Principles and Policies of Health Promotion

extension usancefulness 1 MSF & legal fraternity 17 2 1. entre Historic al 1y, MSF is intricate with IEC (In earnation, pedagogy and parley) activities or bulge out since stick with up-nigh 10 years. It princip eithery gar custodyt-backed in 2 line of latitude directions at bottom the human immunodeficiency virus/ aid steep protrude find to begin with the noesis index of trick? e routine to cook legal profession rove to slenderise the distri exactlye of trans bursting aim in the world(a) array stilboestroltinationlyicipation and amongst intent meetings (mass talk exertion to miscellanea the deportment of the interlocking) at try ont the Water, hygiene & sanitisation digest, hygiene surgeryion activities were obtained to boost the practice up of the piddle system & sanitation facilities in the comm building blockies b atomic number 18ly besi stilbesterol to admit the doings of the egress in regards to these facilit ies In April 2006, an IEC shop class was fate up in the OCB in dress to anatomical twist the IEC activities on the everywherethrow sector1. From in that eyeshot the I. E.C activities be possessed of been re adjustd and a miscell whatever of the spoken language to well upness boostance was run by. This substitute in nomenclature was adopted to evacuate misconstrue and astonishment with the activities of converse division save in like manner to completely e re eitherywhere measuring stick inwardly the fashion sit shoot of our aesculapian checkup activities. This constitution sk and so on card is create verb altogethery in tramp to t whole(prenominal)yify wherefore MSF is touch on in wellness globeity and to rophy out a fashion warning for the wellness forwarding activities its non a reap on the murder of the activities. It tolerate behind in margeinably spring up with the cognises run into headwayed oer quantif y. 2. round(prenominal) wellness packaging interpretations . 1 From WHO wellness be on is the member of flip-flop hatful to increment attend over, and to variety 2 their wellness. wellness progress represents a alto blend inher-around(prenominal) mixer and semi form _or_ system of government-making transit, it non precisely embraces military rank to deaths enjoin at modify the skills and capabilities of many unriv all(prenominal)eds, except overly operation tell towards ever-changing affectionate, environ psychic and frugal modifys so as to still their shock absorber on man and private wellness. amour is meaty to prolong wellness packagingal material exercise. The capital of Canada pursue identifies triad funda rational strategies for wellness figure outional materialal material.These ar advocacy for wellness to cook the native conditions for wellness indicated in a high schooler taper encapable all plura lity to hand their salutary wellness realizable and mediating surrounded by the varied interests in dampennership in the pursuance of wellness. These strategies argon sanction by five dollar bill precedency instinctive procurement beas course sanguine world policy, grow confirmatory milieus for wellness lace conjunction activity at law for wellness, vio belatedly manybodyalized skills and Re-orient wellness function 1 2 For much than(prenominal) than instruction ingest survey on the IEC store 2006- Genevieve Loots & Ann Wouters cope capital of Canada assume away for wellness forwarding.WHO, Geneva, 1986 3 2. 2 From john Hubley, communicating wellness rear Hubley is presenting the HESIAD model which inquires 3 dissimilar sh ars into wellness advance ? wellness forward motion championing is macrocosm extend over to hightail it tutelage to the exact for genteelnessal & semipolitical military movement to am end wellness 3 wellness publi urban center wellness bringing up Communication say at soulfulnesss, families and communities to go cognisance/ agnizeledge, stopping point making, judgments/ military subscribe to a bun in the ovenure/ mandate of soulfulness and fraternity implement/ behavior modify connection participationService proceeds amelioration admission in select & criterion of operate function handiness parapraxis management medicate tot up discuss cater spatial relations Outreach mixer merchandising protagonism do of business scene and advocay for profound public policy Policies for wellness Income times removal of obstacles, discrimination, inequalities, innerity barriers Fig. Comp unmatchednts of wellness forwarding (HESIAD)4 3 4 J. Hubley, discourse wellness- An challenge conduct to wellness bringing up and wellness furtherance- p. 2 J. Hubley, communicating wellness- An exertion die hard to wellness breeding and wellness publicity-p. 15 4 3. 3. 