Presentation is loading. Please wait.

Presentation is loading. Please wait.

Sylvie Stachenko Deputy Chief Public Health Officer Health Promotion and Economic Development : Interactions and Dilemmas.

Similar presentations


Presentation on theme: "Sylvie Stachenko Deputy Chief Public Health Officer Health Promotion and Economic Development : Interactions and Dilemmas."— Presentation transcript:

1 Sylvie Stachenko Deputy Chief Public Health Officer Health Promotion and Economic Development : Interactions and Dilemmas

2 Health Promotion and Economic Development Road Map 1.Clarifying our understanding 2.Exploring the interactions 3.Investing in health for sustainable development

3 Health Promotion and Economic Development Broadening the Landscape for Health What good does it do to treat people's illnesses... then send them back to the conditions that made them sick? Source: Michael Marmot, Reducing Health Disparities Symposium, Toronto, March 2006

4 Health Promotion and Economic Development Determinants of Health Broadening Involvement

5 Health Promotion and Economic Development Key Milestones Lalonde Report 1974... health more than medical services Ottawa Charter 1986... prerequisities for health Jakarta Declaration 1997... investments for health development Mexico Statement 2000... health necessary for social and economic development Bangkok 2005... influence of globalization on health

6 Health Promotion and Economic Development Influence of Globalization on Health Source: Spiegel, Labonte and Ostry, International Joint Occupational Environmental Health, 2004

7 Health Promotion and Economic Development Finanscapes: The Trade, Diet and Health Nexus Market-oriented agriculture policies Open and increased food trade Retail restructuring (superstores) Global agribusiness and transnational food companies Annual Turnover Selected US TFCs $258.6 billion $66.7 billion $22 billion

8 Health Promotion and Economic Development Mediascapes: Diet and Obesity

9 Exploring the Interactions Health promotion Economic development

10 Health Promotion and Economic Development Life Expectancy and Income per capita for Selected Countries, 20 th Century Source: World Development Report, 1993

11 Health Promotion and Economic Development Health Care Spending and Life Expectancy

12 Health Promotion and Economic Development Under-5 Mortality Rates by Income Groups of Countries Source: The Lancet, Applying an equity lens to child health and mortality: more of the same is not enough Vol. 362, #9379, July 2003

13 Health Promotion and Economic Development Increasing Health Inequalities Between and Within Countries

14 Health Promotion and Economic Development Some Groups are More Vulnerable than Others Low Income by Family Type Percent Source: Improving the Health of Canadians, 2004

15 Health Promotion and Economic Development The Social Gradient Occupational class differences in life expectancy, England and Wales, 1997-1999

16 Health Promotion and Economic Development Commission on Macroeconomics and Health Positioned health as a determinant of economic development Focused on low and middle income countries Focused primarily on communicable diseases

17 Health Promotion and Economic Development The Challenge of Cardiovascular Disease in Developing Economies

18 Health Promotion and Economic Development The Cost of Lifestyle and Unhealthy Environments Obesity in Europe CountryDirect costs in Euros (millions)% health expenditure England (1995816 (+3,270 indirect)1.5% France (1992)640 – 1,3201.5% Germany (1996)10,600N/A Portugal (1996)2303.5% Netherlands (1981-89)4544% Source: International Obesity Task Force, 2002

19 Health Promotion and Economic Development The Poverty Spiral Source: WHO, An estimation of the economic impact of chronic noncommunicable diseases in selected countries, 2006

20 Health Promotion and Economic Development Projected Chronic Disease Death Rates By Country, Age 30 – 69 years, 2005 Source: WHO, Preventing Chronic Diseases: A Vital Investment, 2005 Loss of Labour Force

21 Health Promotion and Economic Development Full-Income Losses Source: WHO, Preventing Chronic Diseases: A Vital Investment, 2005 Full-income losses due to heart disease, stroke and diabetes in 2005 compared with 2015 estimates

22 Investing in Health for Sustainable Development

23 Health Promotion and Economic Development Human Development and Balanced Growth

24 Health Promotion and Economic Development UN Measures of Human Development Source: United Nations Development Program, Human Development Report 1998

25 Health Promotion and Economic Development Source: World Development Report, 2005 The Impact of Income on Human Development Selected Countries Human Poverty Index Rank Index 2 8 2 17 1 Index 1 2 13 1 20 9 Human Development Index Rank 4 1 10 6 37 53 46 63 56 GDP per capita 62,298 37,670 37,562 26,750 10,274 9,168 8,280 7,790 6,854 Luxembourg Norway United States Sweden Chile Mexico Uruguay Brazil Panama

26 Health Promotion and Economic Development Source: UNICEF Innocenti Research. (2000). A League Table of Child Poverty in Rich Nations. Innocenti Report Card No.1. Florence:UNICEF Innocenti Research Centre.. Policy Choices can have Major Effects

27 Health Promotion and Economic Development Making the Healthy Choices the Easy Choices Manipulating Sales Taxes can Benefit the Diet of the Poor Source: Smed S & Denver S. Food & Resource Economics Ints. KVL Univ., Denmark, April 2005.

28 Health Promotion and Economic Development Towards Intersectoral Policy Approaches Whole of government approaches Broad commitment to health as a collective goal Community participation Challenges Limited incentives for working across sectors Accountability and financial structures not conducive to collaboration Knowledge deficit re effectiveness Political will and leadership

29 Health Promotion and Economic Development Emerging Collaboration Models at International and National Levels NGO alliances – Global Prevention Alliance on Obesity (IOTF) – Chronic Disease Prevention Alliance of Canada Interministerial mechanisms – Sweden – UK – British Columbia, Canada Multilevel networks – Canadas Public Health Network

30 Health Promotion and Economic Development Community Driven Development

31 Health Promotion and Economic Development Strategic Knowledge Development Studies on social and other determinants Health modelling and economic analysis Health policy and system governance analysis Inter/trans disciplinary and multi-sectoral public policy and implementation research Translational research New evaluation tools e.g. health impact assessment of policy proposals What Kinds of Research?

32 Health Promotion and Economic Development Investing in Public Health and Health Promotion Over the next 20 years, ensuring that care is of a high clinical quality and provided with minimum waiting will not be sufficient… [We need to strike] an appropriate balance between … health and social care, between primary and secondary care and between treatment and prevention. … Wanless Report, 2002, UK

33 The success of an economy and a society cannot be separated from the lives that the members of society are able to lead…we not only value living well and satisfactorily, but also appreciate having control over our own lives. … Amartya Sen, Development as Freedom (1999) Health Promotion and Economic Development The success of an economy and a society cannot be separated from the lives that the members of society are able to lead…we not only value living well and satisfactorily, but also appreciate having control over our own lives.

34 Health Promotion and Economic Development Obrigada!


Download ppt "Sylvie Stachenko Deputy Chief Public Health Officer Health Promotion and Economic Development : Interactions and Dilemmas."

Similar presentations


Ads by Google