What is the Ottawa Charter for Health Promotion?
A framework established in 1986 that outlines key strategies for health promotion including:
* Developing Personal Skills
* Creating Supportive Environments
* Strengthening Community Action
* Reorienting Health Services
* Building Healthy Public Policy
What is the goal of health promotion?
Empowerment: clients have the resources and power to control the factors that influence their health.
What is capacity building in the context of community health nursing?
Partnering with clients to promote capacity by recognizing barriers to health and mobilizing existing strengths.
What are some strategies used in capacity building?
Strategies include:
* Mutual goal setting
* Visioning
* Facilitation in planning for action
Why is empowerment necessary according to the Ottawa Charter?
It is necessary for achieving ‘Health for All’.
What barriers have hindered progress in health promotion?
Focus on Western conceptualization of health, reliance on biomedical and behavioral approaches, and lack of emphasis on socio-ecological approaches.
What is the difference between individual and community empowerment?
Individual empowerment focuses on personal control over health, while community empowerment involves collective action and addressing community needs.
Why are health-related systems and policy organizations important?
They must align with community needs and realities to be effective.
List the types of Adverse Childhood Experiences (ACES).
- Abuse
- Neglect
- Household Challenges
- Other Adversity
What is health literacy?
A key determinant of health that is a stronger predictor of an individual’s health status than income, employment status, education level, and racial or ethnic group.
What are the basic prerequisites for health according to the Ottawa Charter?
- Peace
- Shelter
- Education
- Food
- Income
True or False: Literacy is a stronger predictor of health status than education level.
True
Fill in the blank: Health literacy is a key determinant of _______.
[Health]
What does a critical postmodern approach to empowerment emphasize?
Reality is socially and culturally constructed, considering power, oppression, and inequality.
What is the socio-ecological model in population health promotion?
A framework that considers the complex interplay between individual, relationship, community, and societal factors.
What is the significance of the Jakarta declaration in health promotion?
It emphasizes an asset-based approach to health promotion.
What is empowerment
Clients have the resources and power to control the factors that influence their health
Capacity building standard #5 (Community health nurses parter with clients to promote capacity - the focus is to recognize barriers to health and mobilize and building on existing strengths)
A. Uses an asset approach and facilitates actions to support Jakarta declaration
B. Enhances clients ability to recognize their strengths their challenges, casual factors, and resources available that impact their health.
C. Assists clients to make informed decisions in determining their health goals, and priorities for action
D. Uses capacity building strategies such as mututal goal building, visioning, and faciliation in planning for action
E. Support the client to build their capacity to advocate for themselves
The Ottawa charter for health promotion (1986)
- Developing individual skills
- Creating supportive environments
- Strengthening community action
- Reorienting health services
- Building healthy public policy
Individual empowerment
- Individual empowerment is often taken to mean the development of individual skills via activities aimed at health education, life skills enhancement, and individual and social development
- the meaning of individual empowerment has been shaped within neo-colonial contexts that privilege western identity and bio medically oriented belief and knowledge systems- including indigenous peoples
- individual empowerment is not enough to achieve healthier communities
Barriers to heath promotion
- Adverse childhood events (ACES)
- Epigenetics
- literacy
- health literacy
Considerations to health promotion
Power and culture
Adverse childhood experiences (ACES) (the pair of aces)
Experiences
- maternal depression
- emotional and sexual abuse
- substance abuse
- domestic violence
- physical and emotional neglect
- divorce
- mental illness
- incarceration
- homelessness
Enviroments
- poverty
- discrimination
- lack of opportunity, economic, mobility, and social capital
- poor housing quality and affordability
- violence
- community disruption
Types of aces
- abuse
- neglect
- household challenges (divorce, transient people, interpersonal violence, homelessness etc)
- other adversity (war, violence etc)
