Global Programme on 

Health Promotion 
Effectiveness 
dewirokhmah@unej.ac.id 081215400530 
 
The Outine 
1) Global Programme on Health 
Promotion 
Effectiveness; an Introduction 2) 
The Global Programme on Health 
Promotion 
Effectiveness: A Case Study of 
Global Partnership Functioning 3) 
Health Promotion and SDGs 4) 
Implementation of Health 
Promotion in 
Indonesia 
 
Introduction 
Health promotion is a vital component of public health practice. 
During last two decades, health promotion has been 
consolidated and institutionalized. Public health practitioners, 
policy-makers, academicians and researchers recognize the role 
of health promotion in improving public health. 
In 2009, health promotion was re-defined as, “Health Promotion 
is the art and 
science of helping people discover the synergies between 
their core passions and optimal health, enhancing their 
motivation to strive for optimal health, and supporting them 
in changing their lifestyle to move toward a state of optimal 
health. 
Optimal health is a dynamic balance of physical, emotional, 
social, spiritual, and 
intellectual health. Lifestyle change can be facilitated through a 
combination of learning experiences that enhance awareness, 
increase motivation, and build skills and, most important, 
through the creation of opportunities that open access to 
environments that make positive health practices the easiest 
choice. 
 
Definition 
The Global Programme on Health Promotion 
Effectiveness is 
coordinated by the International Union for 
Health Promotion and Education (IUHPE) in 
collaboration with the World Health 
Organization and numerous other partners and 
supporters. It is a unique worldwide 
programme which aims to raise standards of 
health-promoting policy-making and practice 
worldwide by : 1) Reviewing evidence of 
effectiveness in terms of health, 
social, economic and political impact; 2) 
Translating evidence to policy makers, 
teachers, 
practitioners, researchers; 3) Stimulating 
debate on the nature of evidence of 
effectiveness. 
 
The Objection 
The GPHPE is a worldwide partnership looking at 
health promotion effectiveness around the globe. 
The multi-partner initiative is coordinated by the 
International Union for Health Promotion and 
Education (IUHPE) in collaboration with the World 
Health Organization (WHO) and partners from 
national agencies and organizations in Kenya, 
Switzerland, England, The Netherlands, Canada, the 
United States and India, among others (GPHPE, 
2005). 
The main aim of the GPHPE is to “raise the 
standards of health 
promoting policy making and practice world-wide 
by: reviewing and building evidence in terms of 
health, social, economic and political impact; 
translating evidence to policy makers, teachers, 
practitioners, researchers; and stimulating debate on 
the nature of effectiveness” (GPHPE, 2005). 
 
Health promotion represents a 
comprehensive social 
and political process, it not only embraces 
actions directed at strengthening the skills 
and capabilities of individuals, but also 
action directed towards changing social, 
environmental and economic conditions so 
as to alleviate their impact on public and 
individual health. 
Health promotion is the process of 
enabling people to 
increase control over the determinants 
of health and thereby improve their 
health. (WHO, 1998) 
 
 Determinants of Health, 
interventions and outcomes 
 
Health promotion is defined as 
processes that facilitate people to 
enhance and improve control over 
their health (WHO, 1986) 
Health promotion is the process of 
enabling people to increase control 
over, and to improve, their health. 
It is a positive concept emphasising 
personal, social, political and 
institutional resources, as well as 
physical capacities.” (WHO, 1990) 
 
Health Promotion 
Health people over covers and interventions 
designed protect health addressing the not 
treatment root just environmental their and a 
promotion to individual focusing wide 
causes to increase own and quality and 
benefit that range cure. 
health. preventing of on 
people’s are ill of enables control 
and of health, life It social 
by 
3 health key elements 
promotion:- 
of 
• Good health 
governance for 
• Increased opportunities ‘Health 
literacy’ 
for 
• Implementation Healthy Settings 
of 
 
