Health Promotion in Neighbourhoods : Health Promotion in Neighbourhoods By
Dr. Deryck D. Pattron, Ph.D.
Public Health & Safety Consultant
All Reserved Rights © 2008 Dr. Deryck D. Pattron Definitions : Definitions Neighbourhood
small localities where people know each other and the provision of essential services
residents define their local neighbourhood
Immediate environment where people live, work and play Why neighbourhoods are an ideal setting for health? : Why neighbourhoods are an ideal setting for health? Infrastructure for health
Provision of physical environment
Provision of social environment
Provision of services
Places of worship
Health services Critical Reflections : Critical Reflections How would you define your neighbourhood?
In what ways does your neighbourhood support health?
In what ways does your neighbourhood compromise health? Physical Environment : Physical Environment Any locality, area or environment where we live, learn, play and interact with others
The environment is responsible for 24 % of the total burden of disease (WHO, 2007) The Social Environment : The Social Environment Is a powerful determinant of health
Existence of social networks
Active involvement in the community Social Capital : Social Capital Social cohesion and the cumulative experience of relationships
Is only possible above a certain threshold of income (Moser, 1996)
Social capital is not only positive, but can be negative as well
drug dealing and criminality rely on closely integrated networks Critical Reflection : Critical Reflection Can crime and fear have a detrimental effect on people’s health?
What measures could be used in achieving community safety?
Increased surveillance of the physical environment? Services : Services Adequate service infrastructure
shops, groceries and post offices
fire stations, police stations, schools, hospitals, health centers
healthy living centers:
Improve quality of life
Address the needs of the most disadvantaged
Encourage community participation
Complement local and regional strategies Evaluating Neighbourhood Work : Evaluating Neighbourhood Work Conclusion : Conclusion The Neighbourhood is important in health promotion because it is:
Valuable setting for accessing vulnerable groups-the young, the aged, immunocompromised, the pregnant, the low income earner and socially displaced people
Important avenue for addressing core determinants of health
Provide opportunity to address people’s self-defined needs and concerns References : References http://www.euro.who.int/envhealth
Naidoo J and Wills J 2000 Health Promotion: Foundations for Practice. Bailliere Tindall, Edinburgh,
Moser C 1996 confronting crisis. Comparative study of household responses to poverty and vulnerability in four urban communities. Environmentally sustainable investment studies, monograms series. World Bank, Washington
WHO 1997 New players for a new era: leading health promotion into the 21st century. 4th International Conference on Health Promotion, Jakarta, Indonesia 21-25 July 1997. Conference Report WHO, Geneva/Ministry of Health, Indonesia