Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA The Challenges of HEALTH LITERACY in Asia and the Pacific: “Where do we stand?” Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA What are the PRESENT LEVELS of health literacy throughout Asia-Pacific? Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Which MEASUREMENT TOOLS are available for measurement of health literacy in the region? Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA 1. Word Recognition Test: REALM Rapid Estimate of Adult Literacy in Medicine 2.Reading Comprehension Test: TOFHLA Test of Functional Health Literacy in Adults Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA How can health literacy Be IMPROVED and ACHIEVE HEALTH GAINS? Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA 1) Financing, 2) Service Delivery, 3) Regulation, and 4) Governance, Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA > NO SMOKING (Huwag Manigarilyo) > DON'T DRINK ALCOHOL (Iwas Alak) > NO TO ILLEGAL DRUGS (Talo Ka sa Droga) > EAT LOW-FAT, LOW SALT, HIGH FIBER DIET (Wastong Pagkain) > PREVENT HYPERTENSION (Bantay Presyon) > DO PHYSICAL ACTIVITY (Katawang Aktibo) > MANAGE STRESS (Bawas Stress) Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA * an integrated system solution of data collection and utilization * for efficient and effective use of evidence-based health information * for planning, implementation, monitoring and evaluation. * The system provides reliable, accurate and timely information. Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Policy makers Program Planners Program Managers Service Providers Local Government Executives Development Partners The Academe Civil Society Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA National Government Office of the President ↓ Department ↔ Department ↔ Department Of Of Of Education Health Finance ↓ Medical Centers ↓ Health Centers ↓ Barangay Health Units → People Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA How does this EVIDENCE of SUCCESS inform Policy Development and Practice in the region? Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA What are the key messages for scaling up EFFECTIVE HEALTH LITERACY INTERVENTIONS for health gains? Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA 1.Health care access and navigation 2. Chronic disease management 3. Disease prevention and screening Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA * Action and motivation * Development of preventive health practices * Opportunities to access and evaluate information * Practice health promoting and risk-eliminating/reducing behaviors Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Improving health literacy necessitates: 1. Effective communication skills of health care providers 2. Efforts to enhance patient-physician communications especially among disadvantaged populations Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA 3. Interventions: a) Make written health information easier to Understand b) Access health literacy organizations/programs c) Provide literacy education computer-assisted instructions d)Traditional text-based instructions, self-paced study materials and multimedia Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Improved health literacy equates with: •better knowledge •self efficacy and self-care behavior •optimal use of preventive health services Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA • Less use of emergency department • Decreased hospitalization • Better compliance rates • Healthy Living Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA • lesser mortality rates • cultural competence • lesser health disparities leading to success in achieving life’s goals. Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA “Healthy people learn better…. Effective health literacy interventions help improve people’s health... Improved people’s health makes more productive citizens…. More productive citizens contribute to a more productive country…. A more productive country makes a more progressive world…. and A more progressive world gives us a better place to live in!” Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA EVERYONE ! Assistant Secretary Elmer G. Punzalan, MD, FICS, MHA, MHSA Department of Health PHILIPPINES