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How might one define global health? Why a. An area for study, research, and practice that places a
study global health? priority on improving health and achieving equity in health for
all people worldwide
b. To appreciate:
i. Some progress has been made
ii. Challenges still remain
iii. Diseases are not limited by national boundaries
iv. There are disparities among groups
v. The health-development link
vi. Need for co-operation and collaboration within and
between nation states
What are some examples of global issues? a. Antimicrobial resistance
Which ones do you think are the most b. Emerging and reemerging infectious diseases
crucial? c. TB
d. Malaria
e. HIV
f. Double burden of disease
g. Maternal-child mortality
h. Increasing rates of diabetes and heart disease
g. climate crisis
food security and climate crisis (affects not only humans, but
the ecosystem in which we live)
,What are the SDGs and how do they relate GOAL 1 : No Poverty
to health? GOAL 2: Zero Hunger
GOAL 3: Good Health and Well-being
GOAL 4: Quality Education
GOAL 5: Gender Equality
GOAL 6: Clean Water and Sanitation
GOAL 7: Affordable and Clean Energy
GOAL 8: Decent Work and Economic Growth
GOAL 9: Industry, Innovation and Infrastructure
GOAL 10: Reduced Inequality
GOAL 11: Sustainable Cities and Communities
GOAL 12: Responsible Consumption and Production
GOAL 13: Climate Action
GOAL 14: Life Below Water
GOAL 15: Life on Land
GOAL 16: Peace and Justice Strong Institutions
GOAL 17: Partnerships to achieve the Goal
Only goal 3 directly concerns health, all other 16 SDGs are
indirectly related to health.
How would you improve on the SDGs? SIGN THE W.A.S.H. ... Water, sanitation, and hygiene
PROVIDE A HEALTHY WORKPLACE
REVIEW YOUR SUPPLY CHAIN AND IMPLEMENT
SUSTAINABLE PRACTICES.
Give to Projects that Support the SDGs.
INVEST IN RENEWABLE ENERGY
ENCOURAGE 'REDUCE, REUSE, RECYCLE'
How do the SDGs differ from the MDGs? - Overarching goal of the SDGs is to "ensure healthy lives and
promote well-being for all at all ages" (p. 8). The goal of MDGs
was to "reduce extreme poverty by 2015."
- "The transition from the MDGs to the SDGs is premised on
building a sustainable world where environmental
sustainability, social inclusion, and economic development are
equally valued (p. 7)."
- The MDGs have promoted health and well-being in many
countries, but progress towards achieving the MDGs was
uneven.
- The MDGs had amazing strides (e.g., half of the world
population lived on $1.25 a day in 1990, but this dropped to
14% by 2005); however, they left out issues such as disasters,
conflict situations, the epidemic of non-communicable
diseases, mental health disorders, and large inequities in all
parts of the world (p. 7-8)
- SDGs addressed many of these shortcomings and position a
new all-inclusive goal with a broad set of targets for the
MDGs
- Unlike the MDGs, which only targets the developing
countries, the SDGs apply to all countries whether rich,
middle or poor countries. The SDGs are also nationally-owned
and country-led, wherein each country is given the freedom
to establish a national framework in achieving the SDGs.
- MDGs were prepared by only a few stakeholders without
adequate involvement by developing countries and
overlooked development objectives previously agreed upon
and not appropriately adapted to national needs
,What are the MDGs i. Eradicate extreme poverty and hunger
ii. Achieve universal primary education
iii. Promote gender equality
iv. Reduce child mortality
v. Improve maternal health
vi. Combat HIV/AIDS, malaria, and other diseases
vii. To ensure environmental sustainability
viii. Develop a global partnership for development
What is health equity? How does - Health equity is created when individuals have the fair
accomplishing the SDGs help to achieve opportunity to reach their fullest health potential. No one is
health equity? disadvantaged from achieving this potential because of social
position or other socially determined circumstances
- SDG 3 aspires to ensure health and well-being for all,
including a bold commitment to end the epidemics of AIDS,
tuberculosis, malaria and other communicable diseases by
2030. It also aims to achieve universal health coverage, and
provide access to safe and effective medicines and vaccines
for all.
