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National Health Promotion Strategic Plan 2015-2023

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National Health Promotion Strategic Plan 2015-2023 NATIONAL HEALTH PROMOTION STRATEGIC PLAN 2015-2023 HEALTH IN POLICIES (HiAP) ALL T A R G Y H E IT T N L E F E I A O O D I B L R T T I A P N A N H V I R T C A I E O O O T R N N R S V N I U C E I T N E S Y R T R N I HEALTHIER O O S F N S BHUTAN C A S P A G C IN IT TT Y SE BU Y IL TH DIN AL G HE Published by: Health Promotion Division Department of Public Health Ministry of Health Royal Government of Bhutan Copyright 2015 Ministry of Health, Thimphu : Bhutan ISBN: 978-99936-958-9-9 Table of Contents ABBREVIATIONS .......................................................................... 1 ACKNOWLEDGEMENT ............................................................... 2 FOREWORD ................................................................................... 3 EXECUTIVE SUMMARY................................................................ 5 SECTION 1: BACKGROUND ........................................................ 7 1.1 Introduction .............................................................................. 7 1.2 Contributions to NKRA/SKRA and KPIs based on 4 pillars of GNH ........................................................................ 8 1.3 Current Health Situation in Bhutan ....................................... 9 1.4 Vision and Mission ................................................................... 10 1.5 Goals and objectives ................................................................. 10 SECTION 2: STRATEGIC FRAMEWORK FOR NHPSP ................12 2.1 Health in All Policies (HiAP) ................................................... 15 2.2 Capacity Building ...................................................................... 16 2.3 Healthy Settings ......................................................................... 17 2.3.1 Setting 1: Health promoting schools (HPS) and Institutions ..................................................................... 17 2.3.2 Setting 2: Health promoting Hospitals/Facilities (HPH/F) .......................................................................... 18 2.3.3 Setting 3: Healthy cities/towns/villages/workplaces.. 20 2.4 Targeted actions for priority health issues ............................. 21 2.4.1 Focus priority 1: NCD & CD ....................................... 21 2.4.2 Focus priority 2: Communicable Diseases ................. 22 2.4.3 Focus priority 3: Nutrition ........................................... 22 2.4.4 Focus priority 4: Water & Sanitation ..................................... 25 2.4.5 Focus priority 5: Road Safety .................................................. 25 2.5 Innovation for sustainability .............................................................. 26 2.5.1 Co-ordination, Implementation, and Monitoring and Evaluation .................................................................................. 27 SECTION 3: INFORMING FUTURE PLANNING ................................. 28 3.1 Monitoring Activities ........................................................................... 28 3.2 Building evidence base ........................................................................ 28 3.3 Research capability and setting research priorities .......................... 28 SECTION 4: ROLES AND RESPONSIBILITIES OF STAKEHOLDERS...... 30 SECTION 5: TERMS OF REFERENCES .................................................. 38 5.1 Terms of Reference for National Health Promotion Steering Committee ............................................................................................ 38 5.2 Terms of Reference for Technical Working Group .......................... 39 SECTION 6: INDICATORS ...................................................................... 40 Annexure 1: List of proposed key activities for NHPSP .......................... 42 List of Core Working Group Member ...................................................... 46 References ................................................................................................. 