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Health Promotion (Health Impact Assessment (HIA) (Appraisal and Reporting,…

- - - - We must have a clear statement of the policy, with outcomes and not just outputs) Check +ve or –ve health impacts? Wide distribution/Number affected? Disproportionate effects for disadvantaged?
  - - - Highlight the key issues to be considered Define the boundaries of the work Timeframe Choose an appraisal tool Magnitude of illness/urgency
  - - - Likelihood of impact occurring
        Severity of impact and numbers affected
        Timescale of predicted impact
  - - - deally policy-makers and planners across all public sectors should use HIA for assessing significant policies, programmes and plans.
- - - - Data Collection
        
        Normative Needs: what do the experts say
        
        Felt Needs: What is important to the people
        
        Expressed Needs: What are people actually doing
      - In the end = A statement about: the top priority health issue, its magnitude, and the group experiencing the issue. With evidence from your consultation and research that justifies the statement.
    - - Risk Factors
      - Contributing Risk Factors
        
        Enablers
        (facilitates a health behaviour)
        
        Predisposing
        (characteristic of the indv, community, or envion predisposing)
        
        Reinforcing
        (as a consequence of a health behaviour)
    - - Use Models ie
        
        Ottawa Charter
        
        Te Pae Mauhutonga
      - Change Theories ie
        
        Behaviour
        
        Community
        
        Policy
      - Goal
        
        Objectives & Sub-objectives
        
        Strategies Objectives
- - - - Strengthen Community Action
        
        Basic principal is empowerment
        
        Community groups control their own endeavours
        
        Communities need support to identify, define, and deal with their own problems and issues
        
        Article Three of Treaty of Waitangi
        
        Oritetanga/ equity and protection
      - Create Supportive Enviornments
        
        The environment is both the physical and social environment.
        
        The basic principle is to provide an environment which “makes the healthy choice the easy choice” (Milio)
        
        Article One of the Treaty of Waitangi – Kawangatanga/Good governance
      - Reiorient Health Services
        
        Increase citizen participation in planning and evaluating health services
        
        Encourage health service deliverers to focus on health promotion
        
        Increase public access to information
        
        Article Three of Treaty of Waitangi
        
        Oritetanga/ equity and protection
      - Develop Personal Skills
        
        Enable both the individual and community to exercise control over their own lives
        
        Supports personal and social development by providing education and information on health
        
        Article Two of Treaty of Waitangi
        
        Tinorangatiratanga/ self‐ determination
      - Enable
        
        Mediate
        
        Advocate
        
        Advocate for political, economic, social, cultural, environmental, behavioral, biological factors favourable for health
        
        Mediate between the differing interests in society for pursuit of health
        
        Enable achievable equity and reducing differences
- - - - Implementation, quality and reach of the programme
      - REACH
        = Who participated and who did not?
      - QUALITY
        = Participant & Stakeholder perception of the programme
      - IMPLEMENTATION
        = plan/organization of the programme, success/failures
    - - Measures the extent to which the programme objectives and sub‐objectives have been met regarding risk factors
        
        Increase in knowledge, change in attitudes
        
        social/behavioral environments changes
        
        policy change
    - - Measures the extent to which the health goal or health promotion goal has been achieved
        (ie LT and changes in health status, environ...)