Class 2 Promoting Population Health Equity Flashcards
Determinants of health
Human right to health
Illustrate the proximal (downstream), intermediate (midstream), and distal (upstream) determinants of health inequities in structurally disadvantaged populations/groups/ communities in Manitoba/Canada.
significance of addressing health inequities/disparities
“…is an approach to health that aims to improve the health of the entire population and to reduce health inequities among population groups….it acts upon the broad range of factors and conditions that have a strong influence on our health”
Population health
Peace
Shelter
Education
Food
Income
A stable ecosystem
Sustainable resources
Social justice
Equity
Prerequisites for health
Treating everyone the same, without considering their circumstances and attributes. It is assumed that everyone will benefit from the same supports.
Equality
Focuses on fairness and equality in outcomes, not just in supports and opportunity. Individuals are given different supports to make it possible for them to have equal access.
Equity
is the fair distribution of resources needed for health, fair access to the opportunities available, and fairness in the support offered to people when ill.
Health equity
the process of ensuring fair distribution of society’s benefits, responsibilities and consequences. Its defining attributes are equity and human rights, democracy/civil rights, and just institutions.
SOCIAL JUSTICE
works with people where they live, work, learn, worship, and play to promote health….CHNs work in various settings such as homes, schools, workplaces, streets, shelters, [religious institutions], field hospitals, community health centres, and outpost nursing stations” (Phillips & Schofield)
Chn
depicts three broad categories, each containing a number of components that support PHNs in promoting the health of the client. The graphic is circular, with the client at the centre, implying that each area is equally important in contributing to well-being. As depicted in the graphic, a number of features define a unique PHN scope and function. These include Community Health Nurses of Canada standards and competencies; professional regulatory standards; the Canadian Nurses Association Code of Ethics; PHN theoretical foundation; and values and principles. The category of community organizations includes the delivery of PHN services; PHN professional relationships and partnerships; and management practices. The category of system refers to government support and determinants of health. In the centre of the graphic, the concept of client pertains to “individuals, families, groups, communities, populations and systems”
PROFESSIONAL PRACTICE MODEL (2019)
CHNs seek to identify and assess the root and historical causes of illness, disease and inequities in health
CHNs integrate health promotion into practice using the five Ottawa Charter health promotion strategies
CHNs include cultural safety and cultural humility approaches in all health promotion interventions
CHNs evaluate and modify health promotion activities in partnership with the client
Health promotion
to promote self-management of disease, maximize function, enhance quality of life
CHNs support life transitions including acute, chronic, or terminal illness, and end of life
Health Maintenance, Restoration & Palliation
The focus is to recognize barriers to health and to mobilize and build on existing strengths.
CHNs use a comprehensive mix of strategies such as coalition building, inter-sectoral collaboration, community engagement and mobilization, partnerships and networking to build community capacity to take action on priority issues
Capacity building