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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