Class 4

Question 1

The Ottawa Charter (1986)

Answer 1

Build Healthy Public policy
Reoriented health Services
Create supportive environment
Strengthen community actions

Question 2

3 Action Pillars

Answer 2

Enable: strategie ensure equal opportunity to archieve health
Mediate: between diff. sector of society
Advocate: aim to make social and others conditions favorable for health

Question 3

Health promotion

Answer 3

is the process of enabling people to increase control over, and to improve, their health.

Question 4

The New (Ecological) Public Health

Answer 4

1. Tackling infectious disease (protection)
2. Tackling chronic disease (+surveillance)
3. Civilization diseases (prevention)
4. Health promotion(+promotion)

Question 5

Health promotion is

Answer 5

Health education x healthy public policy

Question 6

Historical approaches to health promotion

Answer 6

Biomedical: focus on physiological risk factors
Behavioural: focus on behavioural risk factors
Socio-ecological: socio-environmental risk factors

Question 7

Keys concepts of health promotion

Answer 7

Empowerment
Health literacy
Quality of life

Question 8

Jakarta declaration

Answer 8

Lead health promotion into the 21st

Question 9

Population health promotion

Answer 9

CUBE:
Social determinants of health
Levels of action
Action strategies
Foundations

Question 10

Healthy cities/communities principles

Answer 10

• community participation
• multi-intersectoral partnerships
• political commitment of local authorities
• implementation of healthy public policies
• asset-based community development

Question 11

Upstream approach

Answer 11

focused on policy interventions, adressing and taking action on the root causes.

Question 12

Midstream approach

Answer 12

Focus on behaviour change and health education.

Question 13

Downstream approach

Answer 13

Focus on individual tx and cure.

Question 14

Difference between Health education and health promotion

Answer 14

1. Health education is a component of health promotion
2. Health education is more individually focused
3. Health promotion is context-dependant, mainly community and population focused.

Question 15

Behavioral approach to health promotion eg.:

Answer 15

social marketing (participaction), health education, behavior modification.

Question 16

One of the first talk about health promotion:

Answer 16

Rudolf Virchow 1848 (during Typhus epidemics) –> ‘‘medecine is a social science, and politics nothing but medecine on a grand scale’’

Question 17

Entry points for intervention in health promotion practice:

Answer 17

Issues, specific population groups and settings.

Question 18

Setting Approach is a unifying concept bc

Answer 18

Not just about targeting individual setting, but thinking about holistic settings, thinking about structures and embedding health and health promotion in those settings

Question 19

Which health promotion strategy is most closely linked to the settings movement?

Answer 19

Creating supportive environments.