Increase Health Knowledge Research Articles

An action plan to improve organizational health literacy in hospitals in the Czech Republic

Abstract Background The National Institute for Health Literacy conducted in 2023 as part of the M-POHL network and in close collaboration with the team of the Klaudian Hospital a survey on the level of organizational health literacy using the OHL-Hos tool. The OHL-Hos tool was proven by the project implementation team as suitable for initiating and monitoring organizational change. Methods Based on the self-assessment and the results of the consensus workshop, the project implementation team identified development priorities that were submitted and approved by the hospital management. To keep the sustainability of the implementation, the hospital management decided to formulate an action plan, with the time horizon 2025. Results The proposed action plan, approved by hospital management, focuses on feasible measures within a given time horizon. For each development goal, responsible teams, time frames, and expected results were formulated. The implementation project team evaluated as the most innovative standard the standard dealing with internal communication with patients and their family after discharge and thus to ensure the continuity in supporting personal health literacy of patients and relatives. In addition, as further important standards, easy navigation and access to documents, materials, and services for patients and healthcare professionals were recognized. Interventions focusing on public education, especially for children and students of all school levels, have been proposed to enhance external communication and increase health knowledge in the region. Conclusions The process of regular OHL assessment of set up measures has been considered as a way how to ensure the long-term fulfilment of the newly adopted action plan by the hospital.

Weight Management Package Based on Knowledge, Attitude, Behavior, and Barriers of Obese Youth in China

This study explored the knowledge, attitudes, behaviors and barriers of obese adolescents in Erqi District, Zhengzhou City, China, in terms of weight loss management. The study adopted a cross-sectional design, collected data through a questionnaire survey, and used statistical analysis methods to explore the relationship between these factors and their association with socio-demographic characteristics. The study found that participants generally had misconceptions about health knowledge, had a negative attitude towards weight, rarely adopted weight-loss behaviors, and faced some barriers to health management. The study revealed a negative correlation between health knowledge and attitudes, a finding that challenges traditional ideas and suggests that simply increasing health knowledge may not be sufficient to change attitudes and behaviors. In addition, the study found that economic factors had a small effect on health-related dimensions, while BMI had a significant effect on knowledge and behavior dimensions. These findings highlight the need to consider the interaction of multiple factors when designing interventions for adolescent obesity, and to fully consider the local socio-cultural context. The results of the study provide a new perspective on understanding the problem of adolescent obesity in China, and also raise questions about current health education and intervention strategies. Future research can further explore the underlying reasons behind these findings, providing a scientific basis for the development of more effective strategies for the prevention and management of adolescent obesity.

Addressing COVID-19 and Health Literacy Disparities Among Correctional Facility Residents Through Dialogue-Based Education.

Carceral communities face heightened COVID-19-related risks while simultaneously experiencing medical mistrust and limited access to health information and services. Health education programs that incorporate dialogue-based, participatory learning models have been shown to motivate health behavior and increase health knowledge in carceral settings. To increase health literacy and change COVID-19-related health behavior among jail residents in the United States, a local health department developed a dialogue-based education program centered around COVID-19 prevention, misinformation, and navigating health care systems. Dialogue-based health information sessions took place in person in a county jail. Pre- and postsurveys gauged the sessions' influence on self-reported health literacy and behavior intention. Overall, 595 residents collectively attended 43 facilitated discussions. Key findings indicate that dialogue-based education can temper medical mistrust, influencing COVID-19 preventive behaviors and increasing health literacy in a carceral setting.