What is the relationship between poverty - Root cause of hunger and death from infectious disease
and health? - Major contributor to crime, unsafe housing, and a large
number of other deadly deprivations
- Wherever there is widespread poverty, there will inevitably
be inequity and injustice as two of the principal contributory
issues
What key factors determine personal Genetics, behaviour, environmental and physical influences,
health? medical care, and societal factors
How do human rights abuses relate to - a set of rights afforded to individuals on the basis of being
global health? human, that is, irrespective of national citizenship, gender,
ethnicity, or other traits
- discrimination and oppression based on gender occurs and
health is compromised. It is now realized that peace and
prosperity depend on a fundamental foundation of benign
governance that respects the rights of individuals
Why is malnutrition considered an element 795 million people suffering from malnutrition. Death from
of global health? starvation has largeely been replaced by chronic malnutrition,
which sap the energy and the potential of huge numbers of
the world's population. Malnutrition increases mortality from
diseases such as gastroenteritis and measles
Why is population health so poor in many Lack of an improved water source
developing countries? Poor sanitation
Malnutrition
War and conflict
Poverty
Underdeveloped public health services
What are the key elements that have shaped - final structure of financial aid industry went under many trial
the modern aid industry? How has aid and errors
changed between WWII and now? - aid started in Europe after WWII
- In the 1990s, relevance of aid was seriously questioned;
wasn't really working to improve the health and economy of
developing countries. After this time, with the development of
MDGs and SDGs, aid is going back to the right track
- humanitarian aid back then was commonly given in response
to famines, whereas now health and economic aid mergine
into one.
, What would you consider the major success - The development of large health agencies was stimulated by
in the history of foreign aid? What are some the spread of steam-powered rail and sea transport during
of the key factors that led to those the 19th century.
successes? - International Development Association formed in 1960 to
coordinate interest-free loans to poor countries
- UN development program to help developing countries in
1960s to 70s to use aid more effectively
- smallpox also eradicated within just 10 years
Why was the start of the 1960s declared the - There were growing enthusiasm for the "big plan" approach
first decade of "development" by the United to development and also witnessed the continuing process of
Nations? decolonization - 17 newly independent African states were
formed in 1960 alone.
- The International development association was established
within the World Bank to coordinate interest-free loans to
poor countries.
- An influential multi-agency report on the health of children
in 1961 helped raise the profile of children's health needs and
also of UNICEF.
- Smallpox eradication program was initiated in 1967
How have the MDGs and new SDGs shaped - The launch of the MDGs catalyzed major increases in
foreign aid? development assistance as evidenced by the 66% jump in
official development assistance. More aid has flowed into
education and public health while also being directed toward
poorer countries to supplement increases in domesticaly
sourced development finance. The MDGs have gone a long
way toward changing the way we think and talk about the
world, shaping the international discourse and debate on
development, and stimulating popular awareness of moral
imperatives such as achieving gender equality and ending
poverty and starvation
- The new SDGs are bound to continually shape the foreign
industry with more focus on metrics, impact, and equity.
What are some of the key factors that led to - Vaccinations
the eradication of smallpox? How would - WHO decided to have one more try and foreign aid allowed
you apply some of these factors to global eradication to begin.
health?
If you were in charge of a major military Identify bottlenecks:
agency such as the World Bank, how would - idea that development interventions should focus on the
you make foreign aid more effective? specific local challenges in poor countries, such as
corruption, weak credit, or poor communications rather than
assuming that all poor countries have the same long list of
problems
What can donors (including bilateral and - Donors come together for harmonizing their aid activities in
multilateral agencies do to improve foreign order to decrease poverty and realized the MDGs.
aid to better alleviate poverty and improve - In the 90s, 90% of developed countries dominated
health outcomes)? international development co-operation, however in 2000 the
number of non-DAC donors has risen, reaching 30 in number
- Bill and Melinda Gates Foundation that were filling the gaps
in areas like vaccinations, agriculture and pursuing innovative
projects that government donors find hard to do