O T TAWA C H ARTER E X AMPLES

OTTAWA CHARTER EXAMPLES

ACTION AREAS

o The Ottawa Charter was developed in 1986 at the First International Conference on Health Promotion. o The Charter recognised the many determinants of health and developed five action areas to be used in

health promotion to address these determinants. o Through the incorporation of social justice principle, the Ottawa Charter is a largely effective framework

that is utilised by health promotional initiatives. o The _________ utilises the five action areas of the Ottawa Charter in an attempt to promote protective

behaviours that prevent the risk of developing _______. o Thus the decrease in deaths from ______ can be attributed to effective health promotion strategies

Building o Building Public Health Policy comprises of policies and includes: legislation, regulations and

Public Health

health policies. Policies need to identify obstacles to health and seek to remove them, making

Policy

the healthier choice the easiest one. It is also about providing FUNDING to NGO's and hospitals.

o Community action is strengthened through communities being involved in setting priorities,

Strengthening

making decisions, planning strategies and implementing them to improve health outcomes

Community

Action

o Health promotion should create safe working environments that are enjoyable, and assess

Creating Supportive Environments

health impacts of developing infrastructure. The environments in which young people live, learn, play, work and worship profoundly affect their health. There is a link between people's health and their environment, requiring a socio-ecological approach to health

o Developing Personal Skills requires the provision of information, education and life skill

Developing Personal Skills

development. This increases options and control for individuals over their own health. It is essential to equip people for life long learning and to develop skills for coping with ill health as it strengthens their health literacy and empowers them to seek autonomy over their health

o Reorienting health services is about the shift towards a system which promotes health, rather

Reorientating

than curative services. The shift is to focus on the needs of the entire individual, not just their

Health

injury, illness or disease. It aims to focus on Preventative measures rather than curative by

Services

distributing health services to places that need them. It promotes are more HOLISTIC approach

to health promotion

IN ACTION

Heart Foundation ? CVD

Tobacco Strategy ? Smoking/Lung Cancer

McGrath foundation ? breast cancer

What it is? o Cardiovascular disease

(CVD) was the major cause o Smoking is a risk factor for a

o 1 in 8 Australian women will be

of death in 2015 taking

wide range of lifestyle diseases

diagnosed with breast cancer

the lives of 45, 392

including cardiovascular disease

before the age of 83. Of all the

Australians. CVD disease is

and lung cancer.

new cancers diagnosed in

the leading cause of

o Due to the ingrained social ideals

2017, 13% were breast cancers

preventable death in

of smoking in the past century,

and so far 3087 females have

Australia.

The National Tobacco Strategy

passed away. This is only from

o In response, the Heart

was implemented in 1997 and

January to June 2017.

foundation is a health

further amended in 2010 to

o The McGrath Foundation aims

promotional initiative in

reform attitudes towards

to "raise money to place

response to the health

smoking in the Australia society.

specialist McGrath Breast Care

issue of CVD.

Thus, the primary objective of

Nurses wherever they're

o Thus the decrease in

the campaign was to elevate

needed, and make breast

deaths from CVD can be

quitting smokers personal

health understanding a priority

attributed to effective

agendas.

health promotion

strategies

Building Public Health Policy

o The National Health and o Regulating tobacco sales by

o The government provides

Medical Research Council

enforcing laws to bane sales to

research and funds the

funds the Heart

minor, limiting visibility of

McGrath Foundation

Foundation to promote

tobacco products. Laws and fine o The government has put

their research into the

ensure retailers don't sell to

money in to fund more breast

issue.

minors, people won't be

care nurses to be employed

o A more specific example

reminded to buy them if they are and have allocated funding for

of building public health

not on display.

health promo amongst breast

policy is smoking laws and o Tobacco tax to increase customs

care

regulations around public

duty, and reducing the extent of o $20.5 million currently from

areas in an attempt to

promotion discounts. This makes

the federal government goes

decrease a risk factor of

it less affordable to smokers

into funding breast care nurses

CVD.

o Compulsory physical

activity classes from

Kindergarten ? Year 10 in

PDHPE aim to teach

school children the

importance of staying

physically active and

maintaining a health

lifestyle in order to

prevent lifestyle diseases.

o The Heart Foundation Walking Initiative provides o The campaign aims to find and

o Mothers Day Classic/Other fun runs brings together people

Strengthen

old people with an

support quitters who speak

who have had cancer, are

ing

opportunity to interact

about the benefits their lives.

affected by indirectly/directly

Community

with community and go

ATSI smokers may be more

come together to increase

Action

for a walk to strengthen

inclined to listen to quit

money

physical dimension of

messages from those who have

health

been smokers and are members

o Moreover, Jump Rope for

of their community

Heart aims to involve the o The Centre for Excellence in ATSI

community and local

tobacco control has been funded

primary schools by

to develop culturally appropriate

promoting physical

ATSI tobacco control resources.