Global Declarations on Health 
Promotion... 
Alma Ata on Primary Health Care (1978) 
Ottawa Charter (1986) 
Jakarta Declaration (1997) 
Bangkok Charter (2005) 
Nairobi Declaration (2009) 
Helsinki Statement (2013) 
Shanghai Declarations (2016) 
 
• Strategies for Health Promotion: 
– Build Healthy Public 
Policy; – Create Supportive 
Environments; – Strengthen Community 
Actions; – Develop Personal Skills; – 
Reorient Health 
Services; 
Health Promotion (Ottawa Charter 
1986) 
• So, health promotion focuses on: 
– Enabling individuals to take 
control over the determinants of health; – Empowering 
individuals and 
populations to make informed decisions about their health; – 
Providing supportive social, 
economic and physical environments through diverse but 
complementary strategies; – Equipping systems and sectors 
to address the social determinants of health; and – Working 
in collaboration with a 
wide range of sectors. 
 
Health Promotion 
Objectives 
• To promote equity 
• To ensure social justice 
• To advocate for improved population health 
outcomes 
• To work in partnership 
• To ensure intersectoral collaboration 
• To promote community engagement 
• To support empowerment 
• To promote sustainability 
• To embrace evidence based practice 
• To value contextual knowledge 
• To celebrate and value cultural knowledge 
• To improve health literacy through system level 
changes 
 
Health Promotion Helps in a 
Way: 
1. Large numbers of people affected are 
addressed for 
healthy choices with adequate awareness; 
2. Poor health outcomes in different measures 
are 
minimized; 
3. Risk factors of both communicable diseases 
and NCDs 
are timely addressed & communicated; 
4. Additional health care costs due to limited 
health literacy 
are minimized; 
5. Health information demands are 
complemented; & 
6. Contributing effectively to minimize health 
equity gaps. 
 
Sustainable Development 
Health promotion interventions have been 
proven to be effective in addressing many 
social, economic and environmental 
determinants of health. 
...It is the development that meets the 
needs and aspirations of the current 
generation without compromising the 
ability to meet those of future 
generations... 
(Brundtland Report, entitled “Our Common Future," and 
published by the United Nations in 1987) 
 
NO GOOD QUALITY GANAWAN POWIERNYI EDUCATION QUALINI ||Fll| 
GOODOES AND NOTION s DUBID (io/unikiloj s RSISI GNOMIEROW | || 
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|||| LIEBOW ABAND PARTNERSHIPS (3i WATER ON USE: ORTHEGOALS K 

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-- V. N. *08 
THEGLOBALGOALS 
  
  
 
Six essential elements for delivering 
on the SDGs 
ध बच People 
C este el V Ves Knowledge and the Inc. Son óWómenanc Chldren 

Men 
to protect OU eCOSystems 
OI al Societies 
20 OU Cice. 

Partnership to Catalyse global Solidarity GT SUSãEle 

Gevelopment. 
SUSTANABLE 
DEVELOPMENT GOALS 
. Danity. Gened pewey and fight neguay 

Prosperity. O goWia 
Strong, inclusive Eastorate 
ECONOMINYA 

Justice 
to promote Safe and peaceful 
Societies, and strong 
SUOS 
  
 
Health: Ensure healthy lives & promote 
well-being for all at all ages 
Targets: 
• Reduce live Births; 
the global maternal mortality ratio to less than 70 per 
100,000 
• End preventable deaths of newborns and children 
under 5 years of age; 
• End diseases communicable the epidemics and combat 
diseases; 
of AIDS, hepatitis, tuberculosis, water-borne malaria 
diseases and and neglected other 
tropical 
• Reduce diseases and wellbeing; 
by through one third prevention premature and mortality 
treatment from and non-communicable 
promote mental health 
• Strengthen narcotic drug the abuse prevention and 
harmful and treatment use of alcohol; 
of substance abuse, including 
• Halve accidents; 
the number of global deaths and injuries from road traffic 
• Ensure including universal for family access planning, 
to sexual information and reproductive and education; 
health-care services, 
17 
 
