Wagida A. Anwar, M.D. Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Egypt.
Leaders from governments and United Nations organizations, city chiefs, and health experts from around the world has agreed to promote public health and eradicate poverty in order to achieve Sustainable Development. • the need for political commitment, action and investment to address health and equity, and that the health sector alone could not ensure people attain the highest level of health.
More than 1000 people are participating in the Shanghai Conference, including the Prime Minister of China, more than 40 ministers of health and other sectors, heads of five United Nations agencies and over 100 city mayors. Hundreds of international health experts are also taking part in events dealing with a diverse array of subjects. During the 9th Global Conference on Health Promotion in Shanghai, China, 21 November 2016, * more than 100 mayors from around the world issued the “Healthy Cities Consensus” *Conference delegates, 40 government ministers and several heads of United Nations agencies, released the “Shanghai Declaration on Health Promotion.” We will promote health through action on all the SDGs
Healthy lives and increased wellbeing for people at all ages can be only achieved by promoting health through all the SDGs and by engaging the whole of society in the health development process.
This means acting decisively on - all determinants of health, - empowering people to increase control over their health and - ensuring people centered health systems. We commit to
• apply fully the mechanisms available to government to protect health and promote wellbeing through public policies; • strengthen legislation, regulation, and taxation of unhealthy commodities; • implement fiscal policies as a powerful tool to enable new investments in health and wellbeing - including strong public health systems; We commit to • introduce universal health coverage as an efficient way to achieve both health and financial protection; • ensure transparency and social accountability and enable the broad engagement of civil society; • strengthen global governance to better address cross border health issues; • consider the growing importance and value of traditional medicine, which could contribute to improved health outcomes, including those in the SDGs. Health literacy empowers and drives equity
Health literacy empowers individual citizens and enables their engagement in collective health promotion action. A high health literacy of decision-makers and investors supports their commitment to health impact, co-benefits and effective action on the determinants of health.
Health literacy is founded on inclusive and equitable access to quality education and life-long learning. It must be an integral part of the skills, and competencies developed over a lifetime, first and foremost through the school curriculum. We commit to • recognize health literacy as a critical determinant of health and invest in its development; • develop, implement and monitor intersectoral national and local strategies for strengthening health literacy in all populations and in all educational settings; • increase citizens’ control of their own health and its determinants, through harnessing the potential of digital technology; • Ensure that consumer environments support healthy choices through pricing policies, transparent information and clear labelling.
Possible Health Literacy Programs in Egypt Main concern
•Understand the mechanisms by which risk factors such as diet and physical activity are thought to reduce disease risk. •Provide practical tips for individuals to modify behavior with the goal of reducing disease risk.
Health Messages
• To be responsive • Reflect the needs of the people • Adapt the approaches • Suitable to the available resources (Human and Financial)
Health status improvement initiative for fishermen and their families near Borollos lake. Composed of: First phase which is Health Needs Assessment Phase for the first 6 months where the health needs will be assessed through: • Interviewing some fishermen and their families. • The fishermen needs will be discussed in focus groups of senior staff and representatives of civil societies in the target area. • Assessment of the health services provided to fishermen and their families in quantitative and qualitative ways. The second phase is the Implementation phase (1 year), where medical and developmental convoys will be directed to the neediest location and population according to the results obtained from Focus Group Discussion (FGD) with the representatives of civil societies and senior staff in the target area.
Health education sessions are crucial to raise the awareness of the fishermen in the target area to the most important health topics as revealed by the health needs assessment carried out during the first phase.
Third Phase: • A field study to assess the impact of the health education in the form of comparing pre-and post-intervention to the selected population. The Closing phase will last for 6 months where analysis of the collected data and writing the final report and recommendations of the research will take place.
The outcomes are expected to be: • A Health Map for fishermen living in the target area, in addition to a field guide to future medical convoys/services. • Recommendations to improve environmental and occupational conditions of the fishermen will be directed to the stakeholders, hence improving their health status. • Carrying out some basic health services to the fishermen, in addition to raising their awareness will improve their health in the future. • Improving their working and living environment. This in turn will result in healthy individuals, hence more productive ones leading to improved economy.
Is the Ophelia approach suitable for our organization, community or project?
1. Health literacy may be contributing to improving the health status of the Fishermen.
2. Our organization has resources available to explore the health status of this group and work collaboratively with different stakeholders to identify and test interventions?
3. The Ophelia approach provides a method and supportive tools that organizations, and communities can use to systematically identify and respond to local issues of access and engagement. Capacity Building of Health Care Providers in Egypt to Counsel Pregnant Women and their Families Regarding Smoking Cessation and Second Hand Smoking Avoidance
Objectives 1. Develop and implement an evidence-based health care professionals training curriculum for counseling pregnant women about tobacco use cessation and second hand smoke avoidance.
2. Develop and implement a train-the-trainer program for health care professionals in greater Cairo .
3. Monitor and evaluate the project activities in greater Cairo.
4. Develop the capacity of junior and mid-career investigators participating in the project team, as well as build collaborative network with other researchers from Egypt and the Middle East and North Africa region, to be able to carry out collaborative implementation research beyond the life time of this project.
Hepatitis C Prevention Campaign as an Example
• 2016 Communication Plan for Hepatitis C Awareness was prepared by the Ministry of health and Population in cooperation with WHO. Held several meetings with designated MOHP staff and sought their feedback on several drafts until the final version was unanimously agreed upon.
• Synthesized the KAP results of three surveys into a consolidated report for dissemination at the forthcoming media campaign and KAP surveys launching event. The report entitled “Hepatitis C Knowledge, Attitudes, and Practices (KAP) in Egypt”.
Cancer prevention campaign
M-Diabetes
Role of Different Sectors Role of International Agencies • World Health Organization • UNICEF • UNFPA • UNDP • UNEP • UNAIDS • USAID • World Bank • Ford Foundation
Role o MOH
• Preventive Sector • Department of Health Education • Primary Health Care • Population Sector • Curative Sector
Role of other Ministries
• Ministry of Education • Ministry of Higher Education • Ministry of Youth • Ministry of Information and Communication • Ministry of Youth
Role of Relevant Organizations
• National Population Council • National Women Council • National Council for Child and maternity • Supreme Council of Universities • ….. etc Role of Universities
• Public Health Departments • Clinical Departments Role of Civil Society
• General Federation of NGOs (45000 NGOs) • Specialized Federation of Health system Improvement • Specialized Federation for Environment • Specialized Federation of Research NGOs
Role of Private Sector
• Conferences and workshops • Training programs Role of Media
• TV • Radio • Newspaper National Campaigns
• Mult-isectoral • Use different approaches • Raise funding • Encourage cooperation