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health and wellbeing definition
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relates to the state of a person's physical, social, emotional, mental and spiritual existence and is characterized by an equilibrium in which the individual feels happy, healthy, capable and engaged
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characteristics of human development
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develop to full potential, enhance capabilities
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characteristics of physical health and wellbeing
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freedom from illness, disease and injury and ability to complete physical tasks
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characteristics of social health and wellbeing
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ability to manage and adapt to different social situations and a supportive network of friends
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characteristics of emotional health and wellbeing
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recognize and understand range of emotions and displaying resilience
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characteristics of mental health and wellbeing
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low levels of stress and anxiety and optimism
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characteristics of spiritual health and wellbeing
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sense of belonging and acting according to values and beliefs
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disease definition
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a physical or mental disturbance which involves symptoms, dysfunctions or tissue damage
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illness definition
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a persons experience of a disease
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what does interrelationship between dimensions mean?
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how they effect each other
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benefits of optimal health and wellbeing for individuals
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reduced health care costs and increases concentration on studying/working
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benefits of optimal health and wellbeing for countries
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greater worker productivity and fewer social security costs
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benefits of optimal health and wellbeing for the world
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increased levels of peace and security and increased trade productivity
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WHO prerequisites for health
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peace, shelter, equity, education, food, income, social justice, sustainable resources, stable ecosystem
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why is peace a WHO prerequisite for health?
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reduced injury and death from conflict, can go about daily activities
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why is shelter a WHO prerequisite for health?
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protection from weather, adequate sleep/energy levels
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why is equity a WHO prerequisite for health?
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provides disadvantaged groups with essential resources
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why is education a WHO prerequisite for health?
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empowers individuals to find meaning and purpose in life, increases ability to earn income
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why is food a WHO prerequisite for health?
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provides energy for daily activities, stronger immune system
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why is income a WHO prerequisite for health?
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able to afford food and healthcare
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why is social justice a WHO prerequisite for health?
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all people have same access to resources that promote health and wellbeing
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why is sustainable resources a WHO prerequisite for health?
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sustainable food/water supply provides energy and immune function
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why is stable ecosystem a WHO prerequisite for health?
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provides food by providing plants and animals, provides clean source of water and air
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what are the health status indicators?
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self assessed health status, life expectancy, health adjusted life expectancy, burden of disease, disability adjusted life years, mortality (including maternal, infant, under 5), morbidity, incidence, prevalence
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health status definition
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an individual or populations overall level of health and wellbeing
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life expectancy definition
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the number of years on average a person is expected to live at a particular age, if death rates do not change
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health adjusted life expectancy definition
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the number of years on average a person is expected to live in full health based on current ill health and mortality rates
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burden of disease definition
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a measure of the impact of diseases and injuries particularly the gap between current health status and the ideal for that population
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DALYs definition (YLL + YLD)
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measure of burden of disease 1 DALY = 1 healthy year of life lost due to premature death or time lived with illness or injury
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YLL definition
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years of life lost from premature death
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YLD definition
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years of healthy life lost due to disability
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mortality rate definition
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proportion of a population who die in a one year period
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maternal mortality definition
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death of a mother during pregnancy or within six weeks as a result of the pregnancy
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maternal mortality rate definition
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rate of maternal mortality per 100 000 live births
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infant morality definition
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death that occurs between the persons birth and first birthday
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infant mortality rate definition
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rate of infant mortality usually per 1000 live births
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under 5 mortality rate definition
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rate of deaths between birth and fifth birthday per 1000 live births
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morbidity definition
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ill health in an individual and the levels of ill health in a population or group
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incidence definition
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number of new cases of a condition during a period of time usually per 100 000 people per year
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prevalence definition
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total number or proportion of cases of a condition in a population at a given time
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biological factors that influence differences in health status between population groups in australia
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genetics, hormones, body weight
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sociocultural factors that influence differences in health status between population groups in australia
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cultural influences, socioeconomic status, access to health care
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environmental factors that influence differences in health status between population groups in australia
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infrastructure, geographical location, work environment
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behavioral/lifestyle factors that influence differences in health status between population groups in australia
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risk taking behavior
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what are the differences in health status for indigenous australians?
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lower self assessed health status, higher under 5 mortality
why?
early life experiences, poor access to healthcare, low birth weight babies
why?
early life experiences, poor access to healthcare, low birth weight babies
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what are the differences in health status for males?
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lower life expectancy, higher rates of cardio vascular disease
why?
risk taking behaviors, dangerous labor based professions, fat stored around abdomen
why?
risk taking behaviors, dangerous labor based professions, fat stored around abdomen
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what are the differences in health status for low SES people?
