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Health Promotion in

Community Empowerment
SCOPH Gathering
Yogyakarta, 4 November 2017

Kristina Elizabeth & Vincent Exel 1


Todays Objective

What is health promotion

What is community empowerment

Connection between the two

What can we do as medical student

Leptospirosis 101 SCOPH highlighted issues


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Health
Promotion
Health promotion
is defined as
the process of
enabling people
to increase
control over, and
to improve, their
health

- Ottawa Charter
for Health
Promotion 1986
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Holistic view of health;

Focus on participatory approaches;

Focus on the determinants of health, the social,


Features of
behavioural, economic and environmental conditions
that are the root causes of health and illness;
health
Building on existing strengths and assets, not just
promotion
addressing health problems and deficits; and

Using multiple, complementary strategies to promote


health at the individual and community level.

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Health Promotion Values

1 2 3 4
EMPOWERMENT SOCIAL JUSTICE INCLUSION RESPECT
AND EQUITY

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Key Strategies

Policy
development
Advocacy
Community
development
Organizational and
change mobilization
Self-
help/mutual
Health aid
education
Health
communication

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COMMUNITY
EMPOWERMENT
The process of enabling communities to increase control over their lives.

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Community Empowerment

Concept

capacity equity

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Empowerment has to be seen as a problem-solving
process that shape the community to be better

Giving help. Those who receive help need to be able


to give help as well.

Principles Lack of power cannot be compensated for by means


which increase lack of power.
Guiding
Empowerment Think big and act small

Practices
Collective is a central principle of the empowerment
process

Empowerment is a multi-leveled concept.


(Sadan, 1997)

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Benefit of Community
Empowerment
People in that community they feel worthy,
rediscover their potential, gain confidence, and be
able to make a change
Empowered individuals, through their participation,
are able to gain the power to influence social, health
and other action they can help others to
empower themselves capacity building of the
community

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What can we expect to achieve
through Community
Empowerment? The Royal Society of Edinburgh, 2014
SHORT TERM
Empowerment facilitate and promote better
communication about what that community
wants and needs. A community that is not
empowered is the passive recipient of services,
support and governance
3 points of highlights:
Better targeted solutions
Economically efficient
Reduces the pressure on public services

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What can we expect to achieve through
Community Empowerment?
MEDIUM TERM
Communities able to produce locally-grown solutions.
While working on that solutions people gain new skills and increased confidence
up-skilling and motivated population

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What can we expect to achieve through
Community Empowerment?
LONG TERM
Empowerment makes people more engaged with challenges and issues facing their
community and making them more capable to tackle those issues through
community actions

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Ottawa Charter 1986

The fundamental conditions and


resources for health are:
Role of
peace
shelter Medical
education We can help in this! Student
food
income
a stable eco-system
sustainable resources
social justice and equity.

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LEPTOSPIROSIS
101
Leptospirosis is an infectious
disease of humans and
animals that is caused by
pathogenic spirochetes of the
genus Leptospira

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Epidemiology

INTERNATIONAL STATISTICS
Estimated 1.03 million cases (95% CI 434,0001,750,000) and 58,900 deaths
(95% CI 23,80095,900) annually due to leptospirosis worldwide.
Highest estimates of disease morbidity and mortality were observed in GBD regions
of South and Southeast Asia, Oceania, Caribbean, Andean, Central, and Tropical
Latin America, and East Sub-Saharan Africa (Costa et al, 2015).

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Epidemiology
INDONESIA WHAT IS OUR NUMBER?

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INFECTION
ROUTE

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Whos At Risks?
Farmers
Mine workers
The disease has also been
Sewer workers associated with swimming, wading,
kayaking, and rafting in
Slaughterhouse workers
contaminated lakes and rivers.
Veterinarians and animal caretakers
As such, it is a recreational hazard
Fish workers for campers or those who
participate in outdoor sports.
Dairy farmers
The risk is likely greater for those
Military personnel
who participate in these activities in
tropical or temperate climates (CDC,
2011)

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Avoid contact with environments potentially
Avoid contaminated with animal urine, especially
rodent-infested areas.

Avoid swallowing or inhaling water from lakes,


Avoid rivers, or swamps while swimming.

Avoid Avoid participation in adventure racing activities How to


Prevent?
with any cuts or abrasion of the skin.

Wear Wear protective clothing and shoes.

Shower promptly after swimming in fresh water


Shower and treat any cuts or abrasions with topical
antibacterial medication and bandages.

Medscape, 2017 20
References

WHO 7th Global Conference on Health Promotion, Kenya 2009


Sadan, E. (1997). Empowerment and community planning: Theory and practice of
people-focused social solutions. Tel Aviv: Hakibbutz Hameuchad
The Royal Society of Edinburgh Advice Paper Community Empowerment and Capacity
Building, UK 2014.
WHO The Ottawa Charter for Health Promotion (First International Conference on Health
Promotion), Canada 1986.
Pusdatin Kemenkes. 2015. Data dan Informasi Tahun 2014 (Profil Kesehatan
Indonesia). Jakarta: Kementrian Kesehatan RI

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References

Costa, Frederico, Jos E. Hagan, Juan Calcagno et al. Global Morbidity and Mortality of
Leptospirosis: A Systematic Review. PLOS Neglected Tropical Disease 2015 Sep; 9(9)
Gompf, Sandra G. 2017. Leptospirosis. USA: Medscape
Centers for Disease Control and Prevention 2011. Leptospirosis. Accessed from
https://www.cdc.gov/leptospirosis/infection/index.html on Nov 2nd, 2017

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