1. Mrs. Sheena N L
Lecturer
Cooperative College Of Nursing, TVM

2. HEALTH PROMOTION
• A development concept in the field of
community health.

3. DEFINITION
HEALTH PROMOTION
• The science and art of helping people change their
lifestyle to move towards a state of optimal
health.(American Journal of Health Promotion
1986) (or)
• Health promotion is not only the responsibilty of
health sector but goes beyond healthy lifestyles to
wellbeing. (Ottawa Charter 1986)

4. DEFINITION
HEALTH PROMOTION
• The process of enabling people to increase control
over their health and its determinants and thereby
improve their health. (WHO 2005)

5. Focus / goals – Health Promotion
• Focused at informing, influencing and assisting both
individuals and organizatoins so that they accept more
responsibility and be more active in matters affecting
mental and physical health
• Focused on achieving equity in health and should be
adapted to the local needs and possibilities of
individual countries and regions to take in to account
differing social, cultural and economic system

6. AIMS- HEALTH PROMOTION
• Aims at making all factors, social, cultural,
economical, political , biological, behavioural and
environmental, favourable through advocacy for
health

7. Principles -health promotion
• Social justice and equity
• A stable ecosystem
• Income
• Food
• Education
• Shelter
• Peace
• Sustainable resources

8. Locations performing health promotion
• School
• Workplace
• Healthcare facilities
• Community

9. Methods used for health promotion
• Self care
• Mutual aid
• Healthy environment

10. Health promotion in hospitals and
community
• In hospitals or institutional nursing, due to shortage of staff,
lack of time and presence of other constraints nurses are
generally limited to illness focused care. Health promotive
care requires more than illness related care
• Community health nursing provides greater opportunity to
develop nursing practice that is more compatible with the
health promotion goal of nursing . The reasons behind are:

11. Health promotion in hospitals and
community
• In community health nursing settings, nurses are
more responsible for directing the nursing care she
or he provides. She can take independent decisions
for care. She also decides how long the care will be
provided and terminated for a patient
• This cooperation offers a greater opportunity for
health promotive goals

12. Health promotion in hospitals and
community
• When care of focus is not on acute illness in a
community health care setting, it is somewhat easier
to direct nursing care toward achieving greater
levels of health.

13. Nurses role in Health Promotion
• Model healthy lifestyle behaviors and attitudes
• Facilitate client involvement in the assessment,
implementation and evaluation of health goal
• Teach client health care strategies to enhance fitness
improve nutrition, manage stress and enhance
relationships

14. Nurses role in Health Promotion
• Assist individuals, families and communities to
increase their levels of health, to develop and choose
health promoting options
• Educate client to be effective health care consumers
• Guide clients development in effective problem
solving and decision making

15. Nurses role in Health Promotion
• Reinforce clients personal and family health
promoting behaviours
• Advocate in the community for changes that
promote a healthy environment

16. Programmes/intervention areas of health
promotion
• Information dissemination (health education)
• Health risk appraisal and wellness assessment
(nutritional intervention)
• Lifestyle and behavioral change
• Environmental control programs

17. Approaches in Health Promotion
• Healthy population (targeting all life stages and
groups). This encourages initiatives that focus on the
health needs and contributions of people at every
life stage.
• Healthy lifestyle focuses more on the behaviour of
individuals and how their decisions and actions can
lead to healthier outcomes.

18. Approaches in Health Promotion
• Healthy setting focus in creating social, economic
and environmental conditions that are favourable to
good health
• Others includes prevention (immunization), health
education, protection (laws and policy)

19. Promoters of health promotion
• International organization
• Health authorities
• Primary health care team
• Private physician
• Other health professions: nurses

20. Contd…