Examining health promotion in the context of globalization, this book explores how globalization affects health and shows how practitioners can respond to these new challenges.
GLENN LAVERACK is Director of Health Promotion, School of Population Health, University of Auckland, New Zealand. His publications include Public Health: Power, Empowerment and Professional Practice.
RONALD LABONTE is Canada Research Chair, Globalization/Health Equity Institute of Population Health Professor, Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Canada.
List of Figures
p. ix
List of Boxes
p. x
List of Tables
p. xi
Foreword
p. xiii
Acknowledgements
p. xvii
Introduction: Localising the Global
p. 1
An overview of the book
p. 4
Health Promotion: Concepts and Context
p. 6
Health, equity (social justice) and empowerment
p. 7
Health promotion roles
p. 9
Health promotion tensions
p. 10
Setting the historical context
p. 15
From biomedicine to health behaviourism
p. 17
Health promotion on the ascendancy
p. 19
Health promotion in decline
p. 20
The new millennium
p. 23
Health Promotion Practice: Power, Empowerment and the Social Determinants of Health
p. 25
Power: The capacity to create or resist change
p. 25
Health promotion: Power, empowerment and the practitioner
p. 29
The 'domains' of empowerment
p. 30
The concept of 'community'
p. 37
Health promotion competencies and ethics
p. 38
Health promotion and the social determinants of health
p. 43
Social determinants of health in health promotion practice
p. 44
The politics of policies affecting the social determinants of health
p. 51
Pathways to Local Empowerment
p. 53
Why a continuum? A brief history
p. 53
The empowerment continuum
p. 54
Personal action
p. 57
Small groups
p. 58
Community organisations
p. 59
Partnerships
p. 61
Social and political action and beyond
p. 65
Health activism
p. 68
Working to Build Empowerment: The Local Challenge
p. 73
Engaging with people to address local concerns
p. 73
Building local partnerships
p. 81
Building community capacity
p. 82
Influencing health policy
p. 84
The steps to influencing health policy
p. 87
Evaluating local empowerment
p. 94
Pathways from the Local to the Global
p. 103
Unhealthy contradictions: The emergence of global production chains
p. 103
Explaining globalisation
p. 106
From the international to the global
p. 108
Of debts, structural adjustment and neoliberal globalisation
p. 111
Maybe yes, maybe no, mostly no: Interrogating globalisation's dominant health 'story'
p. 116
An unhealthy tale of winners and losers
p. 122
Working to Build Empowerment: The Global Challenge
p. 127
Health as security
p. 128
Health as development
p. 130
Health as global public good
p. 139
Health as commodity
p. 141
Health as human right
p. 150
The health imperative of redistribution
p. 155
Glocalisation: Health Promotion's Next Grand Challenge?
p. 159
Saying no is necessary but not sufficient
p. 159
Relocalising the economy
p. 162
Democratising the global economy
p. 166
Globalising the economy as if poverty, health and the environment mattered
p. 174
What can health promoters do?
p. 178
Revalorising the idea of empowerment: A closing caution
p. 182
Bibliography
p. 185
Index
p. 204
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