1. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Global Perspective on Health Promotion Tang Kwok-cho Senior Professional Officer Health Promotion 14 September 2004 Health Promotion for NCD Prevention - WB Seminar

2. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization What is the context for health promotion? What are we doing right now? Why are we doing those? How are we going to get those done? A Global Perspective on Health Promotion - Outline

3. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Demography Epidemiology Environment Urbanization Globalisation Health promotion models and methods New context for health promotion

4. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Set strategic priorities Strengthen capacity to promote health Build partnership with prime movers on health promotion What are we doing right now?

5. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Adopt integrated NCD prevention and control programmes Reduce health inequities within and between countries by addressing social determinants Meet the opportunities and challenges of globalization Strategic priorities

6. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Four of the most prominent NCDs - cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes Are linked by common risk behavioural risk factors – tobacco use, unhealthy diet and low physical activity Why integrated programmes (1) Common behavioural risk factors

7. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization A synergetic combination of HP strategies is required and has been proven most effective Why integrated programmes (2) Synergetic combination of HP strategies

8. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Integrated effort by different sectors (curative and prevention etc) within the MOH and within different ministries (road and transport and trade etc) Why integrated programmes (3) Continuing, coordinated & shared care

9. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Integrated effort by key players, including Members States International agencies Aid organisations Civil societies Professional association The private sector Individuals and groups in the wider community Why integrated programmes (4) Partnership with key partners outside the government

10. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Poor and marginalised people get sicker and die sooner than people in more privileged social positions People's health seeking behaviour differ in accordance with their social positions Why health inequities and addressing social determinants

11. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Why managing globalization Globalization is a double edged sword Legal and regulatory measures may be required to tackle the marketing and sales of unhealthy products (self regulation Vs statutory regulation)

12. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Institutional capacity – start from the MOH Structures Helpful mechanisms Attitude towards change Relationship Policy Funding Leadership Activities Rewards Expertise Capacity to promote health

13. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Sustainable integrated HP strategies Outcome-oriented, country-focused, equity-drive, community-based and cost- efficient interventions Why strengthened capacity

14. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Prime movers at international level, including UN agencies (WB, WTO) International NGOs/civil societies Aid organisations Professional associations Trans-national corporations The media Who the prime movers are

15. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Healthy is everyone's business and it needs to be promoted at the community, national and internationally level MOH and WHO are no longer the guardian of health, respectively, at the national and international level Why partnership with prime movers

16. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Through WHO Executive Board, World Health Assembly and Global Conferences Through the 6 th Global Conference on Health Promotion Title: Policy and partnership for action – addressing the determinants of health To be held on 7-11 August 2004 at Bangkok How to set the strategic priorities

17. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Outcomes of the 6 th Global Conference on HP Examples of successes and lessons learned to promote health Frameworks and strategies for health promotion to address the socio- economic and environmental determinants of health Framework, models and methods for policy development, partnership building and sustainable integrated HP strategies The Bangkok Charter Goals, targets and progress indicators as well as establishment of a process with mechanisms to monitor progress and impact Proposed outcomes of the Global Conference

18. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Global Program on Health Promotion Effectiveness Country-wide capacity building projects Information dissemination Technical assistance Collaboration with academic and research institutes and WHO CCs How to strengthen capacity to promote health

19. World Health Organization Department of Chronic Diseases and Health Promotion World Health Organization Networking and alliance How to build partnership of prime movers