MODELS OF HEALTH PROMOTION

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					   MODELS OF
HEALTH PROMOTION
MODEL OF HEALTH PROMOTION 1: FOUR
PARADIGMS OF HEALTH PROMOTION (CAPLAN
AND HOLLAND - 1990)
                              Radical
RADICAL HUMANIST                         Nature of   RADICAL STRUCTURLIST
                              change
• Holistic view of health
                                         society     • Health reflects structural
                                                     inequalities
• De-professionalization
                                                     • Need to challenge inequity and
• Self-help networks
                                                     radically transform society.

 Subjective                                                             Objective
                                                                        Nature of
                                                                        knowledge
HUMANIST
                                                     TRADITIONAL
• Holistic view of health
                                                     • Health = absence of disease
• Aims to improve understanding
and development of self                              • Aim is to change behaviour

• Client-led                                         • Expert-led
                            Social
                            regulation
MODEL OF HEALTH PROMOTION 2: HEALTH
PROMOTION METHODS USING BEATTIE’S
TYPOLOGY (BEATTIE – 1991)
                    MODE OF INTERVENTION
       Advice                                      Legislation

       Education
                                  Authoritarian    Policy making and
                                                   implementation
       Behaviour change
                                                   Health surveillance
       Mass media campaign

Individual                                                    Collective
                                                              Focus of
                                                              intervention
      Counselling
                                                  Lobbying
      Education
                                                  Action research
      Group work
                                                  Skills sharing and training
                                                  Group work
                                                  Community development
                     Negotiated
MODEL OF HEALTH PROMOTION 3: A TYPOLOGY
OF HEALTH PROMOTION (FRENCH – 1990)

                        DISEASE
                        MANAGEMENT
                        • Curative services
                        • Management services   HEALTH
DISEASE                                         EDUCATION
                        • Caring services
PREVENTION                                      • Agenda setting
• Preventive services                           • Empowerment and
• Medical services                              support
• Behaviour change                              • Information
                        POLITICS OF HEALTH
                        • Social action
                        •Policy development
                        • Economic and fiscal
                        policy
 MODEL OF HEALTH PROMOTION 4: TANNAHILL’S
 MODEL OF HEALTH PROMOTION (DOWNIE et al – 1990)

                                          5                    6. Positive health
1. Preventive services,            Health education
   e.g. immunization,                                             protection, e.g.
   cervical screening,                                            workplace
                                    2          7
   hypertension case                                              smoking policy.
                                          4           6
   finding,                    1                Health
   developmental            Prevention    3     protection     7. Health education
   surveillance, use of                                           aimed at positive
   nicotine chewing gum                                           health protection,
   to aid smoking
                          3. Preventive health protection, e.g. e.g. lobbying for
   cessation.                                                     a ban on tobacco
                             fluoridation of water.
                                                                  advertising.
2. Preventive health      4. Health education for preventive
   education, e.g.           health protection, e.g. lobbying
   smoking cessation         for seat belt legislation.
   advice and             5. Positive health education, e.g
   information.              lifeskills with young people.
     MODEL OF HEALTH PROMOTION 5: THE
     CONTRIBUTION OF EDUCATION TO HEALTH
     PROMOTION (TONES et al – 1990)


       Public pressure        Healthy public            Lobbying
                                 policy
                                                        Advocacy
                                                        Mediation
                               Healthy social
                               and physical
  Empowered                                             Healthy promoting
                               environment
  participating                                           organisation
  community
                                   HEALTH          Healthy
                                                   services
Critical
                         Agenda       Healthy                   Professional
consciousness
                         setting      choices                     education
raising

                            Education for health

				
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posted:1/30/2012
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