Cabe, J., and S. Thompson. A number of bibliographies have also been published. The key thing to emphasize when talking about this kind of partnership, Cabe said, is the importance of engaging and honoring the existing leadership structures in the communities. All these stories show us just how much of an impact having lower levels of health literacy could have on a person’s health. Non-communicable diseases deemed development challenge of “epidemic proportions” in political declaration adopted during landmark General Assembly summit. FIGURE 3-4 A scorecard for health. Presentation at the Institute of Medicine workshop on Health Literacy: Improving Health, Health Systems, and Health Policy Around the World, New York, September 24. WHO South-East Asia Journal of Public Health 1(2):224-226. health by helping them properly use information, leading to personal and social benefit and thereby enabling community action and the building of social capital, Kumaresan said. Executive Director, World Health Organization Appropriate preventive measures (e.g., smoking cessation, sigmoidoscopy, mammograms). Bethesda, MD: National Institutes of Health. Three key questions will be answered in this presentation, Baur said. Today I wanted to quickly go over the 3 tiers of instruction for literacy. Of those, the majority said it was because of the performances (means of 3.15 on a 4-point scale). She asked, “Where are the gaps and the biggest opportunities for the private sector to collaborate with the UN and UN agencies in ways to help meet the goals of health literacy?” Ratzan responded that the IWG is a good place to start. Successful models are needed to ensure that UN resolutions and WHO resolutions can be implemented. Ratzan said that multiple stakeholders continue to advance health literacy at many levels. For the future, checklists and scorecards can have major global impacts for patients and consumers, Ratzan said, including reduction of chronic, NCDs, maternal and child mortality, and infectious diseases. As the evolution in scorecards continues, Ratzan said, people are beginning to look at how they can be used online and with mobile technology. Then there is scalability in the context of large organizations. It is a means to social and human development. There was, however, constant change in all of the episodes. Health education leads to health literacy, he said, which then empowers individuals, families, and the community. Organizations that might not think they have much in common can use the NAP as a framework for identifying common interests in health literacy. Health illiteracy is prevalent in all ethnicities, sexualities, and genders. Now what? Centers for Disease Control and Prevention. Why is health literacy important. There are many companies that probably would worry too much about revealing their secrets. It allows local organizations to link their work to the national agenda and confirms the importance of health literacy as a policy topic. They apply these skills either to make sense of health information and services or provide health information and services to others (CDC, 2019). In the U.S. context, there is the issue of limited English proficiency and the need to provide interpretation and translation. In the Philippines, for example, there is a national plan for a campaign to promote breastfeeding and infant nutrition. So the Joker (the public health physician) said, “All right. New England Journal of Medicine 355(26):2725-2732. You're looking at OpenBook, NAP.edu's online reading room since 1999. What level does health information need to be at for most patients to understand? In addition to what Baur mentioned, then, these papers are another tool for better understanding what is going on in health literacy. Spread the loveWhen we think of literacy, we usually think of the ability to read and write. In the figure, on the left in yellow, is what many people think of as health education for individuals. By Thomas Bauer Moderator | 05 May, 2016 . In 2006, they published the only national data on health literacy skills. Isham said this discussion highlights a key issue when attempting to establish partnerships: the need to maintain a balance between respecting a company’s right to privacy and the need for cooperation. Health literacy reviews. Nokia built an application (app) that will be given to women. Ratzan concluded by saying there are many opportunities to share innovations and programs aimed at health literacy and improving health. While different definitions are used 2 and health literacy is an evolving concept, there is agreement that health literacy means more than simply being able to "read pamphlets", "make appointments", "understand food labels" or "comply with prescribed actions" from a doctor. FIGURE 3-2 E-health architecture model. Fortunately, there are a number of discussions on health literacy going on around the world. There are different models for how companies approach a partnership, and each partnership needs to be culturally sensitive and address local needs and resources. Understanding health literacy levels among the population (and vulnerable sub-populations) helps the development and delivery of consumable and effective population health messages during such large-scale outbreaks. A 29-item Safe Childbirth Checklist has been developed and successfully piloted in India, with a draft version available by the end of 2012.” Examples of checklists for improving health outcomes can be found in Table 3-1. The onstage