Health Promotion in CR Vra Kernov National Institute of Public
Health Prague Milena Kalvachov Ministry of Health, Czech Republic
Slide 2 Health - Definition State of full physical, mental and
social well-being, not only absence of disease and disability (WHO,
1948) The reduction in mortality, morbidity and disability due to
detectable disease or disorder, and an increase in the perceived
level of health (WHO, 1999) Slide 3 Health Promotion Process
enabling individually and collectivelly increase control over
determinants of their health, and improve health status. (WHO,
1998) It does not mean only responsibility of the health care
system, but also individual responsibility for health expressed via
life style. (Kebza, 2005) Slide 4 Determinants of Health Life style
(50%) Environment (cultural, economic, social and physical
conditions of life) (20%) Genetic background (20%) Health care
system (10%) Slide 5 Components of Health Promotion Health
protection implemented by public health policy Health education
Intervention programmes Slide 6 Health Promotion Important Policy
Documents Ottawa Charter (1986) Health for All 21 and WHO key
strategies European Health Policy ( 1999) National Health Programme
(1995) National Environment and Health Action Plan of CR (1998) Law
No. 258/2000 on Public Health Protection (2000) Longterm Programme
on Improving Health Status of Inhabitants of CR Health for All 21
(2002) Slide 7 Ottawa Charter (1986) Health promotion should be a
part of public policy, documents and measures. Health promotion
should be a part of a community policy and practice. Environment
should enable and promote health. People should be able to gain
information, knowledge and skills enabling development of health.
Health services should more orient on health promotion and support.
Slide 8 WHO - Key strategies of health promotion Strategy on
environment and children health (2002) Global strategy on
nutrition, physical activity and health (2003) Framework convention
on tobacco control (2003) European action plan against alcohol
(2003) Declaration on mental health for Europe (2005) Slide 9 EU
Health Policy (Amsterodam Treaty, art. 152) Goals: Eliminate risks
affecting health, Strengthen health protecting factors, Improve
life style and quality of health, Decrease incidence of diseases by
screening, early detection a early treatment, Contribute to the
reduction of costs on health care. Slide 10 National Health
Programme Short-term strategy approved by government in 19991
Middle-term strategy approved by government in 1992 Long-term
strategy approved by government in 1995 Health for All 21 approved
by government in 2002 Slide 11 National Health Programme Goals:
Increase the knowledge of people on healthy life style Increase the
knowledge of people on possibilities of disease prevention
Encourage changes of behaviour Create coalitions for health
promotion in the society Slide 12 National Environment and Health
Action Plan of CR - NEHAP Approved by government of CR in 1998 -
System of monitoring of health status of population in relation to
environment (National Institute of Public Health) Slide 13 Law No.
258/2000 on Public Health Protection Impose duty on regional public
health centres to contribute to the implementation of health policy
of the region. Impose duty on public health institutes to implement
the programme of health protection and promotion, ensure health
education and counselling services. Slide 14 1183900 111314 9
625991 551650 304599 429113 populatio n 10,272.50 3 14 regions
508542 52101 9 1136689 641554 598057 1279951 Slide 15 Health
Promotion Programmes Priorities Life style u Nutrition u Physical
activity u Tobacco u Alcohol u Accidents u HIV/AIDS Noncommunicable
diseases (NCD) u Prevention of CVD u Prevention of cancer diseases
u Prevention of metabolic diseases (obesity, diabetes) Slide 16
Slide 17 Health 21 in CR Report on implementation by government of
CR (No. 1046/2002) Insufficient finantial resources Insufficient
intersectoral collaboration Lower participation of public Slow
regional implementation of Health 21 Slide 18 International Network
of Health Promoting Hospitals u WHO Collaborating Centre
Copenhagen, Denmark u 38 national/regional HPH Networks (more than
800 hospitals in 40 countries) collaborating to reorient health
care towards active promotion of health u Annual international
conference and workshops (2013 in Sweden) Slide 19 National Network
of HPH in CR (WHO, MoH 2010-11) 1997 Hospital in umperk first
contact 2003 Teaching Hospital in Prague - Motol 2004 Hospital in
umperk - Masaryk Oncological Institute in Brno 2010 General
Teaching Hospital in Prague Slide 20 Health Promoting Hospitals in
CR u MAPA Slide 21 Standards on Health Promotion in Hospitals u I.
Guidelines for management of health promotion in the hospital u II.
Assessment of patients needs in the field of health promotion u
III. Information for patients on health promotion in the hospital u
IV. Support of healthy working environment u V.Continual
collaboration Slide 22 Examples of successful projects in CR Baby
Friendly Hospitals (breastfeeding support) Antismoking campaigns
League against Cancer, Healthy City Brno Care of environment and
educational programs in umperk Hospital Healthy Hospital Motol
Prague (patients well- being) Health Clowns at pediatric
departments in 60 hospitals in CR Volunteer programs in hospitals
psychosocial support of patients Slide 23 Biennial Collaborative
Agreements (MoH CR WHO Copenhagen) BCA 2010-11 Education of HPH
coordinators BCA 2012-13 Development of the national network of HPH
Slide 24 References European Network of Health Promotion Agencies
(ENHPA) http://www.eurohealthnet.org http://www.eurohealthnet.org
The International Network of Health Promoting Hospitals and
Services, WHO CC - http://www.hphnet.org National Institute of
Public Health Prague http://www.szu.cz/ http://www.szu.cz/ World
Health Organization - http://www.who.int/topics/health_promotio
n/en/ http://www.who.int/topics/health_promotio n/en/
