Winston Wong, a Roundtable member, asked about scalability of projects. HHS releases National Plan to Improve Health Literacy. This study discusses health literacy in the light of general upper secondary education students' test answers (N = 611) on the Finnish Matriculation Examination. 1 The toolkit can be found at (accessed November 15, 2012). An editorial in the Lancet (Editorial, 2012) stated: “new frugal technologies do not have to be sophisticated gadgets, but can be as simple as a checklist. Kumaresan noted that people with low levels of health literacy are more likely to. Health education leads to health literacy, he said, which then empowers individuals, families, and the community. It markets products in 100 countries and has 6 facilities for research and development. Presentation at the Institute of Medicine Workshop on Health Literacy: Improving Health, Health Systems, and Health Policy Around the World, New York, September 24. The Patient Protection and Affordable Care Act, while not a health literacy law, does contain important provisions for addressing health literacy. New technologies provide better access and use of information, contributing to expanded health literacy globally and helping to relieve the burden on already strained health workers, Ratzan said. Cabe responded that she was uncertain how well a system that required allowing any and all private companies to participate would work in the United States given the very competitive nature of business. One of the recommendations reads, Develop, strengthen and implement as appropriate, multisectoral public policies and action plans to promote health education and health literacy, including through evidence-based education and information strategies and programmes in and out of schools, and through public awareness campaigns. 35% of adults in the United States have health literacy levels that are basic or below basic. Baur said that since 2004 the National Institutes for Health have funded $95 million in research under the Health Literacy Program Announcement. An intervention to decrease catheter-related bloodstream infections in the ICU. How has the HHS contributed to health literacy improvement? HEALTH LITERACY WORK OF THE WORLD HEALTH ORGANIZATION. There is tremendous need in these communities. Now what? In terms of information sharing, Baur said, that is one thing the website was intended to do; however, not many people have responded to the postings. We do not need more communication, we need different kinds of communication and different kinds of education that pay attention to the health literacy insights that are available in the literature. ting the foundation for reducing both demand for and supply of tobacco products and providing a comprehensive direction for tobacco control policy at all levels. To assist countries to implement effective strategies for selected demand reduction related articles of the WHO FCTC, WHO introduced a package of measures under the acronym of MPOWER. One participant who identified herself as coming from Indonesia and working with the Indonesian delegation to the UN General Assembly shared information about what is going on in Indonesia. Jump up to the previous page or down to the next one. How can we promote organizational change to incorporate health literacy in our everyday practices? Implementing the internationally agreed goals and commitments in regard to global public health. Sadly, the same cannot be said of challenges in education. Health Literacy: Improving Health, Health Systems, and Health Policy Around the World summarizes the findings and discussions at the workshop. Baur responded that, in general, grade levels are not used as targets because communication is a far more complex process than a grade level can represent. Those of us in the field of education know that there are numerous types of literacy, all of which help us navigate life and fully engage in our democratic society. Also, Kumaresan said, mobile health is a wonderful way to conduct outreach. Buendias means the good days. For the future, checklists and scorecards can have major global impacts for patients and consumers, Ratzan said, including reduction of chronic, NCDs, maternal and child mortality, and infectious diseases. ...or use these buttons to go back to the previous chapter or skip to the next one. Baur asked. In 1 year there were 92,000 latrines built because the members of the community saw their value. But other countries will follow suit. NLM Lister Hill Center Auditorium, Bethesda, MD, May 17, 2012. CDC Health Literacy. Rich, great discussion this week. Other aids include the toolkit on clear communication strategies developed by the Centers for Medicare & Medicaid Services (CMS) and plain language manuals. Course Hero is not sponsored or endorsed by any college or university. Baur said that organizational change requires us to examine research for insights in practical applications, create and implement easily usable products, and track and report progress in changing our organizations. Ratzan, S. C. 2000. Joseph Leiter Lecture. HEALTH LITERACY WORK OF THE WORLD HEALTH ORGANIZATION, Jacob Kumaresan, M.D., Dr.P.H.Executive Director, World Health OrganizationOffice at the United Nations in New York. What are some factors? A bilingual, computer-adaptive test of health literacy will enable clinicians and researchers to more precisely determine at what level low health