Social determinants of health

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Social determinants of health

  1. 1. Determinants of Health Prepared By Dr. Anees AlSaadi CMT-P R4 December 2013
  2. 2. Determinants of Health Determinants of Health
  3. 3. Determinants of Health Outline: • Concept of Health. • Determinants of Health Definition. • Determinants of Health Components. • Why Determinants of Health are Important? • Practical Exercise.
  4. 4. Concept of Health. What is the Definition of Health ….?
  5. 5. “Health is Multi-dimensional Concept that Transcends the Mere Absence of Illness”
  6. 6. Determinants of Health Definition Conditions in the social, physical and economic environment in which people are born, live, work and age, including the access to the health care.
  7. 7. Determinants of Health Definition Dahlgren and Whitehead Rainbow (1991)
  8. 8. Determinants of Health Components General • • • • Socio-economic Political Cultural Environmental Conditions Living and Working Conditions • • • • • • Housing Health Care Services Work / Unemployment Education Water and Sanitation Agricultural And Food Social Community Network Individual & Life Style Factors • Family Support • Participation with Governmental Processes • Age • Sex • Constitutional Factors
  9. 9. Determinants of Health Components General Cultural: Health is affected by traditions and beliefs of the family community.
  10. 10. Determinants of Health Components General Cultural: Health is affected by traditions and beliefs of the family community.
  11. 11. Determinants of Health Components General Socio-economic
  12. 12. Determinants of Health Components General Socio-economic
  13. 13. Determinants of Health Components Living and Working Conditions Working / Unemployment: Type of work may be related to occupational diseases and stress. Unemployment may be lead to financial instability, inaccessibility to health services and others.
  14. 14. Determinants of Health Components Living and Working Conditions Health Care Services: The historical decline in tuberculosis in England and Wales, 1840– 1970, showing the timing of critical discoveries in understanding the disease
  15. 15. Determinants of Health Components Living and Working Conditions Health Care Services: Introduction of EPI Major changes in Services provision
  16. 16. Determinants of Health Components Living and Working Conditions Health Care Services: Accessibility: Preventive, promotive and Curative. – Availability. – Cost. – Communication and Knowledge. – Geographically.
  17. 17. Determinants of Health Components Social Community Network Family Support: Mrs. Sulawesi lacks a supportive social network. – No communication. – Alone in a strange place. – Different culture and backgrounds.
  18. 18. Determinants of Health Components Social Community Network Family Support: – It is a source of emotional reassurance. – Safe place for a person to discuss his problems. – Information and practical support, such as knowing someone who can assist in a time of need. – Making healthier behavior choices.
  19. 19. Determinants of Health Components Individual & Life Style Factors Age: • Increase in the number of elderly.(2020/ 1 billion) • Two-third in developing countries. • Increase prevalence of Chronic Diseases and disabilities.
  20. 20. Determinants of Health Components Determinant Health Impact A good health will be result of: General Socioeconomic, Cultural and Environmental • Social equality: equal access to health care. • National security: economic, political and military security. • Social stability. • Income and social class: • higher income: more access to health care, nutrition, housing, more healthy behavior and more social network.
  21. 21. Determinants of Health Components Determinant Health Impact Living and Working Conditions Physical environment: • Safe water. • Healthy Food. • Clean Air Food and agriculture: • Tobacco farming • Chemical use and pesticide use. • Access and distribution of food. • Food safety and food borne illness hazards: Salmonella, campylobacter, E.Coli O157, Hepatitis A and heavy metals.
  22. 22. Determinants of Health Components Determinant Health Impact Social and community Network Better physical and psychological wellbeing result with: • Greater Support from families, friends and communities. • Participation in economically and socially active activities. • Participation within governmental processes.
  23. 23. Determinants of Health Components Determinant Individual & Life Style Factors Health Impact • • • • • • Aging. Inheritance and Genetic susceptibility. Brain growth. Early life exposure to risk factors. Economic and educational level. Life style: smoking, physical activity, coping with stress and alcohol consumption.
  24. 24. Why Determinants of Health ? Direct Impact on Health Interact With Each other to Produce Health Determinants of Health Structure Behaviours. Predict Greatest Proportion of Health Status Variance.
  25. 25. Why Determinants of Health ? Health promotion is fundamentally concerned with action and advocacy to address the full range of potentially modifiable determinants of health.
  26. 26. Why Determinants of Health ? They are the root of the problems so it gives us what strategies should be used in HP to promote health or prevention of diseases.
  27. 27. Practical Exercise
  28. 28. Practical Exercise Group 1: Write on how policy making as a determinant affects the health by giving an example of a policy with public prevention effect. Group 2: Write on how the environment, as a determinant, affects the health giving examples of disease or complication related to environmental exposure. Group 3: Write how gender affects health giving clinical examples on conditions related to the gender.

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