communities, in Islamic countries, to follow healthy lifestyles. The meeting, which brought together leading physicians, scientists, experts in jurisprudence, and religious scholars, aimed to issue clear health guidance based on an authoritative interpretation of wholesome lifestyles as embodied in Islamic law. The resulting Amman Declaration is reproduced in full. The Declaration identifies some 60 components of lifestyle where Islamic teachings offer guidance on healthy and harmful behaviours. These concern the areas of nutrition, food safety, personal and community hygiene, waste disposal, sexual relationships, breast-feeding and child care, mental health, alcohol consumption, substance abuse, and violence.
Promoting Health through Schools
Report of a WHO Expert Committee on Comprehensive School Health Education and Promotion
Technical Report Series, No. 870
1997, vi + 93 pages [E, F*, S*]
ISBN 92 4 129870 8
Sw.fr. 17.-/US $15.30; in developing countries: Sw.fr. 11.90
Order no. 1100870
Considers the wide range of issues surrounding efforts to use schools as a setting for health promotion. Addressed to educational and health professionals, the report takes its focus from the great potential of school health programmes to improve both the health of students and their academic performance. With this potential in mind, the report draws on recent experiences from around the world to demonstrate the feasibility of school health programmes and illustrate strategies for their implementation.
The report has four sections. The first introduces the rationale for school health promotion, noting that schools provide an ideal, though largely under-used, setting for tackling the priority health problems of students, their families, and communities. Common threats to the health of children and adolescents, appropriate for inclusion in school health programmes, are also identified and discussed.
Section two, on trends in school health, reviews the current status of school health promotion around the world and identifies three areas where activities within the school setting can have an impact on health: the provision of health services, the inclusion of health education in curricula, and the creation of a healthy environment. Health problems addressed include HIV/AIDS, nutrition and food safety, tobacco use, psychological problems, malaria, and helminth infections. Section two also describes a framework that can be used for strategic planning.
Section three provides advice on how to strengthen school health programmes at the international, national, and local levels. Examples of programmes from around the world are used to illustrate the success of specific strategies for tackling priority health problems. The final section takes a look at existing research on school health programmes and discusses the lines of further investigation needed to improve current strategies and validate their impact on the health of students and their academic performance.