PORTUGUESE HEALTH PROFILE

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PORTUGUESE HEALTH PROFILE
A HEALTH PROMOTION PERSPECTIVE
EUMAPH/ETC PH-HP 7 th Masters on Public
Health National School of Public Health 2004
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Historical Introduction

• Early 70s - precarious situation on the health
  care sector, evidenced by high infant mortality
  rates (58,6).
• April's Revolution in 1974 implementation of
  democracy
• 1979 - implementation of Health Care Centers
  followed by National Health Service (NHS). Free
  and universal
• Improvement of the Portuguese health conditions
  are associated with financial, material and human
  resources development.
• Nowadays, the main problems faced by NHS, besides
  financial crises, are the iniquity in access to
  health care.

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National Health Plan

• Recently approved after a public consultation,
  the National Health Plan (NHP) 2004-2010 aims to
  integrate and make easier the coordination and
  collaboration of all society sectors .
• Defines strategic guidelines for the activities
  that other institutions linked o the health
  ministry should assure in the context of health
  gains and efficiency.
• The main goals are inspired by the action areas
  of the Ottawa Charter.

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Health Promotion Programmes and Projects
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A Health Promotion Perspective

• The several health promotion programmes and
  projects presented here, were chosen by the 7th
  Masters Students on Public Health, in order to
  built the Portugal Health Profile a Health
  Promotion perspective, using the HIA-Net support
  project (coordinated by Maurice Mittelmark,
  Bergen University).

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• NATIONAL PROGRAMMES

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National Programme of Integrated Intervention on
the Health Determinants Related with Life-Styles

• Main goal
• Reducing prevalence of risk factors of non
  transmissible chronic diseases
• Increasing prevalence and strength of health
  protective factors related with life-styles
  trough a social integrated approach.

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Proposals and Recommendations from the National
Council of Mental Health

• This project gives the guidelines that every
  health mental services should follow
  reorientation of services.
• National strategic orientations for mental health
  promotion by these different sectors
• education,
• media,
• individual and family counselling,
• crisis early intervention,
• occupational health improvement,
• social care providers training,
• civil society programmes

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National Strategy Against Drugs

• In the scope of the National Action Plan Against
  Drugs and Addiction there has been instituted the
  Drugs Addiction Primary Prevention Municipal Plan
  which aim to assemble efforts between the
  Institute of Drugs and Addiction, the
  municipalities and the civil society.
• Priority areas
• school environment,
• family environment,
• school abandon,
• leisure
• sports events.

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National Programme for Prevention and Control of
Cardio-Vascular diseases

• Goals
• Increasing the epidemiological vigilance of risk
  factors and cardio-vascular diseases
• Promoting healthy lifestyles, reducing risk
  factors
• Empowering the citizens decision-making on
  health
• Improving the organization of medical care
  regular check-ups.

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Asthma and Chronic Obstructive Pulmonary Disease
(COPD)

• Main goals
• To contribute to the self-control and empowerment
  of patients
• To promote the adherence to the pharmacological
  therapy
• To promote a correct use of the several inhalers
  devices
• To reduce the use of health care services
  (hospitalisations and urgencies)
• To improve quality of life

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Diabetic Guide An Empowering National Tool

• Aims health promotion and co-responsibility of
  diabetics self-treatment with the participation
  of health professionals.

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• Regional Programme

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Regional Health Plan 2004-2006 (e.g. Azores)

• Strategic orientations
• To promote an efficient, integrated health
  system
• To invest in health promotion and disease
  prevention
• To influence the citizens for the responsibility
  of their health and use of health services.
• Health promotion investment will be safeguarded
  by
• Promoting healthy lifestyles
• Promoting health education programmes in school
• Implementing campaigns against the risk factors
• Promoting healthy lifestyles inside of the health
  services
• Influencing citizens for the better use of the
  health services.  

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• Local Programmes

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Community intervention project for maternal and
infant health and family planning

• Developed in two Lisbons Health Care Centers, in
  socially deprived communities
• Main goals
• To establish an effective link between the Health
  Centers and the population
• To increase the populations awareness and
  promote their capacity to solve their own health
  problems
• To develop methods, techniques and materials for
  ethnic minorities groups.

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Better Activity, More Health Programme

• Several local initiatives developed by an urban
  cities (Oeiras, Tomar), which goal is to alert
  the townspeople for the adoption of a healthy
  lifestyle during life-span.
• It is a set of initiatives seeking health
  promotion, general well-being e personal
  accomplishment.

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Municipal Programme of Prevention of Alcohol
Abuse (City Council of Azambuja)

• Integrates strategic interventions
• informative,
• educative
• participative actions.
• The objectives and the actions should offer
  continuity and support for other programmes that
  are already in development through the Municipal
  Plan of Prevention of Drug Addiction.

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Accessibilities Project

• Viana do Castelo (healthy city) developed the
  Accessibilities Project, which is based on
  Health for All in the XXI Century document and
  on the strategic guidelines of Ottawa Charter.
• Principal purpose
• Make city accessible to all individuals and
  situations, by adapting and eliminating obstacles
  and barriers, alerting and preventing future
  situations, and promote the coordination between
  health promotion institutions.

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Project of humanization, improvement and quality
of the medical care given to patients

• Main Goal
• to place the patient into the centre of the
  organisation, humanization and quality of the
  medical care.
• Implementing Pre-Surgery Visit in a Hospital
  (Egas Moniz)
• To promote the quality of nursing care by a
  closer contact with patients
• To establish empathic relation nurse/patient/famil
  y
• To clarify doubts and concerns
• To develop the nurses skills.

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...if people in all walks of life,
nongovernmental and voluntary organizations,
governments, the World Health Organization and
all other bodies concerned join forces (...)
Health For All (...) will become a reality.
(Ottawa Charter, 1986)