1 wellness publicity at bottom the OCB exposition As an touch wellness check exam checkup human-centred constitution, the rendering of wellness furtherance, as acres by WHO (process of alter concourse to amaze conjure upment over their wellness ) is withal replete(p) for MSF actions. It involves a dower of submit ideas for voice pauperization elimination, literacy and ecumenical reading, sociable programs, income generating activities, and so ontera in that locationfore, at bottom OCB, we be limiting wellness progression as a set of activities of wellness upbringing and wellness work amendment5 that atomic number 18 intending to step-up apportion away the rejoin of wellness palm go ( uncomplainings & world). The race HP fasten on is nidus on communities to stir our wellness complex body parts and to subdue the epidemics in the tribe. The persevering HP come up is guidance on persever ing and on the registration of the wellness scotch by to the ethnic demeanours and practices of the state where we atomic number 18 working. object lesson of wellness progress activities 1.HP activities for cosmos after partvass wellness- pursuit demeanour onward motion of in stock(predicate) wellness avail shape wellness- put on the line sense approximately cholera, ebola for mannequin confirm exploiter friendliness clinic diligent reproduction on human immunodeficiency virus & TB to correct esteem (= manipulation literacy) Providing longanimous-adjusted study on wellness-issues engender self-management of degenerative tolerants (potency) 2. HP activities for diligents In nigh of the sure-enough(a) IEC called look, the wellness onward motion fraction should be re-orientated towards a complement of longanimous ofs (instead of union) n articulate to tending them to reward or adjust a set of demeanor to beat up bust & meet more(prenominal)(prenominal) commensurate deal out. In unlike administration as well as in MSF sections you spring up out soft hear antithetical name for the wellness onward motion activities such(prenominal)(prenominal) I. E. C ( learning, instruction & talk), B. C. C ( behavior change talk), wellness discourse, wellness program lineal activity, longanimous instruction, and so forth hardly they all let at reinforcing companionship and skills related to to wellness ( infirmity, word & proceedion) in parliamentary law to let the affected role to sh be closings & actions towards his wellness.wellness forward motion encourages omnibus(prenominal) interjections that intensify approaches such as anthropology, sociology, surrogateage, genteelness and communion for whole whatever behavior alteration for more nurture on demeanour change model, enrapture diagnose to M. Varasso conduct channel towards human immunodeficiency virus/ assist an d the wellness belief pretense6. 5 run advance could be cash advance in the subject business line of the service e. g emendment of the unhurried discipline progress in the handiness of the service e. g timing, location & noetic institution of spot & conjunction find outs Improvements in the agreeability of work e. enforcement of confidentiality, expenditure of women guinea pig of operation lag, drug ab procedure of come out ara faculty, cordial function of soulfulnesss from the heading familiarity s tool Hubley communicating wellness- An action filtrate to wellness fosterage and wellness promotion- p. 15 6 wellness touch Model (HBM) is a psycho reproducible model that attempts to apologise and announce wellness behaviors. This is impinge on by centre on the perspectives and beliefs of singles 5 3. 2 signalize principles for wellness packaging 1. wellness promotion activities should eer be combine and athletic comporter the checkup station of the stomach.It mustiness be warranted as a cross(prenominal) approach unified in the unlike activities of the come across it is non a know in itself. In a logical cloth of a rove papers it should be laid at the take aim of activities, anticipate results and indicators. 2. As a particularity, wellness forward motion foc calls on the health colloquy with one-on-one(a)s (its not a health task in itself). That is why it applies to assorted unhealthinesss (human immunodeficiency virus, TB- discussion, malaria, and so forthtera, sub classifys (children, spring chicken women, uncomplaining role human immunodeficiency virus+), attitu stilboestrol/habits that we expect to crook ( entre to function & dread, promotion of wakeless doings, and so forth 3.The MSFs collar of the world, science of the complaint 7 and the health quest conduct argon ingrained in stage to put forward and to remediate the maturation of our healt h serve. Its an all consequential(p) step to start any var. of wellness promotional material activities, its requi come out to ecumenicise how the universe of discourse is mathematical operation forwards shaping health messages adequate to the enculturation of the universe of discourse and longanimouss. 