scholarly journals Implementation of the National Action Plan Health Literacy in Germany—Lessons Learned

Author(s):  
Doris Schaeffer ◽  
Svea Gille ◽  
Klaus Hurrelmann

The promotion of health literacy (HL) has become an important task in public health. In response, in many countries, strategies and action plans to strengthen HL have been developed. Systematic discussion of implementation strategies of action plans on HL is scarce. This paper presents the implementation strategy and the methodical process of its realization of the National Action Plan HL in Germany which was published in 2018. The implementation strategy was based on considerations of implementation science and research. A process consisting of a continuum of various overlapping methodical and strategic steps of diffusion, dissemination and implementation based on collaboration and co-production was chosen. According to this, the Action Plan was widely diffused via various channels, disseminated through numerous publications and presentations, and implemented in several settings by holding workshops with stakeholders from politics, science and practice, as well as by cooperating with the Alliance for Health Literacy. This three-part collaborative and co-productive implementation strategy has helped to place HL and the National Action Plan on the health policy agenda in Germany. Experience demonstrates that implementation should be also considered, systematically planned, and addressed when developing strategies to strengthen HL.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Health literacy (HL) has become an important topic in many countries. As HL - meaning the ability to access, understand, appraise and apply health information (Sørensen et al. 2012) - is important to make sound health decisions, to promote health and to take an active part in managing health and illness in everyday life and navigating the health care system. In the modern digital knowledge society, HL is also indispensable for orienting oneself in the abundance of mostly digital health information, including incorrect and false information, for locating reliable information and for assessing the trustworthiness and quality of information. However, available studies show that HL is insufficient in many countries. Low HL has - as many studies show - negative social consequences ranging from unhealthy behaviour, higher risk for diseases, less self-care and deficits in coping with illness and chronicity, to over- and misuse (extensive use) of health care. The promotion of HL is therefore an important public health task. An increasing number of population studies and policy documents currently underline this. The WHO has therefore included HL into many of its strategies, like the declarations of Shanghai (2016) and Astana (2018), and has published several publications focusing on HL, like the Solid Facts (2013), the 57th Health Evidence Network Report (2018) or the Roadmap for Implementing Health Literacy Activities (2019). In many countries, strategies and national action plans to improve HL have been developed in response to the political call for action, e.g. in Scotland, Germany and recently also in Portugal. Other countries and regions are currently working on the development of a HL action plan, e.g. Belgium and the WHO European Region action plan on HL. The development and especially the implementation strategies of action plans in different countries and the experiences gained will be discussed comparatively in the workshop. Following an introduction (10'), two countries, which already have action plans will introduce their implementation strategy in one presentation each: Germany and Portugal (30'). This will be followed by two presentations of countries/regions in which action plans are currently being developed: Belgium and WHO Europe (30'). Afterwards the participants will have the opportunity to ask questions and discuss on the different strategies (20'). The workshop will help other initiatives to successfully develop and implement policy plans and strategies in different fields of public health. Key messages Strategies and national action plans to improve HL have been developed in different countries/regions. It is important to reflect on the chosen development and implementation strategies and to discuss their effects, successes and barriers.


Author(s):  
Doris Schaeffer ◽  
Svea Gille ◽  
Dominique Vogt ◽  
Klaus Hurrelmann

Abstract Aim Health literacy has gained increasing importance worldwide. As a result of several studies indicating low health literacy levels in large parts of the population, strategies and action plans promoting health literacy were developed in many countries. The article analyses the origin, development and structure of the German Health Literacy Action Plan. Subject and methods In 2016, a civil society initiative was formed, aiming at developing a national action plan in an expert-based and collaborative manner. A group of 15 experts elaborated the core elements of the action plan, based on a literature review on existing health literacy approaches, action plans and empirical evidence. These core elements were further developed collaboratively in workshops with key stakeholders, self-help and patient organizations and individual consultation meetings. Afterwards, the National Action Plan was reviewed and previously formulated recommendations were refined before being published. Results and conclusion The National Action Plan Health Literacy in Germany presents 15 recommendations in four areas of action for promoting health literacy in Germany. This bottom-up strategy and the expert-based yet at the same time collaborative approach have proved to be successful when developing a national action plan.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Schaeffer ◽  
E Berens ◽  
S Gille ◽  
K Hurrelmann ◽  
U Bauer

