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GOOD MORNING

GOOD MORNING. SOCIAL DETERMINANTS OF HEALTH. INDIVIDUAL SOCIETY It is an organized group. COMMUNITY Total Organization of social life with a limited area. - Ogburn and Mimkuff. Health "The state of being free from illness or injury".

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GOOD MORNING

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  1. GOOD MORNING

  2. SOCIAL DETERMINANTS OF HEALTH

  3. INDIVIDUAL SOCIETY It is an organized group. COMMUNITY Total Organization of social life with a limited area. - Ogburn and Mimkuff

  4. Health "The state of being free from illness or injury". - Google dictionary Health was defined as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity“. “Socially and economically productive life” - WHO

  5. Biological Biological Biological Human rights Behavioural Behavioural Behavioural Equity and social justice Environmental Communities Health Societies Families Socio-economic Gender Famalies Individuals Individuals Information and communication Healthy system Science and technology Socio-cultural Aging of the population

  6. Biological determinants The physical and mental traits of every human being to sum extent determined by the nature of genes at the movement of conception. Positive health – a person should be able to express as completely as possible the potentialities of his genetic heritage. - WHO

  7. BEHAVIOURAL AND SOCIO CULTURAL LIFE STYLE – the way of people live social values Attitudes activities

  8. ENVIRONMENT Disease to environment - Hippocrates Concept of disease – environment association - Pettenkofer

  9. ENVIRONMENT Internal External Psycho social physical biological

  10. INTERNAL Each and every component part, every tissue, organ and organ- system and their harmonious functioning with in the system. EXTERNAL OR MACRO ENVIRONMENT All that witch is external to the individual human host.

  11. Socio economic conditions Economic status Political system Education Nutrition Occupation Housing

  12. HEALTH SERVICES PURPOSE To Improve The Health Status Of The Population

  13. AGING OF THE POPULATION A major concern of rapid population aging is the increased prevalence of chronic disease and disabilities both being conditions that tend to accompany the aging process and deserve special attention.

  14. GENDER Women’s health OTHER FACTORS Information and communication Science and technology

  15. Why Emphasize Social Determinants? • Social determinants of health have a direct impact on health • Social determinants structure other causes of health: • Environment • Behaviour • Services • The ‘causes of the causes’

  16. SOCIAL FACTOR INFLUNCING THE HEALTH OF PEOPLE DEMOGRAPHIC ECONOMIC POLITICAL LEGAL RELIGIOUS EDUCATIONAL TECHONOLOGICAL COMMUNICATIONS MIGRATION URBANIZATION LIFE EXPECTANCY MARRIAGE FERTILITY ROLE OF WOMEN CURRENT CIRCUMSTANCES (income, family life, housing employment, Stresses and crises, social support, etc) INDIVIDUAL PREDISPOSITIONS (inheritance, prenatal events, previous accidents or illness, upbringing, childhood nutrition, etc.) HEALTH ECOLOGICAL PREDISPOSITIONS (community values, socially prescribed roles, life style, sub-cultural behaviour patterns,etc.) OPPORTUNITIES/SITUTIONS (access to health services, expousure to pathogens, availability of education, food, sanitation, alcohol, drugs, marriage partners, etc.)

  17. FRAMEWORK OF THE CATEGORIES AND PATHWAYS OR DETERMINANTS SOCIOECONOMIC POLITICAL CONTEXT Governance • Material Circumstances • (Living and Working, • Conditions, Food • Availability, etc) • Behaviors and • Biological Factors • Psychosocial Factors Macroeconomic policies Socioeconomic Position IMPACT ON EQUITY IN HEALTH AND WELL-BEING Social Policies Labour market, Housing, land Social Class Gender Ethnicity (racism) Education Occupation Income Public policies, Education, health, Social protection Social cohesion & Social Capital Culture and societal value Health System STRUCTURAL DETERMINANTS OF HEALTH INEQUITIES INTERMEDIARY DETERMINANTS OF HEALTH

  18. Addressing the social determinants of health • Involves the medical care and public health systems, but clearly extends beyond these • Requires collaboration with multiple sectors outside of health, including education, housing, labor, justice, transportation, agriculture, and environment

  19. Addressing the social determinants of equity • Involves monitoring for inequities in exposures and opportunities, as well as for disparities in outcomes • Involves examination of structures, policies, practices, norms, and values to answer, “How are these inequities being maintained?” • Requires intervention on societal structures and attention to systems of power

  20. We need to do both • Address the social determinants of health, including poverty, in order to achieve large and sustained improvements in health outcomes • Address the social determinants of equity, including racism, in order to achieve social justice and eliminate health disparities

  21. KNOWLEDGE NETWORK THEMES

  22. Ten Tips for Staying Healthy Don't be poor. If you can, stop. If you can't, try not to be poor for long. Don't have poor parents. Own a car. Don't work in a stressful, low paid manual job. Don't live in damp, low quality housing. Be able to afford to go on a foreign holiday and sunbathe. Practice not losing your job and don't become unemployed. Take up all benefits you are entitled to, if you are unemployed, retired or sick or disabled. Don't live next to a busy major road or near a polluting factory. Learn how to fill in the complex housing benefit/ asylum application forms before you become homeless and destitute. Dave Gordon, 1999

  23. THANK YOU

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