Integrating Health Promotion and Sustainable Development for the ...
Integrating Health Promotion and Sustainable Development for the ...
Integrating Health Promotion and Sustainable Development for the ...
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<strong>Integrating</strong> <strong>Health</strong> <strong>Promotion</strong><br />
<strong>and</strong> <strong>Sustainable</strong> <strong>Development</strong> <strong>for</strong> <strong>the</strong><br />
benefit of Hospital <strong>Development</strong>.<br />
A relationship with future?<br />
Willi Haas, Ulli Weisz,<br />
IFF Institute of Social Ecology<br />
Klagenfurt University in Vienna<br />
Jürgen M. Pelikan<br />
Ludwig Boltzmann Institute <strong>for</strong> <strong>the</strong> Sociology of <strong>Health</strong> <strong>and</strong> Medicine, Vienna<br />
15th International Conference on <strong>Health</strong> Promoting Hospitals<br />
Vienna, Austria. April 11-13, 2007<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Introducing <strong>Sustainable</strong> <strong>Development</strong><br />
Origins of <strong>Health</strong> <strong>Promotion</strong> <strong>and</strong> <strong>Sustainable</strong> <strong>Development</strong><br />
Relating <strong>Health</strong> to <strong>Sustainable</strong> <strong>Development</strong><br />
The sustainable conference<br />
Overview<br />
The sustainable <strong>and</strong> health promoting hospital<br />
Conclusions: Benefits of combining <strong>Health</strong> <strong>Promotion</strong> <strong>and</strong><br />
<strong>Sustainable</strong> <strong>Development</strong><br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
<strong>Sustainable</strong> <strong>Development</strong>- A Definition<br />
“<strong>Sustainable</strong> development is<br />
development that meets <strong>the</strong> needs of<br />
<strong>the</strong> present without compromising <strong>the</strong><br />
ability of future generations to meet<br />
<strong>the</strong>ir own needs“<br />
Brundtl<strong>and</strong> Report 1987<br />
Foto: UNESCO/COSMOS/LE LANN<br />
The political ef<strong>for</strong>t to create a global concept of a „new world model“ focussing<br />
on a process, which should ensure <strong>the</strong> sustainability of our society.<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Central ideas <strong>and</strong> guiding principles<br />
of <strong>Sustainable</strong> <strong>Development</strong> 1<br />
Social justice, environmental<br />
compatibility <strong>and</strong> economic<br />
growth should be addressed<br />
toge<strong>the</strong>r in an integrated <strong>and</strong><br />
equal way.<br />
UNCED Rio 1992<br />
“Human beings are at <strong>the</strong> centre of concerns <strong>for</strong> sustainable development.<br />
They are entitled to a healthy <strong>and</strong> productive life in harmony with nature“<br />
Rio Declaration (UNEP 1992 ): Principle 1<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Central ideas <strong>and</strong> guiding principles<br />
of <strong>Sustainable</strong> <strong>Development</strong> 2<br />
Social justice, environmental<br />
compatibility <strong>and</strong> economic<br />
growth should be addressed<br />
toge<strong>the</strong>r in an integrated <strong>and</strong><br />
equal way.<br />
UNCED Rio 1992<br />
social<br />
justice<br />
economic<br />
growth<br />
environmental<br />
compatibility<br />
“Human beings are at <strong>the</strong> centre of concerns <strong>for</strong> sustainable development.<br />
They are entitled to a healthy <strong>and</strong> productive life in harmony with nature“<br />
Rio Declaration (UNEP 1992 ): Principle 1<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Central ideas <strong>and</strong> guiding principles<br />
of <strong>Sustainable</strong> <strong>Development</strong> 3<br />
Social justice, environmental<br />
compatibility <strong>and</strong> economic<br />
growth should be addressed<br />
toge<strong>the</strong>r in an integrated <strong>and</strong><br />
equal way.<br />
UNCED Rio 1992<br />
social<br />
