This document discusses a lecture on social determinants of health. It defines social determinants of health as the conditions where people live, learn, work and age that affect their health. These include cultural, socioeconomic, living/working conditions and social/community networks. The lecture emphasizes that health promotion must address the root social and environmental causes of poor health. Improving living standards, equitable access to resources, and measuring health inequities are key to promoting population health. The document provides examples of how policies, environment, gender and other social factors act as determinants of health conditions and outcomes.

1. Module: Population Health and Development
Topic: Social Determinates of Health
Lecturer: Nathan Ssekandi

2. Lecture
Objectives
Concept of Health
Social Determinates of Health Definition
Social Determinates of Health Components
Why determinates of Health are important?
Practical exercise

3. Concept of Health
What is a definition of Health….?
• WHO 1948: “Health is a state of complete
physical, mental and social well-being and not
merely the absence of disease or infirmity”.
• Health inequities: “Health inequities are
differences in health status or in the distribution
of health resources between different
population groups, arising from the social
conditions in which people are born, grow, live,
work and age” - (WHO, 2018).

4. Social Determinates of Health Definition
Social: Relating to human society, the
interaction of the individual and the group,
or the welfare of human beings as
members of society
Determinates: Factors that influence
health: Biological, Chemical,
Physical, Social, cultural, Behavioral,
Genetics
Social determinates of Health (SDOH): “the conditions in the environments
where people are born, live, learn, work, play, worship, and age that affect a
wide range of health, functioning, and quality-of-life outcomes and risks” – by
CDC

5. Determinates of Health

6. Determinates of Health components
By Health people (2020)

7. Determinates of Health components
• Cultural:
Health is affected by traditions and beliefs of the
family community.

8. Determinates of Health components
• Social-economic:

9. Determinates of Health components
• Living and Working conditions: Healthcare services
South Africa – TB Deaths Canada- TB deaths

10. Determinates of Health components
• Social Community Network
Family support: Families establish patterns of preventive care, exercise,
hygiene, and responsibility, and they set the foundation for self-worth,
resilience, and the ability to form healthy and caring relationships.

11. Determinates of Health components
• Individual & Lifestyle factors
Age:As people age, they are more likely to experience several conditions at
the same time.

12. Why Determinates of Health

13. Why Determinates of Health
• Health promotion is fundamentally concerned with
action and advocacy to address the full range of
potentially modifiable determinates of health.
• They are the root of the problems so it give us what
strategies should be used in HP to promote health or
prevention diseases.
• We utilize holistic approach to care and prevention.

14. The WHO Commission on Social Determinates
• Improve Daily living conditions: Improve living and working conditions and
create social protection policy supportive of all and create conditions for a
flourishing old life.
• Tackle the inequitable distribution of Power, Money and Resources: To
achieve that requires more than government strengthen- it requires strengthened
governance: Legitimacy, space and support for civil society, for people to agree
public interest and reinvest.
• Measure and Understand the problem and access the impact of action:
Acknowledging that there is a problem , ensuring the health inequities is measure
within countries –is a vital platform for action.

15. Recap of the Lecture
• Video Link: https://www.youtube.com/watch?v=YxhWcR2PbPQ

16. Summaries Social Determines of Health

17. Discussion
• Group 1: Write on how policy making as 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 by giving examples of diseases or complications related to
environmental exposure.
• Group 3: Write how gender affects health by giving clinical examples
on conditions related to the gender.

18. Resource
• Book
“ Social determinates of Health by Micheal Marmot & Richard
Wilkinson”
• Pdf link for WHO Overview of SDOH
https://apps.who.int/iris/bitstream/handle/10665/108082/e59555.pdf;jses
sionid=D89A44589668395ADC01EF378F8CF1B5?sequence=1
Video link on SDOH
https://www.youtube.com/watch?v=qykD-2AXKIU

19. “What good does it do to treat people’s illnesses, to then send them back to the conditions
that made them sick?” - Monique Bégin, WHO Commission on Social Determinants of
Health