PERUBAHAN PENGETAHUAN IBU SEBELUM DAN SESUDAH MEMBACA MEDIA LEAFLET TENTANG STUNTING PADA IBU ANAK BALITA STUNTING

ABSTRACT Stunting is a condition where a child experiences growth disorders, so that his height does not correspond to his age due to chronic nutritional problems, namely long-lasting malnutrition. Health promotion through the media is one of the efforts made to convey health information messages to mothers of toddlers. One of the most effective ways to convey information about nutrition to mothers of stunted toddlers is by distributing leaflets, which can increase mothers' awareness about nutrition and help them overcome the problem of malnutrition that continues in their stunted children. The aim of this study was to find out how the knowledge of mothers of toddlers suffering from stunting changed before and after receiving the leaflet intervention. Stunting is a condition where a child experiences growth disorders, so that the child's height does not correspond to his age, due to chronic nutritional problems, namely lack of nutritional intake for a long time. Health promotion through the media is one of the efforts made to display health information messages that want to be conveyed to mothers of toddlers, such as leaflets which are the easiest to help with the nutrition education process which is easier to understand in increasing the knowledge of mothers of stunting toddlers. Distributing leaflet media can increase health knowledge and nutritional awareness among mothers to overcome chronic malnutrition in children who are stunted. The aim of this research was to look at changes in the knowledge of mothers of stunting toddlers before and after the leaflet intervention. This research used a "One-group pretest and posttest" design conducted at the Padang City Air Children's Health Center, research time from 25 October 2023 to 15 January 2024. The sample consisted of 27 people. Sampling used the Simple Random Sampling technique via the Random Number Application. Normality test and bivariate analysis used the Kolmogorov-Smirnov Paired t-test (p<0.05). The research results showed that the average value of knowledge before reading the media leaflet showed a p-value/sig = 0.000 <α = 0.05. The conclusion of this study was that there was an increase in knowledge before and after the leaflet intervention. Keywords : Stunting, Media Leaflets

Entertainment-Education for Better Health: Insights from a Field Experiment in India

Entertainment-education has been touted as a potent delivery channel for health education campaigns. Yet, there is little evidence of its causal effects. This paper aims to fill the gap in the literature by using a field experiment in India to study two questions on the efficacy of health entertainment-education. First, can health entertainment-education, particularly through films that show role models and draw on emotions, lead to lasting, positive change in health knowledge and behavior? Second, can financial incentives for ex-post health literacy boost the effectiveness of health entertainment-education? The results show that health entertainment-education successfully increased health knowledge (e.g. knowledge about cleanliness and hygiene) by 16 percent. These gains persist almost one year later, although there were no observed impacts on health behaviors. Further, financial incentives do not appear to have any effects. These insights contribute to our knowledge of what works for health education in low-income settings, so that future education campaigns can be crafted with more meaningful impact.

Community empowerment in improving health status


 Community empowerment is an important approach to improving health at various social, economic, and cultural levels. This approach emphasizes the active role of communities in managing and improving their own well-being, including aspects of physical, mental, and social health. Community empowerment involves the process of developing the knowledge, skills, and capacity of individuals and groups to understand and overcome health problems. This can include health education, the promotion of healthy lifestyles, strengthening access to health services, and building community-friendly health infrastructure. Through collaboration between governments, non-governmental organizations, and the private sector, community empowerment can be an effective means to improve the accessibility and quality of health services, as well as to reduce health disparities among different groups of people. The implementation of community empowerment programs has shown a significant impact on increasing health knowledge, improving healthy living behaviors, and reducing preventable disease and mortality. The development of strategies and policies that support community empowerment is an important step in achieving sustainable development goals in the health sector

LGBTQ+ Peer Advocates’ Health Communication Praxis for College Student Health Outreach and Intersectional Needs

ABSTRACT The following essay examines health communication outreach for LGBTQ+ college students through analyzing both the design and exit evaluation of a federally funded United States public health program. SHARE-Pride was a three-year health intervention program that served LGBTQ+ students ages 18–24 at Southern University (SU)—a Hispanic and Minority Serving Institution. Because of structural barriers creating sexual health and drug and alcohol consumption risks, SHARE-Pride (SP) used a peer advocate model for students to develop mentoring relationships with LGBTQ+ peers to increase health knowledge. We first present health literature that informed SP’s design and then examine research that shaped our exit study to understand advocates’ intersectional identities and experiences as impacting their health communication outreach. We share rich findings from our interviews with 12 students, including communication approaches for LGBTQ+ health, increasing health communication inclusive of the full LGBTQ+ spectrum, and the role of intersectionality in LGBTQ+ health communication. We conclude with health communication praxis for future LGBTQ+ health programs and research.

