Areas of Work

Health Promotion

Background

 

Under the umbrella of “Healthy Thailand,” the Ministry of Public Health initiated nine programme/project approaches. These are: Child Development, School Children innHealth Promoting Schools, Healthy Families for Healthy Thailand, Healthy Cities, Physical Activity and Diet for Health, Reproductive Health, Food Safety, Healthy Public Toilet and Healthy elderly. Several health promotion programmes, campaigns and initiatives have been launched in different parts of the country with either targeted messages or target groups.

 

While there is adequate infrastructure within the MoPH to implement health promotion practices and policies through 12 Regional Health Promotion Centres and 75 Provincial Public Health Offices, the biggest challenge is to establish effective collaboration and partnerships with other sectors outside the MoPH. These include the Ministries of Education, Interior, Social Development and Security, and Agriculture and Cooperatives, and NGOs and civil society.

 

Although the MoPH has a limited budget for developing health promotion, substantial support is being provided by the Thailand Health Promotion Foundation, established by the 2001 Health Promotion Foundation Act. Two per cent of the excise taxes on tobacco and alcohol, or about US$ 55 million annually, has been allocated as revenue for the Foundation, which serves as a catalyst for health promotion activities. The Foundation is supervised by a governing board chaired by a Deputy Prime Minister.

 

In August 2005, the Sixth Global Conference on Health Promotion which yielded the Bangkok Charter for Health Promotion was organised in Bangkok, Thailand. Thailand is in the process of implementing the Bangkok Charter actions and commitments with WHO support.

 

Activities supported during Biennium 2006-2007

 

*      Development of model for strengthening the management system for Healthy Thailand policy implementation at provincial and regional levels (movements, mobilization mechanism)

*     Advocacy of the health promotion concept and practical operation to local administration organisations

*     Establishing and strengthening networks for changing and improving nutritional health behaviours in all age groups

*     Developing School Nurses Networks for Health Promotion Reorientation

*      Workshop on integration of health promotion into health care system at primary care units (PCUs)

*     Model development of an integrated healthcare including health promotion system focusing on networking of elders clubs

*      Development of strategies for implementation of recommendations of the 6th Global Conference on Health Promotion

 

 

Key Events

Regional Consultation on Regional Strategy for Health Promotion for South-East Asia, Chiang Mai, Thailand, 26-29 June 2006 

Background

Health promotion is a cornerstone of primary health care and a core function of public health.  Its value is increasingly recognised; it is both effective and cost-effective in reducing the burden of disease and in mitigating the social and economic impact of diseases.  The links between health promotion, health, and human and economic development are widely acknowledged.

The 1st Global Conference on Health Promotion (Ottawa, 1986) and the resulting Ottawa Charter for Health Promotion are recognised worldwide as the foundation of the concepts and principles of modern health promotion.  The Ottawa Conference and the subsequent series of WHO global conferences held in Adelaide, Australia (1988), Sundsvall, Sweden (1991), Jakarta (1997) and Mexico City (2000) provided guidance and direction on actions to be taken to address the determinants of health so as to achieve health for all.  Through behavioural, social, policy and environmental interventions, health promotion has contributed to positive changes in people’s health-related habits, which in turn have helped to reduce such causes of death and illness as heart disease, road injuries, infectious diseases, and HIV/AIDS.  The benefits are, however, more evident in people of a higher socioeconomic status.  Hence there is a pressing need to complement programmes that reduce risk factors with policies that create conditions for better health in vulnerable groups.

The context in which health promotion strategies are applied has changed markedly since the Ottawa Conference, most notably as a result of globalisation, which raises both challenges and opportunities for health promotion.  The 6th Global Conference on Health Promotion, entitled “Policy and partnership for action: addressing the determinants of health” (Bangkok, 7-11 August 2005), was convened by WHO and the Government of Thailand with a view to contributing to reduction of health inequality in a globalized world through health promotion.   

Countries of the South-East Asia Region face the double burden of diseases, namely, communicable and non-communicable diseases as well as health threats from emerging diseases and natural disasters.  The major cause of morbidity and mortality in the Region are lifestyles related and, therefore, are preventable.  Health promotion, which is a process of enabling people to increase control over their health and its determinants and thereby improve their health, is known to be most effective when implemented under the direction of a clear strategy.

Although calls for Healthy Public Policies and Strategies have been made at Regional Committee Meetings in SEAR, World Health Assembly and Global Conferences on Health Promotion (Ottawa, 1986, Jakarta, 1997, Bangkok, 2005), the South-East Asia Region, to date, does not have a Health Promotion Regional Strategy in place to guide Member Countries in the implementation of interventions.

Following the successful Global Conference on Health Promotion, held in Bangkok, Thailand in August 2005, the Region is now in the process of finalising its Regional Strategy through a consultative process which also seeks to integrate the Key Action Areas identified in the Bangkok Charter for Health Promotion. 

This multi-sectoral regional consultation brings participants to deliberate and finalise the Health Promotion Regional Strategy for South-East Asia.  Further, the Consultation invites participants to develop framework for national and regional Plans of Action for Health Promotion.

General Objective:

To review and finalize the Regional Strategy for Health Promotion for South-East Asia  for submission to the 59th Session of the Regional Committee.

Specific Objectives:

1.      To review and exchange experience on health programmes in the South-East Asia Region;

2.      To review the Draft Regional Strategy for Health Promotion for SEAR within the context of implementing the Bangkok Charter on Health Promotion;

3.      To develop framework for Regional Plans of Action for Health Promotion including initiation of the Regional Network for Health Promotion.

Specific outcome having direct bearing on the programme:  

1.      Consensus on the Regional Strategy for Health Promotion for its submission to the 59th Regional Committee;

2.      The Framework for the Regional Plans of Action for Health Promotion including the Regional Network;

3.      Salient recommendations to Member States and WHO for strengthening Health Promotion programmes.

Participants:

Forty one (41) participants were drawn from 11 countries of the South-East Asia Region from Ministries of Health and Education, NGOs and experts from universities.  Additional twenty (20) participants from UN Agencies and other development partners involved in Health Promotion also participated.

 

Issues for Support during Biennium 2008-2009

 

*      Relevant agencies strengthened to become competent in health promotion and other aspects in reducing major risk factors.

*      Surveillance and information systems for major risk factors strengthened and/or developed by national agencies.

*      Development of evidence-based policies, case studies, and research on the effectiveness of health promotion on reducing major risk factors.

*      Development of community-based strategies and capacity building for prevention and control of alcohol use.

*      National agencies prepared to implement the Global Strategy on Diet, Physical Activity and Health (DPAS).

*      National agencies prepared to tackle and manage the social and individual consequences of unsafe sex.

 

      

Related Issues

 

*      Health Promotion Overview, click here.

*      Implementation of the Bangkok Charter for Health Promotion in a Globalised World: experience & challenges, click here.

*      The "Global Strategy on Diet, Physical Activity and Health", click here.

*       School health and youth health promotion, click here.  

*      Global school-based student health survey (GSHS), click here.

*      Chronic Diseases and Health Promotion, click here.

*      Oral Health, click here.  

*      “The world is fast ageing”, click here.

 

 

 

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