presence of the “Joker”—a physician and public health practitioner—kept the performance grounded in science. This study discusses health literacy in the light of general upper secondary education students' test answers (N = 611) on the Finnish Matriculation Examination. Cultural issues and language barriers also exist. What are some factors? - Patients need to quickly understand info bc of short face time with HCP. This has important implications as to how health information is presented at the individual as well as the public level. An e-health infrastructure (see Figure 3-2) can help manage health and well-being by monitoring and managing medications. In medicine, falling for fake innovation. There are unparalleled scaling opportunities with online and mobile communication technologies that provide new promise and opportunities for advancing health literacy. http://www.cdc.gov/women/text4baby (accessed November 26, 2012). There are also antitrust issues that might be a challenge. Ratzan responded that it is not the same. How can best practices and basic competencies be shared? DOI: 10.3912/OJIN.Vol14No03Man01Keywords: health literacy, decision-making, health information, Internet navigation, patient empowerment, patient-provider relationshipAlthough health literacy is a concept new to many members of the healthcare community, it has quickly caught the attention of researchers, polic… With these. Another possible resource is the CTIA, a cellular telephone group that is working to scale up some mobile health pieces. There are some major factors necessary for a successful partnership. NLM Pub. Every year, WHO monitors how much of the framework and the articles have been implemented. There is a need to document impact on policy-relevant outcomes, Baur concluded. Implementing the internationally agreed goals and commitments in regard to global public health. Kumaresan said an article in the Lancet showed a doubling in smoking quit rates within a period of 6 months for the 5,000 participants in mobile health messaging as compared to the control group. There is no standard quality check, and it is difficult for consumers to understand and evaluate the accuracy of the information they do have, Kumaresan said. These factors include: Communication Skills Reading/Literacy Level Knowledge of biology, health, and health topics … Delivering services through community-based organizations and nonprofit organizations. High school level or higher. Another example is a malaria program in eight countries in Central America. Socioeconomically disadvantaged groups in particular present with the weakest health literacy levels, suggesting that differences in health literacy levels contribute to health disparities. Kumaresan described a project in Ethiopia in which he was involved. This definition can encompass mobile health information and e-health technologies. Numerous organizations and individuals have pursued the development of scorecards for health, Ratzan said. You know enough now. Can technology—in this case, radio, television, and videos—be used to scale up efforts? Although there is a plethora of health information on the Internet, there is a lack of evidence-based information that is easily available to the general public. When President Carter visited the community and asked what they needed, the response was: “Our children are now healthy. Jump up to the previous page or down to the next one. WHO recently reported the progress Member States are making against the MPOWER measures in the WHO Report on the Global Tobacco Epidemic 2011” (http://www.who.int/gho/tobacco/en/index.html [accessed November 29, 2012]). If one inserts health literacy, plain language, cultural competence, and limited English proficiency into the funding announcement template, one has immediately affected every single program that uses the template to request proposals, she said. WHO’s health literacy work. Her organization partners only with organizations that have a strong belief in promoting health and wellness, organizations like Clorox, the Red Cross, and others involved in disaster relief. They are. The basic plot is that the father is missing, the mother says he is dead, but the father is seen with a younger woman. So the water comes dirty and that is how it is used. HEALTH LITERACY WORK OF THE WORLD HEALTH ORGANIZATION. The scope of health literacy has three distinct ‘levels’: • Functional literacy: Skills that allow an individual to read consent forms, medicine labels, and health care information and to understand written and oral information given “Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Ratzan and Parker, 2000). Importantly, this is an unbranded program, so it did not promote Clorox products, Thompson said. The United States has taken the approach of putting many key pieces in place, and the challenge now is to move from the abstract to the concrete, to commit to measurable organizational. Kumaresan said that health education aims to influence individual lifestyle decisions and raise awareness of the determinants of health. on information using traditional media, mobile devices, and the Internet, Kumaresan said. Also, Cabe said, the cultural fit of organizations is very important to the success of a program. (UN General Assembly, 2011b). European Communities. The NAP has helped identify key strategies that we feel the Center can be involved in at the community level. Health communication and health literacy is also integrated into health professional training. Nutbeam (2000) describes three levels of health literacy: > basic/functional health literacy describes the level at which an individual has. They are also communicating the processes and findings of this pilot through publications and presentations. 