The what, why and how of health literacy: a systematic review of literature

  • Authors

    • Mikidadi Muhanga PhD Student- University of Zambia, Lecturer -Sokoine University of Agriculture
    • Jacob Malungo Professor of Demography, Department of Population Studies, School of Humanities and Social Sciences, The University of Zambia
    2017-07-15
    https://doi.org/10.14419/ijh.v5i2.7745
  • Documentary Research Method, Documentary Review, Health Literacy, Health Literacy Survey, Systematic Review.
  • This paper reviews literature on the concept of health literacy. Specifically the paper reviews theoretical aspects on the concept (The What); the rationale behind health literacy and how important health literacy is towards attaining good health (The Why) plus tools and approaches towards measuring and assessing Health Literacy (The How). A documentary research method was used in collecting relevant information from sixty publications. Articles reviewed were from peer-reviewed journals, conference papers, health professional studies, research by recognized independent institutions as well as systematic and narrative reviews on the topic. The review concentrated on literature published from 1970 to 2015 as the concept was developed around 1970s, excluding publications made before 1970s and non-English language publications. It is evident that the concept of Health Literacy has evolved from a basic description of the ability to perform health related tasks that require reading and computational skills, to cover cognitive capacities related to obtaining, processing, and understanding health information, leading up to decision making. There is a great need to have this particular concept and/ or process promoted taking into consideration the purposes, importance and rationale towards health care.

  • References

    1. [1] Acheson D (1998) Independent Inquiry into Health Inequalities in Health Report.1998 edition. The Stationery Office. London.
      [2] Achmat Z. & Cameron E (1995) ‘AIDS in the Workplace’, South African Labour Bulletin, 19(5): 8–26.
      [3] Agency for Healthcare Research and Quality (AHRQ) (2007) National healthcare disparities report. AHRQ. Rockville, MD. Available at: https://archive.ahrq.gov/qual/nhdr07/nhdr07.pdf. (Accessed on 5 May 2015).
      [4] Agency for Healthcare Research and Quality (AHRQ) 2010. National Healthcare Disparities Report, 2010. AHRQ Publication No. 11-0005 March 2011. Available at: Https://archive.ahrq.gov/research/findings/nhqrdr/nhdr10/nhdr10.pdf. (Accessed 11 May 2017).
      [5] Ainsworth M & Over M (1994) ‘AIDS and African Development ’, the World Bank Research Observer, 9(2): 203–40. doi:https://doi.org/10.1093/wbro/9.2.203
      [6] Anderson NB (1999) Solving the puzzle of socioeconomic status and health: the need for integrated, multilevel, interdisciplinary research. In Socioeconomic Status and Health in Industrial Nations: Social, Psychological, and Biological Pathways (Adler NE, Marmot M, McEwen BS et al. eds). New York: The New York Academy of Sciences; vol 896, 302-312. https://doi.org/10.1111/j.1749-6632.1999.tb08125.x.
      [7] Andrus MR & Roth MT (2002) Health literacy: a review. Pharmacotherapy. 22 (3):282-302. https://doi.org/10.1592/phco.22.5.282.33191.
      [8] Association of Chartered Certified Accountants (ACCA). (2013). Key health challenges for Zambia. Lincoln's Inn Fields London United Kingdom. Available at: http://www.accaglobal.com/content/dam/acca/global/PDF-technical/health-sector/tech-tp-khcz.pdf (accessed 12 May 2017).
      [9] Azjen I & Fishbein M (1980) Understanding Attitudes and Predicting Social Behavior. Prentice-Hall, Englewood Cliffs, NJ.
      [10] Bailey K (1994) Methods of Social Research, Fourth Edition, the Free Press. New York.
      [11] Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, Ren J & Peel J (2002) Functional health literacy and the risk of hospital admission among medicare managed enrollees. American Journal of Public Health 2002, 92(8):1278-1283. https://doi.org/10.2105/AJPH.92.8.1278.
      [12] Baker DW, Parker RM, Williams MV, Clark WS & Nurss J (1997) The relationship of patient reading ability to self-reported health and use of health services. American Journal of Public Health 87(6):1027-30. PMC1380944. https://doi.org/10.2105/ajph.87.6.1027.
