Health Promotion 

Assessment Task Two 

A Worker’s Speech To A Doctor

When we come to you


Our rags are torn off us


And you listen all over our naked body.


As to the cause of our illness


One glance at our rags would

Tell you more. It is the same cause that wears out


Our bodies and our clothes. 

The pain in our shoulder comes

You say, from the damp; and this is also the reason


For the stain on the wall of our flat.


So tell us:


Where does the damp come from? 

                                                                                    Bertolt Brecht (1898-1956)

The case for evidenced based HP action on a health issue of significance.1.Utilise a socio-ecological determinants approach to map the myriad, interconnected and interdependent causal chain of factors impacting on the health issue for the population group. Represent these relationships using a concept map or a model of systems thinking such as Iceburg model etc. While you may identify a number of determinants, you need to explain the connection between the major determinants. (Approx. 500 words; 10 marks).

2. Using a range of academic and professional literature (peer reviewed journals, government reports etc.) locate 1-2 health promotion interventions for your chosen health issue and population group and assess the efficacy of the interventions through:

i.    Establishing the extent to which the interventions are health promoting by mapping the interventions against a Health Promotion framework (such as Ottawa Charter, Integrated Health Promotion, HP spectrum etc.). For example do the interventions address actions on health across the health promotion spectrum/five key action areas?
ii.    Identifying where the health promotion interventions fit into the 3 principle areas of action as identified by the Commission on Social Determinants of Health (CSDH WHO 2008 p. 43)
iii.    Comparing the health interventions for congruence with the 5 key determinants of health for the 21st Century as outlined by Kickbush (2012) (these are: political, commercial, social environmental and behavioral determinants of health).
iv.    Assessing if the interventions promote synergies between health equity and action on sustainability (Baum and Fisher 2010)

You are an intrepid Health Promotion professional with an expertise in one of the selected health issue for a specific population group, based in either an Australian context or at a global level, stated below:

• narcotic drug use and alcohol misuse in young men living in regional Australia,
• child prostitution in South East Asia,
• obesity and physical inactivity in rural Australian communities,
• tobacco use in indigenous rural and remote communities,
• domestic violence and women in the Pacific region,
• mental health (depression) in Australian elderly.

The World Health Organization (2012) report on “Governance for health in the 21^st Century” asserts there are new challenges (and opportunities) for health in the 21st Century that require systems approaches and networked responses at all levels (WHO 2012 p. vii)

WHO request you prepare a paper evaluating the efficacy of health promotion interventions for your area of expertise to determine if they meet the challenges for health in the 21^st Century. In order to do this you need to:

1.Utilise a socio-ecological determinants approach to map the myriad, interconnected and interdependent causal chain of factors impacting on the health issue for the population group. Represent these relationships using a concept map or a model of systems thinking such as Iceburg model etc. While you may identify a number of determinants, you need to explain the connection between the major determinants. (Approx. 500 words; 10 marks).

2. Using a range of academic and professional literature (peer reviewed journals, government reports etc.) locate 1-2 health promotion interventions for your chosen health issue and population group and assess the efficacy of the interventions through:

1. Establishing the extent to which the interventions are health promoting by mapping the interventions against a Health Promotion framework (such as Ottawa Charter, Integrated Health Promotion, HP spectrum etc.). For example do the interventions address actions on health across the health promotion spectrum/five key action areas? (Approx. 500 words; 10 marks).
2. Identifying where the health promotion interventions fit into the 3 principle areas of action as identified by the Commission on Social Determinants of Health (CSDH WHO 2008 p. 43)[2] (Approx. 500 words; 10 marks).

• Comparing the health interventions for congruency with the 5 key determinants of health for the 21^st Century as outlined by Kickbush (2012) (these are: political, commercial, social environmental and behavioural determinants of health). (Approx. 500 words; 10 marks).

1. Assessing if the interventions promote synergies between health equity and action on sustainability (Baum and Fisher 2010). (Approx. 500 words; 10 marks).
2. The Conclusion needs to consolidate your assessment of the health promotion interventions and recommend to the WHO whether the health promotion interventions for your health issue and population group have utilised systems approaches and networked response for the 21^st century. (Approx. 500 words; 5 marks).

https://www.aihw.gov.au/uploadedFiles/ClosingTheGap/Content/Publications/2011/ctgc-rs04.pdf

https://www.racgp.org.au/afp/2014/june/helping-smokers-quit/

[1] The changing nature of the challenges faced by 21st-century societies drives new approaches to governance; health is only one challenge and is not always given priority. Most of these challenges, however, have significant health effects, which have not been considered sufficiently so far. The challenges include systemic shocks, such as natural disasters and disease outbreaks, as well as longer–term processes, such as urbanization, epidemiological and demographic transitions, food insecurity, climate change and widening economic disparities. Unique to our times are the synergistic global interconnections among these large-scale challenges (and opportunities) and the interdependence of most of the solutions. The complexity of these wicked problems calls for systems approaches and networked responses at all levels. WHO (2012) p. vii

[2] The three principles of action are:  1. Improve the conditions of daily life – the circumstances in which people are born, grow, live, work, and age.

2. Tackle the inequitable distribution of power, money, and resources – the structural drivers of those conditions of daily life – globally, nationally, and locally.
3. Measure the problem, evaluate action, expand the knowledge base, develop a workforce that is trained in the social determinants of health, and raise public awareness

about the social determinants of health. WHO (2008 p.2)