unesco: health promotion literacy in a development context
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Health literacy in the context of development
2015 Conference on Health Promoting Universities and Colleges
Kelowna, British Columbia22-25 June 2015
Why health literacy? Why UNESCO?
•Right to (health) education for all
•Literacy, rights and development
•HIV, sexuality and health education
•Competences and lifelong learning
Health and Education
• Educational levels health status• Paradigms, and measures of success, visions of
change• New challenges: chronic diseases and healthy
lifestyles”• A social context of abounding contradictions• For some young(er) people: survival strategies
Education
• Coverage quality?• Coverage at tertiary level• Education in crisis! (equity, learning, teaching,
focus, quality, structure, etc) • Importance of “soft skills” for individuals,
communities, employers, societies • Measures of success and other expected
results
Health literacy
“…people’s knowledge, motivation and competences to access, understand, appraise and apply health information in order to make
judgements and take decisions in everydaylife concerning health care, disease prevention and health promotion to maintain or improve
quality of life during the life course.”
Source: HLS-EU. 2012.
Literacy
Functional literacy:More than reading, writing and math
[The ability to...] engage in all those activities for which literacy is required for effective
functioning of his or her group and community, and also for enabling him or her to continue to use reading, writing and calculation for his or her own and the community’s development.”
Source: UNESCO. 1978.
Approaches to Literacy
Cognitive Skills
Tool for critical reflection and social
change (critical, transformative literacy)
Use of capabilities to achieve purposes and
goals
Set of social and cultural practices, in political, cultural and linguistic
contexts
Applied (tasks that require the written
word)
Lind, A. 2012. Desk Study on Current Trends of Defining and Conceptualizing Literacy. (Unpublished); UNESCO. 2005. Literacy for Life: Education for All Global Monitoring Report 2006. Paris. McCaffery, J. et al. 2007. Developing Adult Literacy: Approaches to planning, implementing, and delivering
literacy initiatives. Oxford, Oxfam. St. Clair, R. 2010. Why Literacy Matters: Understanding the effects of literacy education for adults. Leicester, NIACE. Cited in UNESCO/UIL. Rethinking Literacy. 2013.
Health literacyUnderstanding conditions that
determine health and how to change them Self-efficacy
Motivation
Applying relevant health information for
personal benefit
Personal skills Cognitive skills
Media literacy skills Critical thinking
skills
Problem-solving
Health literate knowledgePersonal
knowledge and capability
Capacity to understand and
personalize information
Source: Paakari, I. & Paakari, O. Health literacy as a learning outcome in schools. Health Education, 112 (2), 133-152.
• Health literacy as:– A instrument for measurement and analysis– A framework for personal and community empowerment– An advocacy tool for public policy in health and
education
• Universities as settings for knowledge creation, knowledge sharing, and extension to the broader community
Health literacy
Higher Education
Access to higher education
Source: UNESCO Institute of Statistics. 2015.
OECD: Share of students not acquiring basic skills (2015)
Theoretical knowledge Practical knowledge Critical thinking Self awareness Citizenship
Source: Paakari, I. & Paakari, O. (2012) Health literacy as a learning outcome in schools. Health Education, 112 (2), 133-152.
What do we expect from education?
Theoretical knowledge Practical knowledge Critical thinking Self awareness Citizenship
Source: Based on Paakari, I. & Paakari, O. (2012) Health literacy as a learning outcome in schools . Health Education, 112 (2), 133-152.
What should we expect from health (literacy) promoting universities?
Knowledge generation
Meaningful involvement with
broader communities
Knowledge sharing
Healthy campuses
Fundamental commitment to
the promotion of health and
wellbeing for all
Passion for rights, equity and
participation
Advocacy and leadership
Technical excellence
Thank you!
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