      [13] Baker DW, Parker RM; Williams MV & Clark WS (1998) Health Literacy and the Risk of Hospital Admission. Journal of General Internal Medicine, 13(12):791-798 https://doi.org/10.1046/j.1525-1497.1998.00242.x.
      [14] Baker DW, Williams MV, Parker RM, Gazmararian JA & Nurss J (1999) Development of a brief test to measure functional health literacy. Patient Education and Counseling, 38(1):33-42. https://doi.org/10.1016/s0738-3991(98)00116-5.
      [15] Bandura A (1986) Social Foundations of Thought and Action: A Social Cognitive Theory. Prentice-Hall, Englewood Cliffs, NJ.
      [16] Baruch Y & Clancy P (2000) Managing AIDS in Africa: HRM challenges in Tanzania, The International Journal of Human Resource Management, 11:4, 789-806, https://doi.org/10.1080/09585190050075123.
      [17] Bass PF, Wilson JF, Grifith CH (2003). A shortened instrument for literacy screening. Journal of General Internal Medicine, 18(12):1036-1038. https://doi.org/10.1111/j.1525-1497.2003.10651.x.
      [18] Berkman N, Davis T & McCormarck L (2010) Health Literacy: What is it? Journal of Health Communication, 15(Suppl.2.), 9-19. https://doi.org/10.1080/10810730.2010.499985.
      [19] Berkman ND, DeWalt DA, Pignone MP & Sheridan,S (2004) Literacy and Health Outcomes, Evidence Report/Technology Assessment No. 87 (Prepared by RTI International–University of North Carolina Evidence-Based Practice Center under Contract No. 290-02-0016). Rockville, MD: Agency for Healthcare Research and Quality; AHRQ Publication No. 04-E007-2. Available at: http://www.ahrq.gov/downloads/pub/evidence/pdf/literacy/literacy.pdf. (Accessed 19 January 2015).
      [20] Bloom D & Canning D (2003) Health as Human Capital and its Impact on Economic Performance. The Geneva Papers on Risk and Insurance, Vol. 28 (2) 304–315 https://doi.org/10.1111/1468-0440.00225.
      [21] Bloom DE & Canning D (2000) ‘‘the Health and Wealth of Nations’’, Science, 287, 1207–1208. https://doi.org/10.1126/science.287.5456.1207.
      [22] Bloom DE and Canning D & Sevilla J (2001) ‘‘the Effect of Health on Economic Growth: Theory and Evidence’’, National Bureau of Economic Research Working Paper, No. 8587. https://doi.org/10.3386/w8587.
      [23] Bloom, D.E; Canning, D and Jamison, D.T. (2004). Health, Wealth and Welfare IN IMF (2004). Health and Development: Why investing in health is critical for achieving economic development goals-A compilation of articles from Finance and Development. IMF, Washington, DC.
      [24] Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27-40. https://doi.org/10.3316/QRJ0902027.
      [25] Burke, E. (n.d). The Health Belief Model. Available at: http://currentnursing.com/nursing_theory/health_belief_model.html. (Accessed on 14 December 2016).
      [26] Byrne, D. (2004).Enabling Good Health for all: A reflection process for a new EU Health Strategy. Available at: http: //ec.europa.eu/health/ph_overview/Documents/byrne_reflection_en.pdf. (Accessed on 17 April 2017).
      [27] Canadian Council on Learning 2008. Health Literacy in Canada: A Healthy Understanding 2008 (Ottawa: 2008).Available at: http://www.bth.se/hal/halsoteknik.nsf/bilagor/HealthLiteracyReportFeb2008E_pdf/$file/HealthLiteracyReportFeb2008E.pdf (accessed 12 April 2017).
      [28] Cho YI, Lee SYD, Arozullah AM, Crittenden KS (2008) Effects of health literacy on health status and health service utilization amongst the elderly. Social Science and Medicine, 66:1809–16. https://doi.org/10.1016/j.socscimed.2008.01.003.
