Health Promotion & Economic Development Marcia Hills, RN. PhD VP World Conference, IUHPE President, Canadian Consortium For Health Promotion Research 11th World Congress on Public Health/ 8th Brazilian Congress on Collective Health Rio de Janeiro, Brazil, August 24, 2006 Marcia Hills, RN. PhD VP World Conference, IUHPE President, Canadian Consortium For Health Promotion Research 11th World Congress on Public Health/ 8th Brazilian Congress on Collective Health Rio de Janeiro, Brazil, August 24, 2006

Overview Health promotion values & economic development Advocacy & partnerships with global movements for equitable, sustainable economic development ‘Radical’ Health Promotion as a catalyst for health promoting economic development Health promotion values & economic development Advocacy & partnerships with global movements for equitable, sustainable economic development ‘Radical’ Health Promotion as a catalyst for health promoting economic development

Health Promotion Values & Economic Development However health promotion gets involved with economic development it must be consistent with its value base: Participation Equity Empowerment However health promotion gets involved with economic development it must be consistent with its value base: Participation Equity Empowerment

Participation Stakeholder involvement Identifying stakeholders Enabling processes –Creating collaborative relationships –Engaging in critical dialogue –Reflection-in-action Stakeholder involvement Identifying stakeholders Enabling processes –Creating collaborative relationships –Engaging in critical dialogue –Reflection-in-action

Equity Equity not Equality Pay attention to the most vulnerable Equity in process not just outcomes Equity is not neutrality! Equity not Equality Pay attention to the most vulnerable Equity in process not just outcomes Equity is not neutrality!

An Homage to Paulo Freire “Washing one’s hand’s of the conflict between the powerful and the powerless means to side with the powerful, not to be neutral” (Freire, 1972)

Empowerment Not about ‘giving’ power to people Create conditions where local communities have ‘control’ Negotiating power and recognizing differences Human flourishing and sustainability Not about ‘giving’ power to people Create conditions where local communities have ‘control’ Negotiating power and recognizing differences Human flourishing and sustainability

Health promoting economic development means… Full and meaningful participation in economic decision-making An equity focus on economic development that has as its first priority benefits for the most vulnerable Leaving communities with more power and control over their economic life in order to make benefits sustainable and encourage independence Full and meaningful participation in economic decision-making An equity focus on economic development that has as its first priority benefits for the most vulnerable Leaving communities with more power and control over their economic life in order to make benefits sustainable and encourage independence

Advocacy & Partnerships Health promotion must do a better job linking with global development institutions and global social movements First it must establish links and partnerships through an analysis of both health implications and the health promotion value base Many health promoters have begun to produce important work in this area (e.g. Ron Labonté) Health promoters must use their influence to advocate for health promoting economic development Health promotion must do a better job linking with global development institutions and global social movements First it must establish links and partnerships through an analysis of both health implications and the health promotion value base Many health promoters have begun to produce important work in this area (e.g. Ron Labonté) Health promoters must use their influence to advocate for health promoting economic development

‘Radical’ Health Promotion I first heard this idea from Paulo Buss The key principle of acting on the social and economic determinants of health to promote health and reduce health inequities A short example: the Manguinhos Project I first heard this idea from Paulo Buss The key principle of acting on the social and economic determinants of health to promote health and reduce health inequities A short example: the Manguinhos Project

The Context FIOCRUZ –ENSP –National School of Public Health Manguinhos –The community ( the neighbouring area) –Poverty in large metropolitan area FIOCRUZ –ENSP –National School of Public Health Manguinhos –The community ( the neighbouring area) –Poverty in large metropolitan area

DLIS - Manguinhos 4 Fields of Action Generation of work and income Urban infrastructure Health, food and nutrition Social development (education, sport and leisure) Generation of work and income Urban infrastructure Health, food and nutrition Social development (education, sport and leisure)

Local Integrated Sustainable Development (DLIS) Enforcement of Intersectoral Approach Broad participation of social organizations and communities associations Enforce governmental sectors participation Mobilization of local private sectors Enforcement of Intersectoral Approach Broad participation of social organizations and communities associations Enforce governmental sectors participation Mobilization of local private sectors

Local Integrated Sustainable Development (DLIS) Enforcement of Intersectoral Approach –broad participation of civil society –strategy of macro-function of social policies –mobilization of private enterprises Model of co-ordination –local development forum –local development council –local executive group of public entities –technical inter-sectoral group Operative groups –generation of work and income –urban infrastructure - Local 21 Agenda –health, food, and nutrition –social development (education, sport and leisure) Enforcement of Intersectoral Approach –broad participation of civil society –strategy of macro-function of social policies –mobilization of private enterprises Model of co-ordination –local development forum –local development council –local executive group of public entities –technical inter-sectoral group Operative groups –generation of work and income –urban infrastructure - Local 21 Agenda –health, food, and nutrition –social development (education, sport and leisure)

preliminary survey & establishment of COOTRAM –Cleaning –Brick factory –Gardening –Sewing Health Promotion in Action Evolution of Supportive Approach to Social Development

COOTRAM FABRICAÇÃO DE TIJOLOS E VIGAS

“ Never doubt that a small group of thoughtfully committed citizens can change the world. Indeed, it's the only thing that ever has. ” - Margaret Mead