[Position of health at international relations. Part II. Organizational dimensions of health]

Przegl Epidemiol. 2011;65(2):379-87.
[Article in Polish]

Abstract

The aim of this article was: (1) the analysis of some concepts and definitions related with "set up of health", used in UN international arrangements; (2) an attempt to explain the evolution of organizational dimensions of health at worldwide agenda. The following organizational dimensions of health were discussed: (a) health for all, (b) health promotion, intersectoral and multisectoral actions, health in all policies, (c) health development, health as an element of human development, (d) investment for health, (e) health diplomacy and (f) mainstreaming of health. The analysis was based on World Health Assembly and UN General Assembly resolutions as well as supranational reports and statements available through conventional channels, not grey literature. It is apparent that some of notions are not in common use in Poland, some seems to be unknown. It was argued that some general and discreet thoughts and statements concerning organizational aspects of health were expressed in the preamble of WHO Constitution. Nevertheless they are not comparable with later propositions and proceedings. The first modern concepts and notions related as process were developed at late seventies. They originated from efforts to realize a vision of health for all and formulate national policies, strategies and plans of action for attaining this goal. The turning point was in 1981, when WHA adopted Global Strategy for Heath for All by the Year 2000. Since then one can observe considerable progress and new concepts came into existence, more and more precise and better reflecting the sense of health actions. The evolution of organizational dimensions of health was described in the context of brand positioning. It was assumed that first step of positioning was concentrated on structural dimensions of health. That served to awareness raise, attitudes change and motivation to action. That made a foundation to the next step--positioning based on process approach to health. Among others the following processes are described: (a) health for all, (b) health promotion, health in all policies, (c) health development, (d) health diplomacy, and (e) mainstreaming of health.

Publication types

  • English Abstract

MeSH terms

  • Europe
  • Health Policy*
  • Health Promotion / organization & administration*
  • Health Services Accessibility
  • Health Status*
  • Human Rights
  • Humans
  • International Agencies
  • International Cooperation*
  • Marketing of Health Services / organization & administration*
  • Poland
  • Public Health Administration
  • Public Health*
  • United Nations