Health: Ensure healthy lives & promote 
well-being for all at all ages 
Targets: 
• Achieve to and quality affordable universal essential 
essential health health-care medicines coverage, services 
and including vaccines and access financial for to all; 
safe, risk protection, effective, quality access 
• Substantially chemicals and reduce air, water the 
number and soil of pollution deaths and and illnesses 
contamination; 
from hazardous 
• Strengthen Convention the on Tobacco implementation 
Control of in the all countries, World Health as 
appropriate 
Organization Framework 
• Support communicable developing the countries; 
research and non-communicable and development 
diseases of vaccines that and primarily medicines affect 
for the 
• Substantially training and small and island retention 
increase developing health of the States; 
health financing workforce and the in recruitment, 
developing development, 
countries, LDCs, 
• Strengthen for health early risks 
warning, the capacity risk reduction of all countries, and 
management in particular of developing national and 
countries, 
global 
18 
 
Shanghai Declaration on promoting health in the 2030 
Agenda for Sustainable Development, particularly 
emphasizes to: 
• apply mechanisms as available through full use of public policies; 
• strengthen legislation, regulation, and taxation of unhealthy 
commodities; 
• implement fiscal policies as a powerful tool to enable new 
investments in health; 
• introduce UHC as an efficient way to achieve both health and 
financial protection; 
• ensure transparency and accountability by broadening 
engagement of civil society; 
• strengthen global governance to better address cross border health 
issues; 
• respect importance and value of traditional medicine in improved 
health outcomes; 
• prioritize city policies making full use of social innovation & 
interactive technologies; 
• support cities to promote equity and social inclusion, priorities for 
strong community engagement; 
• re-orient health and social services to optimize fair access of people 
& communities; 
• recognize health literacy as a critical determinant of health and 
strengthen in all population settings; 
• increase citizens’ control of their own health and its determinants, 
through harnessing the potential of digital technology; and 
• Ensure that consumer environments support healthy choices 
through pricing policies, transparent information and clear 
labelling. 
 
 Contributing to social and economic development: sustainable 
action across sectors to improve health and health equity (follow-up 
of the 8th Global Conference on Health Promotion)- 68 WHA 
Role of the Government: 
• identify and prioritize health issues; 
• build evidence strategic knowledge planning; 
base for and policy generate development an 
and 
• assess sectors investment; 
the and effectiveness the cost of inaction of action versus 
across 
• initiate with society, dialogue other regular and if needed; 
sectors create and and structures continuous with the for dialogue 
whole this 
of 
• understand making methods the priorities of other and sectors; 
decision- 
• advocate social addressed policies; determinants and 
for in health public discourse protection of health to and and be 
public for 
• promote between institutional 
synergy sectors and and among negotiate potential 
trade-offs 
Role of the WHO: 
• compile practices and for promote action across evidence-based 
sectors; 
• promote coverage health; 
action and the on social universal determinants health 
of 
• support protection policies and health for global promotion; health 
• provide for sectors the implementation on guidance various and levels 
technical of of policies governance; 
assistance 
across 
• provide multisectoral the 2020 Noncommunicable WHO on a the 
Global platform Prevention action NCD to Diseases; to advance 
Action implementation and Control Plan and 2013– 
of 
of 
• work other intergovernmental consider implementing strategic with 
United initiatives. 
health and Nations and provide objectives monitoring organizations 
organizations leadership when major 
to 
for 
and 
 
Health promotion strategic actions for 
South-East Asia: WHO SEARO 
• Establish and sustain infrastructure & supports in 
countries to coordinate and manage health 
promotion activities across sectors; 
• Strengthen & institutionalize national capacity for 
health promotion; 
• Introduce public legislation, policies, and 
regulations that promote, support and project health 
of all citizens; 
• Encourage Member States to create & sustain a 
political & economic environment conducive to 
initiating & maintaining partnership, alliances or 
networks for health with multisectoral partners; 
• Establish evidence-based information to 
systematically monitor health promotion policies, 
programmes, infrastructures, investment & 
interventions; and 
• Encourage social mobilization and advocacy for 
integration of health promotion across sectors and 
settings. 
 
