Health Prom for participants 1114
13
י" ט/ חשון/ תשע" ה1 HEALTH PROMOTION STRATEGIES AND METHODS . Lilach Melville 2014 (C) Lilach Melville, M. Hlth.Prom. © [email protected] Galilee College, Israel November 2014 TODAY: Lilach Melville 2014 (C) Health promotion • What is it? Change • What is it? • Change strategies and Health promotion Just doing it • Approaching health issues – The Israeli example HEALTH – A DEFINITION Lilach Melville 2014 (C) “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity”. Is it really so?
-
Upload
lilach-melville -
Category
Documents
-
view
75 -
download
2
Transcript of Health Prom for participants 1114
התשעחשוןטי
1
HEALTH PROMOTION
STRATEGIES AND
METHODS
Lila
ch M
elville
2014 (C
)
Lilach Melville M HlthProm copy Lilachmelvillegmailcom
Galilee College Israel
November 2014
TODAY
Lila
ch M
elville
2014 (C
)
Health promotion
bull What is it
Change
bull What is it
bull Change strategies and Health promotion
Just doing it
bull Approaching health issues ndash The Israeli example
HEALTH ndash A DEFINITION
Lila
ch M
elville
2014 (C
)
ldquoHealth is a state of complete
physical mental and social
well-being and not merely the
absence of disease and infirmityrdquo
Is it really so
התשעחשוןטי
2
THE HEALTH PROMOTION CONTEXT
Levels of health
Lila
ch M
elville
2014 (C
)
bullGlobal
bullState or country
bullCommunity
bullOrganization
bullGroup
bullIndividual
DETERMINANTS OF HEALTH
DEFINITION
ldquoThe determinants of health are those factors
which contribute to the health of
populations or individuals in those
populationsrdquo
(Health Canada 1997)
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
Five domains of health determinants
Social amp economic environment
Physical environment
Personal health
practices
Biology and
genetics
Health services
(Canadian Institute for Advanced Research)
התשעחשוןטי
3
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
The individual
Income and social status Child
development
Employment and its
conditions
Health services
Biology and genetics
Coping capacity
Education
Social support
Physical environment
communication
Gender and sexual
orientation
Culture and origin
Physical
Emotional
Mental
Spiritual
ESTIMATED IMPACT OF THE DETERMINANTS OF HEALTH ON HEALTH
OUTCOMES
Lila
ch M
elville
2014 (C
)
httpwwwcdcgovsocialdeterminantsFAQhtml
on September 2012
McGinnis MJ Williams-Russo P Knickman JR The case for more active policy
attention to health promotion Health Affairs 20022178ndash93
התשעחשוןטי
4
HEALTH PROMOTION A DEFINITION FOR THE
21ST CENTURY
ldquoa combination of educational organization economic amp
political actions designed with consumer participation to
enable individuals groups amp whole communities to
increase control over amp to improve their health through
attitudinal behavioural social amp environmental changesrdquo
(Howat et al 2003 84)
Lila
ch M
elville
2014 (C
)
HEALTH PROMOTION - RATIONALE
To make the healthy choice the easier one
Thus it requires collaborated action among all
stakeholder individuals community groups
voluntary organizations local government industry
amp mass communication health professionals
institutions health services amp the government
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
) Health promotion
=
Change
התשעחשוןטי
5
SO ndash WHAT IS CHANGE
ldquoTo make the form nature content future course etc of
something different from what it is or from what it would
be if left alonerdquo
Lila
ch M
elville
2014 (C
)
FOR THE SITUATION YOU STATED EXPLAIN
How it should be
How it is now
No smokers
Example
24 of the population smoking
tobacco products
Reduced costs Human suffering
$$$$
Rationale for change
Smoking causes early deaths and
diseases = high costs
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
If
Health promotion = Change
Then
You = the change agents
SO-
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
2
THE HEALTH PROMOTION CONTEXT
Levels of health
Lila
ch M
elville
2014 (C
)
bullGlobal
bullState or country
bullCommunity
bullOrganization
bullGroup
bullIndividual
DETERMINANTS OF HEALTH
DEFINITION
ldquoThe determinants of health are those factors
which contribute to the health of
populations or individuals in those
populationsrdquo
(Health Canada 1997)
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