Edukasi Pemenuhan Nutrisi sebagai Upaya Pencegahan Stunting menggunakan Media Audio Visual

Stunting is an irreversible growth disorder caused by a lack of nutritional intake during pregnancy (during 1,000 HPK), therefore, babies aged 0 to 2 years must receive balanced and optimal nutritional intake, because this period is the golden period of growth and development. child. Stunting is caused by a lack of understanding about how to overcome health problems (nutrition intake), therefore it is necessary to prevent stunting as an effort to increase health knowledge through education. Community service aims to find out how education about fulfilling nutrition in efforts to prevent stunting has an impact on increasing knowledge. The method of implementing counseling is carried out through face-to-face meetings and discussions which are considered more effective, where the activity begins with giving a pre-test questionnaire to measure the level of knowledge of mothers of toddlers, then the presentation of the material that takes place allows the audience to pay attention and focus on audio-visual videos regarding nutritional needs. To prevent stunting, evaluation of the results of the activity is carried out by administering a post-test questionnaire in the form of questions regarding the material that has been presented. This community service was carried out on September 18 2023 in Salekoe sub-district, East Wara sub-district, Palopo City, attended by 40 participants, all of whom were mothers of toddlers. The results showed that there was a significant influence on increasing respondents' knowledge before and after being given counseling with a p-value = 0.00 (p<0.05), where there were 20% of respondents who had good knowledge during the pre-test and this increased to 55% of respondents at the time of the post-test, 25% of respondents had sufficient knowledge about stunting at the time of the pre-test and this increased to 32.5% of respondents at the time of the post-test, 55% of respondents had insufficient knowledge at the time of the pre-test and decreased to 12.5% of respondents at the time post-test. The next follow-up is that health workers are expected to be able to use audio-visual videos in efforts to prevent stunting to increase knowledge among mothers of toddlers so that they can reduce the prevalence of stunting.

Association between Herbal use Behavior and Hemoglobin A1c among Ethnic Minorities in Thai Border Communities

Background: Herbal use is a conventional wisdom of health care that falls under complementary alternative medicine. The purpose of this research was to study factors affecting herbal-use behavior and glycated hemoglobin (HbA1c) levels in ethnic minorities living in the northern border of Thailand. Methods: A cross-sectional study was conducted in the three northern border provinces located in the highlands and rural plains between May–July 2022 among ethnic groups, including Hmong, Karen, Lua, and Indigenous. A total of 413 people were recruited for the study using a convenient sampling method. The data were obtained from face-to-face interviews using questionnaires and from blood samples. Results: The mean age of the participant was 50.2 years. More than half of the participants had abnormal HbA1c (> 6.5) (55.7%). The mean score for herbal-use behavior was 19.2 (SD = 3.77). An analysis of Pearson’s correlation coefficient found that herbal-use behavior was positively correlated with health literacy (r = 0.918). HbA1c was negatively correlated with health literacy and health behavior (r = -0.628, r = -0.557). Factors including age and people with diabetes were statistically significantly associated with herbal-use behavior, accounting for 42.3% of the variance. When adjusted for factors, health literacy was found to be statistically significantly associated with herbal-use behavior, which affected HbA1c levels. Conclusion: Health education programs among ethnic minorities should be focused on increasing health knowledge of the types and properties of herbs and herbal-use behavior to help lower blood sugar levels and understand the health effects and consequences of herbal-use.

Evaluating the Use of PROMs in Paediatric Orthopaedic Registries.

