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Definition of health
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a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
*not limited to medical issues
*emphasis on well being , both physically and mentally
* dependence on external factors : financial affordability of food , safe and secure living condition : eg war and disasters
*not limited to medical issues
*emphasis on well being , both physically and mentally
* dependence on external factors : financial affordability of food , safe and secure living condition : eg war and disasters
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What are the three levels of health
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1. Individual level
2. Population level
3. Global level
2. Population level
3. Global level
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Individual level of health
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Area for medicine , focused on individual level and treatments and cures
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Population level of health
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Public health area , mostly focused on public health , social reform movements in science
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Global level of health
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Goes beyond the border of one country
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Are the goals of public health and medicine the same ?
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No
*medicine individual health
*public —> prevention
*medicine individual health
*public —> prevention
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Curative medicine
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Focused on curing , sometimes involves suggestions for intervention
*individual level
*individual level
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Public Health Definition
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the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals
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4 pillars of public health
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1) decision making based on data and evidence
2) a focus on populations rather than individuals
3) goal of social Justice and equity
4) an emphasis on prevention rather than curative one
2) a focus on populations rather than individuals
3) goal of social Justice and equity
4) an emphasis on prevention rather than curative one
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International health definition
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Focused primarily on health issues in lower middle income countries—> more higher income countries focusing on dealing with health problems in these areas than looking at health problems as a whole
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Parachute Science
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Higher income countries complete research in lower income countries —> and doesn't normally include the collaboration of them
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Equity
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a condition in which people receive from a relationship in proportion to what they give to it
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Health inequity
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a difference or disparity in health outcomes that is systematic, avoidable, and unjust
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Health disparities
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preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations
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Globalization
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A constellation of processes by which nations , businesses, and people are becoming more connected via:
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Contemporary globalization
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...
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Inherently global health issues (3)
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1. Environmental degradation
2. Socioeconomic degradation
3. Cross cutting
2. Socioeconomic degradation
3. Cross cutting
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Environmental degradation
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Greenhouse gas emissions/ climate change
Biodiversity loss
Water shortage
Decline in fisheries
Deforestation
Biodiversity loss
Water shortage
Decline in fisheries
Deforestation
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Socioeconomic degradation
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Increasing poverty / inequality
Financial instability
Digital divide
Tax havens , transfer pricing
Financial instability
Digital divide
Tax havens , transfer pricing
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Cross cutting
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Food insecurity
Trade ( general , health damaging products)
Migration
Governance
Tourism
War and conflict
Trade ( general , health damaging products)
Migration
Governance
Tourism
War and conflict
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Who is responsible for the overall health of ghanaians?
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The ministry of health (Moh)
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Healthcare structures in Ghana (6)
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1. Unit committees (community)
2. Area council - # communities
3. Zonal - # zones
4. District
5. Regional
6. National
2. Area council - # communities
3. Zonal - # zones
4. District
5. Regional
6. National
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Unit committee
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Community based health planning and services
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Area council
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Health centres
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Zonal
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Polyclinics
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District
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District / municipal hospitals
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Regional
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Regional hospitals
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National
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Tertiary / teaching hospitals
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Social gradient in health
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the consistent finding that inequality and health are related, with those at the top of the social system being healthier and living longer than those at the bottom
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Proportionate universalism
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To reduce the steepness of the social gradient in health, actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage.
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Equity stratifiers (7)
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1) socioeconomic status
2) education
3) place of residence (rural or urban)
4) race or ethnicity
5) occupation
6) gender
7) religion
2) education
3) place of residence (rural or urban)
4) race or ethnicity
5) occupation
6) gender
7) religion
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What do equity stratifiers normally reflect
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Social conditions
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Health inequalities tend to stem from
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Social inequalities
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2 important strands of health equity
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1. Improving average health of countries
2. Abolishing avoidable inequalities in health within countries
2. Abolishing avoidable inequalities in health within countries
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2 components of global inequalities
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1. Inequalities between groups within the same society
2. Inequalities between countries
2. Inequalities between countries
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Structural violence
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Social inequalities affect health so severely , they can be considered violence
*social structures that stop individuals from living to their full potential ( economic , political , legal , etc)
*social structures that stop individuals from living to their full potential ( economic , political , legal , etc)
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Structural violence is linked very closely to
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Social injustice —> ie taking away education, rights to hijabs , etc