Comm Test 3: Global Health Flashcards
over a billion persons without health care in year 2000 more than that now, global statistic take 15 years to compline, 99% will be in resource poor nations
Characteristics of a global population:
- Density= polarization then rural or remote
- Uneven distribution of population= density china
- Aids ridden countries is 35-40 years in underdeveloped country
- rich and poor are becoming polarized
- global trend of urbanization: Urban sprawl=more suburbs going into farmland / close to a city far out enough to have space / density issue drive to nearest hospital
global health
resurgence of things we thought was eradicated or new strains
-global disease and spread:
Right to health
10 initiatives – right for equality, vast = quicker dev and slower dev 1. Economic and social dev, 2. right to participate in planning= with not to
3. Gov have responsibility to their people, not just politics
4. Primary Health care came up
5. Finally dev governmental strategies for global health= have to have a plan
6. cooperation between countries, not separate entities all together
-Designed to work with global agencies, HP 2020 (future)=should come out 12 years ahead of time, gold standard
Key components of Alma Ata (initiatives)
stainable dev= look at quality of life for the future, Ex: new building at UINDY isn’t totally green, be eco friendly, will be able to sustain better
stressors Ex: lead poisoning, air pollution and effects, worry more about noise= closer together more there sprawl goes out affects ppl it didn’t before
Garbage problem globally
Global warming= polarized caps melt and water level will rise = change ecology of the planet
Natural disasters
Terrorism and war
- Environmental factors of a global population:
- 57 million deaths from disease communicable 37 million are from non-communicable diseases
- Millions of deaths from violence and trauma injury is on the rise
- Epidemiologic transmission from country Ex: import something form Indonesia then they have bugs we don’t know what to do with then we have illness
- Dev countries are more focused n new disease
- Underdeveloped are focused on old = immunization huge focus
- Patterns of health and disease of a global population:
-after initial conference these are the areas we want to focus
-U.S. only super power left, feed 75% of world
Eradicate extreme hunger and poverty.
Universal primary education.
Gender equality and empower women.
Reduce child mortality rate.
Improve maternal health.
Combat AIDS/HIV, TB, malaria……..=not US
Ensure environmental sustainability.
Global partnerships for development.
Millennium development goals
- formal mandate every human being has a right regardless of status country self, holist stats basis on which some of the initiatives occurred
right to health
- Lack of political commitment to health care Ex: war torn/ women is the major benefactor neonatal care, women thought of alive to breed
- Lack of basic human rights Ex: like Burmese refuges
- Infrastructure= not there, not sufficient, not supported
- Greed and power Ex: Gov in power are in power for themselves and who can benefit me
- Lack of resources Ex: education=power, health care
- black market sales Ex: iffy countries gov that is semi-stable question if they will get to the right person , can be sold on market never got to where they were intended
- transportation- means of getting it there, means of protection, stable gov
8 most don’t have medical schools, health edu - technological things- are almost obsolete, older generations
10 agriculture- some ability to feed itself - what would you do to have a stable gov: be able to grow, medical school, participation with residents
Why is difficult to progress in slow growth countries?
- things don’t get where things should go,resource allocation clusters around curative services at great cost, neglect of potential primary prevention and health promotion
Shortcomings of global health care delivery
misdirected care
- way too much in areas that don’t need it
Public spending on health services most often benefit the rich not the poor
Shortcomings of global health care delivery
Inverse care
- lots of specialties, not seen by same doc twice in ER/ one physician for each problem contraindication for meds Ex: Tb lady with lap top tried to end
- excessive specialization of health care provides and narrows the focus on many disease control programs, discourages a holistic approach, do not appreciate the need for continuity of care
Fragmented and fragmenting care
shortcoming of global heath care delivery
- poor system design that is unable to ensure safety and hygiene standards lead to high rates of HAI, medication errors in dev countries, poor equipment, not enough supplies, unclean environment
Unsafe care
shortcoming of global health care delivery
- lack of emphasis or protection by the gov, doesn’t protect marginal pop they are keeping them in same socioeconomic status and health status/ out of pocket expenses aren’t able to pay because it is more expensive, lack of reimbursement
Impoverishing care
shortcomings of global health care delivery
- one side, many entities involved, organizations that cross geo-political barriers, UNICEF working with WHO
Multilateral
health organization
- two sides, parties share a common problem/ Indonesia sending fruit with bugs to a developed country (japan), countries have to work together to fix the problem= Indonesia inspects it and Japan does too
Bilateral
health organization
- funding from private groups like faith groups or philanthropic groups, International Red Cross= very well organized does get some money from government, Bill Gates Foundation , Johnson & Johnson
Nongovernmental Organizations (NGO) health organization
: where you provide services and supplies to needy countries while trying to sell your own products
Realized giving different kinds of products might not be culturally or ethnically sensitive = on what products should be supplied Ex: birth control to Africa that is a big no no
May upset economy with outside goods= sensitive to what is in place
*Commodification
NGO health organization