      [29] Currie J (2009) “Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development.†Journal of Economic Literature, Volume 47: 87-122. https://doi.org/10.3386/w13987.
      [30] Davis TC, Michielutte R, Askov E, Williams M & Weiss B (1998) Practical assessment of adult health literacy in health care. Health Education and Behavior 25(5) 613-624. https://doi.org/10.1177/109019819802500508.
      [31] Davis TC, Williams MV, Marin E, Parker RM & Glass J (2002) Health Literacy and cancer communication. CA: A Cancer Journal for Clinicians, 52:134–49. https://doi.org/10.3322/canjclin.52.3.134.
      [32] Davis TL, Long SW & Jackson RH (1993) Rapid estimate of adult literacy in medicine: a shortened screening instrument. Family Medicine, 25:391-395.
      [33] Dewalt DA, Berkman ND, Sheridan S, Lohr KN & Pignone MP (2004) Literacy and health outcomes: a systematic review of the literature. Journal of General Internal Medicine, 19:1228–39. https://doi.org/10.1111/j.1525-1497.2004.40153.x.
      [34] Edwards M, Wood F, Davies M & Edwards A (2012) The development of Health Literacy in patients with a long-term health condition: the Health Literacy pathway model. BMC Public Health, 12:130. https://doi.org/10.1186/1471-2458-12-130.
      [35] Eichler K, Wieser S, & Bruegger U (2009) the costs of limited health literacy: a systematic review. International Journal of Public Health;54(5):313-24. https://doi.org/10.1007/s00038-009-0058-2.
      [36] European Commission (2007) Together for Health. A Strategic Approach for the EU 2008–2013. COM (2007) 630 final. Brussels: European Commission. Available at: https://ec.europa.eu/health/ph_overview/Documents/strategy_wp_en.pdf. (Accessed on 27 May 2016).
      [37] Friedland R (1998) New estimates of the high costs of inadequate health literacy. In Pfizer Inc. (Ed.), Proceedings of Pfizer Conference Promoting Health Literacy: A Call to Action,7–8 October (pp. 6–10).Washington, DC: Pfizer, Inc.
      [38] Gazmararian JA, Baker DW, Williams MV, Parker RM, Soctt TL, Green DC, Fehrenbach SN, Ren J & Koplan JP (1999) Health Literacy Among Medicare Enrollees in a Managed Care Organization. Journal of the American Medical Association, 281(6):545-551. https://doi.org/10.1001/jama.281.6.545.
      [39] Gazmararian JA, Williams MV, Peel J & Baker DW (2003) Health literacy and knowledge of chronic disease. Patient Education and Counseling 51(3):267-75. https://doi.org/10.1016/s0738-3991(02)00239-2.
      [40] Green LW & Kreuter MW (1991) Health Promotion Planning: An Educational and Environmental Approach, 2nd edition Palo Alto: Mayfield Publishing Co., Mountain View, California.
      [41] Howard DH, Gazmararian J & Parker R (2005) the impact of low health literacy on the medical costs of Medicare managed care enrollees. The American Journal of Medicine (118) 371-377. https://doi.org/10.1016/j.amjmed.2005.01.010.
      [42] Institute of Medicine (2012) Roundtable on Health Literacy; Board on Population Health and Public Health Practice;.Facilitating State Health Exchange Communication Through the Use of Health Literate Practices: Workshop Summary. National Academies Press. ISBN 978-0-309-22029-3.
      [43] Institute of Medicine (2004) A Prescription to End Confusion. National Academies Press Washington, DC; https://doi.org/10.17226/10883.
      [44] Janz, N.K; Champion, V.L, & Strecher, V.J. (2002). The Health Belief Model. In Health Behavior and Health Education: Theory, Research, and Practice. (Glanz K, Rimer BK & Lewis FM eds.), Jossey-Bass Publishers, San Francisco, pp. 41–59.