10 “Trachoma is the result of infection of the eye with Chlamydia trachomatis. In addition, the NAP helps health and literacy efforts across the nation compare and share best practices, as well as understand how they can align their efforts to take full advantage of recent policy and legislation changes. 250 households before the start of the performances and with 249 households after the final performance. The World Health Organization defines health literacy as cognitive and social skills determining individuals' motivation and ability to receive, understand, and use information in a health-promoting manner. In this way the public sector is able to address the ethical questions that would arise if it were choosing one. It will take time to marshal the necessary forces to achieve health literacy for the world’s population, Ratzan said. UNITED STATES: HEALTH LITERACY AND RECENT FEDERAL INITIATIVES, Cynthia Baur, Ph.D.Senior Advisor for Health LiteracyCenters for Disease Control and Prevention, Baur said that it is time to commit to measurable organizational change in health literacy. The media is not just a conduit, but an ongoing purveyor of health information, Ratzan said. Ratzan responded that an article in JAMA on text messaging for vaccination among adolescents showed uptake. Both families have ongoing health problems related to poor hygiene. Some patients will have a high degree of health literacy while others only a minimal level. What other options are there? Second, ongoing communication and collaboration is needed. It identified Boston University’s College of Fine Arts as an arts partner. Also important is the use of innovative and appropriate information and communication technologies to bridge the health literacy gap and pass. What are the three levels of health literacy. In England, adult literacy is often referred to in terms of ‘levels’ – for example, a 2011 government survey of adult literacy skills found that 14.9% (or 1 in 7) of adults in England have literacy levels at or below Entry Level 3, which is equivalent to the literacy skills expected of a nine to 11-year-old. Baur pointed out that both the CDC and the Health Resources and Services Administration could use funding mechanisms to scale up health literacy efforts. There is also a health literacy mailbox but the kind of feedback received is generally about a problem with an online system. Those who express an interest are evaluated based on specific criteria that include health promotion. ECOSOC (United Nations Economic and Social Council). Geneva, Switzerland: ECOSOC. Without health information that. So what? Inequalities in health are a major problem, Kumaresan noted. THE THREE DIVIDES: HEALTH, EDUCATION AND DIGITAL Global health challenges have gained more attention over the last few years (Kickbusch and Buse, 2000), due in part to the fear of global epidemics and the extreme social and economic impact of HIV/AIDS in Africa. Rich, great discussion this week. It is not just interpretation and translation; it is ensuring that people have a better understanding of what the encounter is about. The Plain Writing Act of 2010 is another development. Worldwide the level of health literacy is low. Presentation at the Institute of Medicine Workshop on Measures of Health Literacy, Washington, DC, February 26. They focus on. In February 2012, the WHO, in collaboration with the International Telecommunication Union (ITU), launched the National eHealth Strategy Toolkit1 to help individual governments develop an e-health strategy. What are the levels of health literacy in your community? Presentation at the Institute of Medicine Workshop on Health Literacy: Improving Health, Health Systems, and Health Policy Around the World, New York, September 24. 4 The study title is An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU. Organizational change must happen at the individual organization level but also in the broader sectors of industry, government, education, and nonprofit organizations. Winston Wong, a Roundtable member, asked about scalability of projects. 2012. However, the understanding of literacy that we possess is often curtailed by our educational experiences. Baur provided quotes from some organizations in the field that use the NAP. Through an integrative approach to advancing health literacy, CRI is able to address challenging problems in public health, working with partners and looking beyond causes of problems to the causes of the causes. Furthermore, the level of health literacy in many developing countries is unknown. In November 2010, a team from CRI, Boston University, and The Clorox Company conducted site visits at numerous shantytowns around Lima, and two were chosen for the program (see Figure 3-5). This preview shows page 2 - 4 out of 4 pages. Dr. Suad Ghaddar of the South Texas Border Health Disparities Center said. However, one possible outcome of a public–private partnership might be increased transparency across all kinds of activities and projects. 