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Definition of health: - ✔✔Dynamic process with multiple assumptions and
understandings that evolve over time with varying professional
perspectives and purpose
Who was credited with the birthplace of worldwide health promotion
movement? - ✔✔Canada
When did the international concept of health switch focus from disease and
why? - ✔✔It switched over in 1946 because the WHO created their
definition of health which shifted understanding from DISEASE CONTROL
to include more comprehensive aspects of being human
Why is health promotion not synonymous with health education? -
✔✔because health education is only one of several key components and
action areas of health promotion
Health promotion definition: - ✔✔Process of enabling people to increase
control over, and improve, their health.
Health is seen as a resource of everyday life, not the objective of living.
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,Health promotion goes beyond healthy lifestyles, to well-being.
Health promotion represents a comprehensive SOCIAL AND POLITICAL
process toward action to change social, environmental, and economic
conditions to lessen impact on individual and public health (SDOH can
have more impact than bio or physical DOH)
What is Primary Health Care? - ✔✔essential health care based on
practical, scientifically sound and socially acceptable methods and
technology made universally accessible to individuals and families in the
community through their full participation and at a cost that the community
and country can afford to MAINTAIN at EVERY STAGE OF
DEVELOPMENT in the spirit of self-reliance and self-determination.
Remember that primary care is NOT PHC--it refers to a person-centred
approach (often biomedical) to care delivery at point of entry into HC
system
What are the underlying VALUES of primary health care? - ✔✔They are
social justice and equity
Social justice definition: - ✔✔fair distribution of society's benefits and
responsibilities and focuses on eliminating the root causes of inequities,
leading to equality of opportunities for health
What are the five principles of primary health care? - ✔✔1. accessibility
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,- universally available, delivered in a timely manner, regardless of
geographic community
2. public participation
- design and delivery of HC needs to be flexible, responsive and ensure
respect for diversity
3. Health Promo
- people build an understanding of SDOH and develop skills to improve and
maintain their own health and wellbeing
4. Appropriate technology
- equity is an important component
5. intersectoral collaboration or co-operation
- intersectoral collaboration is needed to establish NATIONAL and LOCAL
health goals, healthy policies, and planning and evaluation of health
services
- must participate in government policy formation that impacts the health
and well-being of people in their society
What are the eight essential components of primary health care? (used as
GUIDING PRINCIPLES to set direction and measure success (outlined by
WHO) - ✔✔1. education about health problems and prevention techniques
2. promotion of food supply and proper nutrition
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, 3. adequate supply of safe water and basic sanitation
4. MATERNAL AND CHILD HC, including family planning
5. immunizations against major infectious diseases
6. prevention and control of locally endemic diseases
7. appropriate treatment of common diseases and injuries using the
primary health care principles of appropriate technology
8. provision of essential drugs
What did the 1974 Lalonde report instigate? (how did it shift national
thinking?) - ✔✔- shifted national thinking toward health promo (mainly
lifestyle)
- the original SDOH are attributed to the lalonde report (expanded on later)
- unfortunately health promotion programs arose but this did not include the
call for focus on environment (physical and social) as one of the causes of
ill health
What health event occurred in 1978? - ✔✔The international conference on
primary health care resulted in the development of the Alma Ata (WHO)
What is the Alma Ata statement?
What did it draw attention to? - ✔✔Health is a FUNDAMENTAL HUMAN
RIGHT and the attainment of highest possible health is most important
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