Health Literacy What is literacy What is it

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Health Literacy

Health Literacy

What is literacy? What is it? • Functional literacy adalah kemampuan seseorang untuk membaca

What is literacy? What is it? • Functional literacy adalah kemampuan seseorang untuk membaca teks dasar dan menulis pernyataan yang relevan dengan kehidupan sehari-hari Why do we care? • Orang yang punya literasi fungsional dapat berpartisipasi secara penuh dalam masyarakat, dan dapat menggunakan derajat yang tinggi untuk mengontrol kejadian-kejadian dalam kehidupan • Literacy levels berhubungan dengan public health outcomes

Distribution of Global Adult Illiterate Population (15 and over) by Region, 2005 -2007 (Total

Distribution of Global Adult Illiterate Population (15 and over) by Region, 2005 -2007 (Total Number of Adult Illiterate Population: 775 millions) "More than two-thirds of the world's adult illiterates live in Asia and the Pacific Region"

Distribution of adult illiterate population (15 and over) by sub-region and gender, 2005 -2007

Distribution of adult illiterate population (15 and over) by sub-region and gender, 2005 -2007 (Total Number of Adult Illiterate Population: 775 millions) Rates of illiteracy are higher in S&W Asia, especially in India, Bangladesh and Pakistan Women continue to constitute the majority of the illiterate. Source: Asia-Pacific Literacy database - http: //www. accu. or. jp/litdbase/index_h. htm

As Female Literacy Rates Climb, Total Fertility Rate Drops List of country codes Afghanistan

As Female Literacy Rates Climb, Total Fertility Rate Drops List of country codes Afghanistan AFG Bangladesh BGD Bhutan BTN Cambodia KHM China CHN India IND Indonesia IDN Iran IRN Lao LAO Malaysia MYS Maldives MDV Mongolia MNG Myanmar MMR Nepal NPL Pakistan PAK Papua NG Philippines PHL Sri Lanka LKA Thailand THA Viet Nam VNM NB. Total fertility rate is the number of children that would be born per woman if she were to live to the end of her child-bearing years and bear children at each age . in accordance with prevailing age specific fertility rates Source: Asia-Pacific Literacy database - http: //www. accu. or. jp/litdbase/index_h. htm

As Mothers Learn to Read, More Children Survive List of country codes Afghanistan AFG

As Mothers Learn to Read, More Children Survive List of country codes Afghanistan AFG Bangladesh BGD Bhutan BTN Cambodia KHM China CHN India IND Indonesia IDN Iran IRN Lao LAO Malaysia MYS Maldives MDV Mongolia MNG Myanmar MMR Nepal NPL Pakistan PAK Papua NG Philippines PHL Sri Lanka LKA Thailand THA Viet Nam VNM NB. Under-5 mortality rate is probability of dying between birth and exactly five years of age expressed per 1, 000 live births. Source: Asia-Pacific Literacy database - http: //www. accu. or. jp/litdbase/index_h. htm

Literate People Tend to Live Longer Life expectancy at birth is the number of

Literate People Tend to Live Longer Life expectancy at birth is the number of years newborn children would live if subject to the mortality risks prevailing for the cross-section of population at the time of their births Source: Asia-Pacific Literacy database - http: //www. accu. or. jp/litdbase/index_h. htm

Commission on Social Determinants of Health Education and the life-course • “Removing the numerous

Commission on Social Determinants of Health Education and the life-course • “Removing the numerous barriers to achievement of primary education will be a crucial part of action on the social determinants of health” • Literacy has “central role in health equity” in countries rich and poor http: //www. who. int/social_determinants/resources /interim_statement/en/index. html

Harusnya… Patients y t e ci ) o y S r st u I(

Harusnya… Patients y t e ci ) o y S r st u I( nd Healthcare providers

Kenyataannya… Patients Society (Industry) e r a c h t l a He s

Kenyataannya… Patients Society (Industry) e r a c h t l a He s r e d i v o r p

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Health Literacy • Istilah Health Literacy sudah digunakan dalam literatur setidaknya 30 tahun yang

Health Literacy • Istilah Health Literacy sudah digunakan dalam literatur setidaknya 30 tahun yang lalu (Ad Hoc Committee on Health Literacy, 1999) • Di US, secara khusus digunakan untuk menggambarkan dan menjelaskan hubungan antara literasi pasien dan kemampuan untuk mematuhi petunjuk resep. (Ad Hoc Committee on Health Literacy, 1999) • Adequate functional health literacy kemampuan menggunakan ketrampilan literacy untuk material terkait kesehatan seperti resep, kartu kunjungan, label obat, petunjuk home-health care (Parker et al, 1995) • Functional health literacy yang rendah adalah hambatan utama untuk edukasi pasien terkait dengan penyakit kronis (William, et all, 1998

What is health literacy? • “Health literacy represents the cognitive and social skills which

What is health literacy? • “Health literacy represents the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand, and use information in ways which promote and maintain good health” • “Health literacy means more than being able to read pamphlets and make appointments. By improving peoples’ access to health information and their capacity to use it effectively, health literacy is critical to empowerment” *Nutbeam D. Health Promotion Glossary. Health Promotion International, 13(4): 349 -364. 1999 (also - WHO/HPR/HEP/98. 1)

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Health Literacy in Taiwan…Findings l Higher general HL is significantly associated with the higher

Health Literacy in Taiwan…Findings l Higher general HL is significantly associated with the higher ability to pay for medication, higher self-perceived social status, higher frequency of watching health-related TV, more community involvement also younger age l HL is associated with health status, health behaviors, health care accessibility and use. l The HLS-EU-Q was found to be a useful tool to assess HL and its associated factors in the general population 20

Health Literacy The capacity to obtain, interpret, understand use health information and services to

Health Literacy The capacity to obtain, interpret, understand use health information and services to enhance health.

