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HEALTH EDUCATION HEALTH EDUCATION PROGRAMME IN MALAYSIAPROGRAMME IN MALAYSIACURRENT SITUATION AND CURRENT SITUATION AND

FUTURE DIRECTIONFUTURE DIRECTION

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Presentation scopePresentation scope

Current scope and focus of Current scope and focus of Health Education Programme.Health Education Programme.

Issues and challenges for Health Issues and challenges for Health Education service in the future.Education service in the future.

Future directions.Future directions.

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CURRENT SCOPE AND CURRENT SCOPE AND FOCUS OF HEALTH FOCUS OF HEALTH

EDUCATION EDUCATION PROGRAMMEPROGRAMME

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General objective:General objective:

Enhance health knowledge and Enhance health knowledge and inculcate positive attitudes inculcate positive attitudes towards health and promote the towards health and promote the adoption of healthful living.adoption of healthful living.

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Specific objectives:Specific objectives:

provide relevant health information to provide relevant health information to specific target groups and public in specific target groups and public in general.general.

facilitate the development of positive facilitate the development of positive health attitudes.health attitudes.

promote the adoption of healthy promote the adoption of healthy lifestyle.lifestyle.

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Current major functions;Current major functions;

Planning, implementing, Planning, implementing, coordinating and evaluating;coordinating and evaluating;

–Healthy lifestyle ProgrammeHealthy lifestyle Programme–Health education programmeHealth education programme–Mass media programmeMass media programme

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… … Current major Current major functions;functions;

Commemorating special health Commemorating special health events.events.

Strengthening inter-sectoral Strengthening inter-sectoral collaboration.collaboration.

Providing media support to all Providing media support to all Ministry of Health Programmes.Ministry of Health Programmes.

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… … Current major Current major functions;functions;

Carrying out health education Carrying out health education research and impact assessment.research and impact assessment.

Conducting training in health Conducting training in health education and health promotion.education and health promotion.

Providing consultancy and advisory Providing consultancy and advisory services.services.

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Transition from Health Transition from Health Education to Health Education to Health PromotionPromotion

Needs to address other determinants Needs to address other determinants of health not merely on behavioural.of health not merely on behavioural.

5 strategies of the Ottawa Charter are 5 strategies of the Ottawa Charter are utilised in the ongoing Healthy utilised in the ongoing Healthy Lifestyle Campaign.Lifestyle Campaign.

Anti smoking, Anti mosquito and Anti smoking, Anti mosquito and Clealiness Campaign and Promotion of Clealiness Campaign and Promotion of Organ Donation Campaign adopt these Organ Donation Campaign adopt these strategies.strategies.

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ISSUES AND ISSUES AND CHALLENGES FOR CHALLENGES FOR

HEALTH EDUCATION HEALTH EDUCATION SERVICE IN THE FUTURESERVICE IN THE FUTURE

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Issues and challenges;Issues and challenges;

1. Health promotion is a new paradigm 1. Health promotion is a new paradigm in public health world-wide.in public health world-wide.

2. Health education alone will not 2. Health education alone will not effective in improving overall health effective in improving overall health status due to many determinants of status due to many determinants of health.health.

3. Health services more focus on the 3. Health services more focus on the treatment mentality.treatment mentality.

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… … Issues and challenges;Issues and challenges;

4. Focus are more on individual and 4. Focus are more on individual and his/her health behaviour which is his/her health behaviour which is deemed to be the cause of person’s deemed to be the cause of person’s health or ill-health.health or ill-health.

5. Do not address the total person’s 5. Do not address the total person’s and his/her health needs in a and his/her health needs in a holistic manner.holistic manner.

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… … Issues and challenges;Issues and challenges;

6. Health promotion programme 6. Health promotion programme focusing more on public health.focusing more on public health.

7. Needs to integrate the latest 7. Needs to integrate the latest advances in Information and advances in Information and Communication Technologies (ICT)Communication Technologies (ICT)

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… … Issues and challenges;Issues and challenges;

8. Needs to strengthen research and 8. Needs to strengthen research and evaluation.evaluation.

9. Needs to generate greater 9. Needs to generate greater community responsibilities and action community responsibilities and action for their own health.for their own health.

10. Needs strong support and 10. Needs strong support and collaboration with other agencies to collaboration with other agencies to address many determinants of health.address many determinants of health.

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… … Issues and challenges;Issues and challenges;

11. Problems and challenges in Healthy 11. Problems and challenges in Healthy

Lifestyle Programme:Lifestyle Programme:

a. Frequency of themes.a. Frequency of themes.

b. Difficulties to sustain because too b. Difficulties to sustain because too many themes.many themes.

c. Some themes are under the c. Some themes are under the purview of other agency.purview of other agency.

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… … Issues and challenges;Issues and challenges;

d. Difficulty of evaluating behaviour d. Difficulty of evaluating behaviour change in an objective manner.change in an objective manner.

e. Many staff lack of skill and e. Many staff lack of skill and confidence to implement the confidence to implement the programme.programme.

f. Lack of resources and facilities for f. Lack of resources and facilities for personal skill development.personal skill development.

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… … Issues and challenges;Issues and challenges;

12. Problems pertaining to 12. Problems pertaining to implementation of health implementation of health promotion programme at ground promotion programme at ground level:level:

a. Lack of dedicated and specific a. Lack of dedicated and specific staff at district level.staff at district level.

b. Poor coordination between b. Poor coordination between different levels.different levels.