2006. In 2 years, there was a reduction in vector density and a 63 percent reduction in malaria cases, Kumaresan said. Jennifer Cabe, M.A.Executive DirectorCanyon Ranch InstituteandSuzanne Thompson, M.S.Vice President, Research & DevelopmentThe Clorox Company. Get step-by-step explanations, verified by experts. This means that over 77 million people have difficulty with common health tasks, such as following directions on a prescription drug label or adhering to an immunization schedule using a standard chart 2. The scorecard could educate people about simple goal ranges enabling them to see how they rate and how they can improve. Citation: Egbert, N., Nanna, K., (Sept. 30, 2009) \"Health Literacy: Challenges and Strategies\" OJIN: The Online Journal of Issues in NursingVol. This is also a critical issue for low- and middle-income countries. Use it to create effective products for all users, including the millions of Americans who don’t have strong literacy or health literacy skills—as well as those who don’t have a lot of time to find, process, and use complex health information. This program uses a mobile phone application as a tool for “counseling adolescent girls and women on menstrual hygiene, sexually transmitted diseases and family planning methods” (Treatman et al., 2012). 54.4 percent of respondents said that there have been changes in household hygiene behaviors during the past 3 months. Baur said that because of competition and different business models the private-sector organizations may not be as open as other organizations in terms of sharing information. The play was called Siempre, which translates in English to Always, as in “always sick.” Two families made up the characters portrayed on the stage—the Maranas and the Buendias. It also identified the University of Arizona as a partner for conducting the microbiology research. published an article by Koh6 and colleagues on policy initiatives and health literacy. For example, the University of Minnesota School of Public Health has a course that addresses health literacy and its relationship to health disparities. 2000. Most informed consent, insurance forms, brochures are written at what level? CDC Health Literacy. It was specifically decided and widely supported to view health literacy as different from health education and to state that health literacy programs occur in more places than just schools. It is disempowering as well. More states that will be added to the map soon because they are having inaugural health literacy conferences in 2013. This is a great time to celebrate the United Nations (UN) Literacy Decade of 2003 to 2012, Kumaresan said, and an opportune moment to convene this roundtable on health literacy. And, in order for that to be helpful, Kumaresan added, one needs a well-functioning, rights-based, patient-centered health care system. The NAP also provides talking points, benchmarks, project ideas, and conference themes. We have developed A Framework for Health Literacy to support each level of the health and disability system in responding to the health literacy needs of all New Zealanders. As stated earlier, the key message is about organizational change. One thing learned is that the microbiology team needed to be much more closely linked to the performance messages to make sure the testing before and after was related to the areas the performances were highlighting. 3. However, nearly half of the American and European populations have low health literacy levels. SOURCE: Kumaresan, 2012. A guide to help plan and carry out a health literacy review in a health care organisation. Greater empowerment drives improved outcomes, Cabe said. Mobile phones for community health workers of Bihar empower adolescent girls. While Clorox is a for-profit company and CRI is a nonprofit public charity, their fundamental guiding principles, missions, visions, and values are complementary. project also demonstrated the ability of a public–private partnership to achieve meaningful community health benefits. In October 2008, Ratzan said he participated in an European Union (EU) high-level pharmaceutical forum. action plan, and monitoring framework at the national level. http://www.digitalhealthscorecard.com (accessed November 15, 2012). system, and making healthcare decisions. Allison MacEachron from the business council for the United Nation said that the panel provided a number of great examples of collaboration between the public and private sectors. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! There was increased knowledge and understanding about hygiene, and there were actual improved personal and household hygiene behaviors in the areas targeted by the intervention. Education needs to be provided not only by the clinics and hospitals but also by other institutions that can increase public health literacy rates such as schools, colleges, workplaces, and libraries. CBM 2000-1. Future options may include checklist tools that provide easily accessible, understandable, and actionable health information to patients and consumers of varying lev-. UN General Assembly. No one was using the information. It is a pilot program that uses the arts to help people understand what needs to be done to improve personal and household hygiene behaviors as well as how to use different disinfecting products. 