DETERMINANTS
OF HEALTH
DR. MAHESWARI JAIKUMAR.
maheswarijaikumar2103@gmail.com
Healthy lifestyle Akniyet.pdf
BIOLOGICAL DETERMINANTS
• The physical & mental traits of
every human being are
determined by the nature of his
genes at the moment of
conception.
• The genetic makeup is unique in the
sense it cannot be altered after
conception.
• A number of diseases are now known
to be of genetic origin, E.g.,
Chromosomal anomalies, errors of
metabolism, mental retardation.
Healthy lifestyle Akniyet.pdf
• Medical genetics offers hope for
prevention & treatment of a wide
spectrum of diseases, thus the
prospect of better medicine & longer
& healthier life.
• A positive health advocated by
WHO implies that a person should
be able to express as completely as
possible the potentialities of his
genetic heritage.
BEHAVIOURAL & SOCIO
CULTURAL CONDITIONS
• Life style denotes “ the way that
people live”, reflecting a whole
range of social values, attitudes
& activities.
• It is composed of cultural &
behavioural patterns & life long
personal habits
(Alcoholism,smoking)that have
developed through the process
of socialization.
BEHAVIOUR & LIFE STYLE
• Life styles are learnt through social
interaction with parents & peer
groups, friends, siblings & through
school & mass media.
• Many current health problems such
as coronary heart disease, obesity,
lung cancer, drug addiction are
associated with life style.
LIFE
STYLE
ISSUES
• In countries like India risk of
illness & death are connected
with lack of sanitation, poor
nutrition, personal hygiene,
elementary human habits,
customs & cultural patterns.
ENVIRONMENT
• It was Hippocrates who first related
disease to environment, climate,
water, & air.
• Later Pettenkoffer in Germany
revived the concept of disease –
environment association.
THE ENVIRONMENT
• Environment is classified as
“internal” & “external”.
• Internal environment of a man
pertains to each & every component
part, every tissue organ & organ
system & their harmonious
functioning within the system.
• External or macro environment
consists of those things to which
man is exposed after conception.
• It is defined as “all that which is
external to the individual human
host”.
• It can be divided into physical,
biological & psychosocial
components , any or all of which
affect can affect the health of
man & his susceptibility to
illness.
• Some epidemiologists use the
term “micro environment” or
domestic environment or
personal environment which
reflects a person’s way of living
& lifestyle. E.g., eating habits,
personal habits.
• The other environment includes
occupational environment, socio
economic environment, moral
environment.
• SOCIO ECONOMIC CONDITIONS
• The health of a person is primarily
dependent upon the level of socio
economic development.
• E.g., Per Capita income, GNP,
education, nutrition, employment,
housing & political system of the
country.
Healthy lifestyle Akniyet.pdf
• ECONOMIC STATUS: The per capita GNP is
the most widely accepted measure of
general economic performance.
• The economic progress of many countries
has been a major factor in reducing the
morbidity, mortality, increase in life
expectancy & improving of the quality of
life, family size, & the pattern of disease &
deviant behaviour in the community.
EDUCATION
• Education is
the second
major
influencing
factor in
affecting the
health of the
population.
• The world map of illiteracy closely
coincides with the maps of poverty,
malnutrition, ill health, high infant &
child mortality rates.
• Studies indicate that education to some
extent compensates the effects of
poverty on health, irrespective of the
availability of health facilities.
OCCUPATION
• Un employment usually shows a
higher incidence of ill health &
death.
• For many, loss of work may mean
loss of income & status.
Healthy lifestyle Akniyet.pdf
• It can cause psychological &
social damage.
• The very state of being
employed in productive work
promotes health.
POLITICAL SYSTEM
• Health is closely related to the
political system of a country.
• Often the main obstacles to the
implementation of health
technologies are not technical
rather political.
• Decisions concerning resource
allocation, man power policy, choice
of technology & the degree to which
health services are made available
& accessible to different segments
of the society are examples of the
manner in which the political
system can shape community health
services.
• The percentage of GNP spent
on health is About 3%
HEALTH SERVICES
• Health services are seen as essential
for social & economic development.
There is a strong correlation
between GNP & Expectation of life
at birth & the overall health status
of the given population.
• Health &Family welfare services aim at
improving the health condition of the
population.
• India being a signatory member , to
realize Heath For All has chalked out
strategies like the PHC, CHC, HSc, &
other peripheral infrastructure.
The National preventive programmes such
as Immunization programme, AIDS
Control programme, Malaria Eradication
Prog, Filaria Control Prog, ICDS, The Mid
day Meal programme, Family Welfare
programmes & Other non communicable
disease programmes aim at prevention,
promotion & maintenance of the health
status of the population.
AGING OF THE POPULATION
• By the year 2020 the world will
have more than one billion
people aged 60 & over.
• More than two thirds of them
living in the developing countries.
• A major concern of rapid
population aging is the increased
prevalence of chronic disease &
disabilities.
• Therefore aging process needs a
special attention
GENDER
• The 1990 have witnessed a increase
concentration on women’s issues. In
1993 The Global Commission on
women’s Health was established.
• The Commission drew up an agenda for
action on women’s health covering
nutrition, reproductive health, the
health consequences of violence, aging,
life style related conditions &
occupational environment.
• Inclusion of women’s health issues is a
major breakthrough in the
developmental plans.
Healthy lifestyle Akniyet.pdf
OTHER FACTORS
• The revolution in information &
Communication Technology offers
tremendous opportunities in providing
an easy & instant access to medical
information once difficult to retrieve.
• It contributes to the
dissemination of information
world wide, serving the needs of
many physicians, health
professionals, bio medical
scientists & researchers, the
mass media & the public.
