Health and Disease domain

1. The domain of health (public health
arena) in H-D spectrum (level):
Nabin Lamichhane
Lecturer
Purbanchal University
The fragrance of a flower always spreads in the direction of the wind. But the
goodness of a person spreads in all the directions
-Chankankya

3. Health-Disease Spectrum

4. Health Disease Spectrum

5. Health Disease Sprectum
• Health & Disease lie along a continuum, and
there is no single cut-off point.
• The lowest point on health –disease spectrum
is death and the highest point corresponds to
the WHO definition of Positive Health
(Complete state of Health)

6. So According to H-D, There are two dimension
clearly
– Health Domain
– Disease Domain

7. Health Domain
• Positive Health (WHO)
• Better Health
• Freedom from Sickness

8. That’s why
• Health and Diseases are different
• Health is not disease
• Health care is not a medical care
• health domain & disease domain
• Public health: health domain. : up to complete
state of health
• Disease: unknown disease, up-to death:
Medicine

9. Confusion
• Health financing
• Health facilities
• Medical facilities

10. Disease Domain
• Unrecognized Sickness
• Mild Sickness
• Severe Sickness
• Death

11. WHY NOT TO SAY PUBLIC DISEASE
Instead of
PUBLIC HEALTH??

12. PUBLIC + HEALTH

13. Primary Responsibilities
• health domain. : up to complete state of
health: Public Health
• Disease: unknown disease, up to death:
Medicine

14. So, Where is PH in H-D Spectrum?
• Primary domain of Public Health in Health
Disease Spectrum is:
PH = HD Spectrum-Treatment

15. The New Concept: Spectrum of Prevention

16. The New Concept: Spectrum of
Prevention
• Originally developed by Larry Cohen while
working as Director of Prevention Programs at
the Contra Costa County Health Department,
the Spectrum is based on the work of Marshall
Swift in treating developmental disabilities.

17. Thank YOU!!!