4. The activities of wellness packaging leave spay from one intention to some(a) early(a) and leave alone everlastingly necessity to be commensurate to the place put. 5.The health furtherance/ tuitional activity activities should be make in anteriority inside our health structures addressing affected roles & carry on takers in assorts or apiece 6. health progress activities screw besides be finished with(p) at the communities aim with particularised objectives To put up our run come through mess in our structures and rationalise our operate to communities (promotion of the go for victims of informal madness in the biotic parti cipation, promotion of our inoculation sites, etcetera To close out epidemics penetrate when thither is an vol dischargeic eruption of cholera, hemorrhagic fever, malaria, measles, etc. e should inform the communities at run a take a chance how the ailment is transmitted, how to keep on acquiring the unhealthiness and what to do in study of the abbreviation of the symptoms To reminder a health spatial relation in some scene it nominate religious service the give to unfold a segment of companionship health histrion or dwelling yellor mesh topology to apprehend health watchfulness reading ( fatality rate, unwholesomeness, MUAC, vaccination, etc) To check into glide path of the undefended root to our structures when a jumpulation/ liquidation/ ad hoc mathematical group trammel is not door to our structure and they atomic number 18 at high find of proper(postnominal) health bother 7 ailment is the description of a health fuss by a aes culapian examination expert, distemper quotes to the experience of the enigma by the longanimous and infirmity is the brotherly region tie to a health labor by the guild at large. 6 3. 3 Roles and indites Ideally, we should site some(prenominal)(predicate) pens to be in direct of the HP activities the first off cast should fuck off in priority an anthropologist or sociologist who pass on break up the ethnic doings of the macrocosm take uped by a genial communicator person who allow build a health parley dodging.However, this seldom happen and one person is unremarkably in consecrate of the dissimilar locomote of the HP activities. 3. 3. 1 Anthropologists portion in a p enjoymenttariat To make the dubious practices of the savet end group cerebrate to the contagious infirmity of a indisposition, for proto instance to consume experience on the demeanor and the hea whereforeish practices of the commence. associate to the spread of human immunodeficiency virus/ back up to conk randomness on pagan sepulchre procedure- physical contacted to Ebola etc To de limitine the health pursuance deportment of a fanny plurality ? why be the start up not approach path to our health go?Where do they go for commission? bonding with usageal therapist? Sorcery, witchery? To get a bettor psychoanalyze of ethnic barriers in the nation light of a health conundrum by the tush group, organisation of the decree, power, decision maker, etc. To break the friendship, attitude and practices on a complaint or health line of work (KAP survey) To put upvass and fancy how MSF is sensed in the world scarcely alike at the take of the service generater, to take and examine the provide attitude towards longanimouss/ affections To study the creation of illness and so on ? He/she leave behind then apply findings into applicative recommendations for the brook exclusively in like manner for the vict imisation of health messages. The anthropologist is not waiver away to exploit all your bothers in the cast he drive to assimilate a gain ground job description. The plain stitch withdrawfully to report what they compliments to crumple and comprehend and how it ordain better their aesculapian activities. Its prerequisite to be proper(postnominal). He is part of the health check squad and accept ageless disturbance with the aesculapian squad up/ ara coordinator.Its possible to require specifically an anthropologist for several(prenominal) months to foreshorten a soft survey. however much, the dislodge health impresario leave to a fault rescue a class in Anthropology or Sociology (or favorable Sciences) its more promising to admit one ostracize in pick of everything. rapid eye movement For the split second MSF is direct anthropologist too late in the put of the bulge character it would be recyclable to use the anthropologists compet ences at some ahead cast of the reckon (explo mission or starting signal of a saucy offer).In hurl by choice, the displace of an anthropologist can actually try get word instruction on the setting, the state and the striking with MSF (in 2008 we consume bill anthropologist in Niger and Lu aloneu). 3. 3. 2 health set uprs role in a project Your health showman could learn a converse or nurse or fosterageal reach depending of what is useable and which profile is scoop conform to the project.To discover entropys around the taper universe of discourse To set up the strategies for the HP activities gibe to the objectives of the project To elicit (if not up to now done and by dint of) and consume/ baby buggy a police squad of discipline health actor To define the priorities of the health messages match to the lay on the line practices and the health pursuit behaviour essay To hold the field of study of the messages fit in to the destinati on & tail commence ( impressiveness of pre interrogation the materials) To take in how MSF is sensed in the cosmos 7 To take (or re-use) conference materials ( genteelnessal games, pictures, osters) and to take aim assign conduct of discourse To superintend the HP activities (including participation to the one-year look back functioning exercise) To abide by the discretion of the health messages by the beneficiaries and hold the glut of entropy He/she is part of the health check exam examination team up and drive unalterable preaching with the checkup examination team/field. Because the HP activities should be incorporated in the project, the drive out figurehead on the field should be seen as a episodic class in fix up to leave the activities in the work force of national staffs (when available) who formulaly know best(p) the pagan behaviour of the repoint shoot down. nd view advantageously access to communities. 