Health Promotion In Action

This activity guideline focuses on health promotion strategies for enhancing the health of whānau and their tamariki. Task 1 involves considering two health promoting activities and describing how each of the strategies are actioned, how effective the strategy is, and what might be the barriers that would hinder the strategy being achieved. Task 2 involves reflecting on the role of a health worker in relation to the five health promotion strategies. The two health promotion activities discussed in this guideline are preventing childhood obesity and periodic immunization.

Health Promotion In Action
ACTIVITY GUIDELINE
Learning Outcomes
Describe health promotion as a strategy for enhancing the health of whānau / family and their tamariki /
children
Activity: Task 1
Using the five strategies of health promotion, as outlined in the Ottawa Charter, consider two health
promoting activities you undertake in your role as a health worker and describe how each of the strategies
are actioned, how effective the strategy is, and what might be the barriers that would hinder the strategy
being achieved.
(Examples of Health Promotion may include: Child safety/driveway safety, Oral health, encouraging timely
immunisations; promote age appropriate nutrition; provide car seat safety information, smoke free, Safe
sleeping) Please select Two Health Promotion activities different from the example below.
Task 2 asks you to reflect on your role as a health worker when considering these strategies.
The following example for breastfeeding demonstrates how to complete this worksheet.
Example Activity: Health promotion and breastfeeding
Strategy Activity How is this effective? What are the barriers?
Build healthy
public policy
Paid parental leave (14
weeks).
Maternity leave of 1 year.
Fosters breastfeeding for the new
mother & baby
Restrictions about being eligible –
been in paid employment (average
of 10 hrs a week) for last 6 months
or more prior to baby’s birth, which
makes it hard for those women who
may be full time parents, work
casually, or temporary.
Create
supportive
environments
-Maintain up to date
Professional development with
breastfeeding.
-Provide additional care as
directed and delegated by the
Registered Nurse
-Work in partnership with
client, and with registered
nurse
-Ability to provide up to date
information and delivery of care to
mother and Family/Whanau
-Giving directed and delegated care
enables additional support to be
given that is within the scope of HW
practice
- Enables all involved to be working
towards the same goal and
therefore greater chance of
achieving it.
Professional Development not
being offered
Inability to attend Professional
Development at the time
Registered nurse not available
Breakdown in communication
Poor documentation
Strengthen
community
action
-Breastfeeding Week every
August when all groups,
agencies supporting BF get
together & promote BF, often
with a specific
-Lactation consultant available,
funded by the DHB, free of
charge, up to 3 months post-
delivery.
-Information is shared that is local,
supported by MoH resources &
media coverage.
It promotes the advantages of BF
so women feel encouraged to start
or maintain BF.
-Opportunity to attend BF clinic .
( referral by Reg Nurse/self-referral)
This complements other health
workers support, & phone services
like PlunketLine & LLL.
-Resistance from some groups in
the community towards supporting
BF, e.g. cafes, businesses.
Promotions need to be in ideal
public places where more than
mothers can receive the message.
-Not all areas have such a service.
Need transport to access. Gets
busy very quick.
Develop
personal skills
Opportunities in all contacts
with women to promote BF,
either one-to-one (kanohi ki te
kanohi) or in groups.
My knowledge is up to date from
education programme, I can access
appropriate resources like TU5,
MoH pamphlets
Sometimes the resources are not in
the language for clients I see.
Reorient health
services
Planned contacts with
whānau. / families
Having an LC accessible for staff as
well as clients. Ensuring clients
know how to access BF supports,
whether at clinic, phone, Family
Centres, LLL.
Cultural acceptance by clients.
Access to these services, may not
have phone or transport or seem
culturally appropriate.
Day time hours for services are
limiting for some working mothers.