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higher rates of disability, lower life expectancy
why?
higher rates of obesity, dangerous occupations, poor quality housing
why?
higher rates of obesity, dangerous occupations, poor quality housing
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what are the differences in health status for those living outside major cities?
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lower life expectancy, higher rates of CVD
why?
higher rates of obesity, higher unemployment rates, lack of infrastructure/poor road quality
why?
higher rates of obesity, higher unemployment rates, lack of infrastructure/poor road quality
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what are the main factors that contribute to burden of disease?
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smoking, alcohol, high BMI, dietary risks
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how does smoking contribute to burden of disease?
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increases risk of low birth weight babies (infant mortality), damages immune system and increases risk of infectious diseases (incidence)
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how does alcohol contribute to burden of disease?
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contains kilojoules which contribute to weight gain Incidence of CVD), increases incidence of liver conditions and premature death (decreases life expectancy)
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how does high BMI contribute to burden of disease?
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places strain on heart increasing risk of heart attack and stroke (mortality and morbidity), increases risk of cancer (burden of disease and life expectancy)
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how does underconsumption of fruit and vegetables contribute to burden of disease?
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lack of fibre and vitamins that increase immune function and reduce risk of CVD and cancer (incidence, morbidity)
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how does underconsumption of dairy contribute to burden of disease?
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lack of calcium increases risk of osteoporosis (incidence)
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how does low intake of iron contribute to burden of disease?
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increases risk of anemia (incidence, burden of disease)
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how does high intake of salt contribute to burden of disease?
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increases blood pressure and risk of CVD (incidence)
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how does high intake of sugars and fat contribute to burden of disease?
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contribute to weight gain and increased risk of CVD (incidence, life expectancy)
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old public health definition
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public health actions from 1900-1950 which focused on the physical environment in order to address infectious diseases and how they spread
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biomedical model of health definition
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a medical model of care practiced by doctors which focuses on the physical or biological aspects of illness and disease associated with diagnosis, cure and treatment of disease
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the (new) social model of health definition
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a model of health implemented from 1975 to the present which address the broader factors that influence health and wellbeing, developed in response to many lifestyle diseases increasing and some population groups not experiencing the same improvements as the rest of the population
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old public health measures
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quarantine laws, food quality legislation, vaccinations
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strengths and limitations of the biomedical model of health
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expensive as focuses on treatment rather than prevention, responsible for medical technology advancements
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principles of the social model of health (IDEAR)
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intersectoral collaboration, address all determinants, empower individuals and communities, accessibility to healthcare, reduce social inequities
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strengths and limitations of the social model of health
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inexpensive preventing conditions rather than treating, doesn't promote advancement of medical technology, not all conditions can be prevented
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relationship between biomedical and social model of health
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advantages and limitations of both so a focus on both models must be maintained for maximum benefits to health and wellbeing
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ottawa charter definition of health promotion
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enabling people to take over and to improve their health
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what are the ottawa charter strategies? (MEA)
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mediate (between different social groups with different health priorities), enable (provide people with knowledge and skills to take control of their health) and advocate (speak on behalf of groups that don't have same opportunities to ensure their health outcomes are considered)
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what are the action areas of the ottawa charter?
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build healthy public policy, create supportive environments, strengthen community action, develop personal skills, reorient health services
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examples of ottawa charter action area: create supportive environments
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lower price of fresh food, installing cycling paths
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examples of ottawa charter action area: reorient health services
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towards health promotion rather than treatment of disease
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what is the medicare levy?
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2% of taxable income from all tax payers except those on low incomes
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what is the medicare levy surcharge?
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additional tax of 1-1.5% for high income earners who do not heave private health insurance
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what is general taxation?
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additional funds for Medicare are sourced from general taxation
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what is the medicare safety net?
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extra financial assistance for those that incur significant out of pocket costs for medicare services in a 12 month period
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what is the PBS?
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subsidises more than 5000 medications which are decided on, tested and reviewed by a board, also includes a safety net
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what is the PBS patient co-payment?
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$41.30 ($6.60 for concession card holders)
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what is a private health insurance rebate?
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percentages of premiums paid back by the government depending on income level
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what is lifetime health cover?
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people who take up private insurance after the age of 31 pay an extra 2% on their premiums for every year they are over the age of 30
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what is the NDIS eligibility criteria?
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have a permanent condition which reduces ability to perform tasks without assistance from others or technology, condition also affects social participation and the person is likely to need NDIS support for life
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what assistance does the NDIS provide?
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individualized plan which enables them to access mainstream services and supports, access community services and supports, maintain informal support arrangements and receive monetary assistance
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what are the roles of a health system in promoting health? (SAFE)
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sustainability, access, funding, equity
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how does the role of a health system: funding, promote heath and wellbeing?
