Understand social determinants of health; socio ecology; intersection of elements of health Video: https://www.youtube.com/watch?v=oWq_A5qxWg4

1. SOCIAL
DETERMINANTS
OF HEALTH
(SDOH)
NAJMAH, SKM, MPH, PHD
IG. Najmah.usman.7
E: najmah@fkm.unsri.ac.id

2. Today....
– Students would gain understanding about social determinants of
health
– Students would understand the intersections of social determinants
of health:
– individual factors,
– interpersonal factors,
– environment-social-economic, cultures, religious factors and
– health policy factors

3. Reflection of Bonita’s story
Social determinants of women’s
vulnerability to HIV

4. By: 1. Alia Fairus; 2. Melia handriana; 3. Rahmi Savitri

5. Definition
– The social determinants of health are the conditions in which
people are born, grow, live work and age.
– These circumstances are shaped by the distribution of
money, power, and resources at global, national and local
levels
– The social determinants of health are mostly responsible for
heath inequities-the unfair and avoidable differences in
health status seen within and between countries.
https://www.who.int/social_determinants/en/

6. Definition
– SDOH are the complex circumstances in which
individuals are born and live that impact their health.
– They include intangible factors such as political,
socioeconomic, and cultural constructs, as well as place-
based conditions including accessible healthcare and
education systems, safe environmental conditions, well-
designed neighborhoods, and availability of healthful
food.
https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0312

7. Income level
Educational
opportunities
Occupation,
employment status,
and workplace safety
Gender inequity
Racial segregation
Food insecurity and
inaccessibility of
nutritious food
choices
Access to housing
and utility services
Early childhood
experiences and
development
Social support and
community inclusivity
Crime rates and
exposure to violent
behavior
Availability of
transportation
Neighborhood
conditions and
physical environment
Access to safe drinking water, clean air, and
toxin-free environments
Recreational and leisure opportunities
Social determinants of health

8. Every individual has different
intersections that determine their
health’s conditions

11. https://www.youtube.com/watch?v=8PH4JYfF4Ns&feature=youtu.be&fbclid=IwAR3dZdIo
8b-2PVjhcrfUhN04skJSZt4Pc8TjbcJXGhdkpv__R5crpE6gH_0
Let’s watch
this video to
understand
social
determinants
of health

12. For example:
(South
Sumatra,
Indonesian
context)
Najmah. (2019). My baby deserves love, not HIV: Enabling HIV-positive women to access Prevention of Mother-to-
Child Transmission of HIV services. (Doctoral degree), Auckland University of Technology, Auckland.

13. For example: Papua, Indonesian context
Lumbantoruan, C., Kermode, M.,
Giyai, A., Ang, A., & Kelaher, M.
(2018). Understanding women's
uptake and adherence in Option
B+ for prevention of mother-to-
child HIV transmission in Papua,
Indonesia: A qualitative
study. PloS one, 13(6),
e0198329.)

14. For
example
Internasi
onal
context
Gourlay 2014, barriers and
facilitating factors to uptake of
ARV drugs for prevention of
mother-to-child transmission of
HIV in sub-Saharan Africa: A
systematic review

15. Next Critical questions: 10 Leading causes
death in Indonesia
Mboi, N., Surbakti, I. M., Trihandini, I., Elyazar, I., Smith, K. H., Ali, P. B., ... & Glenn, S. D.
(2018). On the road to universal health care in Indonesia, 1990–2016: a systematic analysis for
the Global Burden of Disease Study 2016. The Lancet, 392(10147), 581-591.

16. Indonesia for 1990, 2006, and 2016,
Mboi, N., et al (2018)..

17. 10 Leading causes death in Indonesia in 2016
Penyakit Jantung
lskemik
Stroke Diabetes
Tuberkulosis (TBC)
Sakit pinggang bawah
dan Nyeri Leher
Komplikasi
disebabkan kelahiran
premature
Masalah yang
berhubungan dengan
panca indra
Cedera dan
kecelakaan Lalu lintas
Penyakit Kulit
Penyakit yang
berhubungan dengan
DiareMboi, N., Surbakti, I. M., Trihandini, I., Elyazar, I., Smith, K. H., Ali, P. B., ... & Glenn, S. D. (2018). On the road to universal health care in Indonesia,
1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 392(10147), 581-591.

18. RISK
FACTORS
Mboi, N., et al (2018)..

19. Please think, what elements in
social determinants of health that
increase the death of these 10
leading causes of death
Choose one disease and discuss
within a group

20. Thank you