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Concept of Health
Concept of Health

• Biomedical concept
• Ecological concept
• Psychological concept
• Holistic concept
WHO Definition of Health

 Health is a state of complete physical,
 mental and social well-being and not merely
 an absence of disease or infirmity


 Operational definition:
    A condition or quality of human organism expressing the adequate
    functioning of the organism in giving condition, genetic or environmental
Dimensions of health

1.   Physical    6. Vocational
2.   Mental      7. Others:
                        1.   Cultural
3.   Social             2.   Socioeconomic
4.   Spiritual          3.   Environmental
                        4.   Educational
5.   Emotional          5.   Nutritional
                        6.   Curative
                        7.   Preventive
Concept of Wellbeing
• Objective component
   1. Standard of living
   2. Level of living

• Subjective component
   1. Quality of Life (PQLI)
   2. HDI
Determinants of health

1.   Hereditary
2.   Environmental
3.   Lifestyle
4.   Socioeconomic conditions
5.   Health and family welfare services
6.   Others…..
Biological

              Human rights                          Behavioural


   Equity and
  Social justice
                                                          Environmental
                             Communities


  Gender            Families     Health       Societies     Socio-economical



                               Individuals
Information and
 communication                                            Health system


            Science and                           Socio-cultural
                               Aging of the
             technology         population
Responsibility of Health

1.   Individual responsibility
2.   Community responsibility
3.   State responsibility
4.   International responsibility
Indicators of health
(Valid   Reliable   Sensitive   Specific)

  1. Mortality indicators
  2. Morbidity indicators
  3. Disability indicators
  4. Nutritional Status indicators
  5. Health care delivery indicators
  6. Utilization rate
  7. Indicators of social and mental health
  8. Environmental indicators
  9. Socioeconomic indicators
  10. Health policy indicators
  11. Indicators of quality of life
  12. Others……….
Health Indicators
    Valid, reliable, sensitive and relevant indicators which
    determine health development are called health
    indicators:
•   Mortality Indicators: Death rate, Life span, IMR, Child mortality rate,
                              MMR, Case fatality rate, proportion mortality rate.
•   Morbidity Indicators: Disease rate (incidence, prevalence)
•   Disability Indicators: Hospitalization, loss of work, sullivan index DALYs
•   Nutritional Indicators: Anthropometric values, LBW
•   Utilization Indicators: Fully immunized, bed turn out…
•   Socioeconomic Indicators: Per capita income. Family size.
Mortality indicators
1.   Crude death rate
2.   Expectancy of life
3.   Infant mortality rate
4.   Child Mortality rate
5.   Under 5 proportionate mortality rate
6.   Maternal mortality
7.   Disease specific mortality
8.   Proportionate mortality rate

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Health

  • 2. Concept of Health • Biomedical concept • Ecological concept • Psychological concept • Holistic concept
  • 3. WHO Definition of Health Health is a state of complete physical, mental and social well-being and not merely an absence of disease or infirmity Operational definition: A condition or quality of human organism expressing the adequate functioning of the organism in giving condition, genetic or environmental
  • 4. Dimensions of health 1. Physical 6. Vocational 2. Mental 7. Others: 1. Cultural 3. Social 2. Socioeconomic 4. Spiritual 3. Environmental 4. Educational 5. Emotional 5. Nutritional 6. Curative 7. Preventive
  • 5. Concept of Wellbeing • Objective component 1. Standard of living 2. Level of living • Subjective component 1. Quality of Life (PQLI) 2. HDI
  • 6. Determinants of health 1. Hereditary 2. Environmental 3. Lifestyle 4. Socioeconomic conditions 5. Health and family welfare services 6. Others…..
  • 7. Biological Human rights Behavioural Equity and Social justice Environmental Communities Gender Families Health Societies Socio-economical Individuals Information and communication Health system Science and Socio-cultural Aging of the technology population
  • 8. Responsibility of Health 1. Individual responsibility 2. Community responsibility 3. State responsibility 4. International responsibility
  • 9. Indicators of health (Valid Reliable Sensitive Specific) 1. Mortality indicators 2. Morbidity indicators 3. Disability indicators 4. Nutritional Status indicators 5. Health care delivery indicators 6. Utilization rate 7. Indicators of social and mental health 8. Environmental indicators 9. Socioeconomic indicators 10. Health policy indicators 11. Indicators of quality of life 12. Others……….
  • 10. Health Indicators Valid, reliable, sensitive and relevant indicators which determine health development are called health indicators: • Mortality Indicators: Death rate, Life span, IMR, Child mortality rate, MMR, Case fatality rate, proportion mortality rate. • Morbidity Indicators: Disease rate (incidence, prevalence) • Disability Indicators: Hospitalization, loss of work, sullivan index DALYs • Nutritional Indicators: Anthropometric values, LBW • Utilization Indicators: Fully immunized, bed turn out… • Socioeconomic Indicators: Per capita income. Family size.
  • 11. Mortality indicators 1. Crude death rate 2. Expectancy of life 3. Infant mortality rate 4. Child Mortality rate 5. Under 5 proportionate mortality rate 6. Maternal mortality 7. Disease specific mortality 8. Proportionate mortality rate