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Social Determinants of HEALTH AND ICT s in Jamaica

Social Determinants of HEALTH AND ICT s in Jamaica. Ishtar Govia,Ph.D . Lecturer in Psychology The University of the West indies, Mona jamaica. Outline. Define SDH Review ICTs

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Social Determinants of HEALTH AND ICT s in Jamaica

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  1. Social Determinants of HEALTH AND ICTs in Jamaica Ishtar Govia,Ph.D. Lecturer in Psychology The University of the West indies, Mona jamaica

  2. Outline • Define SDH • Review ICTs • Present a case study of the potential of merging these two areas: Caribbean Migrations: Jamaica Returned Migrants Study (http://caribbeanmigration.com/)

  3. Part I: Social Determinants of Health From WHO Conceptual Framework for Action on SDH

  4. Part I: SDH (cont’d) From WHO Conceptual Framework for Action on SDH

  5. Part I: SDH (cont’d) From WHO Conceptual Framework for Action on SDH

  6. Part II: Information and Communication Technologies • Unified communications • Integration of telecommunications, computers, and systems that enable transmission, storage, access, and manipulation of information

  7. PART III: the potential intersections between sdh and icts Multiple angles • ICTs capturing information on and addressing SDH and inequities in SDH • SDH  informing innovations in ICTs • Baseline data, Programmes and Interventions, Research

  8. From Francisco Villanueva’s website: http://www.ictconsequences.net/2011/11/09/social-determinants-of-health-and-ict-for-health-ehealth-conceptual-framework/

  9. From Francisco Villanueva’s website: http://www.ictconsequences.net/2011/11/09/social-determinants-of-health-and-ict-for-health-ehealth-conceptual-framework/

  10. Case study: potential uses with caribbean migrations – jamaica returned migrants study Purpose of the Study: To assess social determinants of health and health inequities in a sample of Jamaican voluntary return migrants (VRM) and a smaller comparison sample of Jamaicans with no international migration history (NIMH)

  11. http://caribbeanmigration.com

  12. ONE HEALTH OUTCOME OF INTEREST EXAMINED IN THE CM-JRMS:Modifiable risk behaviors Tobacco Use Limited Physical Activity Unhealthy Diet

  13. Risk Behaviours in the Caribbean - 2010 No comparative data currently available on unhealthy diet in Caribbeancountries. World Health Organization (2010b)

  14. FOUNDATIONAL STEP: ACKNOWLEDGE AND MEASURE UNIVERSAL AND CULTURE SPECIFIC EQUITY STRATIFIERS Disparate socioeconomic conditions

  15. Equity Stratifier: URBAN vs RURAL LOCAtion Urban Communities

  16. Equity Stratifier: URBAN vs RURAL LOCAtion Rural Communities

  17. Percentage distribution of urban population within parishes in jamaica (2001) Total Population 52% PIOJ (n.d.)

  18. ParishesSampleD in CM’s JRMS St. Ann St. Andrew Kingston Manchester

  19. BUILD ATTENTION TO SDH INTO Research and Sampling Design • In the CM-JRMS this was done by using a sample frame for community selection based on Social Development Commission’s (SDC) listing of communities • stratified based on community poverty level using the Deprivation Quintiles (DQ) as indicator • Assesses poverty using Unsatisfied Basic Needs Approach (UBNA) i.e. “public poverty” • Concerns the quality of life of residents • Involves SDC defined “deprivation” related to: • physical security • availability of amenities (e.g. water, light, schools, clinics, physical infrastructure) • Contrasts with the percent of persons below the poverty line indicator • Random selection of two communities from each poverty quintile • Set minimum quota for each community → 20 VRM; 7 NIMH

  20. OTHER equity stratifiers – Universal and locally specific • Age • Sex • Self-reported racial group • Geographic location • parish • urban versus rural community • Self-reported socioeconomic class • Occupation • Migration experience

  21. partnering sdh and icts:Simple steps and potential innovations • Collection of contact information: telephone, Facebook, actual named street address • Geo-spatial mapping data collection points • Website development to provide updates, translate and disseminate findings, and connect community of respondents and other stakeholders • Using the social networks data for mapping of communities and health outcomes

  22. Thank you! For more information, to share thoughts and ideas, to discuss collaborative possibilities, please contact: Ishtar Govia: ishtargovia@gmail.com

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