Title of Presentation Title of Presentation Health Competence Communication In Egypt Goes Here Goes Here Jane T. Bertrand Jane T. Bertrand October 20, 2003 October 20, 2003
The Center for Communication Programs The Center for Communication Programs envisions a world in which communication envisions a world in which communication • saves lives, saves lives, • • improves health, and improves health, and • • enhances well enhances well- -being. being. •
With our Staff of 450 in 30 countries, With our Staff of 450 in 30 countries, we partner with: we partner with: The U.S. Agency for The U.S. Agency for • • International Development International Development Bilateral agencies Bilateral agencies • • International and local International and local • • NGOs NGOs Private foundations Private foundations • • UN agencies UN agencies • • Corporations Corporations • • Small faith- -based groups based groups Small faith • • Educational institutions Educational institutions • •
CCP partners with organizations CCP partners with organizations worldwide to: worldwide to: • Design and implement strategic Design and implement strategic • communication programs that influence communication programs that influence political dialogue, collective action, and political dialogue, collective action, and individual behavior individual behavior • Enhance access to information and the Enhance access to information and the • exchange of knowledge that improve health exchange of knowledge that improve health and health care and health care • Conduct research to guide program design, Conduct research to guide program design, • evaluate impact, test theories, and advance evaluate impact, test theories, and advance knowledge in health communication communication knowledge in health
Breakdown of Program Resources by Breakdown of Program Resources by Region, 2004 Region, 2004
Funding Agencies Funding Agencies In addition to the U.S. Agency for International Development (USAID), AID), In addition to the U.S. Agency for International Development (US the following institutions and foundations have also provided support pport the following institutions and foundations have also provided su for CCP activities from 2000 to present. for CCP activities from 2000 to present. Royal Netherlands Embassy Royal Netherlands Embassy Government of Burkina Faso African- -American Health Program of the American Health Program of the Government of Burkina Faso African People’ People ’s Baptist Church (AAHP) s Baptist Church (AAHP) San Gabriel Foundation San Gabriel Foundation Government of India Government of India APROPO- APROPO -Peru Peru Save the Children Save the Children Health Partners International Health Partners International Arab Resource Collective (ARC) Arab Resource Collective (ARC) Healthy Lifestyle Choices Healthy Lifestyle Choices State of Maryland, Governor’ ’s Office s Office State of Maryland, Governor for Children Youth and Families and for Children Youth and Families and Asian Development Bank Asian Development Bank International Center for Research on Women International Center for Research on Women AIDS Administration, Department of AIDS Administration, Department of Atlantic Philanthropies Atlantic Philanthropies International Trachoma Initiative International Trachoma Initiative Health & Mental Hygiene, University of Health & Mental Hygiene, University of Baltimore City Health Department Baltimore City Health Department Maryland Maryland Investcorp Investcorp BBC World Service Trust BBC World Service Trust United Nations Children’ United Nations Children ’s Fund s Fund Joint United Nations Programme on HIV/AIDS Joint United Nations Programme on HIV/AIDS (UNICEF) (UNICEF) Cable Positive Tony Cox Cable Positive Tony Cox (UNAIDS) (UNAIDS) CARE Kenya CARE Kenya United Nations Development United Nations Development Johns Hopkins University Johns Hopkins University Programme (UNDP) Programme (UNDP) Bill and Melinda Gates Foundation Bill and Melinda Gates Foundation Johnson & Johnson Foundation Johnson & Johnson Foundation United Nations Education, Scientific, United Nations Education, Scientific, Bogasari Flour and Milling Company Bogasari Flour and Milling Company Mary Wohlford Mary Wohlford Foundation Foundation and Cultural Organization (UNESCO) and Cultural Organization (UNESCO) Centers for Disease Control and Prevention (CDC) Centers for Disease Control and Prevention (CDC) Media for Development Trust Media for Development Trust United Nations Foundation United Nations Foundation Constella Constella Health Sciences Health Sciences National AIDS Prevention Center National AIDS Prevention Center United Nations Population Fund United Nations Population Fund Cowell Foundation Cowell Foundation (UNFPA) Ohio University Ohio University (UNFPA) David and Lucile Packard Foundation David and Lucile Packard Foundation Vietnam NCPFP Vietnam NCPFP Pan American Health Organization Pan American Health Organization Department for International Development (DFID), United Department for International Development (DFID), United William and Flora Hewlett Foundation William and Flora Hewlett Foundation Paul G. Allen Foundation Paul G. Allen Foundation Kingdom Kingdom World Bank World Bank Pfizer, Inc. Pfizer, Inc. Family health International Family health International World Health Organization World Health Organization Population Council Population Council Family Planning Association of Kenya Family Planning Association of Kenya World Wildlife Federation World Wildlife Federation Procter & Gamble Procter & Gamble Ford Foundation Ford Foundation Zanvyl & Isabelle Krieger Fund Zanvyl & Isabelle Krieger Fund Rockefeller Foundation Rockefeller Foundation Futures Group International Futures Group International
CCP Worldwide CCP Worldwide Africa Asia Near East Africa Asia Near East Ethiopia India Egypt Ethiopia India Egypt Ghana Indonesia Jordan Ghana Indonesia Jordan Guinea Nepal Guinea Nepal Local CCPs Local CCPs Liberia Liberia established by established by Europe & Eurasia Europe & Eurasia Malawi Malawi former st aff former st aff Russia Russia Mali Mali Bangladesh Bangladesh Regional TB Project Regional TB Project Mozambique Mozambique Bolivia Bolivia Namibia Latin America Namibia Latin America Ecuador Ecuador Nigeria Nigeria Haiti Haiti Philippines Philippines South Africa South Africa Nicaragua Nicaragua Uganda Uganda Uganda Uganda Peru Peru Zambia Zambia Zambia Zambia Regional HIV/AIDS Regional HIV/AIDS Project Project
Health Competence in The Health Communication Partnership Strategic Objective Communication employed effectively to improve health, stabilize population and advance a health competent society IR 1 IR 2 IR 3 Strengthened in-country Effective health Communication capacity for strategic communication integrated into a broad health communication. implemented at scale. range of programs that improve health. IR 4 Research used to guide and advance health communication. HCP Technical Meeting 6/17/03
What is Health Competence? • New approach to the design and evaluation of integrated health communication programs • Applies a systems perspective to health improvement • Cuts across areas of health behavior • Emphasizes sustainability • Predicts health outcomes and helps identify strategic interventions
Origins of the Concept WHO efforts to define health and well-being away from a narrow disease prevention perspective: “A state of complete mental, physical, and social well-being and not merely the absence the disease” (WHO, 1958)
Evolution of the Concept 21st Century Field model (Evans and Stoddart, 1994) • Interactions among multiple factors that determine health • Health, social, political, and environmental policies • Physical, family, and community environments • Characteristics and behaviors of individuals and populations
Related concepts Health literacy • Variously defined as knowledge and comprehension resulting from health education (e.g., Simonds, 1974) and as a broad set of factors that empower and facilitate achievement of health (e.g., Nutbeam, 2000; IOM, 2004) Social capital • Refers to characteristics of social organizations that “combine to facilitate cooperation among people for their mutual benefit (Kawachi et al., 1997) • Social capital facilitates social mobilization for health improvement.
Translating health competence into a program framework “A health competent society is one in which individuals, communities, and institutions have the knowledge, attitudes, skills, and resources needed to improve and maintain health.” Health competence: a set of factors or conditions that facilitate and predict the achievement and sustainability of desired health outcomes
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