      [45] Kambarage DM, Karimuribo ED, Kusiluka LJM, Mdegela RH & Kazwala R.R (n.d). Community Public Health Education In Tanzania: Challenges, Opportunities And The Way Forward. Expert Consultation on Community-based Veterinary Public Health Systems. Department of Veterinary Medicine and Public Health, Tanzania. Available at: ftp://ftp.fao.org/docrep/fao/007/y5405e/y5405e04.pdf. (Accessed on 22 April 2015).
      [46] Kaseje D (2006) Health Care in Africa: Challenges, Opportunities and an Emerging Model for Improvement. The Woodrow Wilson International Center for Scholars. Available at: https://www.wilsoncenter.org/sites/default/files/Kaseje2.pdf. (Accessed on 19 May 2017).
      [47] Kickbusch I & Maag D (2008) Health Literacy. In International Encyclopedia of Public Health, (Heggenhougen K & Quah S eds.), Academic Press San Diego, pp.204-11. https://doi.org/10.1016/B978-012373960-5.00584-0.
      [48] Kickbusch I, Pelikan J; Apfel, F, & Agis, T, editors (2013). Health Literacy: The Solid Facts. 1st edn. World Health Organisation Regional Office for Europe; 0 Copenhagen Ø, Denmark. Available at: http://www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf. (Accessed on 21May 2017).
      [49] Kickbusch I; Wait S & Maag D (2005) Navigating Health: The Role of Health Literacy. Alliance for Health and the Future, International Longevity Centre–UK. Available at: http://www.ilonakickbusch.com/health-literacy/NavigatingHealth.pdf. (Accessed on 24 August 2015).
      [50] Kim SP, Knight SJ, Tomori C, Colella KM, Schoor RA, Shih L, Kuzel TM, Nadler RB & Bennett CL (2001) Health literacy and shared decision making for prostate cancer patients with low socioeconomic status. Cancer Investigation 19(7):684–691. https://doi.org/10.1081/cnv-100106143.
      [51] Kripalani, S; Gatti, M.E. and Jacobson, T.A. (2010). Association of age, HL, and medication management strategies with cardiovascular medication adherence. Patient Education and Counseling, 81:177–81. https://doi.org/10.1016/j.pec.2010.04.030.
      [52] Kutner, M., Greenberg, E., Jin,Y., & Paulsen, C. (2006). The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006–483).U.S. Department of Education. National Center for Education Statistics. Washington, DC: 37pp.
      [53] Kwan B, Frankish J & Rootman I (2006) The Development and Validation of Measures of “Health Literacy†in Different Populations Vancouver: University of British Columbia, Institute of Health Promotion Research, and University of Victoria Centre for Community Health Promotion Research; Vancouver BC..
      [54] Lindau ST, Tomori C, Lyons T, Langseth L, Bennett CL & Garcia P (2002) the association of HL with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. American Journal of Obstetrics and Gynecology 186, 938-943. https://doi.org/10.1067/mob.2002.122091.
      [55] Mamdani M and Bangser M (2004) Poor people’s experiences of health services in Tanzania: A literature review. Women’s Dignity Project. Available at: http://www.tanzaniagateway.org/docs/poor_peoples_experiences_of_health_services_in_Tanzania.pdf. (Accessed on 2 June 2017. https://doi.org/10.1016/s0968-8080(04)24135-0.
      [56] Manning DL & Dickens C (2006) Health Literacy: more choice, but do cancer patients have the skills to decide? European Journal of Cancer Care. 15(5):448–452. https://doi.org/10.1111/j.1365-2354.2006.00687.x.
      [57] McLeroy KR, Bibeau D, Steckler A & Glanz K (1988) An ecological perspective on health promotion programs. Health Education Quarterly;15:351-377. https://doi.org/10.1177/109019818801500401.
      [58] Miller DP, Brownlee CD, McCoy TP and Pignone MP (2007) the effect of HL on knowledge and receipt of colorectal cancer screening: a survey study. BMC Family Practice, 8:16. https://doi.org/10.1186/1471-2296-8-16.
      [59] Ministry of Health-New Zealand. (2010) Ko¯ rero Ma¯ rama: Health Literacy and Ma¯ ori Results from the 2006 Adult Literacy and Life Skills Survey. Ministry of Health. Wellington. 32pp.
