Health Promotion For NCD Prevention – WB Seminar

World Health OrganizationDepartment of Chronic Diseases and Health PromotionDepartment of Chronic Diseases and Health Promotion

World Health Organization

Strengthening Institutions: Indicators for Measuring HP Capacity

Tang Kwok-choSenior Professional Officer

Health Promotion14 September 2004

Health Promotion For NCD Prevention – WB Seminar



• Two parts

•A short presentation with regard to what, why and how

•Comments on a set of possible indicators

Institutional capacity measurement indicators - Outline



Fairy unclear

•the ability of an individual health promoter to promote health (more about capability)?

•the ability of (and the extent to which) the MOH to produce?

•the infrastructure for health promotion in the country?

What the term "capacity" means



A changed focus

•Expertise of individual health promoters is necessary but not sufficient for the achievement of

effective health promotion

•The need to build capacity to promote health at the institution and community levels

Why institutional capacity



Such indicators are characteristics of behaviour in an organisation or

behaviour of an organisation which are subject to measurement and can be used

to reflect the capacity of the organisation to promote health

Indicators for measurement of capacity to promote health



•Monitor progress

•Provide a framework and specific areas for building capacity

Why we need to measure institutional capacity



•Organisation mission•Internal structure

•Delegation of authority•Organisational attitude•Acquisition of skills

•Policy•Funding•Activity•Staffing

What some of those indicators are



Don't know - Methods used for assessing capacity are still in early stages of development.

•The instruments are applied through measures of self perception mainly of staff of the organisation.

•The methods used thus far are mainly descriptive in nature and application of advanced statistic

procedures is uncommon

How good those indicators are



Structure

•Designated HP/E work unit in the MOH

•Inter-departmental committee in the MOH for coordinating joint HP/E activities

•Interdepartmental committees between ministries for coordinating joint HP/E activities

•Interagency committees (MOH, other ministries, NGOs & civil societies) available for joint HP activities

•Regional and international collaboration in HP/E

Possible indicators



Helpful mechanisms

•Availability of behavioural risk data

•Availability of social and environmental risk data

•Availability of manuals, guidelines or proforma available for staff members to plan and evaluate HP/E activities

•Access to computer, the Internet, professional journals or audio-visual aids

Possible indicators



Attitude towards change

•Are HP/E officers committed to continuing education?

•Have changes of work practices occurred on a regular basis among HP/E officers or professional

staff members?

•Are there any activities for managing changes?

Possible indicators



Relationships

•Work requests to the designated HP/E work unit from other work units in the MOH or other ministries

•Proportions of the HP/E activities which were jointly organised within different work units between ministries

•Collaboration between the MOH and local academic and research institutes

Possible indicators



Policy

•Availability of national plan in the areas such as tobacco control, mental health promotion, a priority infectious disease, traffic injury prevention

•Whether or not the plans have been implemented and at what level

•Legal and legislative measures to promote health and reduce risks in occupational health and safety

•Whether or not HP is a priority work area, seen by the middle level

Possible indicators



Expertise

•Certified HP/E training activities available for designated HP/E officers

•University course in HP/E available to professional staff members

•Whether or not health promoters possesses educational qualifications in social and political sciences or marketing?

•Publication in professional journals at the national, regional and international levels?

Possible indicators



Rewards

•Are incentives in MOH available for staff members to do a good job in HP/E?

•Is experience in HP/E a criterion for promotion in MOH?

•Are certificate of appreciation given to staff member who performed well in HP/E activities?

Possible indicators



Leadership

•Name the designations of up to 3/5 most senior govt officials who advocate for additional financial and human resources

for HP/E?

•Has some one at the senior executive level undertaken activities to influence mid level managers to do HP/E?

•Has effort been made to adopt the whole of government approach to promote health?

Possible indicators



Funding

•Budgetary allocation for different services (curative, pharmaceutical drugs, medical research, public health

research, vaccination, sanitation, community health etc)

•Trend in allocating of funds for HP/E over the past three years

•Funding for HP/E from other sources (municipal govt, foundations, aid organisations etc), in addition to those from

the MOH

Possible indicators



Activities

•Types

•Strategies used

•Foci

•Settings

Possible indicators

Health Promotion For NCD Prevention – WB Seminar

Documents

Transcript of Health Promotion For NCD Prevention – WB Seminar