Patient-reported outcome measures (PROMs) provide structured information on the patient's health experience and facilitate shared clinical decision-making. Registries that collect PROMs generate essential information about the clinical course and efficacy of interventions. Whilst PROMs are increasingly being used in adult orthopaedic registries, their use in paediatric orthopaedic registries is not well known. The purpose of this systematic review was to identify the frequency and scope of registries that collect PROMs in paediatric orthopaedic patient groups. In July 2023, six databases were systematically searched to identify studies that collected PROMs using a registry amongst patients aged under 18 years with orthopaedic diagnoses. Of 3190 identified articles, 128 unique registries were identified. Three were exclusively paediatric, 27 were majority paediatric, and the remainder included a minority of paediatric patients. One hundred and twenty-eight registries collected 72 different PROMs, and 58% of these PROMs were not validated for a paediatric population. The largest group of orthopaedic registries collected PROMs on knee ligament injuries (21%). There are few reported dedicated orthopaedic registries collecting PROMs in paediatric populations. The majority of PROMs collected amongst paediatric populations by orthopaedic registries are not validated for patients under the age of 18 years. The use of non-validated PROMs by registries greatly impedes their utility and impact. Dedicated orthopaedic registries collecting paediatric-validated PROMs are needed to increase health knowledge, improve decision-making between patients and healthcare providers, and optimise orthopaedic management.

How to Wash Rice Properly to Keep the Nutrition in Kencat Village, Bancaran, Bangkalan

The purpose of this activity is to increase health knowledge and instill it in everyday life about how to wash rice properly and correctly. Furthermore, the community pays more attention to how to process good staple foods so that nutrient intake becomes optimal. Furthermore, the community pays more attention to how to process good staple foods so that the community's intake of nutrients is optimal. This activity consists of four stages. First, the team conducted a survey and analysis of regional problems. Second, planning includes the formation of performances and the preparation of activity programs. The third is implementation, and the fourth is assessment. This activity was held from March 14 to August 15, 2023. Respondents participated well in this activity. The respondents' health knowledge and their awareness of caring about the level of nutrients they consume rose.

The Effectiveness of the Singing Method on Knowledge of Brushing Teeth in Mentally Disabled Children at SLB Paedagogia Surabaya in 2023

One of the effects of a lack of knowledge about how to maintain dental hygiene is having dental health problems such as cavities. Provision of health education can increase health knowledge. In certain circumstances, especially in mentally retarded children, the health of their teeth and mouth is neglected. A study has shown that mentally retarded children have a risk of poor dental and oral health. It is important for mentally retarded children to gain knowledge, so they can take care of and develop themselves. The problem in this study is the lack of knowledge about brushing teeth in mentally retarded children at SLB Paedagogia Surabaya. This study aims to determine the effectiveness of the singing method on knowledge about brushing teeth in mentally retarded children at SLB Paedagogia Surabaya. This type of research is a true experiment with a pretest-posttest design with a control group, with research subjects as many as 30 mentally retarded children who were divided into 2 groups. The data collection instrument used was a questionnaire. The data analysis technique uses the Wilcoxon test and the Mann-Whitney test. There is the effectiveness of the singing method on knowledge about brushing teeth in mentally retarded children at SLB Paedagogia Surabaya in 2023.

Training on Procedures for Using Good and Correct Medicine for Health Cadres at the Surobayan Sedayu Mosque

During the pandemic and post-pandemic times, public awareness of health has increased. This condition, of course, must be accompanied by increased health knowledge, including knowledge about medicine. The Al-Hikmah Surobayan Mosque Foundation and LAZISMU Sedayu are starting a health center for residents, so this community service is aimed at training health cadres regarding drug problems. The community service, which took place at the Al-Hikmah Mosque Health Center on March 5, 2023, was attended by 22 health cadres aged 50.78 years. In this activity, the speakers were pharmacists from the pharmacist profession study program FKIK UMY and pharmacists from the UAD pharmacy faculty, assisted by students who were members of PIO activities.The training was carried out in stages, starting with a brief introduction to the types of drugs, then how to use drugs, store drugs, and recognize signs of drug side effects. This service collaborated with the Faculty of Pharmacy Ahmad Dahlan University collaborators. The results of the community service that has been carried out show increased knowledge of cadres and the community regarding drugs, as indicated by an increase in the average post-test score (from 69.1 to 81). This activity was continued by sending students who are members of the Drug Information Center (PIO) during the opening hours of the health center on Saturday and Sunday. The pharmacist must assist cadres on an ongoing basis to escort the health center to the Pratama clinic