literacy begins to adversely affect health and health care use. The program consists of an environmental campaign focused on community cleaning of neighborhoods without the use of DDT pesticide. New York: Basic Books. FIGURE 3-6 A community toilet. In terms of their next steps, Clorox and the CRI are identifying and implementing the lessons learned from the pilot program in order to improve overall outcomes of future programs. In low-income countries such as Bangladesh, the less than optimum use of services could be due to low levels of HL. They include, general, demonstrating by drawing pictures or using models, repeating/summarizing. Nokia built an application (app) that will be given to women. Political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. Where do we go from here? Health literacy can influence how much and how effectively people do this. Partners in the Trachoma10 project included the Carter Center and Pfizer. This is largely due to the high poverty level of the community and the openness of the water and waste. The purpose of this Summit, which will bring together US Government, multilateral and nongovernmental partners, is to distill the most compelling evidence about the impact of social and behavioral change strategies, and to communicate that data for improved health and development decision-making” ( [accessed December 3, 2012]). A number of bibliographies have also been published. In Australia, for example, it took 3 or 4 years of effort to get plain packaging implemented. NLM Pub. Parker, R. 2009. 54.4 percent of respondents said that there have been changes in household hygiene behaviors during the past 3 months. With these. There is a huge opportunity, Baur said, but it has not been taken advantage of. Spread the loveWhen we think of literacy, we usually think of the ability to read and write. understand, and use information in a health-promoting manner. Centers for Disease Control and Prevention. Although the United States produces a majority of the research on health literacy, Europe has strong multinational programs as well as research efforts, and health literacy experts in developing countries have created successful programs implemented on a community level. At a July 2009 meeting of the UN Economic and Social Council (ECOSOC) in Beijing, the ECOSOC issued a ministerial declaration stating, “We stress that health literacy is an important factor in ensuring significant health outcomes and in this regard, call for the development of appropriate action plans to promote health literacy.”2 Several months later, Ratzan said, the Chinese health minister, during a speech in Geneva, Switzerland, said that health literacy is an important factor in ensuring positive health outcomes and called for the development of appropriate action plans to promote health literacy. Delivering services through community-based organizations and nonprofit organizations. It was found that in Bangladesh people needed to hear the message rather than just read it, so it is now sent in the local language, Ratzan said. POLICIES AND PROGRAMS PROMOTING HEALTH LITERACY GLOBALLY, Scott C. Ratzan, M.D., M.P.A.Vice President, Global HealthJohnson & Johnson. View our suggested citation for this chapter. This definition can encompass mobile health information and e-health technologies. Following each performance 20 individual interviews were conducted immediately. There is a need to document impact on policy-relevant outcomes, Baur concluded. The community did not like that. Ratzan responded that an article in JAMA on text messaging for vaccination among adolescents showed uptake. I agree with you regarding to this. What needs to be considered in, for example, performance metrics, infrastructure, and resource deployment to move a program from a local level to one that has a global impact? Although public–private partnerships are growing, Ratzan said, not all governments are open to working with the private sector and not all private-sector companies are the same in terms of being ethically based and trustworthy. UN General Assembly. For example, in 2010, for the World Health Day on urban health, the only way to reach people in Somalia was with text messages (1 million were sent to Somalia residents) sent by the water and telephone companies. The focus of this study is the level of HL, digital literacy (DL), and eHealth literacy (eHL) in nursing students in Denmark. Telling others about the research and evaluations completed. FIGURE 3-3 Health literacy framework. The term health literacy was first used in 1974 and described as "health education meeting minimal standards for all school grade levels". The Short Message Service (SMS)-based cessation programs are low-cost, personalized, and interactive, and they provide information on medication and support tools, as well as encouragement, Kumaresan said. 2011a. The performances were structured as a telenovela.8 Microbiological studies were conducted in 30 households both before and after the performances. Health literacy research and evaluation brings knowledge about how to communicate, how to educate, and how to obtain the maximum effectiveness from these efforts, Baur said. Appropriate preventive measures (e.g., smoking cessation, sigmoidoscopy, mammograms). And for Healthy People 2020 (U.S. national objectives for health), health literacy objectives were expanded to include health information technology objectives as well as