Health Promotion For NCD Prevention – WB Seminar Strengthening Institutions: Indicators for Measuring HP Capacity Tang Kwok-cho Senior Professional Officer Health Promotion 14 September 2004 Department of Chronic Diseases and Health Promotion World Health Organization
Institutional capacity measurement indicators - Outline • Two parts • A short presentation with regard to what, why and how • Comments on a set of possible indicators Department of Chronic Diseases and Health Promotion World Health Organization
What the term "capacity" means Fairy unclear • the ability of an individual health promoter to promote health (more about capability)? • the ability of (and the extent to which) the MOH to produce? • the infrastructure for health promotion in the country? Department of Chronic Diseases and Health Promotion World Health Organization
Why institutional capacity A changed focus • Expertise of individual health promoters is necessary but not sufficient for the achievement of effective health promotion • The need to build capacity to promote health at the institution and community levels Department of Chronic Diseases and Health Promotion World Health Organization
Indicators for measurement of capacity to promote health Such indicators are characteristics of behaviour in an organisation or behaviour of an organisation which are subject to measurement and can be used to reflect the capacity of the organisation to promote health Department of Chronic Diseases and Health Promotion World Health Organization
Why we need to measure institutional capacity • Monitor progress • Provide a framework and specific areas for building capacity Department of Chronic Diseases and Health Promotion World Health Organization
What some of those indicators are • Organisation mission • Internal structure • Delegation of authority • Organisational attitude • Acquisition of skills • Policy • Funding • Activity • Staffing Department of Chronic Diseases and Health Promotion World Health Organization
How good those indicators are Don't know - Methods used for assessing capacity are still in early stages of development. • The instruments are applied through measures of self perception mainly of staff of the organisation. • The methods used thus far are mainly descriptive in nature and application of advanced statistic procedures is uncommon Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Structure • Designated HP/E work unit in the MOH • Inter-departmental committee in the MOH for coordinating joint HP/E activities • Interdepartmental committees between ministries for coordinating joint HP/E activities • Interagency committees (MOH, other ministries, NGOs & civil societies) available for joint HP activities • Regional and international collaboration in HP/E Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Helpful mechanisms • Availability of behavioural risk data • Availability of social and environmental risk data • Availability of manuals, guidelines or proforma available for staff members to plan and evaluate HP/E activities • Access to computer, the Internet, professional journals or audio-visual aids Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Attitude towards change • Are HP/E officers committed to continuing education? • Have changes of work practices occurred on a regular basis among HP/E officers or professional staff members? • Are there any activities for managing changes? Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Relationships • Work requests to the designated HP/E work unit from other work units in the MOH or other ministries • Proportions of the HP/E activities which were jointly organised within different work units between ministries • Collaboration between the MOH and local academic and research institutes Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Policy • Availability of national plan in the areas such as tobacco control, mental health promotion, a priority infectious disease, traffic injury prevention • Whether or not the plans have been implemented and at what level • Legal and legislative measures to promote health and reduce risks in occupational health and safety • Whether or not HP is a priority work area, seen by the middle level Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Expertise • Certified HP/E training activities available for designated HP/E officers • University course in HP/E available to professional staff members • Whether or not health promoters possesses educational qualifications in social and political sciences or marketing? • Publication in professional journals at the national, regional and international levels? Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Rewards • Are incentives in MOH available for staff members to do a good job in HP/E? • Is experience in HP/E a criterion for promotion in MOH? • Are certificate of appreciation given to staff member who performed well in HP/E activities? Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Leadership • Name the designations of up to 3/5 most senior govt officials who advocate for additional financial and human resources for HP/E? • Has some one at the senior executive level undertaken activities to influence mid level managers to do HP/E? • Has effort been made to adopt the whole of government approach to promote health? Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Funding • Budgetary allocation for different services (curative, pharmaceutical drugs, medical research, public health research, vaccination, sanitation, community health etc) • Trend in allocating of funds for HP/E over the past three years • Funding for HP/E from other sources (municipal govt, foundations, aid organisations etc), in addition to those from the MOH Department of Chronic Diseases and Health Promotion World Health Organization
Possible indicators Activities • Types • Strategies used • Foci • Settings Department of Chronic Diseases and Health Promotion World Health Organization
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