Health Promotion In Action
ACTIVITY GUIDELINE
Task One
Student name:
Health Promotion Topic One: Preventing childhood obesity
Strategy Activity How is this
effective?
What are the
barriers?
Build healthy
public policy
(legislation - policies,
protocols and law that
is directed at improving
child health outcomes)
Implementation of
public policy for
quarterly obesity
screening in
schools.
Introducing
physical activity
programs in the
schools
As discussed by
Lobstein et al.
(2015), obesity
screening has been
identified as a
potent technique to
reduce the risk of
obesity. The school
based mandatory
government
sponsored
screening policy
will help in reducing
the burden.
Second strategy
used in the
promotion plan is a
school based
exercise program
for all the students
which will prevent
the risk as well.
A considerable
challenge in this
case can be the
lack of funding and
lack of enthusiasm
in the school
authorities to
implement such
programs. Along
with that, lack of
resources and
expertise in the
schools can also
be barriers.
Create supportive
environments
(how do you provide
care in support of
improving the health
outcome related to
your topic)
Execution of
awareness
program in the
society.
Execution of
training session for
the health care
practitioners
(Ministry of Health
NZ, 2018).
This strategy will
help the staffs in
helping the children
along with the
family members to
manage the weight.
Lack of human
resources
Lack of ample
monetary
resources for
launching
community
awareness
program.
Strengthen
community action
(what community
Conduction of
weight
management
Sharing all the vital
health related
information related
Resistance among
community.
Lack of funding

Health Promotion In Action
ACTIVITY GUIDELINE
initiatives are evident to
improve health
outcomes for children)
workshops in every
month involving
both students and
their parents.
Providing
information
pamphlets
summarizing the
key contents
discussed in the
workshop for future
reference (Lobstein
et al. 2015).
to the harm caused
by excessive
weight.
and manpower.
Develop personal
skills
(Health promotion
interventions that
improve client personal
skills and improved
health outcomes)
Developing
community based
activities for
children to
measure their
weight and develop
diet plans with
collaboration of
dieticians.
The play based
activities arranged
for the children to
participate together
will help them
improve the
awareness and
perception towards
weight
management
easily.
Lack of ample
resources for
conducting the
program.
Reorient health
services
(strategy to review and
renew service contact
with clients; adapting
clients to new situation/
personnel)
Providing free of
cost including
obesity patient
education
campaigns.
This activity can
help in exploring
the main issues in
the community.
Cultural obstacle
among the
community.
ACTIVITY WORKSHEET
Task One
Health Promotion in Action
Student name:
Health Promotion Topic two: Periodic immunization
Strategy Activity How is this
effective?
What are the
barriers?
Build healthy
public policy
(legislation - policies,
protocols and law that
Developing public
policies to develop
immunization
screening
The screening will
help identify the
present
immunization
Inadequate
accessibility
towards health
services.

Health Promotion In Action
ACTIVITY GUIDELINE
is directed at improving
child health outcomes) programs across
different social
groups.
Introducing cost
effective
vaccination
program.
status and
perception of the
target population.
Cost effective
supplying of
vaccines will allow
better compliance
among target group
Lack of funding and
infrastructure.
Create supportive
environments
(how do you provide
care in support of
improving the health
outcome related to
your topic)
To provide
necessary
information to the
parents in an easy
and simple manner
regarding the
importance of
giving appropriate
vaccine.
To provide training
to make the
healthcare
practitioners much
more proficient.
Providing up-to-
date information to
the parents,
especially the
mothers will help
enhance the
awareness
regarding the need
for immunization
(Butler &
MacDonald, 2015).
Lack of skill and
competency among
the healthcare
practitioners is the
biggest barrier to
generate
supportive
environment.
Strengthen
community action
(what community
initiatives are evident to
improve health
outcomes for children)
Arrange inclusive
immunization
workshops for
lower socio-
economic
backgrounds in
community care
centres
The workshops will
help enhance the
immunization
status of the target
groups of the
community.
Staff shortage and
lack of resources
can act as
considerable
barriers.
Develop personal
skills
(Health promotion
interventions that
improve client personal
skills and improved
health outcomes)
Arrange door to
door immunization
campaigns for key
vaccines,
especially in lower
socio-economic
backgrounds and
minority groups
(Butler &
MacDonald, 2015).
The targeted
immunization on a
door to door format
will enhance the
knowledge of the
target group and
eventually will
enhance the
inclination towards
immunization
among the
members of the
community.
Lack of supporting
environment,
resources, staff
and funds.
Lack of effective
organisational
setting.
Reorient health Appropriate This will help in Lack of resources

