health literacy – stepping up impact · health literacy – stepping up impact ilona kickbusch...
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Health Literacy – Stepping Up Impact
Ilona Kickbusch Global Health Centre, Graduate
Institute Geneva WHO Meeting Geneva 2017
Kickbusch Geneva 2017
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Health
• Health is created at the local level in the settings of everyday life, in the neighbourhoods and communities where people of all ages live, love, work, shop, google, travel and play.
• Ottawa Charter
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Health Literacy: a critical 21st century capacity
• Health literacy is the capacity to make sound health decisions in the context of everyday life – at home, in the community, at the workplace, in the health care system, the marketplace and the political arena.
• Kickbusch, Maag 2006
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The most important graph in Health Literacy
• Ruth Parker
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Ottawa Charter 25 years on ….
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• Ottawa Action Areas
• Healthy public policy
• Supportive Environments
• Community action
• Personal skills
• Reorient health systems
• Determinants
• Political
• Social
• (Macro) Economic
• Commercial
• Environmental
• Behavioral
• (genetic)
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The dynamics of the health society
Market
Health system
Citizens Consumers Patients
State
EXPANSION
INNOVATION
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Message
• Key: Health literacy can be measured
• Build on success HBSC
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Message
• Build on political relevance - it enables comparisons – at high levels of aggregation
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1. New mindset: health is participatory, active and dynamic
The health society has
a holistic, active,
individualized and
expansive
understanding of health
WELLBEING
More health is always possible
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Message
• Low health literacy endangers us all – NCDs, AMR, vaccines, environment
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2. Expansion of risk and of disease
• Epidemic of diagnosis
• Epidemic of risk
• Global Epidemics
• Everyone is „at risk“
• Expansion of the definition of
Illness and disease
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3. Expansion: Health in all policies
Kickbusch Adelaide CYWHS
Oration October 2007
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New areas of health policy
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Critical health literacy area for NCDs
Commercial determinants
Toxic products
Toxic environment
marketing
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Message
• Build on the settings approach – health literate organisations – schools – cities – work places
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4. Expansion: Health as a market
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Empowerment: patients - citizens become central actors
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Message
• Link to other literacies – especially science literacy and digital literacy
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Empowerment through Technology
• Alive Diabetes Management System provides wireless transmission of blood glucose readings to a central web-based database, allowing an accurate diary to be kept. This can be easily reviewed by the patient and his physician, with two way
wireless messaging providing insulin
schedules, advice and reminders. Expert systems on the server analyse the data and provide immediate feedback to the patient and his doctor. The system facilitates better diabetes management, reducing the long term complications of diabetes. The Alive Diabetes Management System utilises the latest advances in technology to provide an affordable solution which meets the need for improved disease management and care planning.
• The system uses Bluetooth, GPRS, and SMS wireless technologies.
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Message
• Health Systems literacy is critical in a health society – it is an issue of patient rights
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Health Literacy of service providers
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Health literacy interface
Health literacy of patient, client
User consumer citizens
Readability of the system
Communication skills of
providers
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Empowerment through information and ownership
• ONLINE Health Management
• For example: Microsoft HealthVault lets consumers collect, store, and share health information online. Third-party developers can build applications on the HealthVault platform by utilizing the HealthVault SDK
PARTNERS:
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Critical Health Literacy area for NCDs
• Living with chronic disease
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Empowerment through exchange: the patient platform
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Empowerment through new organization of health systems
• For example retail clinics, participatory models of care
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Message
• Include consumer settings – link to NCD agenda, labelling, consumer rights
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Consumer choice – consumer power
Enabling environments
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Consumer/Citizens rights
•
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Health Literacy of politicians
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Message
• Send a strong political message beyond „the tool“
• rights, empowerment,
• citizenship, democratization
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