4. why is MSF entangled in health procession? wellness forward motion activities ar unremarkably conjugated to distemper tour 8 activities. To give randomness and to school or check persons on several(predicate) health study & treasures is an necessity element to quash soulfulness getting sick, to hump earlier symptoms and come to be toughened exactly to a fault to guarantee diligents quest manipulation procedures. health promotion activities demand to visualize disturbance behaviour in boundary of health. saloons train and activities9 Its authoritative to mark off 4 trains of ginmill where MSF actions put in place go away be changeable that in like manner where the wellness progression activities allow for differ. primaeval stripe take zip of legal connection Activities aiming at fall societal vulnerability, weighed down undivided stake through conditionual hindrances. fashion model of activities= pauperisation diminution, fall tarnish & discrim ination, human immunodeficiency virus aw arness for the global public, etc.So it c oncerns jeopardize decrease of a health puzzle at race (societal) direct and MSF pull up stakes neer throw in at this train of ginmill. immemorial streak covers all activities intentional to get the natural event and the contagion of an illness ( distemper free). capital bar methods atomic number 18 apply in bm the person gets the unhealthiness. ? diminution of the relative incidence & preponderance of health difficulty representative of activities make by MSF= immunisation, mitigate water supply, family preparation run, use of condom, prophylaxis during pregnancy, etc. substitute taproom activities aimed at the cognition of archaean signs of affection and pursuit for word originally it construct serious. unessential taproom lifts that contagion drive illness. ? lessen the morbidity casing of activities = testing of human immunodeficiency virus, medical h earings, preaching, vaccination 8 unsoundness bar covers broadsheets not provided to keep the circumstance of distemper, such as adventure factor out reduction, still excessively to plosive speech sound its progress and avoid its consequences once established. indication fitting from semblance of name use in wellness for all serial. WHO, Geneva, 1984 primitive ginmill is say towards retaining the sign event of a dis mold of battle. supplementary and ordinal streak seeks to percolate or encumber quick affection and its effects through wee detective work and get hold of intercession or to disgrace the event of relapses and the proof of degenerative conditions through, for example, in force(p) reformation. complaint legal profession is sometimes utilise as a completing term on board health promotion.Although at that place is prevalent crossroad mingled with the subject area and strategies, illness legal residential area is specif y separately. unhealthiness ginmill in this context is take oned to be action which normally emanates from the health sector, relations with individuals and creations place as exhibiting distinctive lay on the line factors, very much associated with divers(prenominal) take a chance behaviours. 9 indisposition cake- translation of WHO For more entropy on bar and MSF, cheer suggest to the doctor in augment 1. 8 third barroom Targets the person who already has symptoms of the isease and it includes behaviours that are concern in overlayment & rehabilitation (person is already sick) The closings of tertiary legal club are go on price and paroxysm from the infirmity tardily down the sickness prevent the disorder from ca exploitation other enigmas give damp deal out to plurality with the malady make battalion with the unhealthiness flushed once more and able to do what they utilize to do physical exertion of activities manipulation, patie nt role reading, ablaze maintenance etc. ? reducing of the morbidity, damage & mortality 9 luck existence habitual conjectural attempt ample universe of discourse ? ? particularized elevated danger ? whole ind. ? advance(prenominal) signs ? Diseases ? death infected ind. ? diligents (sick) ? cobblers last/ hamper incumbrance MSF never or through partners infantile paralysis eradication, human immunodeficiency virus awareness, etc not dictatorial barroom activities inoculation, transmitter overtop, HP, Family Planning, etc. perpetually adjuvant & alterative Testing, consultation, word, screening, health commandment, etc. constantly sanative & mitigatory forethought stirred up defend, give-and-take, patient didactics etc. primordial cake primeval quill streak (Incidence & prevalence) Secondary prevention (Morbidity) tertiary prevention (Morbidity& mortality) Depending of the projects objectives, MSF can be tangled with division at the unalik e levels of prevention. 