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… … Issues and challenges;Issues and challenges;

c. Too many launching or celebration c. Too many launching or celebration of health events/days (state/district of health events/days (state/district level).level).

d. Certain activities do not benefit d. Certain activities do not benefit the target groups.the target groups.

e. Lack of health promotion project e. Lack of health promotion project carried out in the community level.carried out in the community level.

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FUTURE FUTURE DIRECTIONSDIRECTIONS

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FUTURE DIRECTIONS;FUTURE DIRECTIONS;

Direction and emphasis will be in Direction and emphasis will be in line with the Vision and Mission line with the Vision and Mission statement of this programme.statement of this programme.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

VISIONVISION

To be a centre of excellence in To be a centre of excellence in health promotion to enable health promotion to enable Malaysians to adopt healthy Malaysians to adopt healthy lifestyle practices and enjoy lifestyle practices and enjoy optimal health.optimal health.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

MISSIONMISSION

To promote the health of Malaysians To promote the health of Malaysians through:through:• dissemination of accurate, appropriate and dissemination of accurate, appropriate and

relevant information in a timely, equitable relevant information in a timely, equitable and innovative manner,and innovative manner,

• empowerment of individuals and empowerment of individuals and communities to enable them to take action communities to enable them to take action on the determinants of health,on the determinants of health,

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

… … MISSIONMISSION

• inter-sectoral collaboration with inter-sectoral collaboration with relevant government, non-relevant government, non-government and private sector government and private sector agencies.agencies.

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FUTURE DIRECTIONS;FUTURE DIRECTIONS;

1. UTILISATION OF HEALTH 1. UTILISATION OF HEALTH PROMOTION STARETGIESPROMOTION STARETGIES

• To utilise five (5) health To utilise five (5) health promotion strategies (Ottawa promotion strategies (Ottawa Charter).Charter).

• To utilise other approaches To utilise other approaches besides behavioural approach.besides behavioural approach.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

2. EMPOWERMENT2. EMPOWERMENT• Empowerment of individuals, Empowerment of individuals,

families and communities to families and communities to adopt healthy lifestyle adopt healthy lifestyle practices.practices.

– Development of personal Development of personal skills, supportive environment skills, supportive environment and healthy public policy.and healthy public policy.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

3. HOLISTIC APPROACH3. HOLISTIC APPROACH

• Avoiding a piece-meal approach, Avoiding a piece-meal approach, more towards the holistic more towards the holistic manner.manner.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

4. TRAINING4. TRAINING

• Training for health personnel Training for health personnel and facilitators in health and facilitators in health promotion.promotion.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

5. USE OF ICT IN HEALTH 5. USE OF ICT IN HEALTH PROMOTIONPROMOTION

• Utilisation of ICT in dissemination Utilisation of ICT in dissemination of information in a timely, of information in a timely, equitable and innovative equitable and innovative manner.manner.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

6. HEALTH PROMOTION IN HOSPITAL6. HEALTH PROMOTION IN HOSPITAL

• Strengthening health promotion Strengthening health promotion programmes in hospital with the programmes in hospital with the support of public health staff.support of public health staff.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

7. RESEARCH, EVALUATION AND AUDIT 7. RESEARCH, EVALUATION AND AUDIT IN HEALTH PROMOTIONIN HEALTH PROMOTION• Strengthen action-oriented Strengthen action-oriented

research at all levels.research at all levels.

• To do simple and small study on To do simple and small study on the impact of HLSC in a particular the impact of HLSC in a particular location.location.

• Regular audit and assessment of Regular audit and assessment of health promotion programme.health promotion programme.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

8. STRENGTHENING INTERSECTORAL 8. STRENGTHENING INTERSECTORAL COLLABORATION AND INVOKING COLLABORATION AND INVOKING COMMUNITY PARTICIPATION.COMMUNITY PARTICIPATION.

• Full partnership with relevant Full partnership with relevant agencies and authorities in agencies and authorities in programme developing and programme developing and implementation.implementation.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

9. IMPROVING FUTURE HEALTHY 9. IMPROVING FUTURE HEALTHY LIFESTYLE CAMPAIGNLIFESTYLE CAMPAIGN

• Reduction of Healthy Lifestyle Reduction of Healthy Lifestyle Campaign to four (4) basic Campaign to four (4) basic themes.themes.

• To develop Health Promotion To develop Health Promotion Resource Centres nation wide.Resource Centres nation wide.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

10. 10. STRENGTHENING IMPLEMENTATION OF STRENGTHENING IMPLEMENTATION OF HEALTH PROMOTION ACTIVITIES AT THE HEALTH PROMOTION ACTIVITIES AT THE GROUND LEVELGROUND LEVEL

• To review policies of all campaign To review policies of all campaign and making appropriate and making appropriate recommendations.recommendations.

• Prioritise special events/days Prioritise special events/days annually to benefit the target annually to benefit the target groups.groups.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

• Creating more HEO’s post at the Creating more HEO’s post at the district level.district level.

• Establishment of Health Establishment of Health Promotion Coordination Promotion Coordination Committee at district level to Committee at district level to strengthen health promotion strengthen health promotion programmes.programmes.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

• To carry out special health To carry out special health promotion projects.promotion projects.

• To improve communication To improve communication between all health facilities in between all health facilities in the district.the district.

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… … FUTURE DIRECTIONS;FUTURE DIRECTIONS;

• Systematic and up-to-date Systematic and up-to-date documentation of health documentation of health promotion activities.promotion activities.

• To review financial allocation for To review financial allocation for health promotion programmes health promotion programmes for every state/district.for every state/district.

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THANK THANK YOUYOU

THANK THANK YOUYOU