How Ottawa charter helps to quit smoking?

Answer 1

Cancer Control Examples across the Ottawa Charter Principles

Building Healthy Public Policy

Aim: To protect health across the population irrespective of SES, rurality, race etc

Regulation e.g. laws preventing minors under 18 yrs purchasing alcohol and tobacco

* Proposals recently developed by Food Standards Australia New Zealand

(FSANZ) for mandatory nutrition content of food labelling are aimed at enabling

consumers to make informed choices about the foods they purchase and

consume. (FSANZ is part of the Australian Government's Health and Ageing

portfolio).

* Legislating against junk-food advertising to children. This strategy is not about

restricting choice; as well targeted multimillion-dollar advertising campaigns

already create an imbalance in the choices that uninformed and often

disadvantaged families see as being available to them.

* Smoke free legislation (workplaces, pubs and clubs etc) to prevent and reduce

tobacco use and ensure workers are protected from second hand smoke

exposure in their place of employment

* National OH&S legislation to protect workers from exposure to occupational

carcinogens and UV exposure

Fiscal Measures e.g. Medicare reimbursement

* Yearly Medicare funded 'health checks' for people over 45 yrs

* Government subsidised cancer drugs and treatments

Taxation e.g. Tobacco, alcohol taxes

* Tobacco and alcohol taxation to reduce tobacco and alcohol use

Policy e.g. Vaccination / Screening programs

* National breast and Cervical cancer screening policies and programs

* Healthy school canteen policies and associated resources

* National HPV, Hepatitis B vaccination policies and programs

Evidence Based Practice e.g. clinical care guidelines, continuing professional

development, cost effective interventions.

* Development, adherence to, and regular updating of, evidence based cancer

management guidelines and best practice policies for health professionals to

ensure the best care is provided on a consistent basis irrespective of the

patients age, ethnicity, socioeconomic status, geographical location etc Cancer Control Examples across the Ottawa Charter Principles

Create Supportive Environments

Aim: Generate living, playing and working conditions that support health and

safety

Infrastructure e.g. Women's health centres, walking paths, shade structures, libraries

* Vending machines with healthy food choices like low-fat milk, fruits and lowcalorie snacks

* Public workout areas, playing and sporting fields, and other exercise

opportunities

* Safe accessible pathways and cycle-ways that make the decision to walk or

cycle for transport easier

Technology e.g. Accessible and reliable Internet and broadband access

* Accessible specialist cancer diagnostic technology to allow early and accurate

cancer detection

Services e.g. Free phone quit (smoking) service, Cancer Helpline, Free cancer

telegroup counselling, interpreter and sign lang. services,

* Telegroup Counselling is a free and confidential service of the Cancer Council

NSW. This service offers emotional support and advice through talking with

others who are going through a similar experience. Unlike traditional support

groups, telegroups get together over the phone. Telegroup counselling

provides an option for people living in remote areas and for those who are

socially isolated.

* The Multicultural Cancer Information Service (MCIS) of the Cancer Council

NSW offers a free confidential telephone and information and support service in

a range of community languages for people with cancer and their carers on all

issues related to cancer - Arabic, Cantonese, Greek, Italian, Chinese, Mandarin

languages are available. The MCIS team also provides assistance to language

specific cancer support groups throughout NSW and support other Cancer

Council staff in program planning and pathways of implementation into the

Arabic, Chinese, Greek and Italian communities.

Training and Resources e.g. Community cancer education and information, OH&S

information & training

* Establishment of cancer support groups and relevant supportive resources

* Cancer support group leader training

* Free and available directories of community programs which improve wellbeing

and social connectedness including exercise, hobby, professional, volunteer

groups etc

Policy

* Policy against alcohol use during work hours

* Flexible employment practices (including carer leave), breaks from work, and

circulars to staff about cancer workplace.

The Cancer Council NSW 2Cancer Control Examples across the Ottawa Charter Principles

Strengthen Community Action

Aim: Empowering communities to increase control over preserving and improving

health

Community Development (Information, training and learning opportunities, resources)

e.g. volunteer recruitment and training, consumer advocacy training, information on

community health statistics and harmful environmental substances, cancer support

group resources, financial reimbursement for volunteer transport services, community

consultation etc etc….

* Collaboration in which information and decisions from all relevant community

organisations are shared

* The creation of a volunteer led cancer information and counselling centre

funded and operated by the community.

* Build capacity of community workers such as librarians, social support services

etc to provide accurate health information their constituents

* Provide support and resources to communities to identify gaps or potential

overlaps in local cancer treatment and supportive care services

* Flyers with translations of cancer information in different community languages.

* Alcohol free community events for young people

* Community meetings on key issues of concern, to drive and inform cancer

prevention related activities and services.

* Local training to raise awareness of available cancer programs and services for

community organisations.

* Support local projects such as market gardens

* Assist the community to develop a community policy on alcohol availability

* Observe whether the law that prohibits the selling of tobacco products to youth

under 18 years of age is being followed and report to the council and local

police if not

* Increase availability of local programs (such as walking groups) with specific

groups (aged).

* Plant trees to provide shade in local areas.

Healthy Kids Project

The "Healthy Kids" Project is targeted at increasing the health & well-being of

babies and children (under 5 years) of young women who are homeless, or at risk

of homelessness. The project will provide information to and increase the skills of

young women who are homeless in positively managing the health of their children.

The project will work with young women who are accommodated and/or supported

by accommodation agencies (ie. shelters) and will access these young women via

these services.

The Cancer Council NSW 3Cancer Control Examples across the Ottawa Charter Principles

Develop Personal Skills

Aim: Empowering individuals to increase control over and improve health

Personal Development (Information, training and learning opportunities, resources)

e.g. strengthen individual skills through free and readily available health information;

target functional literacy skills to enable individuals to interpret written and oral

information about health, conduct store tours to educate people about healthy foods,

thereby enabling them to make healthier food choices etc etc….

* Make available free public training in the use of technology such as searching

the Internet for reliable health information

* Develop free cancer information resources that are marketed and accessible by

the whole community

* Free on-line learning programs in smoking cessation, fitness and general

health

* Make available in all public libraries, information and other resources on cancer

prevention, cancer treatment and cancer support services. Including practical

advice, service directories and a list of credible websites designed to provide

accurate cancer information to the public.

* Widely distribute accurate information (via mass media - newspapers, TV etc

and family doctors) on warning signs and the early detection of cancer

Reorient Health Services

Aim: Shift the focus towards prevention in settings focused on providing clinical

and curative services.

Health Professional e.g. Educate paediatricians and family doctors about assessing

second hand smoke exposure in children and counselling in smoking cessation.

Organisational Change e.g. Training to support cross-cultural competence in health

care.

* Government commitment to resources (staff, dollars and infrastructure) to

disease prevention in health care services.

* Allocation of adequate resources for interpreters and multilingual information

* Educate health care providers about health literacy to support improvements in

communication with patients with low health literacy levels.

* Provide information and resources to health service providers on counselling

parents on how to advise their children on smoking, and how to directly

promote smoking prevention and cessation among children.

* Establish health promotion officer positions to develop and coordinate

preventive health activities such as promotion of childhood vaccination and

adult cancer screening, importance of avoiding UV exposure in children,

consequences to children's health of second hand smoke etc

The Cancer Council NSW 4