being included under some of the more traditional health topics, Baur said. However, the understanding of literacy that we possess is often curtailed by our educational experiences. In May 2010, the National Action Plan to Improve Health Literacy was released. Application, however, is different. system, and making healthcare decisions. So the little girl was brought back into the performance, which meant a lot of rewriting for the writing team, but that was fine because the community was really engaged. They, apply these skills either to make sense of health information and services or provide health, information and services to others (CDC, 2019). It was founded in 2002 and is a 501(c)3 nonprofit public charity with a 7-member board, 8 employees, 40 volunteers, and more than 90 funding sources. An individual who sits on both the Clorox and CRI boards suggested the two organizations should be working togther. We use the NAP as a benchmark to align with national best practices and recommendations. [1,2] Health literacy can be examined at two levels, at the individual health literacy capacity level, and the environment supporting the individual. Sign up for email notifications and we'll let you know about new publications in your areas of interest when they're released. Use it to create effective products for all users, including the millions of Americans who don’t have strong literacy or health literacy skills—as well as those who don’t have a lot of time to find, process, and use complex health information. Presentation at the Institute of Medicine Workshop on Health Literacy: Improving Health, Health Systems, and Health Policy Around the World, New York, September 24. It provides the “glue” for local coalitions, Baur said. There was increased knowledge and understanding about hygiene, and there were actual improved personal and household hygiene behaviors in the areas targeted by the intervention. Pronovost, P., D. Needham, S. Berenholtz, D. Sinopoli, H. Chu, S. Cosgrove, B. Sexton, R. Hyzy, R. Welsh, G. Roth, J. Bander, J. Kepros, and G. Goeschel. have a low level of information and communication technology literacy and less access to the Internet and online health information, not be able to evaluate the quality of information from different sources, and. First, community action for health should be a key component of health literacy. Kumaresan described several strategies for improving health literacy. Fortunately, there are a number of discussions on health literacy going on around the world. Another possible resource is the CTIA, a cellular telephone group that is working to scale up some mobile health pieces. It also addresses health services, which is important because much of what needs to be addressed is how health care is delivered. In September 2011, a political declaration of the high-level meeting of the UN General Assembly on the prevention and control of NCDs was issued. One piece that is missing is the media. It also identified the University of Arizona as a partner for conducting the microbiology research. There was, however, constant change in all of the episodes. September 19, 2011. (accessed November 15, 2012). Also important is the use of innovative and appropriate information and communication technologies to bridge the health literacy gap and pass. The decision was made to work in shantytowns in Peru. There is a need to document what health-literate organizations are doing differently from other health organizations. There are also a number of state-based activities in health literacy. What are the three levels of health literacy. 2008. The Centers for Disease Control and Prevention (CDC) (2012) reports that 96 percent of the 281,000 enrollees said they would recommend the service to a friend. Understanding health literacy levels among the population (and vulnerable sub-populations) helps the development and delivery of consumable and effective population health messages during such large-scale outbreaks. Some patients will have a high degree of health literacy while others only a minimal level. FIGURE 3-2 E-health architecture model. (accessed November 15, 2012). He asked if it were possible to codify what needs to be done yet still use such an approach and make sure programs are conducted in a manner that allows countries to determine important outcomes. The professional community has not changed its practices enough to communicate effectively with the public, Baur said. The overall microbiological load was very high both before and after the performances. [3] This includes but is not limited to infrastructure, policies, and published materials that … It is a means to social and human development. All rights reserved. DOI: 10.3912/OJIN.Vol14No03Man01Keywords: health literacy, decision-making, health information, Internet navigation, patient empowerment, patient-provider relationshipAlthough health literacy is a concept new to many members of the healthcare community, it has quickly caught the attention of researchers, polic… This group is a network of leading stakeholders from government and both the for-profit and the nonprofit sector, including health foundations, academic institutions, and businesses. Topic Progress: ← Back to Lesson The United States Department of Health & Human Services and the Agency for Healthcare Research and Quality describe several factors at the individual and systemic levels that impact an individual’s health literacy