SOSIALISASI DAN EDUKASI PERILAKU HIDUP BERSIH DAN SEHAT PADA SISWA UPT SDN 066050 MEDAN DENAISOSIALISASI DAN EDUKASI PERILAKU HIDUP BERSIH DAN SEHAT PADA SISWA UPT SDN 066050 MEDAN DENAI

This article is an analysis of the healthy lifestyle especially among the students of UPT SDN 066050 Medan Denai. A healthy lifestyle is an important thing that should be fulfilled by every society but the society pays less attention to what the times of every society struggle to survive or work. Victims of worm disease Worms which are parasitic animals not only take nutrients from the intestines but also damage the walls of the intestines disrupting the absorption of these nutrients. PKM activities are carried out in three phases namely the production implementation phase and the evaluation phase and the reporting phase. PKM activities are useful for increasing health knowledge and standards where students can participate in educating friends and family about health and practicing a healthy lifestyle in choosing good food for health How to wash hands properly correct and correct and the benefits and importance of getting in shape once in a 6 month time.

Effectiveness of Health Education using the PASTORA Application on Early Cancer Detection

Women's reproductive health problems, especially cancer, are health problems faced by women in the world , including in Indonesia. Nurses as an integral part of health services have the responsibility to carry out health promotion and innovate in developing health promotion media, especially during the Covid-19 pandemic. The purpose of this activity is to find out the differences in women's knowledge about early detection of cancer after health education using online media: the PASTORA application. The PASTORA application is an alternative media to increase health knowledge independently and complete it with online consultations with professional health workers. This research method is descriptive quantitative with participants in education totaling 105 women of reproductive age from four provinces in Indonesia, the education process was facilitated by 3 lecturers from the Faculty of Nursing and 16 students participating in the Virtual Integrative KPM at Gajah Mada University. The activity process includes the preparation, implementation and evaluation stages. Before and after education, a pre- posttest was carried out consisting of 15 questions. The results of the analysis of the test showed an increase in knowledge which was marked by an increase in pre-posttest scores for 94 (89.5%) participants, a fixed score of 7 (6.7%) and a decrease in value of 4 (3.8%). The PASTORA application based on Android technology is proven to increase women's knowledge about early cancer detection. It is necessary to develop the PASTORA application with IOS technology to increase the reach of female users in Indonesia. The PASTORA application can be used by nurses as an alternative medium for conducting reproductive health education for women.

Leveraging mHealth for the Treatment and Management of PLHIV.

The objective of this systematic review was to analyze published literature from the last five years to assess facilitators and barriers to the adoption of mHealth as interventions to treat and manage HIV for PLHIV (people living with HIV). The primary outcomes were physical and mental conditions. The secondary outcomes were behavior based (substance use, care engagement, and healthy habits). Four databases (PubMed, CINAHL, Web of Science, and ScienceDirect) were queried on 9/2/2022 for peer-reviewed studies on the treatment and management of PLHIV with mHealth as the intervention. The review was conducted in accordance with the Kruse Protocol and reported in accordance with PRISMA 2020. Five mHealth interventions were identified across 32 studies that resulted in improvements in physical health, mental health, care engagement, and behavior change. mHealth interventions offer both convenience and privacy, meet a digital preference, increase health knowledge, decrease healthcare utilization, and increase quality of life. Barriers are cost of technology and incentives, training of staff, security concerns, digital literacy gap, distribution of technology, technical issues, usability, and visual cues are not available over the phone. mHealth offers interventions to improve physical health, mental health, care engagement, and behavior for PLHIV. There are many advantages to this intervention and very few barriers to its adoption. The barriers are strong, however, and should be addressed through policy. Further research should focus on specific apps for younger versus older PLHIV, based on preferences and the digital literacy gap.