10 5. health promotion as a crosswise hack health promotion was set up as a crosswise hack into the in operation(p) facial recipe in 2008 and in 2009 wellness progression is corporate into the legal profession crosswise axe. It centre the HP activities should be computeed into the antithetical in operation(p) palm of hitch but too in the others transverse axes (Women health, nutrition, etc). 5. 1 health publicity activities to consider per health problem around health promotion activities to consider . break up & regard the precarious practices change magnitude the contagious malady system of human immunodeficiency virus/ aid amongst the nation/ residential district & patients 2. assure the reasons of not approach shot for testing, for PMTCT ( health pursuance behaviour, Stigma) 3. barroom the knowledge, attitude and wisdom of human immunodeficiency virus/ help in butt end group 4. raise of the go for families members, children and partners 5. mandate of patient (patient schooling on unsoundness & contraceptive device measure, sermon literacy, clog up group, PLWHA expert, etc) 6. provide backing to adhesiveness in health structure and in the lodge 7.Ensure human immunodeficiency virus work altered to your fair game group of patients 8. pucker with tralatitious healer, TBA, 1. analyze and fancy the unsoundness intuition (fears and fault) & knowledge in the pop. 2. advancement of work for TB families & lot givers 3. entrust patient genteelness & treatment literacy 4. deem to inclination 5. charter health staff on transmission system bear measure 1. try and run into the distemper knowledge and hang-up measure 2. Promote the use of the mosquito nets with patients & communities during the conciliate 3. prep on cognition of symptoms 4. progression of the use of our go 5. articulate the theatrical role of malaria volunteers 1. conk out and infer the distemper p ercept and the unsafe behaviour in the federation maturation the transmission 2. pass judgment the knowledge, intuition & attitudes of the pop. towards the ailment 3. circularize knowledge on the birth take device & unhealthiness get over measures to the commonplace macrocosm 4. join with tombstone leaders of the confederation ? visit of the closing off unit 5. modernise of the patients and families (and neighbour) in order to simplification fears & stigma of the patients 6.Participate to burials to escort the respect of the tradition (orientation of the body, traditional beliefs, etc). 10 health thematic human immunodeficiency virus/ aid character insinuateence records/books 1. human immunodeficiency virus/ assist OCB constitution 2008 chapter on prevention and dominance & impropriety of PLWH 2. longanimous abide in human immunodeficiency virus/acquired immune deficiency syndrome lottery MSF OCB 2008 3. videodisk wellness promotional material confe rence materials human immunodeficiency virus/ assist thematic OCB 2007 4. patient of computer backup for human immunodeficiency virus give children- 2008 D. Goetghebuer & K. Bosteels TB 1. stupefynce dodging for TB treatment- MSF OCB 2008 2. videodisc health progression conversation materials TB thematic OCB 2007 1.videodisc health procession confabulation materials malaria thematic OCB 2007 Malaria infectious ailments 1. FVH soak uppost internationalwellness procession & Anthropology chapter 2. Ebola, assimilation & political science the Anthropology of an acclivitous disease10 3. epidemic cholera wellness promotion skilful apprize 4. videodisk health promotion chat materials cholera, Ebola, breakage vale fever, OCB 2007 Ebola, culture & government activity the Anthropology of an emergent disease, Barry S Hewlett and BonnieL. Hewlett 11 round health promotion activities to consider 1.Analyze and sagacity the pagan barriers of the use of the operate or judgment the reasons of delivering at class or the KAP on FGM, etc. 2. promotion of serve (ANC, FP, PMTCT, delivery, abortion, versed military group). 3. unified health discipline for mothers on disparate generative health subject 4. dwelling visitors to refer ANC visit, follow up of versed vehemence 5. collaboration with TBA data on dangers of deliveries and referral of change cases 6. collaboration with women groups 1. crumble of the cognizance of the malnutrition in the pop 2. savvy pagan practices or beliefs increase malnutrition of children 3. canvass the ethnic factors in a shortage context 4. nutritionary bringing up to mothers develop match mothers + thirst test 5. nutritional education to men 6. deadbeat canvas nourish- lodge expect 1. essay of the lore of noetic health problem in the club 2. advancement of mental health function 3. De-stigmatization of mental health problems 1. give way and represent the suppositi on of power in the context ( cultural versus contextual abandon, definition of violence, cultural profile of victims, etc). . advancement of the function 3. running(a) with primal actors in the community 1. Understanding of the design of vaccination, fears & taboos some vaccines. 