Definitions of global health and global burden of disease
Indicators of health
Health and human rights
Factors that affect health globally
Framework for improving world health
Sustainable Development Goals
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Question #1
Is the following statement true or false?
Global health is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
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Answer to Question #1
False
Rationale: Global health prioritizes improving health and equity for all people worldwide with an emphasis on transnational health issues, determinants, and solutions. It involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration while synthesizing population-based prevention with individual-level clinic care.
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Definitions of Health
Health: a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity
Public health: the science and art of preventing disease, prolonging life, and promoting physical health and efficiency through organized community efforts
Dunn’s model: continuum from premature death to wellness to high-level wellness, with environment playing a major role
Smith’s four models:
Clinical
Role-performance
Adaptive
Eudaimonistic
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Global Health Concepts
Global health encompasses the behavioral and environmental risk factors of a community, which are influenced by politics, economics, and culture.
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Determinants of Health
Factors that affect outcomes of health status, such as physical environment, social environment, health behaviors, and individual health, as well as broader factors such as access to health services and overall health policies and interventions
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Question #2
What is an epidemiologic transition?
High fertility and high mortality, resulting in slow population growth
Improvement in hygiene and nutrition, leading to a decreased burden of infectious disease
Decline in mortality and later decline in fertility
High and fluctuating mortality, due to poor health, epidemics, and famine
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Answer to Question #2
D. High and fluctuating mortality, due to poor health, epidemics, and famine
Rationale: Epidemiologic transition includes high and fluctuating mortality, due to poor health, epidemics, and famine. Demographic transitions include high fertility and high mortality, resulting in slow population growth; improvement in hygiene and nutrition, leading to a decreased burden of infectious disease; decline in mortality and later decline in fertility.
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Demographic Transitions
High fertility and high mortality, resulting in slow population growth
Improvement in hygiene and nutrition, leading to a decreased burden of infectious disease
Decline in mortality and later decline in fertility
Increase in relative proportion of elderly population
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Question #3
Is the following statement true or false?
Risk factors are personal habits and behaviors, environmental conditions, or inborn or inherited characteristics that are known to affect a health-related condition.
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Answer to Question #3
True
Rationale: Risk factors are personal habits and behaviors, environmental conditions, or inborn or inherited characteristics that are known to affect a health-related condition.
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Global Burden of Disease
Risks to health and health outcomes in different demographic populations and social settings
The burden of disease is growing disproportionately in the world and is largely affected by climate, public policy, age of the population, socioeconomic conditions, and risk factors
Noncommunicable diseases
Impact of disease burden
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What Risk Factors Affect the Disease Burden?
Risk factors are defined as personal habits and behaviors, environmental conditions, or inborn or inherited characteristics that are known to affect a health-related condition
Childhood and maternal malnutrition
Other nutrition-related risk factors and inactivity
Addictive substances
Sexual and reproductive health
Environmental risks
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Health Indicators
Morbidity and mortality
Risk factors
Health service coverage
Health system resources
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Women, Poverty, and Health
Unequal power relationships between women and men
Social norms that decrease education and paid employment opportunities for women
Exclusive focus on women’s reproductive roles
Potential or actual experience of physical, sexual, and emotional violence
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Sustainable Development Goals #1
End poverty in all its forms everywhere
End hunger, achieve food security and improved nutrition, and promote sustainable agriculture
Ensure healthy lives and promote well-being for all at all ages
Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
Achieve gender equality and empower all women and girls
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Sustainable Development Goals #2
Ensure availability and sustainable management of water and sanitation for all
Ensure access to affordable, reliable, sustainable, and modern energy for all
Promote sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all
Build resilient infrastructure, promote inclusive and sustainable industrialization, and foster innovation
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Sustainable Development Goals #3
Reduce inequality within and among countries
Make cities and human settlements inclusive, safe, resilient, and sustainable
Ensure sustainable consumption and production patterns
Take urgent action to combat climate change and its impacts
Conserve and sustainably use the oceans, seas, and marine resources for sustainable development
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Sustainable Development Goals #4
Protect, restore, and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification and halt and reverse land degradation, and halt biodiversity loss
Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable, and inclusive institutions at all levels
Strengthen the means of implementation and revitalize the global partnership for sustainable development
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Other Factors that Affect Global Health
Economics and politics
Factors associated with healthcare systems
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Question #4
Is the following statement true or false?
Health worker migration increases the burden to care for a society and results in the need to shift tasks primarily to nurses and community health workers.
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Answer to Question #4
True
Rationale: Health worker migration increases the burden to care for a society and results in the need to shift tasks primarily to nurses and community health workers.
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Role of Nurses
Knowledge of goals for worldwide health
Assess patients and communities
Set realistic goals
Develop interventions partnered with local community resources
Continually evaluate progress
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