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Determinants of Health

Prepared By Dr. Anees AlSaadi
CMT-P R4
December 2013
Determinants of Health
Determinants of Health
Determinants of Health
Outline:
• Concept of Health.
• Determinants of Health Definition.
• Determinants of Health Components.
• Why Determinants of Health are Important?
• Practical Exercise.
Concept of Health.

What is the Definition of Health ….?
“Health is Multi-dimensional Concept that
Transcends the Mere Absence of Illness”
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.
Determinants of Health Definition

Dahlgren and Whitehead Rainbow (1991)
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
Determinants of Health Components
General
Cultural:
Health is affected by traditions and
beliefs of the family community.
Determinants of Health Components
General
Cultural:
Health is affected by traditions and beliefs
of the family community.
Determinants of Health Components
General
Socio-economic
Determinants of Health Components
General
Socio-economic
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.
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
Determinants of Health Components
Living and Working Conditions
Health Care Services:
Introduction of
EPI
Major changes in
Services provision
Determinants of Health Components
Living and Working Conditions
Health Care Services:

Accessibility: Preventive, promotive and Curative.
– Availability.
– Cost.
– Communication and Knowledge.
– Geographically.
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.
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.
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.
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.
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.
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.
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.
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.
Why Determinants of Health ?

Health promotion is fundamentally concerned with
action and advocacy to address the full range of
potentially modifiable determinants of health.
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.
Practical Exercise
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.
Social determinants of health

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Social determinants of health

  • 1. Determinants of Health Prepared By Dr. Anees AlSaadi CMT-P R4 December 2013
  • 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. Concept of Health. What is the Definition of Health ….?
  • 5.
  • 6. “Health is Multi-dimensional Concept that Transcends the Mere Absence of Illness”
  • 7. 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.
  • 8. Determinants of Health Definition Dahlgren and Whitehead Rainbow (1991)
  • 9. 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
  • 10. Determinants of Health Components General Cultural: Health is affected by traditions and beliefs of the family community.
  • 11. Determinants of Health Components General Cultural: Health is affected by traditions and beliefs of the family community.
  • 12. Determinants of Health Components General Socio-economic
  • 13. Determinants of Health Components General Socio-economic
  • 14. 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.
  • 15. 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
  • 16. Determinants of Health Components Living and Working Conditions Health Care Services: Introduction of EPI Major changes in Services provision
  • 17. Determinants of Health Components Living and Working Conditions Health Care Services: Accessibility: Preventive, promotive and Curative. – Availability. – Cost. – Communication and Knowledge. – Geographically.
  • 18. 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.
  • 19. 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.
  • 20. 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.
  • 21. 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.
  • 22. 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.
  • 23. 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.
  • 24. 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.
  • 25. 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.
  • 26. Why Determinants of Health ? Health promotion is fundamentally concerned with action and advocacy to address the full range of potentially modifiable determinants of health.
  • 27. 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.
  • 29. 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.