the basics - World Health Communication Associates

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3.3 SCORECARDSThe WHCA Action Guide Group has proposed the development of health literacyscorecards for individual and system monitoring of risk or disease managementprogress. A noncommunicable disease (NCD) scorecard, for example, could serve asa visible tool for awareness-raising and provide a proxy measure for and a way ofpromoting NCD health literacy (see Box 5). As such, ideally it should include clinicaland behavioural measures, such as Body Mass Index (BMI), blood sugar, bloodpressure and cholesterol levels, immunization status and behavioural factors such assmoking and exercise (see Figure 2), all of which are associated with chronic diseaseprevention and control.BOX 5: BENEFITS OF THE HEALTH SCORECARD(adapted from Myron-Shatz 2010)Individual benefits1. A single number provides an easy means for people to keep track of their health(message: ‘Know your numbers’).2. Establishing simple goal ranges (e.g. red, yellow, green) allows people to seehow they rate compared to laboratory and community standards.3. Including a range of medical/health indicators and behaviours helps peoplecreate a mental model of how lifestyle choices and NCDs are connected.4. Having a scorecard that reflects ‘risk’ and ‘preventability’ can motivate action.System benefits5. Sequential ratings can serve as an incentive for improvement.6. A health scorecard, especially when it results in one number, allows anyone whois interested in monitoring and promoting health, and healthy behaviour—whether insurers, governments, agencies, pharmaceutical companies or globalhealth organization officials—to keep track of health indicators at every level.7. This will allow for detecting areas of either excellence or need.8. An agreed-upon and broadly disseminated health scorecard will allow differentinstitutions or geographical areas to know their health ranking, both relativeand absolute. This provides a benchmark and an incentive for improvement.9. An agreed-upon and broadly disseminated health scorecard can translate to aunified national concept of health that can be accepted and hopefully pursued.28SECTION 3: HOW IS HEALTH LITERACY MEASURED?
Figure 2. An example of NCD scorecard (Myron-Shatz 2010) 3Alternatively, the scorecard might measure knowledge of key facts needed to live ahealthy life. Individuals could rate themselves against a standard and agencies wouldbe measured on how many of their users successfully achieved the score parameters.3These ‘numbers ‘ are presented as an example. Other key indicators such as tests of lung function mightusefully be added.SECTION 3: HOW IS HEALTH LITERACY MEASURED? 29
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Page 11 and 12: WHO IS THIS GUIDE FOR?SUMMARYHealth
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Page 34 and 35: Social CapitalLinks have also been
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Page 38 and 39: Use active voiceAvoid unnecessaryja
Page 40 and 41: epidemic outbreak tracking (providi
Page 42 and 43: may also include direct instruction
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Page 50 and 51: · understanding of bias and levels
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Page 54 and 55: 4.5 WORKPLACE SETTINGSThe workplace
Page 56: 4.6 POLICY-MAKING ARENASPolicies at
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Page 63 and 64: REFERENCESAllen CE. 2001. 2000 pres
Page 65 and 66: Figueroa ME, Kincaid DL, Rani M & L
Page 67 and 68: Kickbusch I & Maag D. 2008. Health
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Page 71: Sudore RL, Yaffe K, Satterfield S,
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the basics - World Health Communication Associates

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