Advancing health promotion in low-resource countries

Authors

  • Yongyuth Pongsupap National Health Security Office, Nonthaburi, Thailand

DOI:

https://doi.org/10.5750/ijpcm.v2i1.175

Keywords:

All for health, disease surveillance, health promotion, health systems, healthy policy, multisecteral action, person-centered care, public health intervention, social determinants, socioeconomics

Abstract

The agenda for health promotion that has been established since 1986 (Ottawa Charter: providing safe or supportive environment; developing healthy public policy; developing personal skills, community action; reorienting the health service) is now firmly embedded in the framework of health promotion activities in more economically developed countries. The progress in developing it within less economically developed countries has shown some significant forward movement. The evidence for the effectiveness of the strategies of the Charter is mixed. In order to prove effective, the individual interventions need to act in conjunction with each other and with certain supporting actions. Strong evidence exists for the effectiveness of one strategy linked to building public policies for health. In contemporary societies, health tends to become fragmented into various sub-institutions dealing with particular aspects of health or health systems, while the capacity to assemble the various aspects of public policy that jointly determine health is under-developed. The epistemological model underpinning health promotion is based on systems theory. The reciprocity of the interactions of the different elements of the system or organisation is acknowledged as a driving force. All actors – all health professionals, patients, their families, the community and all other relevant social actors including policy makers – are part of the system and all have the power to change its functioning. A participative and collaborative attitude is essential to optimise a given system’s status.

Author Biography

Yongyuth Pongsupap, National Health Security Office, Nonthaburi, Thailand

Dr Yongyuth Pongsupap, he is now a Senior Expert of the National Health Security Office (NHSO), ThailandEducation and training1989       Graduated MD  Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand1994       Board Certification of Preventive Medicine (Public Health)           Medical Council, Bangkok, Thailand1996       Master in Public Health (Health System Development)   Institute of Tropical Medicine, Antwerp, Belgium2001       Board Certification of Family Medicine   Medical Council, Bangkok, Thailand2007       PhD*     Faculty of Medicine, University of Brussels (Vrije Universiteit Brussel: VUB), Brussels, Belgium*Thesis for PhD on “Introducing a human dimension to Thai health care: the case for family practice”International Publications (peer review journals)Pongsupap Y, Van Lerberghe W (2010): People-centred medicine and WHO’s renewal of primary care, Journal of Evaluation in Clinical Practice, doi: 10.1111/j.1365-2753.01587Kitreerawutiwong N, Kuruchittham V, Somrongthong R, Pongsupap Y (2009):  Seven attributes of primary care in Thailand, Asia Pacific Journal of Public Health, May, 14.De Maeseneer J, Moosa S, Pongsupap Y, Kaufman A (2008): Primary health care in a changing world, the British Journal of General Practice, Nov;58(556):806-9, i-ii.Phongsuphap S, Pongsupap Y, Chandanamattha P,  Lursinsap C (2008): Changes in heart rate variability during concentration meditation, the International Journal of Cardiology (electronic published ahead of print, in press for hard copy) doi:10.1016/j. ijcard.2007.06.103Pongsupap Y and Van Lerberghe W (2006): Is motivation enough? Responsiveness, patient-centredness, medicalisation and cost in self-styled Family Practice and conventional care in Thailand, the Journal of Human Resources for Health, Vol 4:19, available at: http://www.human-resources-health.com/content/4/1/19Pongsupap Y and Van Lerberghe W (2006): Is motivation enough? Patient experience with self-styled family practices and conventional primary care in Thailand, the Asia Pacific Family Medicine Journal Vol 5 (1), available at http://www.apfmj.com/afm5_1/index.htmPongsupap Y and Van Lerberghe W (2006): Choosing between public and private or between hospital and primary care? Responsiveness, patient-centredness and prescribing for outpatients in Bangkok. the Journal of Tropical Medicine & International Health: Vol II (I): 81-89Nittayarumphong S, Srivanichakorn S, and Pongsupap Y (2000): Strategies to respond to health manpower need in Thailand, in Ferrinho, P. and Van Lerberghe, W., editors. Practicing health care under adverse circumstances. Studies in Health Series Organisation & Policy 16: 55–72

References

Delobelle, P., Onya, H., Langa, C., Mashamba, J. & Depoorter, A.M. (2010). Advances in health promotion in Africa: promoting health through hospitals. Global Health Promotion 17 (Supplement 2) 33-36.

Porter, C. (2007). Ottawa to Bangkok: changing health promotion discourse. Health Promotion International 22 (1) 72-79.

Herrman, H. & Swartz, L. (2007). Promotion of mental health in poorly resourced countries. Lancet 370 (9594) 1195-1197.

World Health Organization. (2008). World health report: primary health care now more than ever. Geneva: World Health Organisation.

