Creating a sustainable health promotion workforce in Australia: a health promoting approach to professionalisation

Jones-Roberts, Andrew; Phillips, Janine; Tinsley, Kirsty

doi:10.1071/he13076

Cited by 9 publications

(16 citation statements)

References 5 publications

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“…29 The aforementioned challenges have occurred when the health promotion community has matured to a point where health promotion competencies have been developed, and there are multiple discussions about the professionalisation of the health promotion workforce at both national and international levels. 30,31 AHPA has been active in leading this discussionwith an open and reflective dialogue about both the benefits and risks of the current deregulated health promotion workforce and the move towards professionalisation. 31 The release of the 2014 Australian Federal Budget marked a significant blow for health promotion in Australia.…”

Section: Recent Challenges For Health Promotion and Preventionmentioning

confidence: 99%

“…30,31 AHPA has been active in leading this discussionwith an open and reflective dialogue about both the benefits and risks of the current deregulated health promotion workforce and the move towards professionalisation. 31 The release of the 2014 Australian Federal Budget marked a significant blow for health promotion in Australia. Key announcements made during the budget 32 included: The Minister for Health has reiterated the Government retains a commitment to prevention, his preferred approach is based on empowering individuals to take responsibility for their own health.…”

Section: Recent Challenges For Health Promotion and Preventionmentioning

confidence: 99%

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The case of national health promotion policy in Australia: where to now?

Smith

Crawford

Signal

2016

Health Promot J Austr

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Issue addressed Over the last three decades there has been an incremental investment in health promotion and prevention across Australia; yet, the Commonwealth Government and some state/territory governments have more recently instigated funding cuts in health promotion and prevention. This paper argues that the role of health promotion is critical in contemporary Australia and discusses strategies needed to move forward within the context of recent disinvestments. Discussion Key areas of concern relating to recent health promotion and prevention disinvestment in Australia include the abolishment of the Australian National Preventive Health Agency, the cessation of the National Partnership Agreement on Preventive Health and significant cuts to Indigenous programs. These changes pose a significant threat to the health, economic and social well being of Australians and the region, particularly those that are most vulnerable. Conclusions Future health promotion and prevention efforts will require strategic leadership and action to enhance the promotion of health equity in Australia over the coming decades. We call on governments to (re)invest in health promotion and prevention both in and outside the health sector so that health promotion professionals can continue their advocacy efforts aimed at articulating their professional place in improving population health. So what? Recent changes to national health promotion and prevention policy are detrimental to the health and well being of the Australian population, particularly those most vulnerable. Sound planning to revitalise and refocus health promotion action in Australia is urgently required.

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Section: Recent Challenges For Health Promotion and Preventionmentioning

confidence: 99%

Section: Recent Challenges For Health Promotion and Preventionmentioning

confidence: 99%

The case of national health promotion policy in Australia: where to now?

Smith

Crawford

Signal

2016

Health Promot J Austr

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“…Although health promotion is recognised as 'a process of enabling people to increase control over, and to improve, their health', 1 there are many varieties of health promotion in practice. This diversity exists, in part, because health promotion is a multidisciplinary, multistrategy endeavour practised by an 'eclectic mix of professional backgrounds', 11 including social work, health science, nursing, dietetics, occupational therapy, research, population health and community development. * Thus, for example, health promotion professionals can be concerned with macro-level change to reorient health systems and local-level change to develop personal skills and strengthen community action.…”

Section: What Is Health Promotion Ethics?mentioning

confidence: 99%

‘We don't tell people what to do’: ethical practice and Indigenous health promotion

McPhail-Bell

Bond

Brough

et al. 2015

Health Prom J of Aust

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Health promotion aspires to work in empowering, participatory ways, with the goal of supporting people to increase control over their health. However, buried in this goal is an ethical tension: while increasing people's autonomy, health promotion also imposes a particular, health promotion-sanctioned version of what is good. This tension positions practitioners precariously, where the ethos of empowerment risks increasing health promotion's paternalistic control over people, rather than people's control over their own health. Herein we argue that this ethical tension is amplified in Indigenous Australia, where colonial processes of control over Indigenous lands, lives and cultures are indistinguishable from contemporary health promotion 'interventions'. Moreover, the potential stigmatisation produced in any paternalistic acts 'done for their own good' cannot be assumed to have evaporated within the self-proclaimed 'empowering' narratives of health promotion. This issue's guest editor's call for health promotion to engage 'with politics and with philosophical ideas about the state and the citizen' is particularly relevant in an Indigenous Australian context. Indigenous Australians continue to experience health promotion as a moral project of control through intervention, which contradicts health promotion's central goal of empowerment. Therefore, Indigenous health promotion is an invaluable site for discussion and analysis of health promotion's broader ethical tensions. Given the persistent and alarming Indigenous health inequalities, this paper calls for systematic ethical reflection in order to redress health promotion's general failure to reduce health inequalities experienced by Indigenous Australians.

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“…Working in partnership is deeply enshrined in the Declaration of Alma‐Ata and Ottawa Charter—it is a principle that has underpinned community development, health promotion, public health and comprehensive primary health care approaches for decades . Such principles are now also firmly embedded in global health promotion competencies, such as those that underpin the Health Promotion Practitioner Registration system currently being implemented by the AHPA . Also, intersectoral collaboration is considered a fundamental principle for steering health promotion efforts involving action on the social determinants of health …”

mentioning

confidence: 99%

“…[4][5][6] Such principles are now also firmly embedded in global health promotion competencies, such as those that underpin the Health Promotion Practitioner Registration system currently being implemented by the AHPA. 7,8 Also, intersectoral collaboration is considered a fundamental principle for steering health promotion efforts involving action on the social determinants of health. 2,3 In many respects, working collaboratively is what health promoters do well and is reflected in the multiple articles that have been, and continue to be, published in HPJA.…”

mentioning

confidence: 99%