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Health
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a state of complete physical mental and social well-being and not merely the absence of disease of infirmity
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Public Health
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Science and art of preventing disease, prolonging life, an promoting physical health and mental health and efficiency through community efforts
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Global health
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-places a priority on improving health and acheiving equity in health for all people worldwide
-emphasizes transnational health issues determinants and solutions
-several disciplines and promotes collaboration
-emphasizes transnational health issues determinants and solutions
-several disciplines and promotes collaboration
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Global v international health
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-IPH focuses on application of principles of public health to health challenges that affect LMIC
-global health places greater emphasis on health issues that concern countries that are affected by transnational determinanats
-global health places greater emphasis on health issues that concern countries that are affected by transnational determinanats
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Global Health concepts
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-determinants of health
-key risk factors for different health conditions
-global burden of disease
-measurement of health status
importance of culture to health
-demographic and epidemiologic transitions
-organization and function of health systems
-links among health, education, poverty and equity
-key risk factors for different health conditions
-global burden of disease
-measurement of health status
importance of culture to health
-demographic and epidemiologic transitions
-organization and function of health systems
-links among health, education, poverty and equity
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Key issues in global health
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-environmental health
-nutrition
-women's health and reproductive health
-child and adolescent health
-communicable diseases and non communicable diseases
-injuries
-nutrition
-women's health and reproductive health
-child and adolescent health
-communicable diseases and non communicable diseases
-injuries
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Disease
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anything that a person experiences that causes dis-ease
-can be due to any cause including injuries or psychiatric conditions
-can be due to any cause including injuries or psychiatric conditions
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Determinants of health
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range of personal, social, economic, environmental factors which determine the health status of individuals or populations
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Social determinants of health
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conditions in which people are born grow live work and age
- shaped by distribution of power, money, and resources at global, national, and local levels
- responsible for health inequities
- shaped by distribution of power, money, and resources at global, national, and local levels
- responsible for health inequities
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Commercial determinants of health
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factors that influence health which stem from profit motive
- strategies and approaches used by the private sector to promote produces/choices that are detrimental to health
- strategies and approaches used by the private sector to promote produces/choices that are detrimental to health
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legal determinants of health
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strategic linkages between health and law that can strengthen the overall global health agenda
- can translate vision into action regarding development, governance of health institutions, implement fair health interventions
- can translate vision into action regarding development, governance of health institutions, implement fair health interventions
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Political determinants of health
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determinants of health dependent on the action of local national and international legislation
ex. control of tobacco and alc use
ex. control of tobacco and alc use
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ecological determinants of health
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processes and natural resources that are essential for the health and wellbeing of individuals and communities
ex. access to green space
ex. access to green space
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Cultural determinants of health
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factors that promote resilience, foster a sense of identity and support good mental and physical health/wellbeing for individuals families and communities
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Incidence Rate
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Number of new cases of a disease that occur during a specified period of time in a population at risk for developing the disease
-measure of events identified in a person who develops the disease and did not have the disease previously
-measure of events identified in a person who develops the disease and did not have the disease previously
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Prevalence
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number of affected persons present in the population at a specific time divided by the number of persons in the population at that time
-number of cases/number of population
-number of cases/number of population
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Premature Mortality
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death before expected age of death had the disease not occurred
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Morbidity
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statement of the extent of disability that a person suffers as a consequence of the disease over time and can be measured by a number of indicators
-sickness of any departure, subjective, or objective from a psychological and physiological state of well-being
-sickness of any departure, subjective, or objective from a psychological and physiological state of well-being
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Mortality
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refers to death
-counting can pinpoint differences in the risk of dying from a disease between people in different areas and subgroups of populations
- can measure disease severity
-counting can pinpoint differences in the risk of dying from a disease between people in different areas and subgroups of populations
- can measure disease severity
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International Classification of Disease (ICD)
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the foundation for the identification of health trends and statistics globally and the international standard for reporting diseases and health conditions
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Composite indicators
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combine mortality and morbidity to help comparisons both within and across populations
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Biomedical approach to health
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views health and illness at an individual level an in biological terms
- body conceptualized as a machine
- largely curative
- appeal stems from dramatic technological advances in medical treatment
- body conceptualized as a machine
- largely curative
- appeal stems from dramatic technological advances in medical treatment
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Behavioral/lifestyle approach to health
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views health and illness primarily as a consequence of individual or household beliefs
- focuses on regulation or modification of personal conduct and attitudes
-deems individual responsible, changing harmful behaviors
- popular in mainstream policies and initiatives
- focuses on regulation or modification of personal conduct and attitudes
-deems individual responsible, changing harmful behaviors
- popular in mainstream policies and initiatives
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Political economy approach to health
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integrates political, social, cultural, historic and economic contexts in which ill health arises
- context and life experience are essential at producing good or ill health at individual and collective levels
- considers role of policies, and social structures that are determined by political and economic forces
- context and life experience are essential at producing good or ill health at individual and collective levels
- considers role of policies, and social structures that are determined by political and economic forces
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Factors that influence health
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- distribution of wealth and power
- larger political order
- historical experiences of colonialism and militarism
- class, racial, ethnic, and gender social structures
- global trade and financial regimes
- larger political order
- historical experiences of colonialism and militarism
- class, racial, ethnic, and gender social structures
- global trade and financial regimes
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Overlooked approach to health
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political, corporate and other forces that shape health and disease are not in the interest of major power players within and across societies
- challenges dominant political and economic forces
- challenges dominant political and economic forces
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Characterization of global health actors
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- sources of funding
- influence over local, regional and global agendas
- relationship with other actors
- accountability and breadth of membership
- aims, approaches, motivations, and values
- functions and activities
- impact on health and well-being and the broader context
- technical and management capacity, political legitimacy, paid or voluntary staff and historical trajectory
- influence over local, regional and global agendas
- relationship with other actors
- accountability and breadth of membership
- aims, approaches, motivations, and values
- functions and activities
- impact on health and well-being and the broader context
- technical and management capacity, political legitimacy, paid or voluntary staff and historical trajectory
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UN agencies (multilateral)
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aimed at aid, technical cooperation, and the setting of international norms and standards
- funded through members state dues and voluntary contributions
- sponsors large international gatherings directing or indirectly relating to health
- has no power to implement or enforce resolutions
- funded through members state dues and voluntary contributions
- sponsors large international gatherings directing or indirectly relating to health
- has no power to implement or enforce resolutions
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UN organizations
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- UN Development Programme (UNDP)
- UN Children's Fund (UNICEF)
- UN Environmental Program (UNEF)
- UN High Commissioner for Refugees (UNHCR)
- UN Population Fund (UNFPA)
- UN Human Settlement Programme (UN - HABITAT)
- UNAIDS
- UN Children's Fund (UNICEF)
- UN Environmental Program (UNEF)
- UN High Commissioner for Refugees (UNHCR)
- UN Population Fund (UNFPA)
- UN Human Settlement Programme (UN - HABITAT)
- UNAIDS
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World Health Organization (WHO)
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- Flagship Global health org
- Founded as an independent technical agency within the UN
- work divided into central technical services and technical assistance to governments
- Founded as an independent technical agency within the UN
- work divided into central technical services and technical assistance to governments