Poverty is both a cause and a consequence of poor health, and the scarcity of resources limits access to
essential
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health care services.
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Lancet Planet Health 2019; 3: e93–101
Social inequalities are perpetuating unhealthy living and working conditions and behaviours. These causes are commonly called ‘the social determinants
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of health’. Achieving greater equity in health will demand that the health sector assumes a greater leadership role in addressing social inequalities. This requires equipping health and care workers to better understand how the social determinants of health impact patients and communities. Education of the health workforce is thus a key step to advancing action. Integration of the social determinants of health into education and training will prepare the workforce to adjust clinical practice, define appropriate public health programmes and leverage cross-sector policies and mechanisms.
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National Guidelines India
nContraception and Reproductive Medicine (2017) 2:26 DOI 10.1186/s40834-017-0053-6
Young women in Burkina Faso and Mali are increasingly using modern contraceptives for family planning; however, the LAPM contraceptive prevalence rate remains low. Our analysis indicates that
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social norms around ideal family size for both men and women continue to drive young women’s choices around family planning and impede use of LAPMs. To increase modern contraceptive use and curb fertility rates, local governments and development organizations should focus on women’s empowerment and include male partners.
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This publication examines this social gradient in health, and explains how psychological and social influences affect physical
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health and longevity. It then looks at what is known about the most important social determinants of health today, and the role that public policy can play in shaping a social environment that is more conducive to better health.
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The Social Determinants of Health are the conditions in which people are born, grow, live and ag
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e. They have a large influence on our health. It also determines health inequities, which is the unfair and avoidable health difference between different groups of people In this video we take a look at the social determinants of health..what they are, how it impacts health and a useful framework to understand it.
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89% of health occurs outside of the clinical space through our genetics, behavior, environment and soci
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al circumstances. These factors are known as the social determinants of health. Despite their importance, attempts to integrate the determinants into a single visualization have been limited.
Accessed 30th March 2019
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Primary care represents the first level of personal health care services in the community, which ensures accessible, continual,
whole-person care for hea
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lth needs throughout an individual’s lifespan. Primary care professionals work with patients and
their families to address their immediate and long-term health needs and not just for a set of specific diseases with an
approach that addresses the broader determinants of health and the interrelated aspects that influence people’s physical,
mental, and social well-being.
Nurses have a key role to play in primary care in expanding, connecting and coordinating care. Through their training and
work, they are well placed and have been shown to provide safe and effective care in disease prevention, diagnosis,
treatment, management and rehabilitation. The purpose of this document is to provide guidance and inspiration for
policymakers, instructors, managers and clinicians
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The article "Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review" analyzes factors contributing to poor asthma control in African youth. Based on s
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tudies conducted between 2014 and 2019 in Nigeria, Uganda, and South Africa, the review identifies key challenges such as limited access to asthma diagnosis, inadequate use of inhaled corticosteroids, and environmental and socio-economic factors. It finds that urban living, older age, and concurrent allergic conditions significantly affect asthma management. The study emphasizes the need for improved diagnostic tools, better access to treatment, and tailored public health interventions to enhance asthma outcomes in African children.
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Pandemics and outbreaks have differential impacts on women and men. From risk of exposure and biological susceptibility to infection to the social and economic implications, individu
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als’ experiences are likely to vary according to their biological and gender characteristics and their interaction with other social determinants. Because of this, global and national strategic plans for COVID-19 preparedness and response must be grounded in strong gender analysis and must ensure meaningful participation of affected groups, including women and girls, in decision-making and implementation.
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Below you can find a sampleoutline of a training that you couldadapt to your time frameand audience on Social Accountability in Medical Schools.The completesample trainingwould last around3hours. Th
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e suggested number of participants is 20.The accompanying slides are in a separate Powerpoint document.This handout is part of the IFMSA/THEnet Students' Toolkit on Social Accountability in Medical Schools. Find the full toolkit and list of tools, including the slidesat www.ifmsa.org/social-accountability.
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Primary health care is about caring for people, rather than simply treating specific diseases or conditions. Good primary health care is made up of
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three parts: empowered people and communities who can take care of and advocate for their health; ensuring multisectoral policy and action to systematically address social, economic, environmental and commercial determinants of health; and primary care and essential public health functions as the core of integrated health services. Primary health care can meet the majority of a person’s health needs throughout their life. With a strong foundation of primary health care, together we can achieve #HealthForAll
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Health inequities are unjust and avoidable systematic differences in the health status and access to health resources
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of
different population groups. Health inequity manifests itself at all levels as differences across countries, within countries, between communities, and within population groups. Health inequities arise from social determinants of health, or social and
environmental conditions in which people are born, grow, live, work and age; they do not occur randomly or by chance, and are largely beyond an individual’s control.
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Many determinants are known to affect brain health at different stages of life. The position paper provides a conceptual framework for what brain
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health is and how brain health can be optimized throughout life with actions across the following clusters of determinants: physical health, healthy environments, safety and security, learning and social connection, and access to quality services. Optimizing brain health can not only reduces the prevalence and burden of neurological disorders, but also improve mental and physical health overall and create positive social and economic impacts, all of which contribute to greater well-being and help advance society, irrespective of the presence or absence of disorders.
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The risk factors for CVD include behavioural factors, such as tobacco use, an unhealthy diet, harmful use of alcohol and inadequate physical activity, and physiological (metabolic) factors, including high blood pressure (hypertension), high blood ch
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olesterol and high blood sugar or glucose. Both kinds of factor are linked to underlying social determinants and drivers. This module focuses on the behavioural risk factors and provides information on: • tobacco use, unhealthy diet, insufficient physical activity and harmful use of alcohol as important contributors to CVDs • behavioural change, brief interventions for counselling and key points for motivational interviewing • the theory of the 5As for brief interventions, as well as sample brief interventions for each risk factor, using the 5As. Target users of this module This module is intended for trainers of primary health care workers, including physicians, nurses, and other health workers. Primary care workers should be trained on the risk factors and counselling approaches, adapting to local customs, culture and context. NCD programme managers may also use it for planning purposes.
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Ensure treatment decisions are timely, rely on evidence-based guidelines, capture key elements within the social determinants of
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health, and are made collaboratively with people with diabetes and care partners based on individual preferences, prognoses, comorbidities, and informed financial considerations.
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Ethnic disparities in COVID-19 persist, with increased rates of infection, severe disease, and death among people from minority ethnic groups. COVID-19 vaccination rates also remain lowest in these communities compared with white people in the UK. A
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mong people older than 18 years, the proportion who have had three COVID-19 vaccinations in England in March, 2022, was lowest among Black Caribbean (38%), Black African (45%), and Pakistani (45%) ethnic groups. These disparities are likely to be attributed to the intersection of key social determinants, including socioeconomic factors such as deprivation, overcrowding, and working patterns and conditions,
alongside discrimination and structural violence in the health-care system and society.
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