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MODELS

MODELS OF

OF

HEALTH PROMOTION

HEALTH

PROMOTION

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION 1:

1: FOUR

FOUR

PARADIGMS

PARADIGMS OF

OF HEALTH

HEALTH PROMOTION

PROMOTION (CAPLAN

(CAPLAN

AND AND HOLLAND HOLLAND -- 1990) 1990) Radical RADICAL HUMANIST change Nature of society RADICAL STRUCTURLIST
AND
AND HOLLAND
HOLLAND -- 1990)
1990)
Radical
RADICAL HUMANIST
change
Nature of
society
RADICAL STRUCTURLIST
• Holistic view of health
• De-professionalization
• Self-help networks
• Health reflects structural
inequalities
• Need to challenge inequity and
radically transform society.
Subjective
Objective
Nature of
knowledge
HUMANIST
TRADITIONAL
• Holistic view of health
• Aims to improve understanding
and development of self
• Health = absence of disease
• Aim is to change behaviour
• Expert-led
• Client-led
Social
regulation
MODEL OF MODEL OF HEALTH HEALTH PROMOTION PROMOTION 1: 1: FOUR FOUR PARADIGMS PARADIGMS OF OF

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION 2:

2: HEALTH

HEALTH

PROMOTION METHODS

PROMOTION

METHODS USING

USING BEATTIE

BEATTIESS

TYPOLOGY (BEATTIE

TYPOLOGY

(BEATTIE 1991)

1991)

MODE OF INTERVENTION

Legislation Lobbying Action research Skills sharing and training Group work Community development Individual Collective Health surveillance
Legislation
Lobbying
Action research
Skills sharing and training
Group work
Community development
Individual
Collective
Health surveillance
Advice
Education
Behaviour change
Mass media campaign
Authoritarian
Counselling
Education
Group work
Policy making and
implementation
Focus of
intervention

Negotiated

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION 3:

3: AA TYPOLOGY

TYPOLOGY

OF

OF HEALTH

HEALTH PROMOTION

PROMOTION (FRENCH

(FRENCH 1990)

1990)

DISEASE

PREVENTION

• Preventive services

• Medical services • Behaviour change

DISEASE

MANAGEMENT

• Curative services • Management services • Caring services

HEALTH

EDUCATION

• Agenda setting • Empowerment and support • Information

POLITICS OF HEALTH

• Social action •Policy development

• Economic and fiscal policy

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION 4:

4: TANNAHILL

TANNAHILLSS

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION (DOWNIE

(DOWNIE et

et al

al 1990)

1990)

1. Preventive services, e.g. immunization, cervical screening, hypertension case finding, developmental surveillance, use of nicotine chewing gum to aid smoking cessation.

5 Health education 7 2 4 6 1 Health Prevention 3 protection
5
Health education
7
2
4
6
1
Health
Prevention
3
protection
  • 3. Preventive health protection, e.g. fluoridation of water.

2. Preventive health education, e.g. smoking cessation advice and information.

  • 4. Health education for preventive health protection, e.g. lobbying for seat belt legislation.

  • 5. Positive health education, e.g lifeskills with young people.

  • 6. Positive health protection, e.g. workplace smoking policy.

  • 7. Health education aimed at positive

health protection, e.g. lobbying for a ban on tobacco advertising.

MODEL OF

MODEL

OF HEALTH

HEALTH PROMOTION

PROMOTION 5:

5: THE

THE

CONTRIBUTION OF

CONTRIBUTION

OF EDUCATION

EDUCATION TOTO HEALTH

HEALTH

PROMOTION (TONES

PROMOTION

(TONES et

et al

al 1990)

1990)

Public pressure

Healthy public

Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical

Lobbying

Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical

policy

policy Healthy social and physical

Healthy social and physical environment

Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical

Advocacy

Mediation

Empowered

participating

community

Critical

consciousness

raising

Healthy promoting organisation

Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical
HEALTH
HEALTH
HEALTH Healthy choices

Healthy

choices

HEALTH Healthy choices
Healthy services
Healthy
services

Agenda

Professional

education

setting

Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical
Public pressure Healthy public Lobbying policy Healthy social and physical Advocacy Mediation Empowered participating community Critical

Education for health