‘ Working in Partnership’ Health Promotion: The way of the future Health Promotion Strategy Unit DHCS

Outline introduction to  principles of health promotion  spectrum of health promotion interventions  HPSU role – supporting staff to do their work  Public Health Bush Book  resources from HPSU

Health Promotion Strategy Unit DHCS NT DHCS Health Services Division Health Development and Oral Health Branch Health Promotion Strategy

CEO goals for Health Promotion (2003) : Ensure health promotion in the NT is  evidence based,  measurable and  coordinated across the health system  core business in all program areas…. ”(Building Healthier Communities DHCS)

Health promotion policy and practice Evidence based interventions EVIDENCE CURRENT HEALTH PROMOTION POLICY AND PRACTICE Evidence Based Interventions Figure 1. Increasing the use of health promotion evidence in policy and practice

Capacity Building framework: key action areas Organisational Development  Workforce Development  Resources  Partnerships  Leadership NSW Health on NSW website

Health promotion ……. “is the process of enabling people to increase control over and to improve their health” (Ottawa Charter ’86) “involves the facilitation of skills in individuals and change in environments which impact positively on health” (VicHealth 2005) “is everyone’s business” (CEO DHCS 2004)

Health is a dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity (WHO 1998)

Health Promotion - key developments  WHO definition of health (1948, 1998)  Declaration of Alma Ata (1978) - blueprint for PHC - ‘Health For All by the Year 2000’  Ottawa Charter (1986) –Laid down principles of HP still followed today  Jakarta Declaration on Health Promotion into the 21 st Century (1997)  Bancock Charter (OC revisited in 2005)

10 Key Action Areas for Health Promotion (Ottawa Charter and Jakarta Declaration)  Build healthy public policy  Create supportive environments  Strengthen community action  Develop personal skills  Reorient health services towards primary health health care  Promote social responsibility for health  Increase investment for health development to address social inequalities leading to poor health  Consolidate and expand partnerships for health  Strengthen communities and increase community capacity to empower the individual  Secure an infrastructure for health promotion

Health Promotion Focus on the whole population. Use a number of interventions simultaneously. Support people to make a ‘healthy’ choice. Historically has been skewed towards education, need all strategies and approaches, not just one

Build healthy public policy Create supportive environments Strengthen community action Develop personal skills Re-orient health services The Ottawa Charter for Health Promotion

. Build Healthy Public Policy Both within and outside the health sector (NB social determinants of health) Approaches such as legislation, fiscal measures, taxation and organisational change. OHS, Council bylaws, school suncare Policy to influence culture e.g. bullying Create supportive environments  Create environments (work, home and leisure) that support healthy living?  e.g. food choices, suncare, smoke free

. Strengthen community action Enable and empower communities, provide resources so they actively participate in health decisions which leads to better health outcomes. They can apply those skills to other situations themselves need to determine what their needs are and how they best can be met.  Community development.  Capacity building. Reorient heath services  Aim for a balance between health promotion and treatment services?  How can we work with other sectors whose work impacts on health?  Include health promotion in job descriptions, a designated role.

Develop Personal Skills (the one we are most familiar with)  Provide information, education and skills.  Those who gain skills are often the least likely to need them  So be creative and reach others e.g. display or health screening or other activity – those who you need to reach may not attend/be able to read etc  Build skills at all levels - support others to work in a health promoting way.

The health promoting way of working……..  Work with the community to identify priorities  Support local initiatives  Find out what is already happening  Find out what people know and what they think is important  Share information  Assist with skills development  Assist with research & information collection  Help to plan community action  Provide or assist to locate resources if needed

Spectrum of health promotion interventions Strive to develop a mix of evidence based health promotion interventions  with a balance of interventions at both an individual and population level  that meet the priority outcomes Support these with capacity building strategies (skills and organisational support)

Spectrum of health promotion interventions NT has adopted the Victorian Government DHS categories of health promotion interventions:  Screening, individual risk assessment and immunisation  Social marketing/health information  Health education and skill development  Community action  Settings and supportive environments These form the spectrum of health promotion interventions from the individual to population level interventions

Spectrum of interventions e.g.smoking cessation Using smoking cessation as an example and going from the individual to the population level, health promotion action can range from ‘brief interventions’ and advice to community based health promotion and social marketing (media etc) to policy and legislation such as smoke free areas and access to purchasing.

Public Health Bush Book: Vol 1: Strategies and Resources Vol 2: Facts & Approaches to 3 Key PH Issues  provides a range of strategies and ideas and a variety of tools to assist staff to work more effectively within a Primary Health Care model.  includes something for everyone who works with Aboriginal people.  is practical and real.  reflects the principles of the Aboriginal Health Policy (1996)

Public Health Bush Book  Volume 1 Education for Health Sharing Health Information Strategies for health promotion Planning and evaluating a health promotion project Towards a healthy health centre Glossary Evaluation  Volume 2 Alcohol & other drugs Environmental Health Food and nutrition

Public Health Bush Book... DHCS Intranet HPSU web-pages –Order form –Whole publication is online –Health Library at RDH Purchase a copy – Volumes 1 and 2 –(under $80 for both inc p&p) –contact Cassandra on

Health Promotion in NT  Since a restructure in 2004, Health Promotion specialists are now placed in program areas e.g. MCYH and PCD  HPSU supports health promotion practice and provides strategic advice  Health promotion is everyone’s business  Aim to work together on common issues e.g. smoking cessation to gain maximum effect for effort

Health Promotion Strategy NT 4 Key program areas:  Mental Health  Alcohol and other Drugs  Preventable Chronic Disease  Maternal Child Youth Health 4 key Health Issues: Smoking cessation Alcohol Physical Activity Depression (mental health and wellbeing) HPSU is responsible to: Support good health promotion practice in the NT that is:  evidence based and measurable  integrated into core business  coordinated to reduce duplication Support staff to do their work and support the health promotion specialists in the program areas

Health Promotion Strategy  Planning and evaluation system –tools for good health promotion practice  Workforce development strategy –professional development, training opportunities and links with other providers, opportunities to support staff and build skills  Communication systems –networks, website, presentations  DHCS reporting system, KPI, business plans, job descriptions

HPSU web-pages  Online in next few weeks  Contacts  NT Health Promotion Storybook  Planning and evaluation tools and links  Learning opportunities  Links to resources and information for good health promotion practice  HPSU publications e.g. Bush Book and documents

Indigenous health promotion The Certificate 4 in AHW training now includes an elective module on Health Promotion For information about courses on Indigenous health go to Healthinfonet ervices_courses.htm Australian Indigenous Health Promotion network 

Working in Partnerships Working together toward shared objectives Networking  exchange of information, updates and meetings Coordinating  exchange information and change activities fro a common purpose eg meet and agree to lobby for better youth services Cooperating  exchange info, change activities and share resources. Involves more time and high level of trust eg pool resources to run a health week to address an issue Collaborating  all of the above, plus build the capacity of the other partner for mutual benefit and common purpose eg provide funds, staff, facility or other resources (source VicHealth MH Promotion short course)

Health Promotion Strategy Helen Nikolas A/Manager Valmai McDonald Training and Development Officer in CA Top End Practice Development Officer Snr Indigenous Policy Officer (Menzies) Policy Officer Cassandra Boyd Admin Officer March 2006

Health Promotion Strategy Unit DHCS NT _promotion/promotion_main.shtml Darwin (08) Alice Springs (08)