47 National Health Promotion Strategic Plan 2015-2023 ABBREVIATIONS: BCCI Bhutan Chamber of Commerce and MoF Ministry of Finance Industries BHU Basic Health Unit MoH Ministry of Health CAG Community Action Group MoHCA Ministry of Home and Cultural Affairs CSO Civil Society Organization MoIC Ministry of Information and Communications CVD Cardio vascular diseases MoLHR Ministry of Labour and Human Resources DHI Druk Holding and Investments MoWHS Ministry of Works and DLG Department of Local Human Settlement Government NSB National Statistical Bureau GNH Gross National Happiness NCD Non communicable diseases GNHC Gross National Happiness Commission NFEC Non formal Education Centre HiAP Health in All Policies NHPSP National Health Promotion Strategic Plan HPD Health Promotion Division NHPSC National Health Promotion Steering HPH Health Promoting Hospitals Committee NKRA National Key Result Areas HPS Health Promoting Schools OC Ottawa Charter ICB Information and Communication Bureau RBP Royal Bhutan Police IEC Information Education and RIHS Royal Institute of Health Sciences Communication IUGR Intrauterine growth restriction RIM Royal Institute of Management KABP Knowledge Attitudes RSTA Road Safety and Transport Authority Behaviour and Practice KII Key informant interviews SHC Stakeholder Consultations LGA Local Government Authority SKRA Sector Key Result Areas MoAF Ministry of Agriculture SQCA Standards and Quality Control Authority and Forests BSB Bhutan Standard Bureau MoE Ministry of Education VHW Village Health Worker MoEA Ministry of Economic Affairs Ministry of Health, Thimphu, Bhutan Page 1 National Health Promotion Strategic Plan 2015-2023 ACKNOWLEDGEMENT The National Health Promotion Strategic Plan is a collaborative endeavour between WHO and UNICEF, and Ministry of Health would like to extend its highest gratitude for their financial and technical support. This document would not have been possible without the technical expertise and inputs from stakeholders at international and national level. The Ministry of Health of Bhutan in particular would like to extend its sincere gratitude to Mrs. Anne W. Bunde-Birouste, Convener & Lecturer, UNSW, Australia; Mrs. Husna Razee, Lecturer, SPHCM, UNSW; Dr. Suvajee Good, Program Coordinator for Health Promotion & Education & Focal for Social Determinants of Health, WHO-SEARO; and Dr. Dorji Wangchuk, Secretary, Ministry of Health, for their valuable time and contributions as a consultant/technical advisor for this document. The Ministry of Health would also like to acknowledge and thank the Task Force Members (annexure 1I) and the Health Promotion Division, Department of Public Health, Ministry of Health for their hard work and commitment in bringing this document into a final shape. Lastly, the Ministry of Health would like to express its special gratitude to the National Health Promotion Steering Committee Members and the representatives from the Ministries, NGOs, UN agencies, private sectors and districts for their valuable inputs and time for this important document. Page 2 Ministry of Health, Thimphu, Bhutan National Health Promotion Strategic Plan 2015-2023 དཔལ་辡ན་འབྲུག་ག筴ང་། ROYAL GOVERNMENT OF BHUTAN MINISTRY OF HEALTH ག魼་བ་辷ན་ཁག། THIMPHU: BHUTAN 捲་མང་ག魼་བ荲་ལས་ݴངས། P.O. BOX: 726 ཐིམ་坴། MINISTER FOREWORD The Ministry of Health is pleased to launch the first National Health Promotion Strategic Plan 2015-2023. This strategic plan which has been endorsed by the Lhengye Zhungtshog during its 94th Session held on 5th January 2016, involves all sectors working for health promotion. The strategic plan has evolved since there was a need to streamline and collaborate in working towards health promotion in a holistic approach. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being of the nation. This strategic plan has been developed through a series of multi-sectoral consultations so that it can be adapted for policy making at the national level as well as the local level. Hence, in line with the National Health Policy (2011), this strategic plan document targets to sustain health promotion efforts and enhance coherent approach to Health in All Policies (HiAP). While the Health Promotion Division of Ministry of Health has been overseeing various health promotion programmes within the Health Sector, it lacks mandate to oversee health promotion beyond health sector leading to duplication of plans and programmes. The National Health Promotion Strategic Plan is expected to give new direction to Health Promotion by calling for policy coherence, investment and partnering across Ministries, Non-Governmental Organizations, Civil Society Organizations, corporations and private sector to work towards health commitments. These include ensuring that health promotion is central to the national development agenda, that it is a core responsibility of all agencies and part of good corporate Ministry of Health, Thimphu, Bhutan Page 3 National Health Promotion Strategic Plan 2015-2023 practice, as well as a focus of community and civil society initiatives. The document would also serve as a guide for sectors within health as well as other sectors outside the health domain in mainstreaming health promotion approaches into their planning processes and program development. Therefore, the action multi-stakeholders take in light of this strategic plan can immensely improve the prospects for health
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