Health literacy Movements in Asia
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1 Health literacy Movements in Asia Professor Dr. Peter CHANG, MD, MPH, ScD, FRCP Secretary General, Asian Health Literacy Association AHLA. Vice president, International Health Literacy Association, IHLA Visiting Professor, Asfendiyarov Kazakh National Medical University, Almaty, KZ Visiting Professor, Dian Nouswantoro University, Semarang, Indonesia Guest lecturer, University of Southern California & Tufts University, USA Academic advisor, École des hautes études en santé publique (EHESP), Rennes, France; Thu Duc Hospital, HCMC, Vietnam 2017/8/4 Thailand 4.0
2 Health literacy Health power Health credits For individual, family For community, society National agenda 2017/8/4 Thailand 4.0
3 Health literacy investment Not expensive, even save money Essential. Without health literacy, without good health Learning throughout life. The earlier, the better Learning from one s environment Relative to one s health system 2017/8/4 Thailand 4.0
4 Health literacy researches in Asia PubMed Health literacy / 1370 Health education / /8/4 Thailand 4.0 PubMed HL % Australia India China Japan Iran Pakistan Taiwan New Zealand Bangladesh Korea Hong Kong Thailand Malaysia Vietnam Indonesia Russia Kazakhstand Total 2993 ~ 25%
5 2017/8/4 Thailand 4.0 Google scholar HL % Australia India China Japan New Zealand Bangladesh Pakistan Korea Russia Hong Kong Vietnam Indonesia Thailand Malaysia Taiwan Iran Kazakhstan Health literacy google scholar 2,170,000
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8 st Japan mental health literacy 2017/8/4 Thailand 4.0
9 80% websites by Google U.S. acceptable, 45.5 % for Yahoo Japan and 37 % for Google Japan. Nonprofit organizations or public institutions ran 45.7 percent of the medical sites generated by Google U.S., only 15.9 % and 7.4 % Japanese-language sites on Yahoo Japan and Google Japan 2017/8/4 Thailand 4.0
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11 st health literacy in Taiwan mental health literacy 2017/8/4 Thailand 4.0
12 Mental health literacy
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15 In each health contact, assist the public, through life course improve and owe adequate health knowledge and skills ~ health literacy 2017/8/4 Thailand 4.0
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19 20+ countries, 60+ institutions, 80+ global partners 19
20 2017/8/4 Thailand rd International Conference on Health Literacy & Healthcare Efficiency
21 2017/8/4 Thailand rd International Conference on Health Literacy & Healthcare Efficiency
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23 Nov 2016 AHLA KKU Office Dr. Somsak 2017/7/6
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26 Why health literacy matters To know health is the right of an individual The more health they know, can manage, the healthy they are Health literacy is part of literacy, education, culture, society, solidarity Health literacy by the health system of the individuals Health literacy developed by an individual? parents, families, lectures, media, contacts with healthcare services, media, friends, et al. 2017/8/4 Thailand 4.0
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28 Literacy is a human right A tool of personal empowerment A means for social and human development Educational (health) opportunities depend on literacy (health literacy) the United Nations Literacy Decade UNESCO partnering with UN agencies and other organizations to promote literacy, teach basic health literacy, through formal and informal educational programs in many countries. 2017/8/4 Thailand 4.0
29 Incorporating health literacy into educational programmes for youth and adult learners is vital. An example of a groundbreaking health literacy project is the collaboration between UNESCO, the Joint United Nations Programme on hiv/aids (UNAIDS) and other stakeholders resulting in the launching of EDUCAIDS in 2004 the Global Initiative on Education and HIV&AIDS Primary goals 1. To prevent the spread of HIV through education; and 2. To protect the core functions of the education system from the worst effects of the epidemic. 2017/8/4 Thailand 4.0
30 Recommendations to improve health literacy 1. Health professionals aware of education and health literacy 2. Health information user-friendly, verbal, written information simple. Charts and pictures text-free educational methods. 3. Neutral and friendly atmosphere between the providers and the 4. Training and educating health care professionals, teachers, social workers and community volunteers. 5. Local cultural beliefs and customs. 6. Programmes redesigned or adapted. 7. Supporting the adult education sector. 8. Policies at the national, state and local levels. 9. Empowering women and communities. 2017/8/4 Thailand 4.0
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33 Health literacy matters in UHC Health literacy, a paradigm shift Private and individuals, families, communities, work in UHC Universal coverage, what will be covered? Quality of health services essential for effective health services Empower patients and families, communities Enrich all health services, the contact points, the follow-up, outcomes, and values, A field work of PPP, private and individuals better health care services 2017/8/4 Thailand 4.0
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38 Health Literacy Survey - EU The HLS-EU Conceptual Model of Health Literacy (Sorensen et al. 2012) 38
39 Domains and competences of HLS-EU-Q47 Domains Competences 1.Finding 2.Understanding 3.Appraising/Judging 4.Applying information on health(fhi) information on health(uhi) information on health(jhi) information on health(ahi) 1.Health care Ability to access information on medical or clinical issues Ability to understand medical information and derive meaning Ability to interpret and evaluate medical information Ability to make informed decisions on medical issues (HC) 2.Disease Ability to access information on risk factors for health Ability to understand information on risk factors and derive meaning Ability to interpret and evaluate information on risk factors for health Ability to make informed decisions on risk factors for health prevention(dp) 3.Health promotion(hp) Ability to update oneself on determinants of health in the social and physical environment Ability to understand information on determinants of health in the social and physical environment and derive meaning Ability to interpret and evaluate information on health determinants in the social and physical environment Ability to make informed decisions on health determinants in the social and Physical environment (Sorensen et al., 2012) 8/3/
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42 Global comparison in public health literacy health literacy lower in Asia 2017/8/4 Thailand 4.0
43 Lower health literacy in Asia Less participation in social community program Less interacting with social media, television, education program Male <<<< Female Lower in aging populations General HL significantly associated education, perceived social status Universal coverage, less impact from ability to pay for medication
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45 0% 20% 40% 60% 80% 100% GHL HC_HL DP_HL HP_HL points > points >33-42 points >42-50 points Inadequate Problematic Sufficient Excellent 8/3/
46 Women aged with lower HL Negative effect of ageing significantly Modified by watching health related TV programs receiving health related training/ courses 8/3/2017 the APACPH 2015 Conference in Bandung, Indonesia 46
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50 Domains Competences 1.Finding 2.Understanding 3.Appraising/Judg 4.Applying information on information on ing information information health(fhi) health(uhi) on health(jhi) on health(ahi) 1.Health care (HC) 2.Disease prevention (DP) 3.Health Promotion (HP) HL-SF12, validated, shorter, effective quick-test Keep HC, DP, HP domains 2017/8/4 Thailand 4.0
51 Low health literacy Overuse/ underuse of health services Frequent ER visiting Frequent ambulance Multi-medication Can not follow medical compliance Repeat same questions, Can not explain the health status Difficult to choose health services Barrier to access health information Can not conduct self health management
52 2017/8/4 Thailand steps of better HL
53 Hospitals or refugee camp?
54 Who made such hospitals?
55 Hospitals in transition
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57 Hospitals in transition
58 Hospitals in transition
59 Waiting room, not wasting Healthy rooms, classrooms
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61 2017/8/4 Thailand althlit/report_e.pdf
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66 1. Health literacy, global issue, local solution 2. Identify low HL and intervene 3. HL in all health aspects Vulnerable groups - + High HL Low HL 2017/8/4 Thailand 4.0
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