justice<br />
economic<br />
growth<br />
environmental<br />
compatibility<br />
“The promotion <strong>and</strong> protection of <strong>the</strong> health of <strong>the</strong> people is essential to sustained<br />
economic <strong>and</strong> social development <strong>and</strong> contributes to a better quality of life <strong>and</strong> to<br />
world peace“<br />
Alma-Ata Declaration (WHO 1978)<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Central idea <strong>and</strong> guiding principle<br />
of <strong>Sustainable</strong> <strong>Development</strong> 4<br />
Social justice, environmental<br />
compatibility <strong>and</strong> economic<br />
growth should be addressed<br />
toge<strong>the</strong>r in an integrated <strong>and</strong><br />
equal way.<br />
UNCED Rio 1992<br />
social<br />
justice<br />
economic<br />
growth<br />
environmental<br />
compatibility<br />
“The fundamental conditions <strong>and</strong> resources <strong>for</strong> health are ......a stable eco-system,<br />
sustainable resources, social justice <strong>and</strong> equity.“<br />
Ottawa Charter (1986)<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
The importance of health <strong>for</strong><br />
<strong>Sustainable</strong> <strong>Development</strong><br />
„<strong>Health</strong>y life is an outcome of<br />
sustainable development, as well as<br />
a powerful <strong>and</strong> undervalued means<br />
of achieving it. We need to see<br />
health both as a precious asset in<br />
itself, <strong>and</strong> as a means of stimulating<br />
economic growth <strong>and</strong> reducing<br />
poverty“<br />
Brundtl<strong>and</strong> (2002)<br />
Gro Harlem Brundtl<strong>and</strong><br />
(Director-General Emeritus, WHO)<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Origins of <strong>Health</strong> <strong>Promotion</strong> <strong>and</strong><br />
<strong>Sustainable</strong> <strong>Development</strong><br />
• Mutual concerns<br />
human beings - main link: health<br />
• Roots<br />
Declaration of Alma-Ata 1978 (HP)<br />
UN Conference on Environment Stockholm 1972 (SD)<br />
• Key players<br />
WHO (HP) – CSD, UN Earth Summits (SD milestones)<br />
• Points in common<br />
• Reactions to negative side effects of modernization<br />
• Processes: broad, political, international, public<br />
• Political strategies, networks, local activities (<strong>Health</strong>y Cities <strong>and</strong> Local<br />
Agenda 21), Implementation in settings (HP)<br />
Both have been successful….<br />
…. but still continue to operate largely in parallel<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Relating <strong>Health</strong> to <strong>Sustainable</strong><br />
<strong>Development</strong><br />
• <strong>Health</strong> <strong>Promotion</strong> : <strong>Sustainable</strong> <strong>Development</strong>?<br />
Assumptions<br />
• HP <strong>and</strong> SD: focus on holistic human development<br />
• HP is a concept of intervention to increase (new) public health<br />
• SD is <strong>the</strong> broader, overarching <strong>and</strong> more holistic concept how to<br />
balance various goals<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Relating <strong>Health</strong> to <strong>Sustainable</strong><br />
<strong>Development</strong><br />
• SD has health as an outcome<br />
<strong>and</strong> as a means - health has a<br />
prominent role within sd<br />
• <strong>Health</strong> is essential <strong>for</strong> social <strong>and</strong><br />
economic development <strong>and</strong> vice<br />
versa<br />
health<br />
gain<br />
economic<br />
ef<strong>for</strong>dablility growth<br />
• <strong>Health</strong> needs a sustainable<br />
physical environment,<br />
sustainable resources<br />
• SD has analytical elements<br />
(economy-environment) as well as<br />
normative - political, social <strong>and</strong><br />
ethical - elements (social justice) -<br />
health is analytical<br />
social<br />
justice<br />
environmental<br />
compatibility<br />