HLS-EU Definition

HLS-EU Definition

What is Health Literacy? h t Heal l a t y e c H

What is Health Literacy? h t Heal l a t y e c H ra Liter h a cy e t i L An ability of people to gain access, understand, appraise and use information to promote and maintain good health.

Measuring health literacy- the questions

Measuring health literacy- the questions

Country scores ( HLS-EU consortium, 2012)

Country scores ( HLS-EU consortium, 2012)

Inadequate and problematic health literacy – inequities

Inadequate and problematic health literacy – inequities

Health outcomes of “ inadequate and problematic” health Literacy • • • Poorer health

Health outcomes of “ inadequate and problematic” health Literacy • • • Poorer health choices Riskier behaviours Less use of preventive services More delayed diagnoses Poorer understanding of medical conditions Less adherence to medical instructions Poorer self-management skills Increased risk of hospitalization Poorer physical and mental health Increased mortality risk Higher health costs

Health Literacy di Indonesia? . . belum banyak yang fokus membahas

Health Literacy di Indonesia? . . belum banyak yang fokus membahas

Semarang Health Literacy Survey, 2014, n=1029 60. 00 53. 06 50. 00 40. 00

Semarang Health Literacy Survey, 2014, n=1029 60. 00 53. 06 50. 00 40. 00 31. 97 30. 00 20. 00 10. 00 - 10. 69 4. 28 inadequate problematic sufficient excellent Nurjanah, Enny Rachmani, 2014

Semarang Health Literacy Survey, 2014 Age – General HL, 2014 (n= 1029) inadequate >=55

Semarang Health Literacy Survey, 2014 Age – General HL, 2014 (n= 1029) inadequate >=55 12. 50 45 -54. 9 12. 00 35 -44. 9 8. 44 25 -34. 9 10. 65 18 -24. 9 10. 57 15 -17. 9 12. 00 problematic 52. 50 50. 67 47. 40 sufficient excellent 32. 50 30. 00 36. 36 47. 22 57. 99 60. 00 2. 50 7. 33 7. 79 5. 56 36. 57 30. 08 25. 00 1. 36 3. 00 Nurjanah, Enny Rachmani, 2014

Health Literacy on UDINUS Health Students, online, 2014, n=69 80 68. 1 70 60

Health Literacy on UDINUS Health Students, online, 2014, n=69 80 68. 1 70 60 50 40 26. 1 30 20 10 5. 8 0 Inadequate Problematic Sufficient Nurjanah, Yusthin M, 2014

Health Literacy on UDINUS Health Students, 2015, n=82 70 59. 8 60 50 40

Health Literacy on UDINUS Health Students, 2015, n=82 70 59. 8 60 50 40 30. 5 30 20 10 9. 8 0 Inadequate Problematic Sufficient Nurjanah, Sri Soenaryati, 2014

Information: Confusing

Information: Confusing

High School Students in Semarang, n=140 Health Literacy (%) Inadequate Problematic Sufficient 70. 7

High School Students in Semarang, n=140 Health Literacy (%) Inadequate Problematic Sufficient 70. 7 25 4. 3 Inadequate Problematic Sufficient Nurjanah, Sri Soenaryati, 2016

Factors related to Health Literacy on Students Variable p-value Correlation coefficient Sex 0. 398

Factors related to Health Literacy on Students Variable p-value Correlation coefficient Sex 0. 398 Age 0. 395 Concentration 0. 129 Attending Extracurricula 0. 043* Discussing health in extracurricula 0. 061 Medical/health training in the family -0. 073 0. 001** Access health information from television 0, 415 0. 069 Access health information from radio 0. 794 -0. 022 Access health information from internet 0. 008* 0. 224 Access health information from mobile phone 0. 012** 0. 213 Access health information from health training 0. 399 0. 072 Access health information from social media 0. 000** 0. 399 e. HEALS 0. 000** 0, 421 Nurjanah, Sri Soenaryati, 2016

Health Literacy for all and by all • People- risk assessment, disease prevention, health

Health Literacy for all and by all • People- risk assessment, disease prevention, health care seeking, disease management • Providers- social determinants of health, patient centered care • Policy Makers- Health in all policies

THE INTERACTIVE NATURE OF HEALTH LITERACY • Health literacy is a dynamic reality. It

THE INTERACTIVE NATURE OF HEALTH LITERACY • Health literacy is a dynamic reality. It occurs when skills and abilities to get and use information are aligned with the complexity/clarity of demands/tasks required for health.

Siapa yang bertanggungjawab untuk meningkatkan Health Literacy? • • • Health Systems Education Media

Siapa yang bertanggungjawab untuk meningkatkan Health Literacy? • • • Health Systems Education Media health information marketplaces Home Community Workplace Policy Making Arenas

Contoh Health Literacy di Healthcare

Contoh Health Literacy di Healthcare