      [60] Mogalakwe M (2006) the use of documentary research methods in social research. African Sociological Review, 10 (1) 221-230. https://doi.org/10.1353/eas.0.0006.
      [61] National Social Marketing Centre (2011) Big Pocket Guide to using social marketing for behaviour change. NCSM, London. Available at: http://www.thensmc.com/sites/default/files/Big_pocket_guide_2011.pdf. (accessed on 2January 2016)
      [62] Nielsen-Bohlman L, Panzer A, & Kindig D (2004) Health Literacy: A Prescription to End Confusion. The National Academies Press. Washington, D.C. Available at: https://www.nap.edu/read/10883/chapter/1 (accessed on 13 April 2016).
      [63] Nutbeam D, Harris E & Wise M (2010). Theory in A Nutshell - A practical guide to health promotion theories, 3rd edition. McGraw Hill Medical, New South Wales.
      [64] Nutbeam D (2000) Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3):259-267. https://doi.org/10.1093/heapro/15.3.259.
      [65] Nutbeam D: (2008). The evolving concept of health literacy. Social Science and Medicine,67(12):2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050.
      [66] Nutbeam, D. (2000). Health Literacy as a Public Health Goal: A Challenge for Contemporary Health Education and Communication Strategies into the 21st Century. Health Promotion International, 15 (3):259-267. https://doi.org/10.1093/heapro/15.3.259.
      [67] Paasche-Orlow MK, & Wolf MS (2007) the causal pathways linking health literacy to health outcomes. American Journal of Health Behavior.;31(Suppl 1):S19–S26. DOI:10.5555/ajhb.2007.31.supp.S19
      [68] Pappas G, Siozopoulou V, Saplaoura K, Vasiliou A, Christou L, Akritidis N (2007) Health literacy in the field of infectious diseases: The paradigm of brucellosis. Journal of Infection, 54: 40-5. https://doi.org/10.1016/j.jinf.2006.01.018.
      [69] Parker RM, Baker DW, Williams MV, & Nurss JF (1995) the test of functional health literacy in adults: a new instrument for measuring patient’s literacy skills. Journal of General Internal Medicine 10:537-541. https://doi.org/10.1007/BF02640361.
      [70] Payne, G. & Payne, J., (2004). Key Concepts in Social Research, SAGE Key Concepts series, Sage Publications. London.
      [71] Pignone M, DeWalt DA, Sheridan S, Berkman N & Lohr KN (2005) Interventions to improve health outcomes for patients with low literacy: A systematic review. Journal of General Internal Medicine, 20:185–92. https://doi.org/10.1111/j.1525-1497.2005.40208.x.
      [72] Pleasant A & McKinney J (2011) Coming to consensus on HL measurement: An online discussion and consensus-gauging process". Nursing Outlook 59 (2): 95–106.e1. https://doi.org/10.1016/j.outlook.2010.12.006.
      [73] Pleasant A & Kuruvilla S (2008). A tale of two health literacies: public health and clinical approaches to HL. Health Promotion International;23:152-9. https://doi.org/10.1093/heapro/dan001.
      [74] Ratzan S & Parker R (2000) Introduction. In: Selden C, Zorn M, Ratzan S, Parker R, editors. National Library of Medicine current bibliographies in medicine: HL. Bethesda, MD: National Institutes of Health. NLM Pub. No. CBM 2000-1 (eds), National Library of Medicine Current Bibliographies in Medicine: Health Literacy. National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, MD, NLM Pub. No. CBM 2000-1.
      [75] Sanders D and Chopra M (2006) Key Challenges to Achieving Health for All in an Inequitable Society: The Case of South Africa. American Journal of Public Health. January; 96(1): 73–78. https://doi.org/10.2105/AJPH.2005.062679.
      [76] Sayah A & Williams B (2012) An Integrated Model of HL Using Diabetes as an Exemplar. Canadian Journal of Diabetes, 36:27–31. https://doi.org/10.1016/j.jcjd.2011.08.001.
      [77] Schwartzberg JG &Wang CJV (2005) Understanding HL: Implications for Medicine and Public Health. American Medical Association. Chicago.