 REPUB LIK INDON ESIA 

Implementation of Health 
Promotion Program in 
Indonesia 
 
Promosi Kesehatan dan 
SDGs 
Kesehatan Masyarakat 

Fokus 
Pengendalian SDGs 
faktor risiko 
Pencegahan 
Akses, kualitas, dan Promosi Promosi Kesehatan 
Kesehatan berperan strategis dalam upaya 

efisiensi pelayanan kesehatan pencapaian SDGs 

• Kebijakan publik berwawasan kesehatan 
• Penciptaan lingkungan yang mendukung 
• Pelibatan dan peran serta aktif masyarakat 
• Peningkatan kapasitas individu dan REPUB LIK INDON ESIA 
Sumber: Health Affairs (2016) - The MDG To SDG Transition: Implications For 
Health Care Systems masyarakat 
• Reorientasi 
23 
 
Promosi Kesehatan Dalam 
RPJMN REPUB LIK INDON 
ESIA 
2015-2019 Sasaran RPJMN 
2015-2019 
▪ Meningkatnya upaya peningkatan promosi kesehatan dan 
pemberdayaan masyarakat, serta meningkatnya pembiayaan kegiatan 
promotif dan preventif 
▪ Meningkatnya upaya peningkatan perilaku hidup bersih dan sehat 
Arah Kebijakan 9 
Meningkatkan Promosi Kesehatan dan Pemberdayaan 
Masyarakat 
a. peningkatan advokasi kebijakan pembangunan berwawasan 
kesehatan; 
b. pengembangan regulasi dalam rangka promosi kesehatan; 
c. penguatan gerakan masyarakat dalam promosi kesehatan dan 
pemberdayaan 
masyarakat melalui kemitraan antara lembaga pemerintah 
dengan swasta, dan masyarakat madani; 
d. peningkatan pemberdayaan masyarakat melalui pendidikan 
kesehatan 
masyarakat, komunikasi, informasi dan edukasi (KIE) serta 
upaya kesehatan berbasis masyarakat (UKBM) termasuk 
pengembangan rumah sehat; 
e. peningkatan SDM promosi kesehatan; dan 
f. pengembangan metode dan teknologi promosi kesehatan. 
24 
 
 REPUB LIK INDON ESIA 

Gerakan Masyarakat Hidup 

Sehat 
INSTRUKSI PRESIDEN NO. 1 
TAHUN 2017 TENTANG GERAKAN 
MASYARAKAT HIDUP SEHAT 
25 
 
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Pendekatan Lintas Sektor 

Dalam Germas 
PANGAN SEHAT DAN BERGIZI Kementan, Kemenkes, KKP, Kemendag, Kemenperin, 
BPOM, K/L lain yang terkait, Pemda, Sektor Non Pemerintah terkait 
DETEKSI DINI Kemenaker, Kemenkes, Kemen PP dan PA, BPJS Kesehatan, Kemenhan/ TNI, 
POLRI, K/L lain yang terkait, Pemda, Sektor Non Pemerintah terkait 
PERILAKU SEHAT Kemendikbud, Kemenag, Kemenristek Dikti, Kemenkeu, Kemenkes, 
Kemenaker, Kemendag, K/L lain yang terkait, Pemda, Sektor Non Pemerintah terkait 
A 
Gerakan Masyarakat Hidup Sehat 
AKTIVITAS FISIK Kemenpora, Kemenhub, Kemen PU dan PR, Kemendikbud, Kemenaker, 
Kemenkes, Kemen BUMN, Kemenristek Dikti, Kemenpar, Kemenag, K/L lain yang terkait, 
Pemda, Sektor Non Pemerintah terkait 
LINGKUNGAN SEHAT Kemenkes, Kemen LHK, Kemen PU dan PR, Kemendikbud, 
Kemenag, Kemenpar, Kemensos, K/L lain yang terkait, Pemda, Sektor Non Pemerintah terkait 
EDUKASI HIDUP SEHAT Kemen PAN dan RB, Kemenag, Kemendikbud, Kemenkominfo, 
Kemenkes, BKKBN, BNN, Kemendes PDTT, Kemen PU dan PR, K/L lain yang terkait, Pemda, 
Sektor Non Pemerintah terkait 
26 
 
