Health Literacy Policy in Israel – Culturally Appropriate Health Systems

Abstract

Abstract Background The diverse culture in Israel created the need for developing and implementing a national policy for culturally and linguistically appropriate health services. The need stems from trends in immigration to Israel, various levels of religiosity, and the ethnic diversity of the veteran population. Health literacy plays a prominent role in this policy. Methods A national policy directive was developed and disseminated by the Israel Ministry of Health calling for culturally appropriate health information to the public, communication while receiving healthcare including ongoing staff training, health promotion intervention, and research for needs assessment. Results The national policy has been implemented for the past five years in primary care, hospitals and non-governmental health organizations. Cultural health liaisons have been integrated into primary healthcare teams in over 30 community clinics caring for Ethiopian immigrants, telephone translation services are available for Amaharic/Tigrinia, Russian and Arabic speaking communities, quality healthcare standards defined on topics such as of diabetes, and training of staff on cultural sensitivity continuously conducted. Culturally appropriate printed and digital sources of health information are available for diverse ethnic and religious communities. Appropriate health promotion intervention is routinely implemented on healthy lifestyle, early detection, and self-care, focusing mainly on NCDs and system navigation, supported by applied research and evaluation. Conclusions The policy implementation was the result of significant investment by stakeholders at all levels and requires support for sustainability regarding health literacy, health behaviour and health outcomes. Resource allocation is necessary for assessment and outcome measurement, and for applying more participatory methods for policy development, training, implementation and evaluation.