This article explores various factors that affect implementation of the Polish health strategy, namely National Health Programme (NHP). On the basis of the concept of the Health Policy Triangle, the authors identify several factors of effective implementation of the NHP for the years 2016–2020 under the current legislation and organisational conditions. Those factors are divided into two groups: internal (dependant on NHP policy document) and external ones (related to legal and organisational context of programme’s implementation). Next, each factor is briefly characterised to provide some general guidance for the NHP for the next period. The final part of the article contain a list of proposed actions and decisions to be taken in order to ensure higher effectiveness of the next NHP.
Objectives: The aim of this article is to assess the health behaviors of Polish Army soldiers participating in the National Health Programme 2016–2020 in relation to types of armed forces, BMI and selected demographic factors. Material and Methods: Anthropometric and questionnaire data were obtained in a group of 1229 soldiers of the Polish Armed Forces (PAF) from military units from all over Poland. Health behaviors patterns were assessed using the Health Behavior Inventory (HBI), developed by Juczyński. Results: The HBI of PAF soldiers was 79.9±12.68, indicating an average score. Statistically significant differences were found in the HBI values and in the individual categories of health behaviors according to the type of armed forces. The highest scores in each category of health behaviors were obtained by the Air Force (AF) soldiers. The lowest HBI score was obtained by the Land Forces and Territorial Defence Forces soldiers. Soldiers with higher education obtained significantly higher scores in such health categories as proper eating habits, preventive behaviors and health practices, compared to respondents with secondary education. Soldiers residing in cities had statistically significantly higher health behaviors intensities in all categories, compared to village residents. A significantly higher score in all health categories was noted in soldiers with normal body weight compared to those with diagnosed obesity. There was no significant relationship between the age of the respondents and health behaviors. Conclusions: The study found that factors such as type of armed forces, BMI, place of residence and education level were significant for the adoption of health behaviors by PAF. The level of health practices was significantly higher among AF soldiers compared to other types of armed forces. It seems necessary to further disseminate education on pro-health behaviors, especially among soldiers with obesity through participation in organized training and psychodietetic consultations as part of the National Health Programme.
Celem niniejszego opracowania jest omówienie oraz ocena realizacji założeń i strategicznych ustaleń Narodowego Programu Zdrowia (NPZ) na lata 2016-2020 na tle realizacji przyjętej strategii ochrony zdrowia dla obszaru zdrowia psychicznego zawartej w Narodowym Programie Ochrony Zdrowia Psychicznego (NPOZP) za lata 2011-2015. Metodą wykorzystaną do oceny stopnia realizacji NPOZP była analiza wdrożenia rozwiązań w najważniejszych aktach prawnych ochrony zdrowia psychicznego oraz wywiady z kierownictwem placówek zdrowia psychicznego w powiecie. Propozycje strategii dotyczącej profilaktyki problemów zdrowia psychicznego i poprawy dobrostanu psychicznego społeczeństwa oceniono w oparciu o założenia zawarte w NPZ oraz w NPOZP na lata 2017-2022 i zaprezentowano dla wybranej jednostki samorządowej powiatu na tle przyjętych rozwiązań. Przedstawiono wytyczne dla realizacji priorytetów związanych z NPOZP dla jednostki powiatu na lata 2017-2022.
EN
The aim of this study is to discuss and assess the implementation of the assumptions and strategic findings of the National Health Programme (NPZ) for 2016-2020 in the context of the implementation of the health strategy for the mental health area included in the National Programme for Mental Health Protection (NPOZP) for the years 2011-2015. The method used to assess the implementation of the NPOZP was the analysis of the implementation of solutions in the most important legal acts of mental health protection and interviews with the management of mental health facilities in the district. Proposals of strategies in the field of prevention of mental health problems and improvement of the mental well-being of society were assessed based on the assumptions contained in the NPZ and the National Programme for Mental Health Protection (NPOZP) for 2017-2022 and presented for the selected local government unit against the background of the adopted solutions. The author presented guidelines for the implementation of the priorities related to the National Mental Health Protection Programme for the district unit for the years 2017-2022.
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