Optimising Health Literacy and Access (OPHELIA) to leave no one behind

by Deakin University

(Academia)

A Global Compact member

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The Ophelia process is a co-design process that starts with a community understanding its health literacy needs followed by genuine co-design among all stakeholders to develop and implement scalable solutions.

Project implemented: Feb 2014

Project goal

Ophelia aims to enable communities to co-design, fit-for-purpose, scalable interventions to improve health and equity

delivering on

why is this project important?

Innovation is required to ensure public health programs generate real outcomes for communities. Ophelia is a systematic process to do this.

Key steps to make it happen

1Identify local issues

Local engagement, data collection, local ownership. Local practices/innovative intervention idnetified

2Co-production

Local stakeholders decide priorities. Interventions identified to impact local services & systems improvement. Testing

3Implementation/Improvment

Health Literacy responsive interventions tested in quality improvement cycles. Wider implementation and evaluation

impact to date

12
Ophelia's completed in Australia, including: Cancer services provision, Increasing uptake of breast Cancer screening, improved diabetes management, improved practitioner skills in acute hospital
3
Ophelia's completed in UK: Pain services improvement (Wales), Mother and Child health (England), Respiratory services and migrant health (England)
4 WHO National Health Literacy Demonstration Projects (NHLDPs)
NHLDPs are underway to impact on; heart disease (China), hypertension (Myanmar), chronic diseases in workers (Egypt), mental health (China)
8 teams have submitted applications to become WHO NHLDPs
France (diabetes), Denmark (heart disease), Norway (lung disease), Portugal (diabetes), Netherlands (arthritis), Slovakia (diabetes, heart disease, kidney disease) Mali (diabetes), Philippines (4 projects across the life course), Nepal (kidney disease)
1
The Australian Government has included health literacy in the current National Health Survey follow, so all Jurisdictions will have starting points for Ophelia in early 2019

The co-design process is deeply engaging and empowering for community members. Many small and sustainable interventions that are meaningful to community members are generated. The Ophelia process generates a comprehensive range of individual person, family, community, practitioner through to policy interventions.

Improving health literacy in populations provides the foundation on which communities and civil society are enabled to play an active role in improving their own health, engage successfully with community action for health, and push governments to meet their responsibilities in addressing health and health equity.  Meeting the health literacy needs of the most disadvantaged and marginalized societies will particularly accelerate progress in reducing inequities in health and beyond.

The Ophelia process enables communities to co-design and implement public health interventions. Ophelia enables the voice of all members of the community to be heard, captures local wisdom, then enables implementation and embedding of locally derived solutions. Ophelia was designed for global application and this is underway through WHO’s National Health Literacy Demonstration Projects (NHLDP).

A NHLDP enables countries to demonstrate through case studies, proof of concept and scaling up, ways to improve health literacy to directly generate new and improved interventions to impact on health and inequality.

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