U4AOS1 - Global Health Trends And Differences Flashcards
classifying countries
GNI
GNI
gross national income
- this is the average income
- updates every year 1st July each year
- can also be measured in relation to gross domestic product per capita but GNI is more accurate
groups of GNI
high income
upper middle income
lower middle income
low income
overview > GNI
- high income countries generally have access to resources for global trade
- middle income countries are in the process of building infrastructure and developing trade links around the world
- low income countries often lack the infrastructure, knowledge and production capabilities to produce a wide range of goods and services that can be traded on a global scale
$12056 >
high income
e.g. Australia, Canada, USA
$3896-$12055
upper middle income
e.g. China, Mexico, Cuba
$996-$3895
lower middle income
e.g. India, Cambodia
< $995
low income
e.g. Chad, Uganda
characteristics of high, middle and low incomes
economic
social
environmental
economic characteristics
poverty levels
range of industries
opportunities for trade
average income
poverty levels
- defined as the lack of access to resources
* lower for high income
range of industries
wider for high income
opportunities for trade
global trade available for high income
average income
higher for higher income countries
social charcteristics
gender equality levels education social security systems health systems access to technology legal systems
gender equality levels
higher in high income countries
- females may have more time spend on tasks such as collecting water and can’t work in low income countries
birth rates and population rates
- low birth rates and slow rates of population growth are characteristics of high income countries
- access to contraception, choice in family planing, career choices, education and gender quality all contribute to the difference
- high birth rates can limit the resources available to parents / families
- high population growth limits the ability of the government to provide services for its citizens such as education, healthcare and social security
education
high rates of education and employment are characteristic of high income countries and people have a choice of career
social security systems
- high levels of economic development and relatively stable political system / high income countries have a higher ability to provide social security to people in need
health systems
high income countries generally have a public health system
access to technology
more accessible in high income countries
legal systems
most high income countries have strong legal and political systems
environmental characteristics
safe water and sanitation food security adequate housing adequate infrastructure levels of carbon dioxide emissions
safe water and sanitation
high income or middle income countries have both of these
food security
people in high income countries generally have access in a quality food supply
adequate housing
many low or middle income countries lack access to adequate housing
- urban slums are also more common
adequate infrastructure
high income countries generally have better infrastructure
levels of carbon dioxide emissions
high income countries emit greater amounts of carbon dioxide
health status differences
life expectancy
mortality and morbidity
burden of disease
life expectancy
- increased in most countries over time
- low and middle income countries are more susceptible to issues and severe fluctuations
- often the lower the life expectancy and HALE decrease with the level of income
- female life expectancy and HALE is higher than males in all income brackets
mortality and morbidity
child mortality and morbidity
adult mortality and morbidity
child mortality and morbidity
this is a reflection of nutrition and health status of mothers levels of immunisation, health literacy of mothers, income and food availability, availability of clean water, safe sanitation and overall safety of children’s environment
- lower rates are characteristic of higher income countries
- undernutrition contributes heavily
adult mortality and morbidity
- usually due to the impacts of lifestyle factors such as tobacco smoking, excessive alcohol, unsafe sex leading to HIV/AIDS
- premature deaths usually increase as income decreases
burden of disease
- rates of communicable and non-communicable diseases and injuries are higher in middle and low income countries
- YLL rates for most cases are higher in low and middle income countries than in high income countries including Australia
- well developed health systems can reduce YLL
- YLD is increased in Australia as the YLL is reduced // YLL is higher in middle or low income countries
- the rates of YLD increase with life expectancy // as people live longer they are more likely to experience chronic non-communicable conditions
access to safe water and sanitation
access to safe water includes consumption, food preparation and cooking, washing and hygiene as well as agriculture and production
- responsible for around 3% of total global DALY and over 1.2 million deaths
- most impacts in low or middle income countries
waterborne diseases
includes gastro, diarrhoea, cholera
- diarrhoea causes 1.1 million preventable child deaths per year / as water is consumed to treat cases it causes a dangerous cycle
- undernutrition causes 450,000 preventable child deaths per year with most deaths in low and middle income countries
- lack of access to safe water enforces the poverty cycle
- stagnant water is required for malaria carrying mosquitos
access to sanitation
- globally 2.5 billion people lack access to basic sanitation
- waste in the streets can get into waterways and transmit diseases
- one of the main causes of contaminated water supply in low and middle income countries increasing DALY from infectious diseases including worms
- girls may often not attend school when they are menstruating due to inadequate society
- repeated infections often occur due to inadequate sanitation/ this can drain family income and make it difficult to break the poverty cycle
poverty
defined in terms of income and is measured in a number of different ways
- living on a certain amount of less per day (US$1.90/day) [absolute]
- living on less than 50% of countries average income [relative]
- the divide in wealth means that low and middle income countries experience concerns associated with poverty such as high rates of communicable diseases and higher rates of child and adult mortality
poverty can prevent access to
nutritious food clean water and sanitation education healthcare housing
nutritious foods
undernutrition is usually linked to the inability to afford nutritious foods
clean water and sanitation
lack of access spreads disease
education
results in higher literacy rates and enforces the poverty cycle
healthcare
poverty reduces ability to afford healthcare and can increase YLD & YLL
housing
houses that rely on burning fuels may have higher air pollution rates / can reduce ability to stay safe from climates and violence
inequality and discrimination
equality and freedom from discrimination are basic human rights
- discrimination may be the reason that resources
- inequality in health status often occurs as a result of inability to access resources such as education, employment and healthcare
groups who experience inequality are more likely to
- have higher rates of depression and anxiety
- having higher rates of premature deaths including under 5 mortality rates
- more likely to be a victim of violence
race
affects people’s abilities to participate in healthcare, society and education
- Indigenous people suffer high rates of ill health and disability and have shortened life expectancy
- racism and discrimination prevent access to healthcare for indigenous people
- there is a substantial poverty gap between indigenous and non-indigenous people