Models of Health Promotion
Models of Health Promotion
HEALTH PROMOTION
MODEL OF HEALTH PROMOTION 1: FOUR
PARADIGMS OF HEALTH PROMOTION (CAPLAN
AND HOLLAND - 1990)
Radical
RADICAL HUMANIST Nature of RADICAL STRUCTURLIST
change
• Holistic view of health society • Health reflects structural
inequalities
• De-professionalization
• Need to challenge inequity and
• Self-help networks
radically transform society.
Subjective Objective
Nature of
knowledge
HUMANIST
TRADITIONAL
• Holistic view of health
• Health = absence of disease
• Aims to improve understanding
and development of self • Aim is to change behaviour
• Client-led • Expert-led
Social
regulation
MODEL OF HEALTH PROMOTION 2: HEALTH
PROMOTION METHODS USING BEATTIE’S
TYPOLOGY (BEATTIE – 1991)
MODE OF INTERVENTION
Advice Legislation
Education
Authoritarian Policy making and
implementation
Behaviour change
Health surveillance
Mass media campaign
Individual Collective
Focus of
intervention
Counselling
Lobbying
Education
Action research
Group work
Skills sharing and training
Group work
Community development
Negotiated
MODEL OF HEALTH PROMOTION 3: A TYPOLOGY
OF HEALTH PROMOTION (FRENCH – 1990)
DISEASE
MANAGEMENT
• Curative services
• Management services HEALTH
DISEASE EDUCATION
• Caring services
PREVENTION • Agenda setting
• Preventive services • Empowerment and
• Medical services support
• Behaviour change • Information
POLITICS OF HEALTH
• Social action
•Policy development
• Economic and fiscal
policy
MODEL OF HEALTH PROMOTION 4: TANNAHILL’S
MODEL OF HEALTH PROMOTION (DOWNIE et al – 1990)
5 6. Positive health
1. Preventive services, Health education
e.g. immunization, protection, e.g.
cervical screening, workplace
2 7
hypertension case smoking policy.
1 4 6
finding, Health
developmental Prevention 3 protection 7. Health education
surveillance, use of aimed at positive
nicotine chewing gum health protection,
to aid smoking
3. Preventive health protection, e.g. e.g. lobbying for
cessation. a ban on tobacco
fluoridation of water.
advertising.
2. Preventive health 4. Health education for preventive
education, e.g. health protection, e.g. lobbying
smoking cessation for seat belt legislation.
advice and 5. Positive health education, e.g
information. lifeskills with young people.
MODEL OF HEALTH PROMOTION 5: THE
CONTRIBUTION OF EDUCATION TO HEALTH
PROMOTION (TONES et al – 1990)