Scope of Health Promotion included in NHP_2071 BS. (2014 AD)

1. Scope of Health Promotion :
Included in National Health Policy
(NHP)-2014
Prepared By:
Mohammad Aslam Shaiekh
Master of Public Health (MPH

2. Contents
Introduction: Health Promotion
Scope of Health Promotion
Overview of NHP-2014 and Scope of
Health promotion plan and policies.
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3. Introduction
 “The process of enabling people to increase control
over their health and its determinants, and thereby
improve their health.” - Ottawa Charter 1986
 Health Promotion Means Changing Behavior at
Multiple Levels
 Individual: knowledge, attitudes, beliefs, personality
 Interpersonal: family, friends, peers
 Community: social networks, standards, norms
 Institutional: rules, policies, informal structures E
Public Policy: local
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4. Cont…..
The five strategies of the Ottawa Charter
for Health Promotion.
Building healthy public policy
Reorienting the health services
Creating supportive environments
Strengthening community action
Developing personal skills
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5. Health Promotion Strategic
Framework Model
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6. Outcome Areas of Health
Promotion
 Re-orientate health and other public
services
 Create supportive environments for
health
 Reduce health inequalities
 Improve health
 Prevent and reduce disease
 Reduce costs to the healthcare system.
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7. 1. Re-orient the health and other
public services
 The development and effectiveness of primary care
strengthening by improved capacities in community
profiling, needs assessments, community participation
and mobilization and the provision of socially inclusive
services.
 Promoting Hospitals/Health Services Initiatives for
further developed and expanded to support the
integration of evidence-based health promotion within
the acute and wider health and social care services.
 Engage in partnerships which encourage the audit of
policies and practices in order to reduce health
inequalities and ensure maximum health gain.
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8. 2. Create Supportive Environment
for Health
 The use of multi-strand approaches to promote and
enhance health and include a combination of
medical, lifestyle, behavioral and social-environmental
approaches
 A planning process that is needs-based and
incorporates evaluation and coordination between
health care providers
 Full engagement in collaborative partnerships which
are adequately resourced and which are regularly
reviewed in terms of structure, function and
effectiveness
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9. 3.Reduce Health Inequalities
 Improved inter-agency cooperation to address
the social determinants of health and health
inequalities
 Development of partnerships for health which
will result in integrated planning in areas such
as housing, public spaces, transport, etc.
 Increased involvement and participation of
individuals and communities in identifying and
addressing health needs and health inequalities.
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10. 4. Improve Health
 Increased awareness of the determinants of health and
effective approaches used to address the determinants
of health
 Increased environments to support healthy choices in
the priority settings of health services, communities and
education
 Increased capacity of individuals and groups to take
action to improve health, for example, through the
development of personal skills to address health issues
and the determinants of health
 Mechanisms to support improved health behavior and
practices among individual population groups identified
through particular settings, for example, children, adults,
older people, special interest groups, etc.
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11. 5. Prevent and Reduce Diseases
 Improvements in cardiovascular disease risk factors
(for example, smoking, alcohol intake, salt consumption,
etc.) and significant improvement in health-related
behaviors (i.e. healthier eating, greater participation in
physical activity, etc.)
 Modifications in risk-taking behaviors and improving
risk factors for cancers
 Reduction in factors that contribute to mental ill-health
through creating supportive environments for health,
reducing stressful circumstances, developing supportive
personal relationships and social networks
 A significant reduction in sexually transmitted
infections and negative outcomes in relation to
unplanned and unwanted pregnancies
 Contribution to a reduction in unintentional injuries in
the home environment, at work and on the road.
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12. 6. Reduce costs to the healthcare
system
For Example, For older people, regular physical
activity reduces the risk of falls and resulting
injuries.As one becomes more active, more often
and for longer periods, there is a resultant
reduction in the risk of chronic illness.
The evidence base on smoking cessation is
substantial. smoking cessation is highly cost-
effective.
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13. National Health Policy 2071 and
Health Promotion Plan
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14. Background: NHP-2071
 Approved by the Cabinet meeting -: 2071-
04-01 (17th July 2014)
 Background
Health is a part of Development
Fundamental Human right
Essential health care services to all those
whose health need often not met.
