Community action for health promotion and prevention - … Elvetia_Fabian.pdf · Carlo Fabian,...

Carlo Fabian, Bucharest, Romania 2014

Community action for health promotion and prevention

Carlo Fabian lic. phil., Social and Health Psychologist Researcher & Project Manager

• University of Applied Sciences and Arts Northwestern Switzerland

School of Social Work, Institute for Social Planning and Urban Development

• 2007-2012: RADIX Swiss Health Foundation

Healthy communities & national prevention programs in communities


• Introduction

• The setting approach The Ottawa Charta of 1986

• Community-oriented work: Models, examples, experiences and quality (success) factors, tool

Overview


Switzerland – 26 Cantons – 2400 Municipalities


The setting approach

«A setting is a social context that is relatively permanent. Its members are

subjectively aware of it. This relationship is expressed by a formal organization

(e.g. business, school), a regional situation (e.g., municipality, district,

neighbourhood), a common life situation (e.g. retirees), common values and

preferences (e.g. religion, sexual orientation) or by a combination of these

attributes.» (translation from Rosenbrock & Hartung, 2011)

«Health is created and lived by people within the settings of their everyday

life; where they learn, work, play and love.» (Ottawa-Charta, WHO 1986, http://www.euro.who.int/de/publications/policy-documents/ottawa-charter-for-health-promotion,-1986)

Objective: to promote health supportive living environments / settings!

http://www.euro.who.int/de/publications/policy-documents/ottawa-charter-for-health-promotion,-1986














Ottawa-Charta

Health promotion pays particular attention to participation and co-

decision of the population as well as to the involvement of the public.


Concept of participation

6

Steps of participation (see Lüttringhaus 2000; Frehner et al. 2004)

Information

Participation

Co-Decision

Self-Government

Active Involvement


«The improvement of the opportunities and competences of the citizens

for their involvement, participation, and self-empowerment in all health-

related issues, as well as the strengthening of the responsibilities of the

municipality as a whole for better health are key elements of the

development of health promotion».

(translation from Ilona Kickbusch)

Health promotion


The setting approach

The setting approach means much more than the achievement of the target

group within the setting!

• Participation of members: concerned persons have to become participants

• Process of organizational development

• Empowerment

• Public Health Action Cycle (problem determination, strategy,

implementation, evaluation)

• Elements of situation-oriented and behaviour-oriented prevention

• Cooperation and communication

• Learning with low formal education (Rosenbrock & Hartung, 2011)


• Introduction

• The setting approach The Ottawa Charta of 1986

• Community-oriented work: Models, examples, experiences and quality (success) factors, tool

Overview


Setting-oriented health promotion and prevention projects (RADIX -> www.radix.ch - in German and French)

• «The communities act!»

(alcohol prevention)

• «Community-based tobacco prevention »

• «Watch / be attentive and act»

early identification and early intervention in the community / in the

school»

(multi-thematic: alcohol, tobacco, violence, littering, vandalism)

• «adventure island» tobacco prevention in families (-> internet-based

program)

-> www.radix.ch


Municipal authority

Public Space

Gastronomy / retail shops

Youth work

School / parents

Events / parties

Picture: RADIX (2009)

Counselling services

Sport and music clubs

Municipality with different players and places


(see Brewer & deLeon, 1983)

Process model – community-oriented projects


Important steps as part of the policy cycle

•Put the issue on the local agenda (agenda setting)

•Decision action plan

•Build a local commission / working group (lead, decisions, implementation)

•Situation analysis

• Implementation action plan

•Anchorage / consolidation in the municipality

3-4 years process

Process in community-oriented projects

Support by professional specialists in health promotion / prevention / project management


Quality factors in community-oriented projects

Structure quality

Process quality

Result quality

(Fabian & Jordi, 2009; -> www.radix.ch)

Political mandate

Organisational structure

Network

Process control

Discussion on attitudes and positions

Participation

Needs assessment

Action plan

Action guidelines


Structure quality: Agenda setting / agreement


Hombrechtikon ZH

Structure quality: Local network (round table)

http://www.hombrechtikon.ch/documents/Der_Runde_Tisch.pdf


Analysis of the situation, needs assessment Approved method (in Switzerland): «bedarfserhebung.ch» = «needs assessment»

• Planning instrument and instrument for needs assessment

• Workshop with key persons of the community / municipality

• Survey of the «local problems», «resources and potentials» and «needs»

-> www.bedarfserhebung.ch (German and French)

http://www.bedarfserhebung.ch/


Problems


Resources and potentials


Needs / ideas


(www.sensor.lu)


Example: Tobacco prevention


Einfache Mathematik

Example: Tobacco prevention


Thank you for your attention!

[email protected]

Community action for health promotion and prevention - … Elvetia_Fabian.pdf · Carlo Fabian,...

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