Abstract Background In Germany, the development of the National Action Plan on Health Literacy (NAP) was triggered by results of the HLS-GER, the first representative study on HL in Germany, showing that more than half of the German population perceive great problems in processing health information. In response to this, a group of 15 experts from academia, practice and policy worked together on a first draft of the NAP, which was refined based on various stakeholder consultations and finally published in 2018. The plan focuses on four areas of action and initially presents 15 specific recommendations to strengthen health literacy in Germany following five key principles. After the delivery to the Federal Minister of Health in 2018, it quickly became clear that the action plan and its recommendations need additional tools for implementation. Therefore, a systematic implementation strategy was developed. Methods Core elements of the implementation strategy were a systematic dissemination of the plan as well as workshops with important stakeholders from policy, associations, patient and self-help organisations. The aim of the workshops was it to concretise single recommendations of the NAP and to develop additional tools to implement them in specific fields of actions. The workshops led to policy papers, which were consented by a group of stakeholders and again disseminated broadly. Results Through numerous publications and presentations in different contexts the NAP received great attention. Furthermore, seven workshops and one international symposium were conducted focussing on single recommendations of the NAP, each leading to policy papers. The workshops and policy papers contributed to identification with the NAP and motivated the development of tools to promote health literacy. Conclusions The implementation strategy was effective as many stakeholders could be involved. It is also resource and time consuming which needs to be considered in project planning.


2019 ◽  
Vol 39 (1) ◽  
pp. 13-18
Author(s):  
Blythe Robertson ◽  
Annamarie Horne ◽  
Eleri Williams

The Scottish Government published “Making it Easy – A Health Literacy Action Plan for Scotland” in 2014, and in 2017 the next steps were set out in “Making it Easier – A Health Literacy Action Plan for Scotland 2017–2025.” This article discusses what health literacy is, outlining the key points from these national action plans. The importance of understanding and addressing health literacy in relation to renal services, and dialysis in particular, is highlighted by use of an example of a Scottish renal unit's practice to outline the principles being used in a service.


2001 ◽  
Vol 16 (1) ◽  
pp. 33-35 ◽  
Author(s):  
Eric K. Noji ◽  
SWA Gunn ◽  
A. Abdul Aziz ◽  
Huan-Teng Chi ◽  
Wayne Dauphinee ◽  
...  

AbstractIntroduction:To effectively respond to this relatively new, complex mandate it is essential to find effective models of coordination to ensure that medical and health services can meet the standards now expected in a disaster situation. This theme explored various models, noting both the strengths that can be built on and the weaknesses that still need to be overcome.Methods:Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. Since the findings from the Theme 1 and Theme 4 groups were similar, the chairs of both groups presided over one workshop that resulted in the generation of a set of Action Plans that then were reported to the collective group of all delegates.Results:The main points developed during the presentations and discussion included: (1) preplanning (predisaster goals), (2) information collection (assessment), (3) communication (materials and methods); and (4) response centres and personnel. There exists a need for institutionalization of processes for learning from experiences obtained from disasters.Discussion:Action plans presented include: (1) creation of an information and data clearinghouse on disaster management, (2) identification of incentives and disincentives for readiness and develop strategies and interventions, and (3) action on lessons learned from evidence-based research and practical experience.Conclusions:There is an urgent need to proactively establish coordination and management procedures in advance of any crisis. A number of important insights for improvement in coordination and management during disasters emerged.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Berens ◽  
D Schaeffer