Proposal to test this concept in <strong>the</strong> health sector<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
<strong>Sustainable</strong> Conferences – a case <strong>for</strong> demonstration<br />
Participants, organizers, patients, broader public; Phys. sore<br />
(bad food&chairs, no motion, stress); More effective<br />
implementation of HP<br />
Physical,<br />
mental<br />
<strong>and</strong><br />
social<br />
well-being<br />
health<br />
gain<br />
social<br />
justice<br />
economic<br />
ef<strong>for</strong>dablility<br />
environmental<br />
compatibility<br />
Cost benefits<br />
relation <strong>for</strong><br />
participants <strong>and</strong><br />
<strong>for</strong> organizer<br />
15th International<br />
Conference on <strong>Health</strong><br />
Promoting Hospitals<br />
Democracy, peace, resource<br />
distribution (fair working<br />
conditions), access to conference<br />
(gender, North/South)<br />
Environmental pressures:<br />
Emissions like CO2<br />
(milage of participants),<br />
waste, energy <strong>and</strong> material use<br />
Possible impacts on health<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
<strong>Sustainable</strong> <strong>and</strong> health promoting hospitals<br />
health<br />
gain<br />
social<br />
justice<br />
economic<br />
ef<strong>for</strong>dablility<br />
environmental<br />
compatibility<br />
Cooperate management/IMS<br />
Service <strong>and</strong> capacity planning<br />
Service provision<br />
Weaning Center<br />
step down units with training <strong>for</strong> patients<br />
<strong>and</strong> relatives - <strong>and</strong> job enlargement<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
<strong>Sustainable</strong> <strong>and</strong> health promoting hospitals<br />
Empowered <strong>and</strong> trained patients Equal quality st<strong>and</strong>ards across<br />
units, job enlargement/ enrichment - fewer cases of recurrence<br />
Physical,<br />
mental<br />
<strong>and</strong><br />
social<br />
well-being<br />
Info<br />
base<br />
health<br />
gain<br />
social<br />
justice<br />
economic<br />
ef<strong>for</strong>dablility<br />
environmental<br />
compatibility<br />
Specific services,<br />
Less intensive care<br />
-> lower costs<br />
View on national<br />
<strong>and</strong> business<br />
economics<br />
Weaning<br />
Center<br />
no unfair work. conditions,<br />
misuse of power, access<br />
Lower environmental pressures<br />
like emissions (like CO2, waste),<br />
energy <strong>and</strong> material use due<br />
to specific services <strong>and</strong> lower<br />
recurrence rate<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Benefits of combining HP & SD<br />
Conclusions I<br />
• Point of departure <strong>for</strong> both concepts: human beings<br />
• <strong>Health</strong> is <strong>the</strong> link between HP & SD<br />
• <strong>Health</strong> is seen as outcome <strong>and</strong> means <strong>for</strong> <strong>Sustainable</strong> <strong>Development</strong> -<br />
can be made operational with expertise of HP<br />
• Social justice is still not very clearly defined - will become more<br />
important in HP <strong>and</strong> SD; needs attention<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
Benefits of combining HP & SD<br />
Conclusions II<br />
• <strong>Sustainable</strong> <strong>Development</strong><br />
enlarges focus <strong>for</strong> health<br />
• Medium <strong>and</strong> long term<br />
perspective (future<br />
generations)<br />
• Integrates economic<br />
issues<br />
• Makes environment<br />
operational<br />
• With enlarged focus it<br />
provides a balanced <strong>and</strong><br />
more realistic model<br />
• Improves per<strong>for</strong>mance in<br />
core functions<br />
health<br />
gain<br />
social<br />
justice<br />
economic<br />
ef<strong>for</strong>dablility<br />
growth<br />
environmental<br />
compatibility<br />
15th International Conference on <strong>Health</strong> Promoting<br />
Hospitals Vienna, Austria. April 11-13, 2007
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