level. SOURCE: WHO, 2011. ment program supported by the Ministry of Health, and it is helping to empower young women. Baur responded that literacy is a culturally specific activity. Infection spreads from person to person, and is frequently passed from child to child and from child to mother, especially where there are shortages of water, numerous flies, and crowded living conditions” ( [accessed November 29, 2012]). - Grammar - Appearance (tattoos, piercings, clothing) - Hygiene - Race - Age . Clorox provided the funding, public health experience, and business experience in Peru. One of the most obvious gaps is the education sector’s lack of support for health literacy activities, Baur said. Use of mobile health technologies overcomes structural barriers to health by allowing for more personal forms of communication and community-based educational outreach, Kumaresan said. Working together across organizations and across sectors. UNITED STATES: HEALTH LITERACY AND RECENT FEDERAL INITIATIVES, Cynthia Baur, Ph.D.Senior Advisor for Health LiteracyCenters for Disease Control and Prevention, Baur said that it is time to commit to measurable organizational change in health literacy. WHO. Health Literacy Online, provided by the HHS Office of Disease Prevention and Health Promotion (available at, is an example of some of the research-based guidance that is available to organizations. A very large and robust infrastructure has been put in place to support that change, she said, and there is a large network of individuals throughout the U.S. Department of Health and Human Services (HHS) committed to making sure that health literacy becomes part of all types of health action. Those who express an interest are evaluated based on specific criteria that include health promotion. Health literacy implies achievement of a level of knowledge, personal skills, and confidence to take action to improve personal and community health by changing personal lifestyles and living conditions, Kumaresan said. There was intensive and diverse community engagement throughout, Cabe said. Every year, WHO monitors how much of the framework and the articles have been implemented. Mobile technology can also use sensors to track and map use of inhalers by asthmatics. The WHO IWG Task Force has research members who are interested in outcomes of use of mobile health messaging. Lancet 380(9840):447. On the CDC Health Literacy website,7 there is a map that highlights the states with verifiable health literacy coalitions or collaborations. Cabe said the real key is to maintain a balance between pushing commercial interests and doing the right thing. Furthermore, the level of health literacy in many developing countries is unknown. Clorox was founded in 1913, making Clorox liquid bleach. 10 “Trachoma is the result of infection of the eye with Chlamydia trachomatis. She asked, “Where are the gaps and the biggest opportunities for the private sector to collaborate with the UN and UN agencies in ways to help meet the goals of health literacy?” Ratzan responded that the IWG is a good place to start. Importantly, this is an unbranded program, so it did not promote Clorox products, Thompson said. (accessed November 26, 2012). The play was called Siempre, which translates in English to Always, as in “always sick.” Two families made up the characters portrayed on the stage—the Maranas and the Buendias. The Plain Writing Act of 2010 is another development. Not a MyNAP member yet? Only about 40% of adults have the level of individual health literacy required to meet the demands of everyday life. In addition, the NAP helps health and literacy efforts across the nation compare and share best practices, as well as understand how they can align their efforts to take full advantage of recent policy and legislation changes. How can best practices and basic competencies be shared? In this section. There seems to be a need for a mechanism that would allow this, she said. For example, according to Kumaresan, the European region has initiated various programs that are empowerment focused. (2019). CRI brought overall program leadership and a strong expertise in the social sciences and health literacy. Find three websites that provide patient information about the condition, its effects, and treatment. Of those, the majority said it was because of the performances (means of 3.15 on a 4-point scale). HHS (U.S. Department of Health and Human Services). This requires, amongst other factors, sufficient level of health literacy (HL) and digital competences among both patients and the healthcare providers, who serve them. Given these distinct strengths of efforts worldwide, there are many opportunities for collaboration. You're looking at OpenBook,'s online reading room since 1999. Ratzan said that what Baur has alluded to is the idea of moving from local to social change. A 29-item Safe Childbirth Checklist has been developed and successfully piloted in India, with a draft version available by the end of 2012.” Examples of checklists for improving health outcomes can be found in Table 3-1. There is scalability in terms of the number of people touched by a project or intervention. By Koh6 and colleagues on policy initiatives and health literacy, Numeracy, health San! Might be a need for a successful partnership revealing their secrets President Carter visited the community had that! 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