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promotes health by providing infrastructure and medical technology, subsidising medical care through medicare and PBS, supporting medically disadvantaged through NDIS payments
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how does the role of a health system: sustainability, promote heath and wellbeing?
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ensuring the health system can continue indefinitely through regulating funding (individualised NDIS plans and incentivising private health to save resources), promoting disease prevention through immunisation and screening clinics
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how does the role of a health system: access, promote heath and wellbeing?
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ensuring all groups can access health care by implementing health services that travel to remote locations (royal flying doctors) and creating fee free treatment (bulk billing) for low SES people
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how does the role of a health system: equity, promote heath and wellbeing?
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ensuring disadvantaged groups are focused and receive more support such as personalized NDIS plans and the medicare and PBS safety nets
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why is smoking a target for health promotion?
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contributes to more mortality and morbidity than any other preventable risk factor, kills an estimated 15 000 Australians each year
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how was health promotion successful in targeting smoking?
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smoking rates declining from 44% and 33% for males and females in 1976 to 12.2% and 9.9% for males and females in 2019
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how did health promotion reflect the ottawa charter in relation to smoking?
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building healthy public policy - anti smoking laws, reorient health services - quit investing into smoking prevention research rather than treatment
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what is an initiative that targets aboriginal health promotion?
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move it mob style is a dance based fitness television program developed by a collaboration of aboriginal not for profit media companies called the deadly vibe group and funded by the australian government, it provides 30 minute episodes that showcase dance workouts to indigenous hip hip and popular music, it is lead by young people in the community and focuses on getting viewers up and moving to stay healthy, viewers add to their 'movement vocabulary' with every episode such as 'fishing for barra' and 'reach for the stars' and supporting class activity worksheets are available on the move it mob style website, the program has been very successful and it is now in its 4th season
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what capacity does move it mob style have to improve indigenous health?
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it has the capacity to provide actual physical health improvements, it is culturally appropriate for indigenous australians, it adresses a significant health issue for indigenous australians being obesity
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what is the australian dietary guidelines?
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aim to prevent diet related diseases through nutritional and physical activity guidelines which include serving sizes and advice based on age, body mass, gender and activity levels, provisions have been made for cultural differences and personal preferences such as vegetarianism
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what is australian dietary guideline 1
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to achieve and maintain a healthy weight, be physically active and choose amounts of nutritious food and drinks to meet your energy needs
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what is australian dietary guideline 2
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enjoy a wide variety of nutritious foods from the five food groups everyday
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what is australian dietary guideline 3
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limit intake of foods containing saturated fat, added salt, added sugars and alcohol
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what is australian dietary guideline 4
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encourage, support and promote breastfeeding
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what is australian dietary guideline 5
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care for your food by preparing and storing it safely
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what are factors which limit ability for individuals to make healthy food choices?
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time constraints, nutritional knowledge, food security, personal preference
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what does nutrition australia do?
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healthy eating advisory service (phone support), development of food selection models (healthy eating pyramid)
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definition of extreme poverty
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living on less than USD $1.90 per day
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definition of relative poverty
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living on less than 50% of countries GNI
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GNI per capita definition
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average income like GDP but adjusted to take into account income from foreign citizens or citizens working other countries therefore more accurate
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how much water is needed per day to live?
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50 litres
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definition of a developed country
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high economic development, range of industries, trade on global market, high average income
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definition of a developing country
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low economic development, reliant on primary production and subsistence farming
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classification of high income countries
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GNI per capita > $12 056
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classification of upper middle income countries
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GNI per capita $3896-$12055
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classification of lower middle income countries
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GNI per capita $996-$3895
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classification of low income countries
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GNI per capita < $995
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economic characteristics of high income countries
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lower levels of poverty, wide range of industries, opportunities for global trade, high average incomes
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social characteristics of high income countries
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high levels of gender equality, high levels of education, low birth rates
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environmental characteristics of high income countries
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access to safe water and sanitation, high levels of carbon dioxide emissions, food security, adequate housing and infrastructure
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factors that contribute to difference in health status and burden of disease between countries
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sanitation, poverty, access to safe water, global marketing and distribution of tobacco, inequality and discrimination
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sustainability definition
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meeting the needs of the present without compromising the ability of future generations to meet their own needs
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economic sustainability definition
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efficient use of resources to allow for economic growth over time and to ensure the capacity of future generations to earn an income
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components of economic sustainability
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ensuring all people can earn a decent income, increasing the capacity of governments to provide services and infrastructure, ensuring children can stay in school
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social sustainability definition
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creating an equitable society that meets the needs of all citizens and upholds all peoples human rights indefinitely
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considerations for social sustainability
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peace and security, gender equality, access to safe and decent working conditions, promotion of legal rights
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environmental sustainability definition
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ensuring the natural environment is used in a way that will preserve resources into the future
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components of environmental sustainability
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biodiversity, use of natural resources, climate change, waste removal and pollution
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what is the human development index?
