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Module 5 A Community Development Approach

Module 5 A Community Development Approach. Learning outcomes. Describe the difference between the social model of health and medical model of health Identify the barriers to good health Explore the idea of equity in health Define poverty and relative poverty. Session outline.

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Module 5 A Community Development Approach

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  1. Module 5 A Community Development Approach

  2. Learning outcomes • Describe the difference between the social model of health and medical model of health • Identify the barriers to good health • Explore the idea of equity in health • Define poverty and relative poverty

  3. Session outline • What is a ‘health inequality’? • Barriers to good health (medical & social model) • Poverty • Equity in health

  4. Activity – in pairs What is a health inequality ?

  5. Health Inequalities • “Health inequalities can be defined as differences in health status… between different population groups.” • (WHO, 2012)

  6. NHS set up 1948Reduce health inequalities • To have free healthcare for anybody who needed it. • To have a fair service available to all groups of people. “The Health Divide” (1987) Margaret Whitehead

  7. Inequalities in Oral Health (NDIP) Health inequalities present

  8. Barriers to good health • Access Lack of facilities Cost • Transport • Education/ Knowledge • Time • Motivation • Embarrassment • Confidentiality • Lack of support – family/ friends • Fear Age

  9. Barriers & Choices • Group Activity

  10. Discussion Social & medical models of health

  11. Medical Model • Concerned with disease & illness • Pays less attention to the patient’s social situation or the wider environment. • Quantitative approach (Bury 2005)

  12. Social Model • Our health will be influenced by our social circumstances/ position in society. • Importance of social, economical, environmental & cultural influences. • Qualitative method • Holistic approach • Now widely recognised by health professionals (Willems et al, 2005)

  13. Social & Medical Model • Zola

  14. What is Poverty?What factors lead to poverty?

  15. Poverty“Poverty is technically defined as when a person’s household income (adjusted for the size & composition of the household) is less than 60% of the UK median income”(Scottish Government, 2010) • Drug/ Alcohol related • Age Government Policy • Family • Employment Status • Health Status • Ethnicity Lack of education • Recession – high cost of living, too many people, not enough jobs • (Smith & Middleton, 2007)

  16. 2 Different types of poverty • Absolute Poverty • Relative Poverty

  17. Oppenheim and Harker for child poverty action group define absolute poverty as follows: • “An absolute definition of poverty assumes that it is possible to define a minimum standard of living based on a person’s biological needs for food, water, clothing and shelter” • Poverty, the facts (1996)

  18. Relative Poverty • “individuals can be said to be in poverty when they lack the resources to obtain the types of diet, participates in the activities and have the living conditions and amenities which are customary, or at least widely encouraged or approved, in the societies to which they belong.” • Townsend, P (1979); Poverty in the UK

  19. Group ActivityList of necessities

  20. The effects of poverty • Depression • Very deprived families experience more stress than more middle class families as a result of living in poverty. • Low school attendance • More likely to be exposed to illness, evictions, poor nutrition, smoking/drinking, breast-feeding rates, poor oral health • Social exclusion • (Murali & Oyebode 2004)

  21. Poverty • Poverty is a barrier - accessing services. • (WHO, 2008) (Sienkiewicz 2010) • Childsmile uses data collection to target those who are deprived and in most need to help people overcome this barrier.

  22. Equity 1. Oranges 2. Equity Ville

  23. Equity • “The concept of health equity focuses attention on the distribution of resources and other processes that drive a particular kind of health inequality...” • (Braveman and Gruskin, 2003)

  24. How healthy are we as a nation ? • - http://www.scotpho.org.uk/home • CHEX has launched an online searchable database of community-led health organisations in Scotland. • Visit the database here • - http://www.chex.org.uk/project-search/

  25. Conclusions • Questions • Further reading • www.scotland.gov.uk • www.scotpho.org.uk • www.cpag.org.uk/scotland • www.growingupinscotland.org.uk

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