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Integrative reviewof national health literacypolicy blueprints as atool for change towardhealth literate systems Integrative review of national health literacy policy blueprints as a tool for change toward health literate systems ISBN 978-92-4-011313-8 (electronic version)ISBN 978-92-4-011314-5 (print version) © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes,provided the work is appropriately cited, as indicated below. In any use of this work, there should be nosuggestion that WHO endorses any specific organization, products or services. The use of the WHO logo isnot permitted. If you adapt the work, then you must license your work under the same or equivalent CreativeCommons licence. If you create a translation of this work, you should add the following disclaimer along withthe suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is notresponsible for the content or accuracy of this translation. The original English edition shall be the bindingand authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with themediation rules of the World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation.Integrative review of national health literacy policy blueprints as a tool for changetoward health literate systems. Geneva: World Health Organization; 2025. Licence:CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data.CIP data are available athttps://iris.who.int/. Sales, rights and licensing.To purchase WHO publications, seehttps://www.who.int/publications/book-orders.To submit requests for commercial use and queries on rights and licensing, seehttps://www.who.int/copyright. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such astables, figures or images, it is your responsibility to determine whether permission is needed for that reuseand to obtain permission from the copyright holder. The risk of claims resulting from infringement of anythird-party-owned component in the work rests solely with the user. General disclaimers.The designations employed and the presentation of the material in this publicationdo not imply the expression of any opinion whatsoever on the part of WHO concerning the legal statusof any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers orboundaries. Dotted and dashed lines on maps represent approximate border lines for which there may notyet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they areendorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errorsand omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication.However, the published material is being distributed without warranty of any kind, either expressed orimplied. The responsibility for the interpretation and use of the material lies with the reader. In no event shallWHO be liable for damages arising from its use. Contents Acknowledgementsiv 3.7Norway: advancing people-centred carethroughhealth literacy10 Executive summaryv 3.8Portugal: promoting health literacyduringthelife-course11 1.Introduction1 1.2Improving health outcomes and equityrequiresa health-literate population2 4.1Format of the blueprints13 1.3Making health literacy a nationalpolicy priority2 4.2Use of health literacy definitions13 1.4WHO’s response to health literacyasaglobalpolicy concern4 1.5Aim and focus of the review of nationalhealthliteracy policy blueprints4 5.Discussion15 5.1Advancing health literacy policy development 16 5.2Implications17 6.Moving forward18 7.References19 3.1China: improving health educationandbasicpublic health services6 3.2United States: acknowledging limitedhealthliteracy as a public health problem7 3.3Australia: improving organizationalhealthliteracy and leadership8 3.4United Kingdom of Great Britain and NorthernIreland (Scotland): reducing inequalities bybuilding health literacy and making it easier8 3.5New Zealand: implementing a cultural shifttowards a health literate system9 Acknowledgements The World Health Organization (WHO) would like tothank the many individuals who contributed to thedevelopment of this report. Faten Ben Abdelaziz from the WHO Departmentof Health Promotion (HPR) served as the responsibletechnical officer and coordinated the development ofthis document under the oversight of Rue