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indicator of level of development for a country, constructed by united nations, combining income, literacy, education, and life expectancy
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what are the strengths of the HDI?
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shows more than just average income, takes education opportunities into account, shows progress over time, raises awareness for importance of human development
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what are the limitations of HDI?
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does not include social equity and level of access to resources, complex concept, shows averages not inequalities within countries, does not take citizens feelings into account
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what are the HDI classification ranges?
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low <0.6, medium 0.6-0.7, high 0.7-0.8, very high 0.8-1
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what is the rationale behind the SDGs?
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millennium development goals ending in 2015, new global challenges (conflict, migration, extremism)
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what are the objectives of the SDGs?
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end extreme poverty, fight inequality and injustice, address climate change
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name of SDG 3
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good health and wellbeing
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SDG 3 key features
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maternal and child health and wellbeing, communicable diseases, non-communicable diseases
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SDG 3 key feature: maternal and child health and wellbeing
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reduce maternal, infant and under 5 mortality rates through greater access to healthcare and education around motherhood (breastfeeding)
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SDG 3 key feature: communicable diseases
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end epidemics of communicable diseases such as aids, tuberculosis, malaria, neglected tropical diseases, hepatitis and water borne diseases through investment in health care and water and sanitation infrastructure
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SDG 3 key feature: non-communicable diseases
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reduce incidence on non-communicable diseases which occur as a result of lifestyle factors through building healthy public policy and investing in health education
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name of SDG 1
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no poverty
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name of SDG 2
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zero hunger
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name of SDG 4
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quality education for all
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name of SDG 5
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gender equality
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name of SDG 6
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clean water and sanitation
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name of SDG 13
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climate action
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what is the work of the WHO?
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works with governments, member states and other agencies to provide leadership and create partnerships that promote health and wellbeing, conduct research and provide health and wellbeing information, set norms and standards and promote and monitor their implementation, develop policies to help countries take action to promote health and wellbeing, provide technical support and help build sustainable health systems, monitor health and wellbeing and assess health and wellbeing trends
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what are the WHO's priorities? (to provide for 1 billion more people)
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universal health coverage, addressing and protecting from health emergencies, promoting healthier populations
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how is WHO's priority: universal health coverage achieved?
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through WHO's work: advocacy, country support, health workforce, access to medicines and vaccines
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how is WHO's priority: addressing and protecting from health emergencies achieved?
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through building capacity to keep world safe from epidemics and health emergencies and ensuring all people have quick access to essential health services during health emergencies
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how is WHO's priority: promoting healthier populations achieved?
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through preventing non-communicable diseases, tackling antimicrobial resistance, addressing health effects of climate change
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what is the type of australian aid: emergency/humanitarian aid?
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short term immediate assistance given to countries in distress from conflict or natural disaster through provision of food and supplies
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what is the type of australian aid: bilateral aid?
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aid provided by the australian government to another government in the form of funding for community and infrastructure projects (immunisations, schools)
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what is the type of australian aid: multilateral aid?
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aid provided through an international organisation such as the UN or WHO to provide emergency relief as well as address global issues such as climate change and communicable diseases
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what is the type of australian aid: NGO aid?
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funding non government organisations to provide aid, benefits include access to areas unreachable by the government, greater knowledge of needs and also stronger connections with target communities
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what are the features of australia's aid?
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promoting national interests by contributing to sustainable economic growth and poverty reduction, provision of official developmental assistance (0.22% of GNI), focused on indo-pacific region
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who does australia partner with for aid?
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private sector, NGOs, multilateral organisations, bilateral organisations
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how does australian aid prioritize education and health?
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increasing opportunities for girls to learn, teacher training, health workforce training
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how does australian aid prioritize gender equality and empowering girls?
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ending violence against women, promoting women's economic empowerment
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how does australian aid prioritize effective governance?
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anti corruption initiatives, supports develop of tax policies and improved government budgets
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how does australian aid prioritize building resilience?
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humanitarian assistance, disaster risk reduction, social protection
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how does australian aid prioritize infrastructure and trade facilitation?
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building water and sanitation facilities and schools, promoting trade agreements
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how does australian aid prioritize agriculture, fisheries and water?
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strengthening markets, improving productivity and sustainability
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what are the features of effective aid programs?
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ownership by recipient country, results focused, partnership and collaboration, transparency and accountability