Five domains of health determinants
Social amp economic environment
Physical environment
Personal health
practices
Biology and
genetics
Health services
(Canadian Institute for Advanced Research)
התשעחשוןטי
3
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
The individual
Income and social status Child
development
Employment and its
conditions
Health services
Biology and genetics
Coping capacity
Education
Social support
Physical environment
communication
Gender and sexual
orientation
Culture and origin
Physical
Emotional
Mental
Spiritual
ESTIMATED IMPACT OF THE DETERMINANTS OF HEALTH ON HEALTH
OUTCOMES
Lila
ch M
elville
2014 (C
)
httpwwwcdcgovsocialdeterminantsFAQhtml
on September 2012
McGinnis MJ Williams-Russo P Knickman JR The case for more active policy
attention to health promotion Health Affairs 20022178ndash93
התשעחשוןטי
4
HEALTH PROMOTION A DEFINITION FOR THE
21ST CENTURY
ldquoa combination of educational organization economic amp
political actions designed with consumer participation to
enable individuals groups amp whole communities to
increase control over amp to improve their health through
attitudinal behavioural social amp environmental changesrdquo
(Howat et al 2003 84)
Lila
ch M
elville
2014 (C
)
HEALTH PROMOTION - RATIONALE
To make the healthy choice the easier one
Thus it requires collaborated action among all
stakeholder individuals community groups
voluntary organizations local government industry
amp mass communication health professionals
institutions health services amp the government
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
) Health promotion
=
Change
התשעחשוןטי
5
SO ndash WHAT IS CHANGE
ldquoTo make the form nature content future course etc of
something different from what it is or from what it would
be if left alonerdquo
Lila
ch M
elville
2014 (C
)
FOR THE SITUATION YOU STATED EXPLAIN
How it should be
How it is now
No smokers
Example
24 of the population smoking
tobacco products
Reduced costs Human suffering
$$$$
Rationale for change
Smoking causes early deaths and
diseases = high costs
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
If
Health promotion = Change
Then
You = the change agents
SO-
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
3
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
The individual
Income and social status Child
development
Employment and its
conditions
Health services
Biology and genetics
Coping capacity
Education
Social support
Physical environment
communication
Gender and sexual
orientation
Culture and origin
Physical
Emotional
Mental
Spiritual
ESTIMATED IMPACT OF THE DETERMINANTS OF HEALTH ON HEALTH
OUTCOMES
Lila
ch M
elville
2014 (C
)
httpwwwcdcgovsocialdeterminantsFAQhtml
on September 2012
McGinnis MJ Williams-Russo P Knickman JR The case for more active policy
attention to health promotion Health Affairs 20022178ndash93
התשעחשוןטי
4
HEALTH PROMOTION A DEFINITION FOR THE
21ST CENTURY
ldquoa combination of educational organization economic amp
political actions designed with consumer participation to
enable individuals groups amp whole communities to
increase control over amp to improve their health through
attitudinal behavioural social amp environmental changesrdquo
(Howat et al 2003 84)
Lila
ch M
elville
2014 (C
)
HEALTH PROMOTION - RATIONALE
To make the healthy choice the easier one
Thus it requires collaborated action among all
stakeholder individuals community groups
voluntary organizations local government industry
amp mass communication health professionals
institutions health services amp the government
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
) Health promotion
=
Change
התשעחשוןטי
5
SO ndash WHAT IS CHANGE
ldquoTo make the form nature content future course etc of
something different from what it is or from what it would
be if left alonerdquo
Lila
ch M
elville
2014 (C
)
FOR THE SITUATION YOU STATED EXPLAIN
How it should be
How it is now
No smokers
Example
24 of the population smoking
tobacco products
Reduced costs Human suffering
$$$$
Rationale for change
Smoking causes early deaths and
diseases = high costs
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
If
Health promotion = Change
Then
You = the change agents
SO-
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
4
