SHARING POLICY, SITUATION

& EXPERIENCE ON HEALTHY

SETTINGS

ILKKM KOTA BHARU

Ministry Of Health Malaysia
26.02.2020

Dr Yelmizaitun Osman
Public Health Medical Specialist
Occupational Safety and Health Unit
Kelantan State Health Department
 Concepts and Definition
Ottawa Charter for Health Promotion
Building healthy public policy
Create supportive environments
Strengthening community action
Developing personal skills
Re-orientating healthcare services toward
prevention of illness and promotion of health

09/28/2023
 An approach to practice
An approach to practice that is based on
principles for health promotion e.g.
Health oriented
Empowerment
Community and consumer participation
Advocacy
Reducing inequities
Collaboration with others (intra and inter-
sectorally)
 Application
Healthy Settings: Where?
Different health settings
Hospitals, Health clinics, Dental Clinics
Private, General practitioners
Settings broader than health
Workplace; industries
Institution; schools, prisons, universities
Cities & community; Religious area, Market
place, transportation
Workplaces Clubs City

Universit Health
Community
ies Facilities

Schools Prisons
 Healthy Settings:
International/European Timeline

Background Policy Context Settings-related Initiatives

1977 Health for All 2000 1986 Healthy Cities Project

1986 Ottawa Charter 1988 Health Promoting Hospitals
1991 Sundsvall Statement Project
1992 Agenda 21 1991 Health Promoting Schools
1997 Jakarta Declaration Network
1998 ‘Settings for Health’ in WHO 1992 Regions for Health Network
Glossary 1995 Health in Prisons Project
1999 Health 21 – Target 13 ‘settings 1998 Health Promoting Universities
for health’ Book
2001 WHO European Office:
Investment for Health &
Development
 Healthy Settings
multidisciplinary ‘whole systems’
socio-ecological approach
organisational top-down public
development & political/ health
change managerial development
management commitment agenda
  
high visibility bottom-up institutional
innovative engagement & agenda/core
project empowerment business

Values
participation, equity, partnership, sustainability
 Healthcare settings
Rationale for Healthy Settings/ Health Promoting
Health Services
Enhance overall health status of individuals, as well as
communities.
Place health higher on personal and public agenda.
Encourage a shift from behavioral strategies, that
focus on trying to change individuals, to embrace a
more socio-environmental approach.
Seen by the public to be a credible source of advice and
expertise on health matters far beyond ‘sick care
services’.
Basis of Criteria Healthy Settings
Health Promotion Program Activities
 Vision & Policy 1. Organizational
 Strategic direction, implementation & 2. Environment
evaluation plan 3. Patient and family
 Allocation of resources
4. Staffs
 Inclusion in job descriptions,
5. Community
performance appraisal and staff
recognition program
 High visibility
 a) Organizational Orientated Activities

Organizational policies
Quality program
Occupational health and safety program
Infection control program
No-smoking policy
Community and consumer participation policy and
program
 b) Environment Orientated Activities
Environmental care committee; Zero breeding/
Dengue free, Smoke free
Waste management - Recycle program, Clinical
waste
Strategic Safety and Accident Prevention
Water supply
Physical environment - Garden development,
Building design
Advocacy for healthier environments; Healthy
canteen
c) Patient and family Orientated Activities
Health information project - improve quality
and access
Partnership in care project
Chronic disease self-management programs
Facilities for special needs groups
 d) Staffs Orientated Activities
Health screening programs
Vaccination program – hepatitis B
Welfare; Gym facilities, walking groups, aerobics
groups
Smoking cessation programs
Staff counselling services
 e) Community Orientated Activities

Monthly public lectures.

Health Information Centre - community
access to information.
Website developments to increase access to
health information.
Support for self-help and patient support
groups.
Media presence - increased community
education and advocacy profile.
Thank You