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Some concepts on health
DR. S. A. RIZWAN, M.D.,
Assistant Professor
Department of Community Medicine
VMCHRI, Madurai
First things first…
Agara mudhala ezhuthellam
aadhi bhagavan mudhatrey ulagu.
2/55
How not to sit in class
3/55
How to encourage the teacher
4/55
Recap…
 Introduction to community medicine
 History of medicine – various civilizations, various
concepts
 Definition of health
5/55
Learning objectives
 At the end of this class, you should
be able to
 Describe the key concepts of health
discussed here
 Describe how they may be useful in
understanding ‘health’ as a whole
6/55
Topics to be covered
 Health is a relative concept
 Positive health
 Dimensions of health
 Determinants of health
7/55
Health is a
relative
concept
Its different !!
8/55
What do you mean by relative?
(ஒப்பீட்டளவில்)
9/55
What do you mean by relative?
10/55
Health is perceived differently by
different people
11/55
Different standards are required
12/55
Summary
 Every country has to set its own health
standards based on its situation
13/55
Questions…
 What is the normal birth weight range of an Indian
new born and American new born?
14/55
Positive
health
It is a mirage !!
15/55
What is positive health?
16/55
What is positive health?
17/55
Summary
 “Perfect functioning” of the body and
mind, biologically, psychologically,
socially
 Slightly ridiculous
 Health a potentiality - the ability to
modify in the face of changing
conditions of life
18/55
Questions…
 Can positive health be achieved for all
members of the community?
19/55
Dimensions of
health
Health is not
only physical
fitness
20/55
What is multi-dimensional?
(பரிமாண பல)
21/55
Health is multidimensional
22/55
Physical dimension
23/55
Mental dimension
24/55
Emotional dimensional
25/55
Spiritual dimension
26/55
Social dimension
27/55
Vocational dimension
28/55
Other dimensions
29/55
Summary
 Health has to achieved in all/most
dimensions to say that a person or
community is truly healthy
30/55
Questions…
 Pravin, a BE graduate remains unemployed even
after several job interviews.
 He became depressed. He stopped talking with his
friends and spent most of his time alone. He lost
faith in everything.
 Due to this he became very weak and was admitted
to the hospital.
 Which dimensions of health are not optimally
functioning in Pravin?
31/55
Determinants
of health
Health is
multi-
factorial
32/55
Determinants of health
33/55
Determinants of health
Socio-
economics
40%
Behaviours
30%
Genetics
10%
Environment
10%
Health care
10%
34/55
Determinants of health
35/55
Biology – genetics
36/55
Ageing
37/55
Gender
38/55
Behaviour – lifestyle
39/55
Environment
 Internal / external
 Micro / macro
 Physical, biological, social, economic
40/55
Internal vs. external environ.
41/55
Physical environment
42/55
Biological & social environ.
43/55
Socio-economic – income
44/55
Socio-economic – education
45/55
Socio-economic – occupation
46/55
Socio-economic – politics
47/55
Health services
48/55
Summary
 Health is determined by numerous factors,
not just bacteria or genes!
49/55
Questions…
 South Sudan is an African country.
 It is currently undergoing civil war. There is no
stable government.
 There is water and food scarcity.
 Many people are migrating to other countries.
 Many people are internally displaced.
 Infections like cholera are spreading.
50/55
Questions…
51/55
Questions…
52/55
Questions…
53/55
Questions…
 What factors are determining the
current health situation in Sudan?
 Can you rank them in order of
importance?
54/55
Take home messages
1. Health means different things to different people
and cultures, but basic needs are similar
2. Positive health concept is ideal but impractical
3. Health has many dimensions
4. Health is determined by numerous factors
55/55
Thank you
You can find this on
Email your queries to
sarizwan1986@outlook.com

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Some concepts in health

Editor's Notes

  1. India – 2.8 Kg, USA – 3.5 Kg