Health Improvement
Public Health, Year 4, MMS
Yr 4 PH Paediatrics 1
What is Health?What is Health?
"Health is a state of "Health is a state of complete physical, mental complete physical, mental and social well being and and social well being and not merely the absence of not merely the absence of
disease"disease"
World Health Organisation World Health Organisation 19481948
Dahlgreen and Whitehead Model
Yr 4 PH Paediatrics 3
How does Health How does Health Improvement fit?Improvement fit?
Faculty of Public Health - it's one of the three domains of public health and includes:
Ladder of Ladder of interventionintervention
Do nothing / monitor
Provide information, inform and educate
Guide choice through incentives: financial or otherwise
Guide choice through disincentives: use financial or other disincentives to guide choice
Restrict choice: regulate to restrict the options available
Eliminate choice: regulate to eliminate choice
Guide choice through changing the default: make healthier choices easier
Enable choice: enable people to change their behaviours
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6 Yr 4 PH Paediatrics
Individualistic
Social MarketingSocial Marketing
7 Yr 4 PH Paediatrics
Consider these four questions
1 Do I really understand my target audience and see things from their perspective? 2 Am I clear about what I would like my target audience to do? 3 For my target audience, do the benefits of doing what I would like them to do outweigh the costs or barriers to doing it? 4 Am I using a combination of activities in order to encourage people to achieve the desired action?
The nudge theoryThe nudge theory
Yr 4 PH Paediatrics 8
TASK- are these any good?
PEP 9
10 Yr 4 PH Paediatrics
Community
What is an asset based What is an asset based approach?approach?
“A health asset is any factor or resource which enhances the ability of individuals, communities and
populations to maintain and sustain health and wellbeing and to help to reduce health inequalities.
These assets can operate at the level of the individual, family or community and population as protective and promoting factors to buffer against
life’s stresses” Morgan and Ziglio, 2007
Yr 4 PH Paediatrics 11
12 Yr 4 PH Paediatrics
Societal
For example childhood For example childhood immunisationimmunisation
• Immunisation is the most important way of protecting people from vaccine preventable diseases.
Yr 4 PH Paediatrics 13
Social Determinants of HealthSocial Determinants of Health
Yr 4 PH Paediatrics14
Corporate Determinants of Corporate Determinants of HealthHealth
Corporate activities can affect health in many ways: •Living wage•Health and Safety Policies•Unhealthy products•Marketing to unsuitable audiences•Balance of profit, planet and people•Waste removal
Yr 4 PH Paediatrics 15
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