The Role of Health Agencies in the Promotion of Health
Chapter One
Objective of the study
The objectives of the study are;
- To ascertain the role of health agencies in promotion of health
- To find out whether health agencies promote health in the rural communities
CHAPTER TWO
LITERATURE REVIEW
conceptualizing health promotion
According to Tannahill, health promotion is an umbrella term covering overlapping fields of health education, prevention and attempts to protect public health through social engineering, legislations, fiscal measures and institutional policies which entail the combination of the best in terms of both theory and practice from a wide range of expert groups (educationists, behavioral scientists, medical practitioners) and non-professionals including the communities involved. For him, health promotion stems largely from a new focus for health services that recognize some basic facts: many contemporary health problems are preventable or avoidable through lifestyle change; modern technology is a bundle of mixed blessings bringing both benefits and risks to health; medical technology is at the phase of diminishing returns (losing efficacy and connection to ordinary people); such non-medical factors as better nutrition, improved living conditions and public health measures have contributed to both health and longevity even more than medical measures; that doctors can cause as well as cure disease; and increasing public desire to attain better or improved quality of life and at the same time demystifying and demedicalising the attainment (achievement) of good health.
For the World Health Organization (WHO), health promotion is essentially about engendering a context in which the health and well-being of whole populations or groups are owned mainly by the people concerned, i.e., enabling citizens of local communities to achieve political control and determination of their health. Therefore, health promotion goes beyond mere healthcare but puts health on the policymaking agenda in all sectors and at all levels, directing policymakers to be cognisant or conscious of the health consequences of their decisions and accept responsibilities for health.
Health promotion can be seen as the whole process of enabling or empowering people to increase control over and improve their overall health. It focuses on creating awareness of health issues, engendering behaviour modification consistent with prevention and attitudes to ill health and motivating increased usage of available health facilities. In the pursuit of good health (physical, mental and social well-being), individuals and groups through health promotion are enabled to identify and realize aspirations, satisfy needs and change or cope with the environment in manners consistent with complete good health.
Health promotion is expected to contribute to programme impact by enabling prevention of disease, reduction of the risk factors or behaviors associated with given diseases, promoting and fostering lifestyles and conditions that are conducive to good health and enabling increasing use of available health facilities. Therefore, health promotion creates both the awareness and conscientisation that leads to disease prevention, control of health situations and usage of health services and facilities. It implies individual and collective control and participation in health focusing on behavioral change, socio-economic lifestyles and the physical environment.
Without doubt the WHO’s Ottawa Charter definition of health promotion is very comprehensive and encompasses the core values and guiding objectives of health promotions.
CHAPTER THREE
RESEARCH METHODOLOGY
INTRODUCTION
In this chapter, we described the research procedure for this study. A research methodology is a research process adopted or employed to systematically and scientifically present the results of a study to the research audience viz. a vis, the study beneficiaries.
RESEARCH DESIGN
Research designs are perceived to be an overall strategy adopted by the researcher whereby different components of the study are integrated in a logical manner to effectively address a research problem. In this study, the researcher employed the survey research design. This is due to the nature of the study whereby the opinion and views of people are sampled. According to Singleton & Straits, (2009), Survey research can use quantitative research strategies (e.g., using questionnaires with numerically rated items), qualitative research strategies (e.g., using open-ended questions), or both strategies (i.e., mixed methods). As it is often used to describe and explore human behaviour, surveys are therefore frequently used in social and psychological research.
POPULATION OF THE STUDY
According to Udoyen (2019), a study population is a group of elements or individuals as the case may be, who share similar characteristics. These similar features can include location, gender, age, sex or specific interest. The emphasis on study population is that it constitutes of individuals or elements that are homogeneous in description.
This study was carried to examine the role of health agencies in the promotion of health. Staffs of ministry of health in Abuja form the population of the study.
