Health definition: - ANS A dynamic process, several assumptions, and
understandings evolve with time and through different professions, purposes,
and perspectives
Which country was credited as the birthplace of the worldwide health
promotion movement? - ANS Canada
When did the international concept of health switch focus away from disease
and why? - ANSWER It switched over in 1946 because the WHO created its
definition of health which shifted understanding away from DISEASE
CONTROL to include more comprehensive aspects of being human
Why is health promotion not synonymous with health education? - ANSWER
because health education is only one of several key components and action
areas of health promotion
Health promotion definition: - ANSWER 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.
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-so SDOH can have more
impact than bio or physical DOH
Primary Health Care: What is it? - ANSWER 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? - ANSWER They
are social justice and equity
Social justice definition: - ANSWER 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? - ANSWER 1.
accessibility
- 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 in the establishment of NATIONAL and
LOCAL health goals, healthy policies and planning and evaluation of health
services
- must participate in government policy formation in whatever affects 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) - ANSWER 1. education about health problems and prevention
techniques
2. promotion of food supply and proper nutrition
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?)
- ANSWER - shifted national thinking toward health promo (mainly lifestyle)
- 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
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