Unit 2: Concepts of Health and Global Health

- Absence of biological sickness
- Feeling a sense of connection with oneself
- Good function
- Pursuit of joy and happiness
- Disease under control
- Adaptability, fluidity, movement
- Interrelation of physical, mental, and spiritual components

1. Ask - "what can nurses do individually and collectively to address issues of global health at the global and local level?"
2. Reflect - "what are the challenges for Canadian nurses?"
3. Review CNA Position Statement on Global Health and Equity (2009)

The "degree tow which a person enjoys the possibility of life"

1. Enable people to have control over their lives.
2. Combined with elements that maintain "well-being (psychological, physical, environment, societal, policy, experiential)"
3. Access to services

Because like any other resource or commodity under a neo-liberal economic system, some social groups have it more than others.

Because its SDH are amenable to political action or inaction where in fact it is a right of social citizenship.

Optimal well-being of all humans from the individual and collective perspective

1. Globalization of communications and transportation
2. Initiation of industrial revolution
3. United Nations and WHO

A United States program of economic aid for the reconstruction of Europe (1948-1952)

an international bank that offers low-interest loans, advice, and information to developing nations

"Health for All"; solidified idea and necessity for PHC, expressed the need for urgent action by all governments, all health workers and community to protect and promote health

- Accessibility
- Public Participation
- Health Promotion and Disease Prevention
- Appropriate Technology
- Intersectoral Co-operation

Acceptable level of health by 2000

1. Ensure political commitment at all levels of government
2. Accelerate actions towards universal access to primary healthcare
3. People at center of health care - delivery-focused models on local and district levels.

Alma-Ata renamed

1. Bold political choices for health.
2. Build sustainable primary health care.
3. Empower individuals and communities.
4. Support to national policy, strategies, and plans.

peace, shelter, education, food, income, stable ecosystem, sustainable resources, social justice and equity

1. Equitable access to quality of care for ruran and urban.
2. Affordability
3. Sustainability

"just and fair" - distributive justice - everyone has same resources and thus equal.

recognizes that each person has different circumstances and allocates the exact resources and opportunities needed to reach an equal outcome - prerequisite to health as in Ottawa Charter (Mill)

Differences that are unnecessary, unfair, and avoidable

1. Eradicate poverty + hunger
2. Achieve universal primary education
3. Promote gender equity and empower women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV, malaria, TB, etc.,
7. Ensure environmental sustainability
8. Develop a global partnership for development

A statistically significant difference in health indicators that persists over time.

Burden of disease among different groups in society

From unequal power relations and social inequities