healthy communities what is it all about? how do we get there?

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HEALTHY COMMUNITIES HEALTHY COMMUNITIES What is it all about? What is it all about? How do we get there? How do we get there?

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Ottawa Charter –Build healthy public policy –Create supportive environments –Strengthen community action –Develop personal skills –Reorient health services

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Page 1: HEALTHY COMMUNITIES What is it all about? How do we get there?

HEALTHY COMMUNITIESHEALTHY COMMUNITIESWhat is it all about? What is it all about?

How do we get there?How do we get there?

Page 2: HEALTHY COMMUNITIES What is it all about? How do we get there?

1978 - WHO Adoption of the Alma-Alta Declaration

Broadened the definition of health to include “...mental, physical, emotional, social

and spiritual health.”

Page 3: HEALTHY COMMUNITIES What is it all about? How do we get there?

1986 - Ottawa Charter – Build healthy public policy– Create supportive environments– Strengthen community action– Develop personal skills– Reorient health services

Page 4: HEALTHY COMMUNITIES What is it all about? How do we get there?

Health Field Conceptual Model Influence Factors on Health Status

40% Lifestyle & Behavior

10% Medical Care20% Soc/Econ/Env. 30% Human biology

Source: McGinnis et al, Robert Wood Johnson Foundation, Canadian Health Ministry © Tyler Norris 2003

Page 5: HEALTHY COMMUNITIES What is it all about? How do we get there?

1. KADNAB - Knowledge Alone Does Not Affect

Behavior2. “...Environmental

change critical part of a comprehensive strategy.”

3. Need multiple coordinated strategies.

Page 6: HEALTHY COMMUNITIES What is it all about? How do we get there?

Angel Oak, 1500 years old, James Island, SC

Page 7: HEALTHY COMMUNITIES What is it all about? How do we get there?

Levels of Influence

Individual

Interpersonal

Institutional

Community

Public Policy

Page 8: HEALTHY COMMUNITIES What is it all about? How do we get there?
Page 9: HEALTHY COMMUNITIES What is it all about? How do we get there?
Page 10: HEALTHY COMMUNITIES What is it all about? How do we get there?

EDUCATION

HEALTH

CARE

TRANSPORTATION

POLICE

HOUSING

ECONOMIC

DEVELOPMENT

© Tyler Norris 2003

NEIGHBORHOOD

FAITH

GROUPS

BUSINESSES

NOT

FOR

PROFIT

GROUPS

CLUBS

CIVIC

GROUPS

MUNICPAL

GOV

COMMUNITY SILOS

ARTS

Page 11: HEALTHY COMMUNITIES What is it all about? How do we get there?

Community Mapping is a meansof equally identifying a community’s

assets/resources and needs/deficits to support community building.

Needsand

Deficits

Assetsand

Resources

© Tyler Norris 2003

Page 12: HEALTHY COMMUNITIES What is it all about? How do we get there?

Individual Skills & Capacities

Social, Civic Betterment

Groups

Community Nest - Community Assets

PersonalEconomicResources

Local InstitutionsSchools/Faith

Cultural Events/ Organizations

Space (Open and Gathering

Space)

Businesses(Formal and

informal-producing)

Page 13: HEALTHY COMMUNITIES What is it all about? How do we get there?

Healthy Communities Principles

Broad definition of health.Broad definition of health.Broad definition of community.Broad definition of community.Shared vision and values.Shared vision and values.Quality of life for everyone.Quality of life for everyone.Diverse Diverse residentresident participation and widespread community participation and widespread community

ownership.ownership. Invests in youth leadership and development.Invests in youth leadership and development.Focus on “systems change.”Focus on “systems change.”Capacity building using local assets and resources.Capacity building using local assets and resources.Benchmark and measure process and outcomes. Benchmark and measure process and outcomes.

• Source: Ayre, Clough, Norris • Italics are Mass. Partnership’s modification of internationally recognized Principles.

Page 14: HEALTHY COMMUNITIES What is it all about? How do we get there?

HEALTHY COMMUNITY PROCESS

SOW•

GROW

HARVESTPLOW

VISION

Page 15: HEALTHY COMMUNITIES What is it all about? How do we get there?