Role of national and international policy in public health, and the links between global and local health Flashcards

1
Q

Define public health policy?

A

Laws, regulations, actions, decisions implemented within society to promote wellness and meeting health goals

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2
Q

How do public health policies change the difference in health among different groups, and what is the overall effect of this on the population?

A

Reduces differences in health among groups and overall increases healthiness

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3
Q

Are public health policies mostly implemented to help people recover from illness or prevent getting ill?

A

Mostly focused on preventing people from becoming ill in the first place

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4
Q

What gross categories are the 3 largest causes of death, and why is public health policy changes essential in these causes?

A

Noncommunicable diseases, injuries, infectious diseases

Deaths caused by these can be reduced and prevented by public health policy changes

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5
Q

Why are public health policies the best solution to addressing social/wider (non-medical factors) determinants of health?

A

Public health policies can implement mandatory improvements in housing, education, employment as their goal is to overall improve health and wellbeing

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6
Q

What is meant by public health policies having been criticised by the public for being from a ‘nanny state’?

A

Government/policies are overprotective or interfering unduly with personal choice (invasion of civil liberty)

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7
Q

How should public health policies avoid being criticised by public for being from a ‘nanny state’?

A

Policy should be balanced between dictating public behaviour and giving useful advice for public to make own informed decisions

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8
Q

Which act introduced public health policies, and which board was established to make policies?

A

Public Health act 1848

Established General Board of Health

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9
Q

Why was the establishment of Public Health act 1848 and General Board of Health an important first step in improving national health?

A

It increased government and social consciousness about hygiene and living conditions

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10
Q

Give 2 ways in which evidence is needed to implement a policy for a specific health problem in the political agenda?

A

Need evidence to prove that something is a problem

To show that a policy can be made to address the problem

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11
Q

Are all policies implemented by Westminster adopted UK wide or not, and why?

A

Most implemented UK wide

Some administrations in other home nations don’t agree with policy position of Westminster, so they develop own policies

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12
Q

Which UK home nations have adopted the minimum alcohol unit policy and why?

A

Introduced by Scotland and adopted by Wales and Ireland, in order to reduce excessive drinking

Not adopted by England

Minimum alcohol unit policy: Minimum price an alcoholic drink can be sold for, aims to reduce drinking

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13
Q

In 1848 in London, describe the living conditions and how the Public Health act improved this?

A

London had poor living conditions and streets full of sewage

Act caused underground sewage pipes to be built across London (biggest civil engineering project across world at the time)

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14
Q

In 1950s-60s, give 3 examples of policies that were introduced by the Public Health act 1848 in order to reduce road deaths in Britain?

A

Policies were combined, which significantly reduced road deaths

Eg. Introduced speed limit, highway code, safe crossing for pedestrians

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15
Q

Does smoking increase risk of developing other serious health conditions, and why was this considered a serious problem in UK in 1970s?

A

Smoking increases risk of developing over 50 serious health conditions

In 1970s ~50% population smoked

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16
Q

What was the biggest and most effective policy change introduced by the Public Health act 1848, to reduce smoking in the UK?

A

Banning smoking in public places in 2007

Others were introducing patches, raising legal buying age to 18

17
Q

How did public health policies implement health promotion, protection and services against HIV/AIDS?

A

Promotion: Educated people

Protection: Offers free condoms

Services: Testing for STDs, support and treatment for HIV/AIDs

18
Q

Which 2 public health policies were introduced in UK to reduce childhood obesity?

A

Sugar tax

Advertising less healthy food and drink only after 9pm

19
Q

Which organisation develops global public health policies, and why them instead of the member states?

A

WHO

Make policies that they encourage member states to adopt, as this reduces pressure on national governments to develop own policies

20
Q

How many member states are under WHO, and how are they divided?

A

194 member states

Divided into 6 WHO regions

21
Q

What are the 3 roles of WHO, in order to produce global policies?

A

Review epidemiological evidence

Produce comparative evidence to support advocacy

Produce recommendations and policies to support member states

22
Q

When did WHO introduce Sustainable Development Goals, and what is there main function?

A

Introduced on 1st January 2016

Calls for action by all countries and income levels to promote prosperity (economic growth) while protecting planet

23
Q

How do Sustainable Development Goals balance prosperity and protecting the planet?

A

SDGs address social needs and job opportunities whilst reducing climate change and pollution

They recognise that ending poverty occurs with strategies that increase economic growth

24
Q

Which year should the specific target of each Sustainable Development Goal be reached by?

A

2030

25
Q

Explain the cyclic process model of public health policy making?

A

Problem is identified and added to political agenda

Policy solutions are made, chosen and implemented

Effectiveness is evaluated

26
Q

Is the cyclic process model of public health policy making completely accurate?

A

No, it is oversimplified

27
Q

Explain the Multiple streams theory model of public health policy making, theorised by John Kingdom?

A

3 streams are problems, policies and politics which coexist and fluctuate overtime

Policy window occurs when streams align and an ideal solution can be created to fix all streams

28
Q

Why is the Multiple streams theory model of public health policy making considered an unpredictable process?

A

People lobby to get different problems onto political agenda