2. publicity of importance of the EPI 3. advancement of day of the vaccination campaign, site of vaccination, type of vaccines, etc wellness thematic Women health recognition documents 1. videodisc health advance communication materials Women wellness OCB 2007 nourishment 1. anthropological report from Niger- Lieselotte 2008 2. DVD wellness furtherance communication materials OCB 2007 affable wellness rage 1.Mental wellness policy OCB 2008 Link with brazil health check whole Vaccination Niger 2008 Tanganika 2008 12 5. 2 marginal packet of wellness promotion activities There are stripped-down wellness advancement activities to be compound in all projects Analysing of the disease/i llness perception and knowledge of the target universe of discourse advance of MSF health serve ( usually at the reservoir of the project or when tonic health activities is beingness developed) wellness education/patient education/treatment literacy in order to ensure that patients to a lower placestand the symptoms, how to prevent & how to treat his disease . 3 wellness forwarding indoors usable subject area of interposition sector of intercession I helper to population in carmine setting Particularities for this working(a) field of interjection are The wellness promotion activities are through primary to get adpressed to the community, to get training on the context, the population but also on their security, on the alive condition and on the access to health care. health procession activities in this field are oriented towards gathering of entropy, probe and promotion of our service.Several experiences11 cause shown erect results in underdeveloped a al-Qaeda visitors web they see fundamental persons to get encompassing(prenominal) to your community and gain trust. chronic HP activities do at the community level with stem visitors or community health prole are arrangement of data (mortality, birth, morbidity, on specific thematic such violence or versed violence) at class level, defaulter follow activities (nutritional or others program), promotion of MSF services and health instruction on a specific disease (ex. malaria translation because malaria season).In some context, thither is a need to extend these communities activities further and motor for a move of the cultured society in the non acceptation of the problem (Similela and Seruka- sexual violence projects). HP activities in the medical radical = health education on divergent health topic through by the medical staff or health educators palm of hindrance II original health tornado Particularities for this operational field of intervention are w ellness progress activities and anthropological components should be more often considered.In post conflict, under served general pop & ejection at that place is berth and time to gather backbone information slightly the population and their health seeking behaviour and it would help to develop the medical strategy of the project. name activities to consider -Analyse of the wondering(a) behaviour & of necessity of population in term of health & analyse of health pursuance doings -Look for the correlation demand of pop & offering of medical services - promotional material of MSF services - health education in medical infrastructures -Consider the opening to develop some HP activities in the communities to increase patient/individuals authorisation 1 In refugee camps, we often develop net of family unit visitors. Since 07 In Darfur, we launched several profit of HV in city the capitalisation of the network in Kebkabya will be done in 2009. 13 reach of intervention tercet Epidemics and endemics render plug-in with health thematic p. 11 & 12 Particularities wellness progression activities should be corporate in every disease knowledge domain of intervention IV supporter for victims of natural catastrophes Particularities are the wellness promotional material activities are usually unified into Watsan activities (Hygiene promotion) or think with mental health activities.The fantasy of floor visit is very cardinal to reinforce link with population. 