• Health is not the sole contributor
to the health & wellbeing of
population, the potential of inter
sectoral contributions to the
health of communities is
increasingly recognized.
Healthy lifestyle Akniyet.pdf
THANK YOU

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Healthy lifestyle Akniyet.pdf

  • 1. DETERMINANTS OF HEALTH DR. MAHESWARI JAIKUMAR. maheswarijaikumar2103@gmail.com
  • 3. BIOLOGICAL DETERMINANTS • The physical & mental traits of every human being are determined by the nature of his genes at the moment of conception.
  • 4. • The genetic makeup is unique in the sense it cannot be altered after conception. • A number of diseases are now known to be of genetic origin, E.g., Chromosomal anomalies, errors of metabolism, mental retardation.
  • 6. • Medical genetics offers hope for prevention & treatment of a wide spectrum of diseases, thus the prospect of better medicine & longer & healthier life.
  • 7. • A positive health advocated by WHO implies that a person should be able to express as completely as possible the potentialities of his genetic heritage.
  • 8. BEHAVIOURAL & SOCIO CULTURAL CONDITIONS • Life style denotes “ the way that people live”, reflecting a whole range of social values, attitudes & activities.
  • 9. • It is composed of cultural & behavioural patterns & life long personal habits (Alcoholism,smoking)that have developed through the process of socialization.
  • 11. • Life styles are learnt through social interaction with parents & peer groups, friends, siblings & through school & mass media. • Many current health problems such as coronary heart disease, obesity, lung cancer, drug addiction are associated with life style.
  • 13. • In countries like India risk of illness & death are connected with lack of sanitation, poor nutrition, personal hygiene, elementary human habits, customs & cultural patterns.
  • 14. ENVIRONMENT • It was Hippocrates who first related disease to environment, climate, water, & air. • Later Pettenkoffer in Germany revived the concept of disease – environment association.
  • 16. • Environment is classified as “internal” & “external”. • Internal environment of a man pertains to each & every component part, every tissue organ & organ system & their harmonious functioning within the system.
  • 17. • External or macro environment consists of those things to which man is exposed after conception. • It is defined as “all that which is external to the individual human host”.
  • 18. • It can be divided into physical, biological & psychosocial components , any or all of which affect can affect the health of man & his susceptibility to illness.
  • 19. • Some epidemiologists use the term “micro environment” or domestic environment or personal environment which reflects a person’s way of living & lifestyle. E.g., eating habits, personal habits.
  • 20. • The other environment includes occupational environment, socio economic environment, moral environment.
  • 21. • SOCIO ECONOMIC CONDITIONS • The health of a person is primarily dependent upon the level of socio economic development. • E.g., Per Capita income, GNP, education, nutrition, employment, housing & political system of the country.
  • 23. • ECONOMIC STATUS: The per capita GNP is the most widely accepted measure of general economic performance. • The economic progress of many countries has been a major factor in reducing the morbidity, mortality, increase in life expectancy & improving of the quality of life, family size, & the pattern of disease & deviant behaviour in the community.
  • 24. EDUCATION • Education is the second major influencing factor in affecting the health of the population.
  • 25. • The world map of illiteracy closely coincides with the maps of poverty, malnutrition, ill health, high infant & child mortality rates. • Studies indicate that education to some extent compensates the effects of poverty on health, irrespective of the availability of health facilities.
  • 26. OCCUPATION • Un employment usually shows a higher incidence of ill health & death. • For many, loss of work may mean loss of income & status.
  • 28. • It can cause psychological & social damage. • The very state of being employed in productive work promotes health.
  • 29. POLITICAL SYSTEM • Health is closely related to the political system of a country. • Often the main obstacles to the implementation of health technologies are not technical rather political.
  • 30. • Decisions concerning resource allocation, man power policy, choice of technology & the degree to which health services are made available & accessible to different segments of the society are examples of the manner in which the political system can shape community health services.
  • 31. • The percentage of GNP spent on health is About 3%
  • 32. HEALTH SERVICES • Health services are seen as essential for social & economic development. There is a strong correlation between GNP & Expectation of life at birth & the overall health status of the given population.
  • 33. • Health &Family welfare services aim at improving the health condition of the population. • India being a signatory member , to realize Heath For All has chalked out strategies like the PHC, CHC, HSc, & other peripheral infrastructure.
  • 34. The National preventive programmes such as Immunization programme, AIDS Control programme, Malaria Eradication Prog, Filaria Control Prog, ICDS, The Mid day Meal programme, Family Welfare programmes & Other non communicable disease programmes aim at prevention, promotion & maintenance of the health status of the population.
  • 35. AGING OF THE POPULATION • By the year 2020 the world will have more than one billion people aged 60 & over. • More than two thirds of them living in the developing countries.
  • 36. • A major concern of rapid population aging is the increased prevalence of chronic disease & disabilities. • Therefore aging process needs a special attention
  • 37. GENDER • The 1990 have witnessed a increase concentration on women’s issues. In 1993 The Global Commission on women’s Health was established.
  • 38. • The Commission drew up an agenda for action on women’s health covering nutrition, reproductive health, the health consequences of violence, aging, life style related conditions & occupational environment. • Inclusion of women’s health issues is a major breakthrough in the developmental plans.
  • 40. OTHER FACTORS • The revolution in information & Communication Technology offers tremendous opportunities in providing an easy & instant access to medical information once difficult to retrieve.
  • 41. • It contributes to the dissemination of information world wide, serving the needs of many physicians, health professionals, bio medical scientists & researchers, the mass media & the public.
  • 42. • Health is not the sole contributor to the health & wellbeing of population, the potential of inter sectoral contributions to the health of communities is increasingly recognized.