      [78] Scott J (1990) A Matter of Record, Documentary Sources in Social Research, Cambridge: Polity Press. 200pp.
      [79] Simonds SK (1974) Health education as social policy. Health Education Monograph, 2:1-25. https://doi.org/10.1177/10901981740020s102.
      [80] Sorensen K (2012) Health literacy and public health: A systematic review and integration of definitions and models, BMC Public Health, 12(80). https://doi.org/10.1186/1471-2458-12-80.
      [81] Sørensen K; Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, van den Broucke S & Brand H (2015) Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health;25(6):1053-8. https://doi.org/10.1093/eurpub/ckv043.
      [82] Squiers L, Peinado S, Berkman N, Boudewyns V & McCormack L (2012) The health literacy skills framework. Journal of Health Communication.;17(Suppl. 3):30–54. https://doi.org/10.1080/10810730.2012.713442.
      [83] Stokols D (2000) Social ecology and behavioral medicine: implications for training, practice, and policy. Behavioural Medicine;26:129-138. https://doi.org/10.1080/08964280009595760.
      [84] Strittmatter A and Sunde U (2011) Health and Economic Development: Evidence from the Introduction of Public Health Care. D I S C U S S I O N P A P E R S E R I E S. Institute for the Study of Labor. Bonn. Germany. Available at: http://ftp.iza.org/dp5901.pdf. (Accessed on 5 May 2017).
      [85] Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM &Simonsick EM (2006) Limited literacy and mortality in the elderly: the health, aging, and body composition study. Journal of General Internal Medicine, 21,806–12. https://doi.org/10.1111/j.1525-1497.2006.00539.x.
      [86] Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, Xie R & Chang C (2013) Determinants of Health Literacy and health behaviour regarding infectious respiratory diseases: a pathway model, BMC Public Health, 13:261. https://doi.org/10.1186/1471-2458-13-261.
      [87] Tang YH, Pang SM, Chan MF, Yeung GS & Yeung VT (2008) Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. AJAN. 62:74–83. https://doi.org/10.1111/j.1365-2648.2007.04526.x.
      [88] Training and Research Support Centre -TARSC (2009) Building Health Literacy Capacities in East and Southern Africa: Regional Meeting; Uganda 26-27 September 2009; TARSC, Harare. 29pp.Available at: http://www.tarsc.org/publications/documents/HLregional%20meeting09.pdf (accessed on 28 February 2016).
      [89] U.S. Department of Health and Human Services (2011) National Action Plan to improve health literacy. Washington, DC. Available at: http://health.gov/communication/HLActionPlan/ (accessed 12 May 2016)
      [90] U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (2009). Improving Health Literacy for old adults. Expert panel report. Available at: http://www.cdc.gov/healthliteracy/Learn/pdf/olderadults.pdf. (accessed on 27 April 2015)
      [91] Udoh CO & Ajala JA (2001) Mental and Social Health. May best Publications Ibadan
      [92] URT-GHI (2011). Tanzania Global Health Initiative Strategy 2010 -2015. Available at: http://www.ghi.gov/wherewework/docs/tanzaniastrategy.pdf. (accessed 12 May 2017)
      [93] Vernon J, Trujillo A & Hughen WK (2009). Health Policy Brief: The High Economic Cost of Low Health Literacy in Missouri. Available at: www.mffh.org/vernon.pdf. (Accessed 3 April 2015).
      [94] Weiss BD & Palmer R (2004) Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population. Journal of the American Board of Family Practice. ; 17:44-47. doi: 10.3122/jabfm.17.1.4
      [95] Weiss BD, Hart G, McGee DL & D’Estelle S (1992) Health status of illiterate adults: relation between literacy and health status among persons with low literacy skills. Journal of the American Board of Family Practice, 5(3):257-64. https://doi.org/10.3122/jabfm.17.1.44.
      [96] Weiss BD, Mays MZ, Martz W, Merriam Castro K, DeWalt D, Pignone M, Mockbee J & Hale FA (2005) Quick assessment of literacy in primary care: The Newest Vital Sign. Annals of Family Medicine. 3:514-522. https://doi.org/10.1370/afm.405.