5612576 DEVELOPMENT AND IMPLEMENTATION OF NEUROPSYCHOLOGICAL SCREENING AND EVALUATION SERVICES FOR ADULTS LIVING WITH SICKLE CELL DISEASE: FINDINGS FROM A TWO-YEAR PILOT PROGRAM

Background: Individuals with sickle cell disease (SCD) may experience diffuse brain injury, impacting neurocognitive development. They may also experience overt strokes and silent cerebral infarcts. These infarcts lead to impaired cognitive functioning across various domains including difficulties with aspects of executive functioning, working memory, processing speed, general intellectual abilities, and difficulties with learning. Research suggests the long-term consequences of these deficits in childhood are likely to have an impact on individuals’ lives as adults. Unfortunately, within the United States, neuropsychological screenings and evaluations are not considered a standard of care for SCD. Ensuring individuals with SCD have these services is critical for optimal care and improved health outcomes. Aims: Neurocognitive services are important for early identification, diagnosis, and treatment; and provide information about current level of functioning, including strengths and challenges. Neurocognitive data can inform strategies to increase health knowledge, adherence to appointments/medications, improve quality of life and prevent/reduce mortality rates. In July 2020, we were awarded a two-year grant to develop and implement a neuropsychological screening and evaluation program for adults living with SCD via an outpatient specialty clinic. Methods: Screening measures were used to detect cognitive dysfunction and challenges with attention and executive functioning. Fifty-one patients (18-73 years) were offered a screening, with 39 completing it. Fifteen patients were referred for further evaluation, with 13 completing a three-hour abbreviated neurocognitive evaluation to date. In this presentation, we will report results of these evaluations. Results: Ten patients were female, one transgender woman, and three were male. Ages ranged from 19-49 years (M = 28.5 years +/- 9.8); 12 were Black/African, and two biracial. Diagnoses were SCD-SS (n = 9), SCD-SC (n = 4), and one SCD-SB+ thalassemia. Five patients had had one or more strokes. Almost half (n = 7) performed in the lowest 10% of the normative population on a test of spatial visualization and motor skill. All performances on a test of visual-construction ability and visual memory were in the lowest 20% of the normative population, with six in the lowest one percent. Five performed in the average range or above on a test of cognitive slowing – the remainder scored very low on this test. In terms of areas of strength, many patients scored in the average range in areas such as verbal comprehension and perceptual reasoning, demonstrated persistence and had found ways to compensate for cognitive related difficulties. Summary: With all aspects of the neurocognitive evaluation taken together, we found that consistent with the literature, our patients evidenced challenges with processing speed, working memory, and aspects of executive functioning. While research on the impact of SCD on visual spatial/visual motor, and visual construction abilities is scant, our patients demonstrated notable deficits in this area, warranting further research. Conclusion: Neurocognitive services need to become a standard of care for SCD care. Additionally, as providers we need to better educate our patients on brain health throughout their lifespan and advocate for access to these types of services.

People’s Need for Health Information and Communication: How Past Experiences Could Support Future Interventions

People’s need for information and communication concerning health has emerged from many sources, even for important aspects related to the COVID-19 pandemic. The challenges of those who want to respond to this need are mainly related to which design characteristics could better support their aim. Thus, this article first examines a selected list of examples of different approaches of interventions targeted at citizens aimed at increasing health knowledge. Successively our recent experience regarding a new tool developed to support people’s health by promoting communication about citizens’ approach towards pharmaceuticals is discussed. In addition, here we propose that a similar methodological approach may be useful also to highlight people's critical issues and suggestions regarding health care system, i.e., factors that could play a pivotal role in a pandemic scenario. Our experience in the local context through an integrated strategy can be useful to address key factors concerning people’s approach to medicines, and approach to health care system even during a pandemic scenario. Overall these examples of past experience show how some approaches could support the understanding of suitable future, community-level, interventions to enhance information and communication about health and care.

