Transcript Slide 1

PORTUGUESE
HEALTH PROFILE
A HEALTH PROMOTION
PERSPECTIVE
EUMAPH/ETC PH-HP
7 th Masters on Public Health
National School of Public Health
2004
Historical Introduction
Early 70’s - precarious situation on the health care sector,
evidenced by high infant mortality rates (58,6‰).
April's Revolution in 1974 – implementation of democracy
1979 - implementation of Health Care Centers followed by
National Health Service (NHS). Free and universal
Improvement of the Portuguese health conditions are
associated with financial, material and human resources
development.
Nowadays, the main problems faced by NHS, besides financial
crises, are the iniquity in access to health care.
National Health Plan
Recently approved after a public consultation, the National
Health Plan (NHP) 2004-2010 aims to integrate and make easier
the coordination and collaboration of all society sectors .
Defines strategic guidelines for the activities that other
institutions linked o the health ministry should assure in the
context of health gains and efficiency.
The main goals are inspired by the action areas of the Ottawa
Charter.
Health
Promotion
Programmes
and Projects
A Health Promotion Perspective
The several health promotion programmes and projects
presented here, were chosen by the 7th Masters Students on
Public Health, in order to built the Portugal Health Profile – a
Health Promotion perspective, using the HIA-Net support
project (coordinated by Maurice Mittelmark, Bergen University).
NATIONAL PROGRAMMES
National Programme of Integrated Intervention on the
Health Determinants Related with Life-Styles
Main goal:
Reducing prevalence of risk factors of non transmissible
chronic diseases;
Increasing prevalence and strength of health protective
factors related with life-styles trough a social integrated
approach.
Proposals and Recommendations from
the National Council of Mental Health
This project gives the guidelines that every health mental
services should follow – reorientation of services.
National strategic orientations for mental health promotion by
these different sectors:
education,
media,
individual and family counselling,
crisis early intervention,
occupational health improvement,
social care providers training,
civil society programmes
National Strategy Against Drugs
In the scope of the National Action Plan Against Drugs and
Addiction there has been instituted the Drugs Addiction
Primary Prevention Municipal Plan which aim to assemble
efforts between the Institute of Drugs and Addiction, the
municipalities and the civil society.
Priority areas:
school environment,
family environment,
school abandon,
leisure
sports events.
National Programme for Prevention and
Control of Cardio-Vascular diseases
Goals:
Increasing the epidemiological vigilance of risk factors and
cardio-vascular diseases;
Promoting healthy lifestyles, reducing risk factors;
Empowering the citizens decision-making on health;
Improving the organization of medical care – regular checkup’s.
Asthma and Chronic Obstructive
Pulmonary Disease (COPD)
Main goals:
To contribute to the self-control and empowerment of
patients;
To promote the adherence to the pharmacological therapy;
To promote a correct use of the several inhalers devices;
To reduce the use of health care services (hospitalisations
and urgencies);
To improve quality of life
Diabetic Guide
An Empowering National Tool
Aims health promotion and co-responsibility of diabetics
self-treatment with the participation of health
professionals.
Regional Programme
Regional Health Plan 2004-2006
(e.g. Azores)
Strategic orientations:
To promote an efficient, integrated health system;
To invest in health promotion and disease prevention;
To influence the citizens for the responsibility of their health
and use of health services.
Health promotion investment will be safeguarded by:
Promoting healthy lifestyles;
Promoting health education programmes in school;
Implementing campaigns against the risk factors;
Promoting healthy lifestyles inside of the health services;
Influencing citizens for the better use of the health
services.
Local Programmes
Community intervention project for
maternal and infant health and
family planning
Developed in two Lisbon’s Health Care Centers, in socially
deprived communities
Main goals:
To establish an effective link between the Health Centers
and the population;
To increase the population’s awareness and promote their
capacity to solve their own health problems;
To develop methods, techniques and materials for ethnic
minorities groups.
“Better Activity, More Health”
Programme
Several local initiatives developed by an urban cities (Oeiras,
Tomar), which goal is to alert the townspeople for the adoption
of a healthy lifestyle during life-span.
It is a set of initiatives seeking health promotion, general wellbeing e personal accomplishment.
Municipal Programme of
Prevention of Alcohol Abuse
(City Council of Azambuja)
Integrates strategic interventions:
informative,
educative
participative actions.
The objectives and the actions should offer continuity and
support for other programmes that are already in development
through the Municipal Plan of Prevention of Drug Addiction.
Accessibilities Project
Viana do Castelo (healthy city) developed the Accessibilities
Project, which is based on “Health for All in the XXI Century”
document and on the strategic guidelines of “Ottawa Charter”.
Principal purpose:
Make city accessible to all individuals and situations, by
adapting and eliminating obstacles and barriers, alerting
and preventing future situations, and promote the
coordination between health promotion institutions.
Project of humanization, improvement
and quality of the medical care given to
patients
Main Goal:
to place the patient into the centre of the organisation,
humanization and quality of the medical care.
Implementing Pre-Surgery Visit in a Hospital (Egas Moniz):
To promote the quality of nursing care by a closer contact
with patients;
To establish empathic relation nurse/patient/family;
To clarify doubts and concerns;
To develop the nurses skills.
“...if people in all walks of life, nongovernmental and voluntary
organizations, governments, the World Health Organization and all
other bodies concerned join forces (...) Health For All (...) will
become a reality.” (Ottawa Charter, 1986)