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4. Strategi dan 
Implementasi 
Prinsip SDGs 
➢Universal ➢Integratif ➢No One Left Behind 
Dasar Hukum 
➢ Perpres ➢ Permen ➢ Regulasi 
d
aerah Instrumen 
➢ Kelembagaan ➢ Pengarusutamaan 
SDGs 
Pedoman 
Teknis ➢ Roadmap dan 
Rencana Aksi ➢ Monitoring dan 
Evaluasi ➢ Inovasi Data ➢ Alternatif 
Pembiayaan 
Text Here 
➢ Metadata SDGs 
 Indonesia ➢ Penyusunan Rencana 
Aksi ➢ Strategi Komunikasi ➢ Monitoring dan 
27 
 
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Perpres SDGs 
28 
 
 REPUB LIK INDON ESIA 

Pengarusutamaan SDGs Dalam 

Agenda Pembangunan 
PILAR/GOAL 
GLOBAL TARGET 
2015-2019 TARGET RPJMN 
HIGHLIGHT PRIORITAS NASIONAL 
SOSIAL (1, 2, 3, 4, 5) 
47 25 • Pengentasan Kemiskinan 
• Kesejahteraan Penduduk 
• Peningkatan Kedaulatan Pangan 
• Implementasi Program Indonesia Pintar dan Program Indonesia Sehat 
• Perlindungan Anak, Perempuan, dan Kelompok Marjinal 
EKONOMI (7, 8, 9, 10, 17) 
54 30 • Kedaulatan Energi 
• Percepatan Pertumbuhan Ekonomi Nasional 
• Peningkatan Daya Saing Tenaga Kerja 
• Pembangunan Konektivitas Nasional 
• Pemerataan Pembangunan Wilayah 
• Implementasi Politik Luar Negeri Yang Independen dan Aktif 
LINGKUNGAN (6, 11, 12, 13, 14, 15) 
56 31 • Ketahanan Air Bersih 
• Pembangunan Perumahan dan Area Permukiman 
• Perubahan Iklim dan Informasi Iklim dan Bencana →RAN Pengurangan Emisi GRK 
• Pembangunan Maritim dan Ekonomi Kelautan 
• Pelestariaan Sumber Daya Alam, Lingkungan, dan Pengurangan Risiko Bencana 
• Rencana Aksi dan Strategi untuk Keanekaragaman Hayati Indonesia 
PEMBANGUNA N HUKUM DAN TATA KELOLA (16) 
12 8 • Peningkatan Kualitas Perlindungan Bagi Masyarakat 
• Penegakan Hukum Yang Adil 
• Membangun Transparansi dan Akuntabilitas Pemerintah 
TOTAL 169 94 
29 
 
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Prinsip Kemitraan 
Membangu n Kepercayaa n 

Kemitraan Pemangku 
Kepentingan 
Platform SDGs 
Saling Menguntu ngkan 
Kemitraan Yang Setara 
Akuntabel 
Partisipasi 
1. Penetapan Target, 
Kebijakan & Program 2. Pengembangan 
Data & Indikator 3. Diseminasi, 
Komunikasi & Advokasi 4. Dukungan Regulasi & Anggaran 5. Monev & 
Pelaporan 
1. Advokasi Pelaku 
Usaha 2. Fasilitasi Program (Komunikasi, Peningkatan Kapasitas, Dukungan 
Sumberdaya) 
1. Peningkatan Kapasitas 2. Evaluasi 3. Policy 
Paper/Policy 
PEMERINTAH & AKADEMISI PARLEMEN 
PAKAR 
Implement 
 Brief, input & 
untuk penyusunan kebijakan 4. Pengembangan 
Data dan Indikator asi SDGs FILANTROPI & 
OMS & 
1. Diseminasi dan 
Advokasi 
BISNIS 
MEDIA 
2. Fasilitasi Program 3. Advokasi, 
Awareness, dan Peningkatan Kapasitas 4. Monitoring 
30 
 