HEALTH PROMOTION A DEFINITION FOR THE
21ST CENTURY
ldquoa combination of educational organization economic amp
political actions designed with consumer participation to
enable individuals groups amp whole communities to
increase control over amp to improve their health through
attitudinal behavioural social amp environmental changesrdquo
(Howat et al 2003 84)
Lila
ch M
elville
2014 (C
)
HEALTH PROMOTION - RATIONALE
To make the healthy choice the easier one
Thus it requires collaborated action among all
stakeholder individuals community groups
voluntary organizations local government industry
amp mass communication health professionals
institutions health services amp the government
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
) Health promotion
=
Change
התשעחשוןטי
5
SO ndash WHAT IS CHANGE
ldquoTo make the form nature content future course etc of
something different from what it is or from what it would
be if left alonerdquo
Lila
ch M
elville
2014 (C
)
FOR THE SITUATION YOU STATED EXPLAIN
How it should be
How it is now
No smokers
Example
24 of the population smoking
tobacco products
Reduced costs Human suffering
$$$$
Rationale for change
Smoking causes early deaths and
diseases = high costs
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
If
Health promotion = Change
Then
You = the change agents
SO-
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
5
SO ndash WHAT IS CHANGE
ldquoTo make the form nature content future course etc of
something different from what it is or from what it would
be if left alonerdquo
Lila
ch M
elville
2014 (C
)
FOR THE SITUATION YOU STATED EXPLAIN
How it should be
How it is now
No smokers
Example
24 of the population smoking
tobacco products
Reduced costs Human suffering
$$$$
Rationale for change
Smoking causes early deaths and
diseases = high costs
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
If
Health promotion = Change
Then
You = the change agents
SO-
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
6
To diagnose problems
To develop an evidence-based argument for change
To create the intent to support change
To translate intent to action
To stabilize adoption amp prevent discontinuance
To achieve an ongoing relationship
CHANGE AGENT ROLES
Lila
ch M
elville
2014 (C
)
Lilach Melville 2014 (C)
INTERVENTION STRATEGIES
Strategy
Educational
Environmental
Organizational Economic
Communication
THE OTTAWA CHARTER OF HEALTH PROMOTION
Developing personal skills ndash Educational communication
Creating supportive environment ndash Environmental
communication
Building healthy public policy ndash organizational environmental
economic
Community empowerment ndash Environmental communication
Re-orientation of health services ndash Organizational educational
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
7
DIFFERENT FOCUS OF PROGRAMMES
Educational
Policy
Legislation
Environment
Services
Lila
ch M
elville
2014 (C
)
CHANGE
STRATEGIES
IMPORTANT POINTS
Lila
ch M
elville
2014 (C
)
Lila
ch M
elville
2014 (C
)
Health Education is the most commonly used
strategy in HP
Health Education - definition
Any combination of learning experiences
designed to facilitate voluntary actions
conducive to healthrdquo
(Green and Kreuter 1991)
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
8
Primary Prevention
Health Promotion
Health education
Environmental modification
Lifestyle and behavioural
changes
Nutrition Intervention
Specific Protection
Drug and food safety
Control of environmental hazards
Immunisation
Lilach Melville 2014 (C)
Lilach Melville 2014 (C)
ABC OF STRATEGIC PLANNING
A Who are we what do we want to achieve and why
B What do we want to be and do in the future and
what for
C How do we get from here to there THIS IS THE
VISION
Lila
ch M
elville
Ofri
2009
VISIONING VS PLANNING
Planning
process that provides
specific direction and
meaning to the day-to-day
activities
strategic planning places
the strategic vision into
motion
Visioning
proactive plan for the
future
It is a view of the future
that everyone can
believe in
httpextensioneducationtamueduSEALvisionppt2643Visioning vs Planning
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
9
APPROACHES TO HEALTH PROMOTION
bull Sexual health
bull Nutrition
bull Smoking
bull Alcohol
By subject
bull Armed forces (Army and Police)
