HSCI 855-Week 13: The Future of Health Promotion
- There is much hope for the future of health promotion in Canada. Key examples/ideas include...
a. There has been an emergence of energetic young leaders who have a strong commitment to and knowledge of health promotion.
b. The merging population health and health promotion -ie. acknowledging the interconnectedness of the two fields.
c. Intersectoral collaboration of health promotion and other fields.
d. The creation of health promotion literature/textbooks, and having contributions from diverse range of health promotion scholars is an encouraging sign for health promotion in Canada.
- Health promotion practitioners in Canada must act and think and act both globally and locally.
a. Health promoters in Canada continue to play a role at the global stage.
b. Societies and individuals are faced with ‘wicked problems’ and the increasing speed and complexity within which they need to be resolved
- New generation of researchers, policy makers, and practitioners of health promotion face many challenges. Which include...
c. Transformation takes place at many levels.
- The future of health promotion involves being transformative and embracing complexity.
a. Ottawa health charter strategies remain valid but need to be implemented creatively in a very different world defined by rapid political, social and economic and environmental change as well as deep technological and digital transformation
a. Continuing fallout of global financial crisis of 2008
i. Underemployment
ii. Mental illness
iii. Social disruption
b. Climate change and its transformation of the planet.
c. Colonial history and contemporary manifestations.
d. Continuing struggles for human rights and social equality.
e. Turbulence of armed conflict, civil wars, and displacement
f. COVID-19 pandemic
b. “Health promoters cannot avoid these fundamental issues of social justice, environmental safety, and inequity but must, instead, participate in partnerships to address them and seek ways to minimize the likelihood that programs and policies will sustain or exacerbate them.”
c. Indicators of potential resources to address the problems of this country include: infrastructures of government and universities, at budgets for public health and acute care, or the number of individuals with formal health promotion credentials.
i. Indicators do not tell us how we are doing at improving the conditions for health for those living in Canada or how health-promoting activities here compare with those of other countries
d. Engaging in ongoing critical reflexivity is foundational to this work.
g. Health promotion is often devalued
h. Neo-liberalism
i. "The entrenchment of neo-liberalism means, more than ever, that individuals need local, provincial, and national organizations like the Canadian Public Health Association to raise issues of concern, offer spirited public health feedback, and maintain pressure on government and public health leadership to take principled, evidence-informed actions"
i. "Constraint of health promotion practitioner with respect to autonomy, flexibility, resources and support for engaging in innovative practices"
ii. "speaks also to the limitations on advocacy activities that challenge organizations to speak truth to power regarding injustice and the questioning of policy priorities"
e. Explaining the persistence of the social gradient in health and championing the social determinants of health must be priorities for health promoters.
f. We must continue to study and seek to understand the impact on health of other aspects of social location that shape everyday life, including gender inequalities, racialization, and poverty.
d. "The global risks we face are enormous and they are interconnected – yet the opportunities to accelerate change for the better are extraordinary as well."
g. Framework must address contemporary challenges: these are inequality, climate crisis, pandemics, digitalization and a weakening democracy
i. Need to adapt basic approaches to better address drivers of change in a global risk society
h. SDGs embrace complexity, allows for transformative agendas such as ONE HEALTH
i.Health promotion must consider life-course approaches to understanding health.
- Health promotion is essential in the COVID-19 Era.
a. There is a need to improve preventative behaviour change measures.
b. Health promoters must acknowledge the role of health literacy and information bias.
c. Health promoters must work towards empowering communities and organizations.
d. It was a huge reminder that infectious disease can pose a major threat to public health. Health promoters must integrate this into their approaches to focus on intervention research and understand the processes of implementation.
e. Human health is not an isolated issue - reminder of how everything is connected and importance of taking ecosystem approaches to understanding health.
f. Health promotion should not wait until a crisis happens, but prepare itself to respond swiftly
i. "To deal with an epidemic effectively, we must not only understand viruses and how they spread, but also the ways in which people make decisions, organizations operate and communities relate in reaction to them"