CHAPTER FOUR
DATA PRESENTATION AND ANALYSIS
INTRODUCTION
This chapter presents the analysis of data derived through the questionnaire and key informant interview administered on the respondents in the study area. The analysis and interpretation were derived from the findings of the study. The data analysis depicts the simple frequency and percentage of the respondents as well as interpretation of the information gathered. A total of eighty (80) questionnaires were administered to respondents of which only seventy-seven (77) were returned and validated. This was due to irregular, incomplete and inappropriate responses to some questionnaire. For this study a total of 77 was validated for the analysis.
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATION
Introduction
It is important to ascertain that the objective of this study was to ascertain the role of health agencies in the promotion of health. In the preceding chapter, the relevant data collected for this study were presented, critically analyzed and appropriate interpretation given. In this chapter, certain recommendations made which in the opinion of the researcher will be of benefits in addressing the challenges of health agencies in the promotion of health
Summary
This study was on the role of health agencies in the promotion of health. Two objectives were raised which included: To ascertain the role of health agencies in promotion of health and to find out whether health agencies promote health in the rural communities. The study adopted a survey research design and conveniently enrolled 80 participants in the study. A total of 77 responses were received and validated from the enrolled participants where all respondents were drawn from selected staff of ministry of health in Abuja. Hypothesis was tested using Chi-Square statistical tool (SPSS).
Conclusion
Generally, there is a need for stepping up health promotion research in Africa in the areas of family and reproductive health targeting such issues as VVF, antenatal care, diabetes, cardiovascular issues, new disease forms/resurgence of old diseases (including Ebola), etc. especially in terms of communicating with those who are marginal to the formal sector of the society or who are less privileged by virtue of education, economic opportunities or physical/mental challenges, etc. in both urban and rural contexts. Health promotion can profit from an acute awareness of the fact that what works in one socio-geographical setting may not work in another since no two societies are exactly the same. This would entail designing programmes that even where the general principles or goals remain the same embody recognition of the socio-geographical peculiarities of the society/community concerned.
Recommendation
In addition to media practitioners, there should be health programme or intervention specific to health promotion capacity building for different cadres of public sector workers. Such capacity building or training should be anchored on acute awareness of current research trends and best practices globally. There should also be increased attention to the need for specific health promotion for under-represented health issues and priority to non-communicable diseases should be targeted. It should also improve capacity on how to incorporate methods of targeting members of the society marginal or vulnerable within each country context
References
- Abbott S 2002 The meaning of health improvement. Health Education Journal 61(4): 299–308.
- Berridge V 2007 Multidisciplinary public health: what sort of victory? Public Health 121(6): 404–408.
- Coen C, Wills J 2007 Specialist health promotion as a career choice in public health. The Journal of the Royal Society for the Promotion of Health 127(5): 231–238.
- Department of Health 1998 Independent inquiry into inequalities in health. London, The The Stationery Office. Department of Health 2001 Chief Medical Officer’s report to strengthen the public health function of England. London, The The Stationery Office. Department of Health 2005 Shaping the future of public health: Promoting health in the NHS. London: The Stationery Office
- Evans D, Dowling S 2002 Developing a multi-disciplinary public health specialist workforce: training implications of current UK policy. Journal of Epidemiology and Community Health 56: 744– 747.
- French J, Blair Stevens C 2005 Social marketing pocket guide. London, National Social Marketing Centre for Excellence (http://www.nsms. org.uk).
- Griffiths S, Jewell T, Donnelly P 2005 Public health in practice: the three domains of public health. Public Health 119: 907–913.
- Hancock T 2001 Healthy people in healthy communities in a healthy world: the science, art and politics of public health in the 21st century. Paper presented at the launch of the OU School of Health and Social Welfare Health Promotion and Public Health Research Group, 12 September. Milton Keynes, The Open University. Lalonde M 1974 A new perspective on the health of Canadians. Ottawa, Information Canada.
- Macdowall W, Bonell C, Davies M 2006 Social marketing. In: Macdowall W, Bonell C, Davies M (eds) Health promotion practice. Maidenhead, Open University Press.