activity amongst children

It aims to specifically target the

ATSI community, enduring there

are no cultural barriers

o Local supermarkets also

Creating Supportive Environme

nts

endorse The Heart Foundation Tick on foods. The red tick creates supportive environments making it easier for

consumers to purchase

foods low in sugar, salt

and fat

o Regulation of promotion: Eliminating promotion of tobacco products, discoursing and addressing the harm caused through the media. People not exposed to messages that may glorify smoking

o Regulating the Place of Use: ensure that indoor areas of

o Funding breast care nurses, specific nurses to create supportive environments for women who are breast cancer nurses: they have empathy, are familiar and have specialist knowledge

o Breast cancer morning teas in schools

workplaces and public places are

covered by legislation smoking

prohibitions e.g. no smoking in

schools. Smokers may be

encouraged to give up or reduce

smoking by not being able to

smoke at work, also protects

passive smoking

o The heart foundation

o Self help materials in print or

Developing

website provides pdf's and

online and tailored advice

Personal

e-resources on the

delivered electronically or by

Skills

website about; different

post. Smokers having access to

forms of heart issues, info

indo to help themselves

about blood pressure,

irrespective of location

cardiac rehab and more to

o On the website have information about Breast Cancer Awareness ? Stats, and "What is Breast Cancer Awareness"

o App with breast cancer information

increase awareness about o Making children get

CVD

age-appropriate indo about

o There are also many

short and long term effect of

advertisements on TV that

smoking e.g. healthy Harold and

endorse the Heart

PDHPE. Education at young age

Foundation Tick

from many sources will deter

children from smoking at old

age, equip with refusal skills in

the future

o Distribute QUIT materials

promotion Quit line in

disadvantaged areas e.g. house

estates, regional areas. Smokers

would be disadvantaged if they

get these services are more

educated

o "Curve Lurve" is a national breast cancer awareness initiative aimed at young women. It encourages women to be comfortable with their breasts and take care of them. There are downloadable e-resources for teachers to use within High Schools e.g. `Module 4 Health promotion' directly aligns with the Ottawa Charter and social justice principles

o The heart foundation

o Go into the doctor and getting

provides guideless,

o Advice from doctors and other

a pap smear, breast

Reorientati

publications, training and

health providers, intensive

mammogram

ng Health

support for the health

counselling at specialist clinics to o The "Curve Lurve" caravans

Services

professionally community.

ensure individuals are supported

going to rural/remote

o They train professionals

by health professionals in order

communities providing breast

to be more aware of heart

to improve health conditions

screening opportunities

attack symptoms and

o Train multilingual pharmacist

taking health service and

signs

and other health professions in

moving it out to the people,

areas with dense numbers of

they travel around the

certain cultures and media

countryside and people can get

releases/pamphlets in different

info about breast cancer

languages. This it too ensure

o Breast cancer nurses help

language barriers are broken

people by going around to

down and QUIT messages

different areas

delivered to all members of

community irrespective of

cultural background

o 400,000 students and

Effectivene

2,300 schools participate

ss

annually

o 98% of schools rate

`excellent' or `very good'.

o Moreover, most students

97% reported an increase

(from little to a lot) in

their physical activity

levels

o Campaign surveys indicated a decline from 23.5% in May 1997 to 20.4% in November 200

o Has been on a steady decrease for people aged less than 15 years

o People who are committed smoking decreased heaps from 1999 ? 2005

o In 2016 they funded more than 110 McGrath Breast Care Nurses, right across Australia.

o Prognosis for those living with breast cancer has significantly improved, with the five year survival rate now at 90 per cent.

o Overall 27 Curve Lurve workshops were conducted in 2016, with more than 600 teachers reached, providing thousands of students with access to Curve Lurve resources

o There were more than 1,400 community events held across Australia, which raised more than $3.3m for the McGrath Foundation

SOCIAL JUSTICE

Action Area

Equity

Diversity

Supportive Environments

Build healthy public policy

Create supportive environme

nts

E.g. Medicare provides access to health services for socioeconomically disadvantaged people

E.g. PBS addresses equity by subsidises costs of prescriptions (for low SES) as not all people can afford = equal access

Taxation less for low SES Bulk Billing Centrelink PDHPE in all schools Eg. Increasing access to health

facilities for rural and remote people Provision of health enhancing items in rural remote areas Flying Doctor Service

Strengthen E.g. ATSI involved in the

community

development and

action

implementation of health

promotion for ATSI

Resources for all communities

Support groups

E.g. The `close the gap' initiative aims to remove the health inequity for ATSI people in 1 generation

Cultural sensitive Non-english resources

E.g. no smoking in pubs and clubs

`no hat, no play' in schools policy to promote supportive environments and decrease UV exposure and skin cancer risks

Healthy canteens 40 km/h school zones Speed cameras Health care cards for low SES

Eg. Providing translators Eg. Ensuring good parks for

for specific groups in

outdoor activities

specific community health Local council improve

centres/hospitals etc

lighting/security on local bike

E.g. providing a Kid

track (in the morning and

Helpline for children who

evening to increase fitness)

need counselling

Smoke free areas

Culturally appropriate

Breast screening

health services

ATSI doctors

E.g. large Jewish

E.g. bushwalks being

population in Bondi,

maintained in the blue

Lebanese in Bankstown

mountains to encourage locals

etc. should be empowered

to walk

in relation to health

E.g. lobby Groups

promotion initiative

Support groups

specific for them

Healthy Town challenge

Effective ATSI programs Jump Rope for Heart

always have ATSI people

involved to ensure cultural

aspects are considered

ATSI people working with

communities

Develop personal

skills

Re-orient health services

Refugees have input into

health plans

E.g. PDHPE lessons via distance E.g. Breast

E.g. Parents learn health diet

education

self-examination health

habits provide nutritious

E.g. free online health courses

pamphlets in diverse

food for children and decrease

Public education free and

languages and include

child's chance of diet-related

accessible to all

images for people of low

illness (like diabetes)

Websites with info

SES (e.g. ATSI pamphlet or Parents educate and model for

Arabic)

their children, who do the

Culturally sensitive info

same in their peer groups

Nutritional labels

Community info programs

PDHPE

E.g. Promoting balanced E.g. Multi Purpose Service

E.g. mental health promotion

diet amongst ATSI people

Program for rural and remote

and services in rural and

ATSI doctors

people

remote locations for low SES Translator services

Partnerships with community

people

Flying Doctor Service

Culturally sensitive health place

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