Abstract Promoted by the results of the European Health Literacy survey, the first representative German Health Literacy Survey (HLS-GER) was conducted in 2014. The results showed that every second individual in Germany (54.3 %) has limited health literacy. Thus, a majority of the German population is confronted with difficulties in finding, understanding, appraising, and applying health information. Particularly, vulnerable groups as people with migration background, low education attainment, and in older age as well as chronically ill have even more problems in processing health information and thus are confronted with challenges to maintain health, prevent diseases and use the healthcare system. Based on the initial research findings of the HLS-GER and the increasing attention and discussions arising with its results, the National Action Plan Health Literacy was developed by a group of experts to systematically improve and strengthen health literacy in Germany. After agreements with representatives of politics and society, health professions and patient and citizen organizations it was published in 2018. It includes 15 specific recommendations in four areas of action and focusses on fostering health literacy in daily life, creating a user-friendly and health literate healthcare system, HL and chronic illness and expanding health literacy research. Five underlying key principles are mentioned to consider in implementing the National Action Plan. The HLS-GER survey data were further used to discuss some recommendations within specialized workshops leading to more detailed strategy papers. The current political and practical developments and discussions initiated by National Action Plan, will be picked up in the second German Health Literacy Survey (HLS-GER2), which is part of HLS19. By repeatedly assessing population HL in Germany the implementation of the National Action Plan can be monitored and further specified, thus survey data help to create policy.


2018 ◽  
Vol 16 (S1) ◽  
pp. S-25-S-29 ◽  
Author(s):  
Malik Safi ◽  
Kashef Ijaz ◽  
Dalia Samhouri ◽  
Mamun Malik ◽  
Farah Sabih ◽  
...  

Author(s):  
Jovanka Šaranović ◽  
Brankica Potkonjak-Lukić ◽  
Tatjana Višacki

This paper reviews positive experiences in the implementation of the UNSC Resolution 1325 in the Ministry of Defence and the Serbian Armed Forces (MoD and SAF). Since the first National Action Plan for the Implementation of the UNSC Resolution 1325 – Women, Peace and Security in the Republic of Serbia (2010- 2015) is no longer valid, the best evidence of the significant improvements that have been made regarding gender equality in the MoD and SAF are the achieved results. In addition to improved gender awareness, and a higher representation of women in the defence system, these results also indicate that the roles, positions and protection of women have been improved. Future responses to all the challenges that stand in a way of full objectification of gender equality in the MoD and SAF require additional efforts for their timely identification, comprehensive understanding, correct interpretation and objective presentation. Today, as was the case with the pervious document, the MoD of the Republic of Serbia has a key role in drafting the new National Action Plan for the period 2016-2020, especially with regard to the definition of its objectives and determining the dynamics of their implementation, thereby taking into consideration contemporary standards in the area of gender equality, accumulated knowledge, lessons learned, empirical research findings and experience gained by other countries at the regional and global level. V članku so predstavljene pozitivne izkušnje pri izvajanju Resolucije OZN 1325 na Ministrstvu za obrambo in v Vojski Srbije. Ker prvi nacionalni akcijski načrt za uresničevanje Resolucije OZN 1325 – Ženske, mir in varnost v Republiki Srbiji (2010–2015) ni več v veljavi, so doseženi rezultati najboljši dokaz pomembnih izboljšav na področju enakosti spolov na Ministrstvu za obrambo in v Vojski Srbije. Poleg boljše ozaveščenosti na področju spolov in večje zastopanosti žensk v obrambnem sistemu ti rezultati kažejo tudi na izboljšane vlogo, položaj in zaščito žensk. Za prihodnje odgovore na izzive, ki se še pojavljajo na poti do popolne objektivizacije enakosti spolov na Ministrstvu za obrambo in v Vojski Srbije, so nujna dodatna prizadevanja, da se pravočasno odkrijejo, celovito razumejo, pravilno tolmačijo in objektivno predstavijo. Danes, podobno kot pri pripravi prejšnjega dokumenta, ima Ministrstvo za obrambo Republike Srbije glavno vlogo pri oblikovanju novega nacionalnega akcijskega načrta za obdobje 2016–2020, še zlasti pri opredeljevanju ciljev in določanju dinamike njihovega uresničevanja. Pri tem se upoštevajo sodobni standardi na področju enakosti spolov, pridobljeno znanje, učenje iz izkušenj, rezultati empiričnih raziskav ter izkušnje drugih držav na regionalni in globalni ravni.


2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
D Vogt ◽  
D Schaeffer ◽  
U Bauer ◽  
K Koplatzik ◽  
K Hurrelmann

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