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International Health

International Health. We are not alone in the world We have much better health than most but only rank 37 th in total health We have slipped every year for the last 40 years Why?. International health. Perspectives Health access What health care to give Equity Disasters and epidemics.

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International Health

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  1. International Health • We are not alone in the world • We have much better health than most but only rank 37th in total health • We have slipped every year for the last 40 years • Why?

  2. International health • Perspectives • Health access • What health care to give • Equity • Disasters and epidemics

  3. Access • Alma Atta accords 1983 • Basic health care costs less than public health • Is it effective without PH? • What is Public Health? • Plural health systems

  4. Access • In traditional societies, the decision to seek healthcare is a rational choice of a household • Not individual choice • Therefore there are inequities that exist • Gender • Age • Contribution based

  5. Access • Married more than never married • Education matters • Income may matter • Household size • Cost • Distance to care • Need, ADLs • Available health systems

  6. Access and Health Status • Less care, poorer health • More acute morbidity and chronic morbidity • Higher mortality • Males better than females—patriarchy and empowerment

  7. What health care • Developed country costs much more than basic care • Health care budgets • Epidemics and plagues

  8. Equity • Different from equality • Gender • Race • Education and income • Need and dependency • At risk populations

  9. Disasters and epidemics • McNeill—Plagues and Peoples • Diamond • Guns, Germs and Steel • Farmer—Infections and Inequalities

  10. Epidemics • Can shape the economic and social destiny of cultures • Western culture and dominance was shaped by the Black death • AIDS • Bird Flu • Katrina

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