Peraturan Presiden 
tentang SDGs 
Tim Koordinasi Nasional SDGs 
REPUB LIK INDON ESIA 

✓ Perpres No. 59/2017 tentang Pelaksanaan Pencapaian Tujuan Pembangunan 

Berkelanjutan 
Steering Committee dipimpin Presiden RI Koordinator Pelaksana dipimpin Men PPN/Ka. 
Bappenas Tim Pelaksana dipimpin Deputi Bid. Kemaritiman dan SDA, Bappenas 
Kelompok Kerja Pilar Sosial 
Tim Pakar 
Sekretar iat 
Kelompok Kerja Pilar Lingkungan 
Kelompok Kerja Pilar Ekonomi 
Anggota dari Tim Pelaksana dan Kelompok Kerja terdiri atas 4 partisipan platform (Pemerintah 
dan Parlemen, CSO, Filantropi dan Dunia Usaha dan Akademisi) 
Kelompok Kerja Pilar Pembangunan Hukum dan Tata Kelola 
31 
 
 REPUB LIK INDON ESIA 

• Dokumen perencanaan tentang langkah strategis pencapaian 

SDGs 2030 Roadmap SDGs 
2016- 
• Dokumen perencanaan pencapaian SDGs tingkat nasional 
Rencana Aksi Nasional 

Dokumen SDGs 
• Dokumen perencanaan pencapaian SDGs tingkat daerah 
Rencana Aksi Daerah 
32 
 
 REPUB LIK INDON ESIA 

Dasar Hukum 
Diseminasi 
• Kepada 4 platform kemitraan di tingkat nasional 
• Kepada 4 platform kemitraan di tingkat daerah 
• Fasilitasi provinsi dan kab/kota 
• Informasi dan diseminasi dalam forum internasional (Side Event UNGA, ADB, IDB, Forum 
Bisnis Int., Knowledge Sharing Asia Pacific, Persiapan G20 Cina, Sustainability Reporting 
Award). 

Mapping target dan indikator 

• Mapping antara target dan indikator global dan nasional 
• Penyelarasan SDGs dan RPJMN 2015-2019 
• Metadata SDGs 
• Perpres 
• Permen 

Persiapan dan 
Pelaksanaan SDGs 
Peningkatan Kapasitas 
Penyusunan Rencana Aksi 
• Penyusunan pedoman rencana aksi 
• Exercise penyusunan rencana aksi . 
• Partisipasi dan peningkatan kapasitas kepada beberapa universitas dan asosiasi (IPB, ITB, 
UGM, UI, Universitas Ahmad Dahlan, Unair, Unpad, Unpar, PPM, Unika Soegijopranoto, 
Uhamka, Binus, Univ Pertamina, Konas IAKMI). 
• Penyediaan informasi sebagai narasumber pada kegiatan- kegiatan CSOs (INFID, LBH APIK, 
Transparency International Indonesia, Plan International, & Yayasan Sayangi Tunas Cilik). 
Koordinasi dan Komunikasi 
• Koordinasi rutin dengan mitra pembangunan (UN Agencies, JICA, GIZ, & DFAT) 
• Koordinasi reguler dengan filantropi dan dunia usaha 
• Penyusunan strategi komunikasi 

Forum Internasional 
• Forum internsional tentang SDGs dan agenda terkait 
• VNR 2017 
33 
 
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Integrasi Memastikan prinspip 

inklusif dan no one left behind 
program antarpemangku kepentingan 
Database yang komprehensif dan terintegrasi 

Tantangan Pelaksanaan 
SDGs di Indonesia 
Sinergi prioritas pemerintah dengan sektor 
non-pemerintah 
Sinergi rencana aksi yang ada dengan agenda 
pembangunan 
Indonesia merupakan negara kepulauan dengan jumlah 
penduduk yang besar 
34 
 
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