CHAPTER 4 : PLANNING OF HEALTH PROMOTION

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CHAPTER 4 : PLANNING OF HEALTH PROMOTION

Epidemiological Diagnosis - To determine what specific health problem - Identify in phase 1: *Morbidity *Mortality *Fertility

PRECEDE: - Green, Kreuter, Deeds & Patridge (1980) - Acronym for Predisposing, Reinforcing and Enabling Causes in Educational Diagnosis and Evaluation

7 phases: - Social Diagnosis - Epidemiological Diagnosis - Behavioral Diagnosis - Educational Diagnosis - Educational Diagnosis (continue) - Administrative Diagnosis - Evaluation

Four disciplines: - Epidemiology - Social/behavioral sciences - Administration - Education

Planning a Health Promotion Program: - A good health promotion programs are not created by chance, they are product of much effort and should be based on well-developed models

Example of types of planning models for health education/promotion program: - PRECEDE (Green et al, 1980) - PRECEDE/PROCEED (Green & Kreuter, 1991) - MHEP (Ross & Mico, 1980) - CHEM (Sullivan, 1973) - MHEPRD (Bates & Winder, 1984) - GHFDS (Patton et al , 1986) - PATCH (Green & Kreuter, 1999, CDC1983)

Importance using a mode; - Models are means by which planners give structure and organization to the programming process - Models provide planners with - Direction and supply a frame on which to build

Health educators' responsibilities are involved in some way with planning, implementation and evaluation

Social Diagnosis - Quality of Life (QOL) - To determine the QOL as defined by social problems in the target population (illegitimacy, welfare, unemployment, absenteeism and crime)

Educational Diagnosis - To assess the cause of the health behaviour - Predisposing factors *Attitude, values, beliefs, knowledge *Smoking- feel cool (belief), accepted by peers (value), danger (knowledge)

Reinforcing factors - Resources and skills needed for behavior change - Exercise : safe and convenient place - improper exercise can cause muscle soreness and injury

Enabling factors - Reward or encouraging feedback (+ve or -ve) - smoking : encouraging by peers

Behavioral Diagnosis - To identify those specific health related behaviors that seemed to be associated with the prioritized health problem in phase 2

PRECEDE/PROCEED - Green & Kreuter (1999) - One of the most widely used health assessment and planning models

Nine (9) phases : - Social Assessment - Epidemiological Assessment - Behavioral & Environmental Assessment - Educational & Ecological Assessment - Administrative & Policy Assessment - Implementation - Process Evaluation - Impact Evaluation - Outcome Evaluation

Phases - Implementation *Planners select the methods and strategies of the intervention