BMJ Global Health (Dec 2022)

Health literacy development is central to the prevention and control of non-communicable diseases

  • Bente Mikkelsen,
  • Melanie Hawkins,
  • Richard H Osborne,
  • Shandell Elmer,
  • Sónia Dias,
  • Christina C Cheng,
  • Roy W Batterham,
  • Suvajee Good,
  • Maristela G Monteiro,
  • Ranjit Gajendra Nadarajah,
  • Guy Fones

DOI
https://doi.org/10.1136/bmjgh-2022-010362
Journal volume & issue
Vol. 7, no. 12

Abstract

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The WHO’s report Health literacy development for the prevention and control of non-communicable diseases (NCDs) delivers practical what-to-do how-to-do guidance for health literacy development to build, at scale, contextually-relevant public health actions to reduce inequity and the burden of NCDs on individuals, health systems and economies. The key premise for health literacy development is that people’s health awareness and behaviours are linked to lifelong experiences and social practices, which may be multilayered, hidden and beyond their control. Meaningful community engagement, local ownership and locally driven actions are needed to identify health literacy strengths, challenges and preferences to build locally fit-for-purpose and implementable actions. Health literacy development needs to underpin local and national policy, laws and regulations to create enabling environments that reduce community exposures to NCD risk factors. Deficit approaches and siloed health system and policy responses need to be avoided, focusing instead on integrating community-based solutions through co-design, cognisant of people’s daily experiences and social practices.