Quality health care services
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15. Past Experiences
Establishment of Singhdarbar Baidhya khana
Establishment of Bir Hospital in 1889
Different Five year plan from 1st to 13th till
Establishment of Ministry of Health and
population
First long term health Plan (1975-1990)
Second Long term health plan (1997-2017)
Small Pox eradication achieved (2034BS)
Integration of different vertical Projects
Different Disease elimination phase
Disease control Programs
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16. Present Context
 Basic Health services to all people
 Involvement of private sectors
 NGO involvement in treatment of Eye, Heart,
Cancer, Kidney, Neuro, Plastic surgery
 Health Research
 Human Resource Production
 Drug industries
 Continuation of Disease Eradication, Elimination and
Controls of different diseases
 Multi sectoral Approach in Health – ODF, Complete
Immunization (first Achham 32-latest Bajura),
Nutrition programs
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17. Problems
 Health services have not been able to reach to all citizens from all
regions, strata, class and community as in interim Constitution- not
equitable.
 Still Communicable diseases burden
 Non communicable disease burden increase day by day.
 PEM in Rural Child and Obesity in Urban
 Climate Change,
 Disaster Preparedness,
 Accidents
 Food Insecurity
 PHC services near to fail in Urban -only for routine services
 Administrative Problems
 Health act and Regulation update
 Lack between Health Manpower production and Utilization
 Community responsibilities
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18. Challenges
 Referral and feedback system
 Emerging and reemerging Diseases
 Neonatal Mortality Rate (NMR) stagnant
 Open Boarder
 Population Growth and constant CPR
 Migration and Urbanization
 Disability
 Geriatrics population increase
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19. Need of New Policy
 To Overcome these Problems and threats
 Interim Constitution mentions that –
Fundamental human right
 Information right to Individual
 Different Health services- Preventive,
Promotive, Diagnostic, curative, Rehabilitative
Quality Health Services
 Identification of resources NGO/INGOs role
 Accountable
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20. Vision
All Nepali citizens have the physical, mental, social and
spiritual health to lead productive and quality lives
Mission
Ensure citizen fundamental rights to stay healthy by
optimally utilizing the available resources and fostering
strategic cooperation between health service provider,
service users and other stakeholders
Goal
Provide health services through equitable and
accountable health system while increasing access of
every citizen to quality health services to ensure as a
fundamental human right to every citizens
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21. Objectives
 Provide free of cost the basic health services that
remains as a fundamental right of a citizen.
 Establish effective and accountable health services
that are easily accessible equipped with essential
drugs, diagnostics and skilled human resources.
 Promote participation of people in health services
provision, promote ownership while increasing
involvement/partnership to built ownership within
government and private sector.
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22. Health promotion related health
Policies
 Policy no: 6 (7 Strategies). Promote public health by
giving priority to health education, information and
communication to people protecting people's fundamental
right to information.
 National health information will be develop
 Health education and information and communication will be
put in high priority to promote health
 Promotion of band such as tobacco, substance with tobacco,
alcohol and other alcoholic beverages will be banned.
 Developed message in local context
 Encourage to obtain health information using all medium of
communication including electronic in optimum manner.
 Promote School health program
 To provide right information to the respective consumer.
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23.  Policy no: 7 (7 strategies). Minimize prevalence
of malnutrition through promotion and utilization of
healthy food.
 Emphasizing promotion, production and usage of
food items available and could be produced locally
through the mean of educational program in
nutrition based in community
 Priority and updating different nutritional program
 Agricultural development
 Monitor of quality and discourage junk food
 Eliminate chemical substances and poisons used in
food and meat items which have adverse effect on
human health
 Appropriate life style will be promoted to control
food related diseases and overweight
 Control of food adulteration
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24.  Policy no: 11 (3 strategies). Ensure citizens right
to live in healthy environment through effective
control environmental pollution for health
protection and promotion.
 Collaboration for leadership will be taken for
regulation by developing mechanism for controlling
adverse effect of environment pollution and climate
change for health safeguarding and promotion
 Waste management
 Act will be implemented to manage radioactive
materials used in health sector according to
national and international standards
 Total 14 policies,120 strategies (each policy has
strategies )
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25. New Areas addressed by New
health policy
 Promotion of domestic resource
 Priority for Nutrition Program
 Priority for Protection of Environment
and climate change
 Quality through different councils
 Financial security for treatment of disease
to citizens
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26. ThankYou
Discussion
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