Fegan, G.W., Noor, A.M., Akhwale, W.S., Cousens, S. & Snow, R.W. (2007). Effect of expanded insecticide-treated bednet coverage on child survival in rural Kenya: a longitudinal study. Lancet 370 (9592) 1035-1039.

Hogerzeil, H.V. (2004). The concept of essential medicines: lessons for rich countries. British Medical Journal 329 (7475) 1169-1172.

World Health Organization. (2008). Measuring medicine prices availability affordability and price components 2nd edition. Geneva: Health Action International and World Health Organization.

Liu, Y. (2004). China's public health-care system: facing the challenges. Bulletin of the World Health Organization 82 (7) 532-538.

Kaufman, J.A. (2008). China's heath care system and avian influenza preparedness. Journal of Infectious Diseases 197 (Supplement 1) S7-13.

Hongoro, C., Mturi, A.J. & Kembo, J. (2008). Review of national AIDS councils in Africa: findings from five countries. Journal of Social Aspects of HIV/AIDS Research Alliance 5 (4) 192-200.

Asaria, P., Chisholm, D., Mathers, C., Ezzati, M. & Beaglehole, R. (2007). Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use. Lancet 370 (9604) 2044-2053.

Sen, A. (1999). Development as freedom. Oxford: Oxford University Press.

Spiegel, J, Alegret, M., Clair, V., Pagliccia, N., Martinez, B., Bonet M. & Yassi, A. (2011). Intersectoral action for health at a municipal level in Cuba. International Journal of Public Health 57 (1) 15-23.

Spiegel, J.M. & Yassi, A. (2004). Lessons from the margins of globalization: appreciating the Cuban health paradox. Journal of Public Health Policy 25 (1) 85-110.

Evans, R.G. (2008). Thomas McKeown, Meet Fidel Castro: Physicians, Population Health and the Cuban Paradox. Healthcare Policy 3 (4) 21-32.

Onya, H. (2007). Health promotion in South Africa. International Journal of Health Promotion and Education 14 (4) 233-237.

Department of Health. (2004). Annual Report. Petoria: Department of Health.

Buasai, S., Kanchanachitra, C. & Siwaraksa, P. (2007). The way forward: experiences of health promotion development in Thailand. International Journal of Health Promotion and Education 14 (4) 250-253.

Li, L., Yong, H.H., Borland, R. & Fong, G.T., Thompson, M.E., Jiang, Y., Yang, Y., Sirirassamee, B., Hastings, G. & Harris, F. (2009). Reported awareness of tobacco advertising and promotion in China compared to Thailand, Australia and the USA. Tobacco Control 18 (3) 222-227.

Manothum, A. & Rukijkanpanich, J. (2010). A participatory approach to health promotion for informal sector workers in Thailand. J Inj Violence Res; 2(2):111-120.

Chaveepojnkamjorn, W. & Pichainarong, N. (2011). Current drinking and health-risk behaviors among male high school students in central Thailand. BMC Public Health 11 (1) 233.

Ezzati, M., Hoorn, S.V., Rodgers, A., Lopez, A.D., Mathers, C.D. & Murray, C.J. (2003). Estimates of global and regional potential health gains from reducing multiple major risk factors. Lancet 362 (9380) 271-280.

Friel, S., Chopra, M. & Satcher, D. (2007). Unequal weight: equity oriented policy responses to the global obesity epidemic. British Medical Journal 335 (7632) 1241-1243.

Satcher, D. & Higginbotham, E.J. (2008). The public health approach to eliminating disparities in health. American Journal of Public Health 98 (9 Supplement) S8-11.

Taylor, C.E. & Taylor, H.G. (2002). Scaling up community-based primary health care. In: Community-based health care: lessons from Bangladesh to Boston. (Eds. Rohde, J. & Wyon, J.). Boston: Management Sciences for Health Publications.

Koivusalo, M. (2006). Moving health higher up the European agenda. Health in all policies: prospects and potentials. Pp. 21-40. Helsinki: Ministry of Social Affairs and Health.

Gilson, L., Loewenson, R. & Francis, V. (2007). Challenging health inequity through health systems. Geneva: World Health Organization.

Allin, S., Mossialos, E., McKee, M. & Holland, W. (2004). Making decisions on public health: a review of eight countries. Geneva: World Health Organization.

Setel, P.W., Macfarlane, S.B., Szreter, S., Mikkelsen, L., Jha, P., Stout, S., AbouZahr, C. et al. (2007). A scandal of invisibility: making everyone count by counting everyone. Lancet 370 (9598) 1569-1577.

Scriven, A. & Speller, V. (2007). Global issues and challenges beyond Ottawa: the way forward. International Journal of Health Promotion and Education 14 (4) 194-199, 269.

Published

2012-03-31

Issue

Section

The Person with Disease at the Center of Teaching