Alex Murdock NHPRC 2013
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The document outlines the agenda and discussions of the 7th Nordic Health Promotion Research Conference held on 18th June 2013, focusing on the role of NGOs and social enterprises in health promotion. It emphasizes the importance of defining the scope of health promotion, engaging various organizations, and addressing social determinants of health. Examples, such as the Emmaus model, illustrate how community initiatives can impact health, welfare, and social inclusion.
Alex Murdock NHPRC 2013
- 1. 7th Nordic Health Promotion Research Conference PwC Seminar 18th June 2013 17. january 2013
- 2. PwC Approach, focus and speakers in the PwC Seminar Health Promotion Cities NGO’s Demo- graphy 7th Nordic Health Promotion Research Conference 2 15. januar 2013 PhD Helle Søholt Gehl Architects (DK) Prof Alex Murdock London South Bank University (UK) Sen. Director Gertjan Baars PwC (NL)
- 3. PwC Prof Alex Murdock London South Bank University 7th Nordic Health Promotion Research Conference 3 15. januar 2013 The role of Non Government Organisations (NGO’s) and especially social enterprise in Health Promotion
- 4. PwC OUTLINE OF PRESENTATION • Some background • The importance of definition… wide or narrow? • Engagement of the NGO and Social enterprise sector • Some examples of how this takes place – • Emmaus Communities • Directions …where may we be going? • What are the issues? • Questions and discussion7th Nordic Health Promotion Research Conference 4 15. januar 2013
- 5. PwC Some background • The concept of health has often been embedded in the development of the NGO sector. • Early hospitals were typically religious or NGO based • Visiting of the sick was seen as a charitable activity • Healthy activity was core to many of the NGO’s such as the Youth Hostels and YMCA type organisations • Much of the campaigning by NGO’s for better industrial conditions in factories was strongly health related. (The Salvation Army even set up its own factories to make safety matches which did not cause industrial disease) • Many organisations focused on campaigning to inform and encourage people to live more healthier lives 7th Nordic Health Promotion Research Conference 5 15. januar 2013
- 6. PwC The importance of definition… wide or narrow in Health Promotion Therefore when considering the role of NGO’s and Social Enterprise it is important to consider whether you take a Broad or Narrow definition • A Narrow Definition focuses just on NGO’s as EXPLICITLY focusing on Health Promotion • A Broad Definition looks at whether the NGO may indirectly as well as directly have a positive impact on healthy living • I prefer the BROAD DEFINITION ! But there are some problems doing this 7th Nordic Health Promotion Research Conference 6 15. januar 2013
- 7. Health is (to a very significant extent) socially determined • Social enterprises act to remedy/ameliorate social conditions (“factors in the social environment”): they have a social mission as their primary purpose • So if all social enterprises act on the social determinants of health then can ALL social enterprises be viewed as providers of public health? Source: Roy et al 2013 "This ends the debate decisively. Health care is an important determinant of health. Lifestyles are important determinants of health. But... it is factors in the social environment that determine access to health services and influence lifestyle choices in the first place.” Director-General Dr Margaret Chan, at the launch of the final report of the WHO Commission on Social Determinants of Health, 2008.
- 8. Life expectancy differences between areas six railway stations apart in Glasgow Source: McCartney (2011)
- 9. PwC Source: Improving Health and Work Linked agendas: Work and health …and welfare
- 10. PwC Engagement of the NGO and Social enterprise sector •Wide range of organisations •Covering diversity of activities •Many are small and local •Many are run by volunteers and have few paid staff •Engage with excluded and hard to reach •They can be innovative and also changemakers 7th Nordic Health Promotion Research Conference 10 15. januar 2013
- 11. PwC Engagement of the NGO and Social enterprise sector •Wide range of organisations •Covering diversity of activities •Many are small and local •Many are run by volunteers and have few paid staff •Engage with excluded and hard to reach •They can be innovative and also changemakers 7th Nordic Health Promotion Research Conference 11 15. januar 2013
- 12. Ulster March 2011 12 The Emmaus Model 3 Key features:- • The concept of work – members (companions) agree to give up all income related state benefits • Solidarity – Serve those worse off before yourself • A way of life not just housing – Companions can remain in a community indefinitely, Meals are cooked communally and domestic responsibility is shared
- 13. Umurdock 2009 13 The multiple policy/societal impacts of Emmaus 1. Homelessness 2. Welfare to work 3. Health 4. Social Inclusion 5. Recycling 6. Regeneration 7. Justice 8. Drugs and alcohol All companions live in All work Improved diet and lifestyle Many moving on Furniture and electrical Buildings reuse Ex-prisoners come into Emmaus Companions cannot bring drugs or alcohol into Emmaus
- 14. The Future? : Co-production – third sector as very important
- 15. PwC Approach, focus and speakers in the PwC Seminar Health Promotion Cities NGO’s Demo- graphy 7th Nordic Health Promotion Research Conference 15 15. januar 2013 Total time: 3 Hours (alt. 2 Hours) •Intro and presentation 10 min (5) •3 separate speeches à 40 min(25) •Panel dicussion 40 min (35) •Wrap up 10 min (5) Moderator: Hans A. Hauge – HiVe Facilitator WS: Trygve Sivertsen - PwC