      [97] WHO (2001) Macroeconomics and Health: Investing in Health for Economic Development, Report of the Commission on Macroeconomics and Health, WHO, Geneva – Available at: http://www1.worldbank.org/publicsector/pe/PEAMMarch2005/CMHReport.pdf. (accessed on 23 March 2017)
      [98] WHO, UNICEF, the Government of Sweden and the Government of Botswana (2013) Health in the Postâ€2015 agenda. Report of the Global Thematic Consultation on Health, April 2013. Available at: http: //www.post2015hlp.org/wp-content/uploads/2013/04/health-in-the-post-2015-agenda_LR.pdf. (accessed on 6 June 2017).
      [99] WHO (2009) Background Note: Regional Preparatory Meeting on Promoting Health Literacy. UN ECOSOC. Available at: http://www.ljemail.org/reference/ReferencesPapers.aspx?ReferenceID=1336930 (accessed on 23 April 2015).
      [100] Williams MV, Baker DW, Honig EG, Lee TM & Nowlan A (1998) Inadequate literacy is a barrier to asthma knowledge and self-care. Chest, 114:1008-1015. https://doi.org/10.1378/chest.114.4.1008.
      [101] Williams MV, Baker DW, Parker RM & Nurss JR (1998) Relationship of functional health literacy to patients’ knowledge of their chronic disease. A study of patients with hypertension and diabetes. Archives of Internal Medicine, 158(2):166-72. https://doi.org/10.1001/archinte.158.2.166.
      [102] Williams MV, Parker RM, Baker DW, Parikh NS, Pitkin K, Coates WC & Nurss JR (1995) Inadequate functional health literacy among patients at two public hospitals. Journal of American Medical Association, 274(21):1677-1682. https://doi.org/10.1001/jama.1995.03530210031026.
      [103] Wolf MS, Feinglass J, Thompson J, and Baker DW (2010) In search of ‘low HL’: Threshold vs. gradient effect of literacy on health status and mortality. Social Science and Medicine, 70:1335–41. https://doi.org/10.1016/j.socscimed.2009.12.013.
      [104] World Bank. (1993). World Development Report 1993: Investing in health. Oxford Press, New York. 12pp.
      [105] World Health Organization (2012) Social determinants of health and well-being among young people: Health Behaviour in School-Aged Children (HBSC) study: international report from the 2009/2010 survey /. In Health Policy for Children and Adolescents; No. 6 (Currie ... et al. Eds.).(272pp.
      [106] World Health Organization -WHO (2010) The Abuja Declaration: Ten years on 2001 promises of commitment and solidarity. Geneva: WHO. Available at: www.who.int/healthsystems/publications/Abuja10 (accessed on 01 April 2015).
      [107] Zarcadoolas C, Pleasant A & Greer DS (2003) Elaborating a definition of health literacy: a commentary. Journal of Health Communication, 8(Suppl 1):119-120. https://doi.org/10.1080/713851982.
      [108] Rudd RE, Moeykens BA &Colton TC (1999) Health and Literacy: A Review of Medical and Public Health Literature. Review of Adult Learning and Literacy Volume 1: Chapter Five. A Project of the National Center for the Study of Adult Learning and Literacy. Available at: http://ncsall.net/index.php@id=493.html (accessed on 27 March 2017).
      [109] Van Servellen G, Brown JS, Lombardi E & Herrera G (2003) Health literacy in low income Latino men and women receiving antiretroviral therapy in community based treatment centers. AIDS Patient Care and STDs 17, 283-298. https://doi.org/10.1089/108729103322108166.
      [110] Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, Mockbee J, Hale FA (2005). Quick assessment of literacy in primary care: the newest vital sign. Annals of Family Medicine.3(6):514-22. https://doi.org/10.1370/afm.405.

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    Muhanga, M., & Malungo, J. (2017). The what, why and how of health literacy: a systematic review of literature. International Journal of Health, 5(2), 107-114. https://doi.org/10.14419/ijh.v5i2.7745