PORTUGUESE PORTUGUESE HEALTH PROFILEHEALTH PROFILE

EUMAPH/ETC PH-HP

7 th Masters on Public Health

National School of Public Health

2004

A HEALTH PROMOTION A HEALTH PROMOTION PERSPECTIVEPERSPECTIVE

Historical IntroductionHistorical Introduction Early 70’s - precarious situation on the health care sector, evidenced by high infant mortality rates (58,6‰).

April's Revolution in 1974 – implementation of democracy

1979 - implementation of Health Care Centers followed by National Health Service (NHS). Free and universal

Improvement of the Portuguese health conditions are associated with financial, material and human resources development.

Nowadays, the main problems faced by NHS, besides financial crises, are the iniquity in access to health care.

National Health PlanNational Health Plan

Recently approved after a public consultation, the National Health Plan (NHP) 2004-2010 aims to integrate and make easier the coordination and collaboration of all society sectors .

Defines strategic guidelines for the activities that other institutions linked o the health ministry should assure in the context of health gains and efficiency.

The main goals are inspired by the action areas of the Ottawa Charter.

Health Health Promotion Promotion

Programmes Programmes and Projectsand Projects

A Health Promotion PerspectiveA Health Promotion Perspective

The several health promotion programmes and projects presented here, were chosen by the 7th Masters Students on Public Health, in order to built the Portugal Health Profile – a Health Promotion perspective, using the HIA-Net support project (coordinated by Maurice Mittelmark, Bergen University).

NATIONAL PROGRAMMESNATIONAL PROGRAMMES

National Programme of Integrated Intervention on the National Programme of Integrated Intervention on the Health Determinants Related with Life-StylesHealth Determinants Related with Life-Styles

Main goal:

Reducing prevalence of risk factors of non transmissible chronic diseases;

Increasing prevalence and strength of health protective factors related with life-styles trough a social integrated approach.

Proposals and Recommendations from Proposals and Recommendations from the National Council of Mental Healththe National Council of Mental Health

This project gives the guidelines that every health mental services should follow – reorientation of services.

National strategic orientations for mental health promotion by these different sectors:

education, media, individual and family counselling, crisis early intervention, occupational health improvement, social care providers training,civil society programmes

National Strategy Against DrugsNational Strategy Against Drugs

In the scope of the National Action Plan Against Drugs and National Action Plan Against Drugs and AddictionAddiction there has been instituted the Drugs Addiction Drugs Addiction Primary Prevention Municipal PlanPrimary Prevention Municipal Plan which aim to assemble efforts between the Institute of Drugs and Addiction, the municipalities and the civil society.

Priority areas: school environment, family environment, school abandon, leisure sports events.

National Programme for Prevention and National Programme for Prevention and Control of Cardio-Vascular diseasesControl of Cardio-Vascular diseases

Goals:

Increasing the epidemiological vigilance of risk factors and cardio-vascular diseases;Promoting healthy lifestyles, reducing risk factors;Empowering the citizens decision-making on health;Improving the organization of medical care – regular check-up’s.

Asthma and Chronic Obstructive Asthma and Chronic Obstructive Pulmonary Disease (COPD)Pulmonary Disease (COPD)

Main goals:

To contribute to the self-control and empowerment of patients;To promote the adherence to the pharmacological therapy;To promote a correct use of the several inhalers devices;To reduce the use of health care services (hospitalisations and urgencies);To improve quality of life

Diabetic GuideDiabetic Guide An Empowering National ToolAn Empowering National Tool

Aims health promotion and co-responsibility of diabetics self-treatment with the participation of health professionals.

Regional ProgrammeRegional Programme

Regional Health Plan 2004-2006 Regional Health Plan 2004-2006 (e.g. Azores)(e.g. Azores)

Strategic orientations: To promote an efficient, integrated health system; To invest in health promotion and disease prevention; To influence the citizens for the responsibility of their health and use of health services.

Health promotion investment will be safeguarded by:Promoting healthy lifestyles; Promoting health education programmes in school; Implementing campaigns against the risk factors; Promoting healthy lifestyles inside of the health services;Influencing citizens for the better use of the health services.  

Local ProgrammesLocal Programmes

Community intervention project Community intervention project for for maternal and infant health and maternal and infant health and

family planningfamily planning

Developed in two Lisbon’s Health Care Centers, in socially deprived communities

Main goals: To establish an effective link between the Health Centers and the population;To increase the population’s awareness and promote their capacity to solve their own health problems;To develop methods, techniques and materials for ethnic minorities groups.

““Better Activity, More Health” Better Activity, More Health” ProgrammeProgramme

Several local initiatives developed by an urban cities (Oeiras, Tomar), which goal is to alert the townspeople for the adoption of a healthy lifestyle during life-span.

It is a set of initiatives seeking health promotion, general well-being e personal accomplishment.

Municipal Programme of Municipal Programme of Prevention of Alcohol Abuse Prevention of Alcohol Abuse (City Council of Azambuja) (City Council of Azambuja)

Integrates strategic interventions:

informative,

educative

participative actions.

The objectives and the actions should offer continuity and support for other programmes that are already in development through the Municipal Plan of Prevention of Drug Addiction.

Accessibilities ProjectAccessibilities Project

Viana do Castelo (healthy city) developed the Accessibilities Accessibilities ProjectProject, which is based on “Health for All in the XXI Century” document and on the strategic guidelines of “Ottawa Charter”.

Principal purpose:Make city accessible to all individuals and situations, by adapting and eliminating obstacles and barriers, alerting and preventing future situations, and promote the coordination between health promotion institutions.

Project of humanization, improvement Project of humanization, improvement and quality of the medical care given to and quality of the medical care given to

patientspatients

Main Goal: to place the patient into the centre of the organisation, humanization and quality of the medical care.

Implementing Pre-Surgery Visit in a Hospital (Egas Moniz)Pre-Surgery Visit in a Hospital (Egas Moniz):To promote the quality of nursing care by a closer contact with patients; To establish empathic relation nurse/patient/family; To clarify doubts and concerns;To develop the nurses skills.

“...if people in all walks of life, nongovernmental and voluntary organizations, governments, the World Health Organization and all other bodies concerned join forces (...) Health For All (...) will become a reality.” (Ottawa Charter, 1986)