The Effect Of Health Education In Prevention Hypertension Of Patient Knowledge In Tolo’ Public Health Center Jeneponto District

Hypertension can increase the risk of death and complications. Health education is carried out with the aim of increasing health knowledge while increasing public awareness of the importance of maintaining health. It is known that there is an effect of health education in preventing hypertension on the knowledge of patients at the Tolo' Public Health Center, Jeneponto Regency. The type of research used is quantitative with a descriptive research design using a cross sectional approach. To determine the relationship between the independent variable and the dependent variable by using joint measurements, the total population is 170 people, the sampling of this study used purposive sampling technique so that the results were 32 respondents, the data measurement instrument used a questionnaire. There is an effect of health education in preventing hypertension on knowledge of patients and there is an influence of knowledge in preventing hypertension on knowledge of patients at the Tolo' Public Health Center, Jeneponto Regency. obtained p-Value = 0.000 (α<0.05). There is an effect of health education and knowledge in preventing hypertension on knowledge of patients at the Tolo' Public Health Center, Jeneponto Regency.

8.K. Workshop: Pillars of health promotion and the role of Health literacy in the life course approach

Abstract Three pillars are considered today for the development of Health Promotion: Good Governance, Healthy Cities and Health Literacy (HL) (The Shanghai Declaration, WHO 2016). Good Governance and policies to make healthy choices accessible and affordable to all, will ensure that all have the right to health. Sustainable environments are critical to make whole of society collaboration real and it is relevant that Cities become healthier settings. For this, increasing knowledge and social skills to help people make healthiest choices and decisions, i.e. Health Literacy (HL), emerges as the third pillar of the health promotion agenda today. The 10th WHO World conference in 2021 emphasized the role of HL in Health Governance (Stewarding for a flourishing future) that “... builds on co-design and makes full use of the digital transformation to achieve equitable benefits across populations, ensuring access and meaningful participation. This includes a high priority assigned to health literacy along the life course’ (WHO 2021). This workshop discusses how this third pillar (i.e. HL) may be translated into the everyday practice of Health Promotion “ensuring that people can cope with the challenges they face, through health literacy, ... to lead lives ... in harmony with Nature” (WHO 2021). From the public health perspective the aim of this workshop is to share with the audience an opportunity to immerse in four different social contexts and explore their HL practices as tracer approaches. The first context is set in Brazil and the emphasis is on HL role in increasing health knowledge. The authors share the results of a large research and an ethnographic analysis of the role of HL in the development of health decisions in the context of public libraries. The second presentation will unveil one of the topics that is influencing health and well-being today: the struggle to counter misleading information. Therefore, a study case from Portugal will focus on HL impact of nutritional marketing on the preferences, attitudes and consumption of children from 6 to 10 years old. A third presentation will consider food sustainability & health, and how HL may be expanded using simple and integrative pedagogical strategies in usual kindergarten dynamics to promote legumeś consumption. Understand how children construct their HL and how influenced they are in this process is the aim of the 4th presentation, where an analysis will be proposed in the quest of exploring HL on those in the first years of schooling. This workshop offers a forum for researchers, practitioners and policy-makers interested in health promotion pillars (e.g. like health literacy). By dialogue and two-way communication lively interaction and vivid discussions will be facilitated. This will allow discussing results regarding their benefit for improving policy research, practice, and policy-making, support further synergies, facilitate networking and collaboration, and support international capacity building. Key messages • Refinement of concepts and practices (e.g. on health literacy) from south-north cultural contexts is needed for wider health promotion implementation strategies. • The third pillar of Health Promotion (i.e. health literacy) demands a wider reflection of theoretical integrative approaches of health paradigms like salutogenesis.