Health Promotion In Action
ACTIVITY GUIDELINE
services
(strategy to review and
renew service contact
with clients; adapting
clients to new situation/
personnel)
treatment and
medication has
also been served
to the children by
the hand of
registered nurse.
The foods that are
being served to the
children within
hospital must be
made up from
healthy and fresh
ingredients.
protecting the
health and well-
being of the
children.
such as sterilised
equipment is a
major barrier.
Training and
development can
be a barrier to it.
TASK 2
Briefly reflect on your role as a Health Worker in relation to the five health
promotion strategies you have considered above (Minimum 300Words)
The Ottawa charter is a potent tool of health promotion, and each of the action
areas of the Ottawa charter integrates key aspects of health promotion on a
community wide scale (Thompson, Watson & Tilford, 2018). As discussed by the
Eldredge et al. (2016), the areas of the Ottawa charter incorporate the health
workers as the key contributor to the promotional activities, with collaboration from
different internal and external stakeholders of the health care scenario. Hence, the
role of the health care worker is extreme in both the program planning and
implementation in both of the cases highlighted here (Perry, Zulliger & Rogers,
2014).
First and foremost, I would like to mention that for both of the programs, it had
been my first encounter with planning and participating in a large scale health
promotion program and it helped me explore and identify the role of the health
workers like myself in successfully implementing such health promotion programs in
reality.
For the childhood obesity prevention program, I had been given the opportunity to
participate in the educating the children and participating in play based activities with

Health Promotion In Action
ACTIVITY GUIDELINE
them. This had been an excellent opportunity for me to employ my patient
engagement and therapeutic communication skills. However, while interacting with
the parents of the children, I encountered different issues where I had to take help of
my supervisors.
For the immunization program as well, I had to participate in patient education and
awareness program planning and implementation which helped improve my skills
and facilitated professional growth. This activity gave me the opportunity to
contribute in a lot of activities that I did not have a chance to do previously. Hence,
this experience had been an excellent eye opener for me which helped me recognize
the role of health workers in health promotion and the knowledge and expertise
gained will be of great assistance in my future practice.

Health Promotion In Action
ACTIVITY GUIDELINE
Reference List:
Butler, R., & MacDonald, N. E. (2015). Diagnosing the determinants of vaccine
hesitancy in specific subgroups: The Guide to Tailoring Immunization
Programmes (TIP). Vaccine, 33(34), 4176-4179.
Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., & Parcel, G. S.
(2016). Planning health promotion programs: an intervention mapping approach.
John Wiley & Sons.
Lobstein, T., Jackson-Leach, R., Moodie, M. L., Hall, K. D., Gortmaker, S. L., Swinburn,
B. A., ... & McPherson, K. (2015). Child and adolescent obesity: part of a bigger
picture. The Lancet, 385(9986), 2510-2520.
Ministry of Health NZ. (2018). Childhood obesity plan. [online] Available at:
https://www.health.govt.nz/our-work/diseases-and-conditions/obesity/childhood-
obesity-plan [Accessed 29 Sep. 2018].
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International
journal of health policy and management, 3(2), 77-89.
Perry, H. B., Zulliger, R., & Rogers, M. M. (2014). Community health workers in low-,
middle-, and high-income countries: an overview of their history, recent evolution,
and current effectiveness. Annual review of public health, 35, 399-421.
Thompson, S. R., Watson, M. C., & Tilford, S. (2018). The Ottawa Charter 30 years on:
still an important standard for health promotion. International Journal of Health
Promotion and Education, 56(2), 73-84.