This a very clear summary of the profession Global Health, given at the WUR. The book Global Health 101 is used. The file contains all lecture-matter and extra notes made nu me.
Global Health lectures
Learning outcomes GH
2015 Systems &
• Understand Infrastructure
concepts: Global priority
Inequity Health system
setting; Global burden of
Scarcity Government
disease; Health systems; Core Challenges Roads
Global health governance; Housing
Social justice and human Human Transport
rights; Global health inequity
• Know global health Health term
issues and link health-social- In a global Short-term vs. Long-
economic development dimension International
• Analyse global Natural Resources National vs.
health issues: measurement, Water Individual vs. Society
priority setting, causes and Land
solutions
Responsibility
Air Autonomy vs.
Core Dillemas
Lecture 1
Basics: Focus, Principles, Theory
• People face similar issues
• Transnational health issues, determinants and solutions
• Cooperative action
• Health is a human right - Health equity – social justice
• Health system linked to value system and political structure
• No dominant theory
Focus: Global Challenges
• Increasing inequalities within and between countries
• progress in life expectancy
• preventive and curative solutions available
• yet enormous health disparities exist
• Critical factors influence health
• new patterns of travel, consumption and communication
• commercialization
• global environmental change
• urbanization
• And put pressure on
• natural resources: water, land, air, food....
• health care: facilities, staff, equipment
• infrastructure
Principles
• UN: highest attainable standard of health is a fundamental right of every
human being without discrimination
• Social justice = justice in terms of the distribution of wealth, opportunities and
privileges: locally, nationally, globally
• Ethics = the branch of knowledge that deals with moral principles
,• Bangkok Charter Health Promotion:
– Policies and partnerships to empower communities and improve health
and health equality at centre of global and national development
– Communities and civil society should have the right, resources and
opportunities
Concepts Inequalities – inequities
Inequalities
• great differences in the health profiles of different nations and different
groups within the same country
• measurable from health statistics
• not all differences can be described as inequities
Inequity: + moral and ethical dimension
• unnecessary, avoidable differences AND considered unfair and unjust
• cause has to be examined and judged to be unfair in the context of what
is going on in the rest of society
Theory: Global Health Promotion
• Roots: Sociology and behavioral
sciences
• Additions: psychology,
anthropology, communication
• Requires other scientific
disciplines: epidemiology, biomedical
sciences
• Often conceptual or theoretical
frameworks
, Lecture 2
- Economische ontwikkeling en gezondheid
- SPI - Social Progress Index
Kansen
- SDH’s - Sociale determinanten van gezondheid
Sociale positie
- SDG’s - Sustainable Development Goals
‘Equity’ als startpunt
Governance de manier waarop iets bestuurd wordt
Economic development & GDP per capita Social progress
Transities economische ontwikkeling
- Demografie
hoge vruchtbaarheid lage vruchtbaarheid
hoog sterftecijfer laag sterftecijfer
- Ziekte patronen
overdraagbare ziekten (infectieziekten) niet overdraagbare ziekten (chronische
ziekten)
- Voeding
Lokaal, onbewerkt voedsel geïmporteerd en bewerkt voedsel
Paradigma (gemeenschappelijke manier van denken) economische
ontwikkeling in BNP per unit leidt tot social ontwikkeling
Maar in werkelijkheid: Economische ontwikkeling leidt niet altijd tot sociale
ontwikkeling
Ontwikkeling en gezondheid
1. Slechte gezondheidsstatus vaak veroorzaakt door politieke, sociale en
economische ongelijkheid
2. Armoede is een oorzaak en gevolg van slechte gezondheidsstatus:
– armoede vergroot de kans op slechte gezondheidsstatus
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