2012. Baur said that since 2004 the National Institutes for Health have funded $95 million in research under the Health Literacy Program Announcement. The program is called Arts for Behavior Change. Finally, Thompson said, there is great opportunity to improve public health by replicating the program in different communities and cultures. Kumaresan said that noncommunicable diseases are responsible for the highest proportion of deaths globally (see Figure 3-1). The barrels are not clean and the buckets used to obtain the water are not clean either. Ratzan added that transparency is also key to successful partnering. There is scalability in terms of the number of people touched by a project or intervention. Constitution of the World Health Organization. Pediatricians need to communicate with all patients and parents, but particularly those with low literacy, at a level they can understand. Ready to take your reading offline? company or one private investor. Also during this 2-week period, the first four episodes of the telenovela were outlined. A person with health illiteracy cannot follow simple instructions. 2012. makes sense to them, people can’t access cost-effective, safe, and high-quality health services” (HHS, 2010). How would that occur?” And people in the audience stood up and explained how the death could have been avoided. The third is to have a national policy that fosters the effort. Find three websites that provide patient information about the condition, its effects, and treatment. 2 WHO regional offices are closely involved in building health literacy, mobile health, and e-health efforts. Health literacy is the cognitive and social skills that determine the motivation and ability of individuals to gain access to, to understand, and to use information in ways that promote and maintain good health. The change correlates with the performance messages, which featured why and how to clean food preparation areas, Thompson said. For example, in New Zealand the gap between non-Maori and Maori life expectancies was 16 years for males and 14 years for females in 1951. Major challenges exist, however. http://www.un.org/ga/search/view_doc.asp?symbol=A/66/L.1 (accessed March 8, 2013). ting the foundation for reducing both demand for and supply of tobacco products and providing a comprehensive direction for tobacco control policy at all levels. A formative assessment was conducted in the two shantytowns to inform program design, including the stories and characters that would be used. It was founded in 2002 and is a 501(c)3 nonprofit public charity with a 7-member board, 8 employees, 40 volunteers, and more than 90 funding sources. The two project leaders talked regularly to make sure they were giving consistent direction and messages. Emerging from that forum was an EU declaration that stresses the need to enhance health literacy as a policy at EU and member-state levels. Preliminary data indicate that this is an effective approach for increasing knowledge and changing behavior, Ratzan said. I agree with you regarding to this. These laws have laid a foundation for health literacy work in the United States. On the CDC Health Literacy website,7 there is a map that highlights the states with verifiable health literacy coalitions or collaborations. Also, Kumaresan said, mobile health is a wonderful way to conduct outreach. The U.S. Department of Education collects and reports data adult literacy and numeracy skills. There are also a number of state-based activities in health literacy. The working team had regular conference calls and occasional face-to-face meetings. There was also reduced microbiological burden in areas targeted by the intervention. Ratzan, S. C. 2000. Many people have come to identify themselves as health literacy professionals even though they come from many different professions and different kinds of organizations. Twenty-one states have ongoing health literacy activities,3 and more are developing programs at the city, county, state, and regional levels, Ratzan said. People were using U.S. state-based data. An intervention to decrease catheter-related bloodstream infections in the ICU. Low literacy level can be based on multiple factors. Ratzan said that for the past 2.5 years he has been working with the WHO Innovation Working Group (IWG) Task Force that is focused on creating innovative ways to improve the delivery of health care. At a July 2009 meeting of the UN Economic and Social Council (ECOSOC) in Beijing, the ECOSOC issued a ministerial declaration stating, “We stress that health literacy is an important factor in ensuring significant health outcomes and in this regard, call for the development of appropriate action plans to promote health literacy.”2 Several months later, Ratzan said, the Chinese health minister, during a speech in Geneva, Switzerland, said that health literacy is an important factor in ensuring positive health outcomes and called for the development of appropriate action plans to promote health literacy. There is no plumbing. They saw that children did not have trachoma disease or diarrhea. The professional community has not changed its practices enough to communicate effectively with the public, Baur said. With companies that have a strong foundation in pursuing high-integrity activities, Cabe said, partnership activities can succeed. Use of health checklists or scorecards and mobile health applications in the private sector are other avenues to improve health literacy. Isham asked whether it could be assumed that the nature of public–private partnerships is the same for different countries around the world. Those of us in the field of education know that there are numerous types of literacy, all of which help us navigate life and fully engage in our democratic society. It also addresses health services, which is important because much of what needs to be addressed is how health care is delivered. 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