bull Schools
bull Local authorities
bull Hospitals
By setting
bull Women Men
bull The elderly
bull Minorities Populations
bull E-health
bull Mobile health (applications)
Budding activities
Lilach Melville 2014 (C)
התכנית הלאומית לקידום אורח חיים פעיל ובריא משרד החינוך ומשרד התרבות והספורט משרד הבריאות
2012-2015
Ministry of Health Ministry of Education Ministry of Sport and Culture
The National Programme for Active and Healthy
Life
Lila
ch M
elville
2014 (C
)
LIFESTYLE IS A MAJOR CAUSE FOR CHRONIC
ILLNESS CAUSING A HEAVY ECONOMIC BURDEN
Lila
ch M
elville
2014 (C
)
The WHO indicates that the following risk factors for non-
communicable diseases are
Nutrition (high calorie intake high saturated fat and salt)
Lack of exercise
Obesity
Smoking
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
10
An ongoing rise in non-communicable disease
Chronic disease (heart diseases cancer and diabetes)
are complex
The main cause of mortality in Israel
Mortality rates are high comparing to other countries
CHRONIC DISEASES - THE MAIN CAUSE OF DEATH
Lila
ch M
elville
2014 (C
)
MOST OF THE ISRAELI POPULATION DOES NOT ENGAGE
IN AN ACTIVE AND HEALTHY LIFESTYLE
Lila
ch M
elville
2014 (C
) A high rate of overweight persons world-wide
About 50 of the adult population are overweight
Overweight youth rate is estimated at around 21
Only a third of the population engage in physical activity
Among Arabs only around 15 of adults engage in physical activity
Among youth 42 are physically active
Among adults salt consumption is 15 times higher than WHO
recommendations
APPROACHES FOR PRIMARY PREVENTION
The WHO has recommended the following
approaches for the primary prevention of chronic
diseases where the risk factors are established
a Population (mass) strategy
b High-risk strategy
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
11
POPULATION (MASS) STRATEGY
bull Directed at the whole population irrespective
of individual risk levels
bull Calls for socio-economic behavioral and
lifestyle changes
Lila
ch M
elville
2014 (C
)
PROMOTING A HEALTHY LIFESTYLE IN ISRAEL HOW
Lila
ch M
elville
2014 (C
)
Creating a behavioral change by acting on a number of levels
Behavioural change
Awareness
Enabling environment
Economic motivators
THE ISRAELI MODEL
A 5 year budget
Government actions (legislation)
Marketing social marketing and spokes manship
Monitoring and evaluation
National programme and local projects addressing specific target groups
The programme is composed of projects and is 10 years long
Using evidence based cost effective approaches
A partnership of government local authorities health orgnizations amp the private sector
Joint leadership of three government departments
Lila
ch M
elville
2014 (C
)
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
12
Awareness
bull A social marketing campaign to
raise awareness for healthy
eating and an active lifestyle
bull Health education at workplace
and educational institutions
bull Employing health promotion
professionals
Enabling Environment
bull Legislation including
limitations on school
canteens products
bull Cooperation with the food
industry
bull Constructing supportive
infrastructures
Motivators
bull Financing participating
local authorities
bull Financial assitance to
HMOs conducting healthy
lifestyle programmes
bull Supporting local
authorities in allocating
recreational facilities
Lila
ch M
elville
2014 (C
)
HIGH -RISK STRATEGY
Aims at individuals at special risk
It requires detection of individuals at high risk
Lila
ch M
elville
2014 (C
)
THE COMPLEXITY OF HEALTH PROMOTION
Lila
ch M
elville
2014 (C
)
Changing one behaviour of one individual
Community behavioural change
Less complex Highly complex של ההתערבות הנדרשת
The difficulty of obtaining evidence
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
התשעחשוןטי
13
Lila
ch M
elville
2014 (C
)
Health promotion the challenge
ldquoMaking the healthy
choice an easy choicerdquo
N Millio 1996
![2012-13 Prom Dress Code[2] › userfiles › 127 › 2012-13 Prom Dress Code(1).pdfForest Park High School Prom 2013 Prom Dress Code To: Prom participants From: Jeff Jessee, Principal](https://static.fdocuments.in/doc/165x107/5f284715184c880cdb06d74d/2012-13-prom-dress-code2-a-userfiles-a-127-a-2012-13-prom-dress-code1pdf.jpg)
