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Social Determinants of Health

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 امين عجيل ياسر الياسري 5/8/2011 8:54:00 AM
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Social Determinants of Health   SDH
 
Dr.Amean A Yasir,
PhD.Community Health Nursing
  A definition of SDH themes   - Health systems as SDH  - Early child development  - Gender  - Social exclusion  - Unhealthy environments – slums  - Employment settings  - Lack of social protection  - Countries in crisis Social determination of Health The circumstances in which people are born, grow, work and age and the systems put in place to deal with illness. The conditions in which people live and die are, in turn, shaped by political, social and economic forces. “The social determinants of health refer to both specific features and pathways by which societal conditions affect health and that potentially can be altered by informed action.” Source: Krieger N.  A glossary for social epidemiology. J Epidemiol Community Health The Final report of the WHO Commission for Social determenation of Health     Evidence is needed to guide action: “Our children have dramatically different life chances depending on where they were born.”  In Japan or Sweden they can expect to live more than 80 years; in Brazil 72 years; India 63 Years.” In countries at all levels of income, health and illness follow a social gradient: the lower the socioeconomic position, the worse the health.”CSDH (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of CSDH. Geneva, World Health Organization.  Executive Summary.   Two categories of social determinants: structural – “fundamental structures of social hierarchy” – global determinants which, in turn affect countries and their ability to tackle SDH: intermediate -  “socially determined conditions in which people are born, grow, live, work and age” - local       Health system: Lack of universal primary health care; high rates of out of pocket health expensesChallenges of early child development: physical, cognitive/ language, social/ emotional; going beyond controlling childhood diseasesLack of education and empowerment of women – need for education, employmentSocial exclusionSocially determined lifestyles: obesity Unhealthy environments - rapidly expanding “slums” Employment settings - unemployment, informal sector employmentLack of social protection in illness, for elderly, disabled persons Countries in crisisMajor Social Determenation of Health Health system: Lack of universal primary health care; high rates of out of pocket health expensesChallenges of early child development: physical, cognitive/ language, social/ emotional; going beyond controlling childhood diseasesLack of education and empowerment of women – need for education, employmentSocial exclusionSocially determined lifestyles: obesity Unhealthy environments - rapidly expanding “slums” Employment settings - unemployment, informal sector employmentLack of social protection in illness, for elderly, disabled persons Countries in crisis.   We remain hopeful for good outcomes for the health of the ALL people  


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