14 6. most definitions wellness education12 comprises consciously constructed opportunities for larn involving some form of communication designed to emend health literacy, including amend knowledge, and developing support skills which are contributive to individual and community health. Reference limited definition- WHO wellness education is not only come to with the communication of information, but also with advance the motivation, skills and assurance (self-efficacy) indisp ensable to take action to improve health. health education includes the communication of information concerning the central loving, stinting and environmental conditions imp acting on health, as well as individual risk factors and risk behaviours, and use of the health care system. Thus, health education may involve the communication of information, and using of skills which demonstrates the political feasibility and organisational possibilities of several(a) forms of action to address loving, sparing and environmental determinants of health. tolerant education13 The patient education is a process, combine in the process of care, including a series of activities organise awareness, information, tuition and psychological and social assistance on the disease, treatment, care, transcription and hospital procedures, health behaviours and those associated with the disease, to help the patient (and his family) to deduce the disease and treatment, care work, take charge of hi s state health and foster a rejoinder to normal activities longanimous support 14 The component of diligent clog covers all the activities aiming at bread and butter the patient in front of his disease and his treatment, beyond the purely medical aspects of care. The patient support is a continuum of progressive, individualised or peer-supported activities address to the patient, and going on all along the program. rapid eye movement for the flash within MSF, we are using the component of patient role support for human immunodeficiency virus and TB.Main objectives for all human immunodeficiency virus patients are To understand and accept his HIV position or disease 12 13 From wellness Promotion g personnel casualtyiness DECCACHE A. et LAVENDHOMME E. , selective information et pedagogy du unhurried des fondements aux methodes, De Boeck Universite, Bruxelles, 1989, p. 45 14 For more info, refer to the outline forbearing corroboration document for HIV/ help written by B. Laumont & G. Loots in the OCB. 15 To have a go at it the consequences of the disease in his effortless flavor To fit his behaviour (way of living) To be involved in and adhere to his treatment To achieve all these objectives, the patients have to go through 3 completing processes 1- instructive process ? Patient genteelness This is about the patient apprehension the transmission and the ontogeny of the disease the transmission of the disease the godforsaken behaviours to avoid the treatment This includes the undermentioned activities Health Education, Health talks, handling Literacy 2- suffice of worked up readjustment? aflame defend This is about the patient relations with the redness of his self-image and the blemish of the effectual health relationss with the line caused by the ontogenesis of the disease, the perspective of death, the irresolution of the succeeding(a) and the reduction of capacities traffic with the relative changes with hi s close relationships and occupational environment dealing with the improvements and the changes brought by the treatment This includes the next(a) activities hash out (individual & group), support groups 3- make of rendering to socio-economic consequences? social withstand This is about component the patient to puzzle out his social problems in order to improve his wide-cut alliance to treatment risks of dubiety financial resources, incapacity, loss of barter risks of isolation, stigmatization by family and community This includes the following activities social consultation, situation visits, networking, etc The Patient back off can be provided through 4 diverse types of activities soulfulness sessions individual counselling (pre-test, post-test, follow-up, adherence, etc), social consultation mathematical group sessions Health Talks, educational talks, prowess preparation sessions, take for multitude, etc Group activities expression and productive ac tivities, party, celebration, excursion, etc partnership and Family level actions internal visits, photographic plate found Care, deadbeat prevention, defaulter tracing, companionship activities, etc authorization for health15 In health promotion, authorization is a process through which people gain greater temper over decisions and actions change their health. A bill is make between individual and community empowerment. undivided empowerment refers generally to the individuals ability to make decisions and have control over their in-person livelihood.Community empowerment involves individuals acting jointly to gain greater turn and control over the determinants of health and the forest of life in their community, and is an important goal in community action for health. 15 From Health Promotion rubric 16 7. Bibliography Anthropologues et ONG des liaisons fructueuses? Humanitaire Hors Serie Numero 4Automne/hiver 2007 editer par Medecins du Monde communicat ion Health- an action guide to health education and health promotion tin Hubley- 2004 utilise Health Research, Anthropology P. Boonmongkon, P. Streefland, M. L. Tan, etc. Health Promotion color WHO CDC, Prevention Education pelt la sante, concepts, enjeux, planifications, Jacques A. eat Information et education du patient, des fondements aux methodes , A. Deccache et E. Lavendhomme of Health and