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L5 Global Health & Social Justice (SDGs (No Poverty 1 in 5 ppl in…
L5 Global Health & Social Justice
Convergence Model
convergence of the health status of countries
5 Maj areas of Interventions
RMNCH
pregnancy related interventions
abortion & complications
family planning
Diarrhoea management
Pneumonia treatment
Immunisation
Nutriton
HIV
Prevention activities
Management of opportunistic infections
Care & treatment
Collaborative TB-HIV treatment
Malaria
Treatment w/ appropriate drugs
Long-lasting insecticidal bed nets
Intermittent presumptive treatment in pregnancy
TB
Diagnosis, care & treatment of drug-sensitive TB
Diagnosis, care & treatment of multidrug-resistant TB
Neglected Tropical Diseases
Interventions to control: lymphatic filariasis, onchocerciasis, schistosomiasis, trachoma, soil-transmitted helminths
3 Domains of Health Challenges
High rates of avertable infectious, child & maternal deaths
→ Unfinished agendas
Demographic change & shift in GBD towards NCDs & injuries
→ Emerging Agenda
Impoverished medical expenses, unproductive cost ⇈s
→ Cost agenda
4 Main Global Health Messages
A
grand convergence
in health is achievable within our lifetime
The
returns from investing in health
are extremely impressive
Fiscal policies
are powerful, underused lever for curbing NCDs & injuries
Progressive pathways to
universal health coverage
are an efficient way to achieve health & financial protection
SDGs
No Poverty
1 in 5 ppl in developing regions live on <$1.25 per day
Maj ppl living like ^ from: Southern Asia & sub-Saharan Africa
Zero Hunger
1 in 9 ppl globally : undernourished
Asia= continent w/ most hungry ppl
Quality Education
More than half of children have not enrolled in school in sub-Saharan Africa
Estimated 50% of out-of-school children (primary schl age) live in conflict-affected areas
Gender Equality
~ 2/3 of countries in developing regs have achieved gender parity in primary ed.
in sub-Saharan Africa, Oceania & Western Asia: girls still face barriers to entering 1o & 2o school
Life below water
Oceans absorb ~ 30% of CO2 produced by humans, buffering impacts of global warming
Oceans serve as world's largest source of prot
Life on Land
Desertification: 74% of the poor are directly affected by land degradation globally
Biodiversity: >80% of human diet is provided by plants
NCDs : Global Picture
Cancer
Lung disease
heart disease
diabetes
Mental illness
Facts
leading cause of global deaths
not disease of the rich
not only for aged ppl
don't just affect men
not disease of the lazy
deaths can be averted today!
Double Burden of Disease
now many nations, esp poorest ones, face having high burdens of 'traditional' diseases [ malaria, HIV & TB] but also now NCDs [diabetes & cancer]
Child Mortality - 6 Maj causes
Diarrhoeal diseases
Malaria
Neonatal Infection
Pneumonia
Pre-term delivery
Lack of oxygen @ birth
Malnutrition + lack of safe water + lack of sanitation = half of these deaths
Low-tech, evidence based, cost-effective measures will reduce by 1/2 the preventable deaths [6Mil out of 11Mil deaths]
Vaccines
Antibiotics
Micronutrient supplementation - Vit A, ZInc, Iodine, Fe
Insecticide-treated nets (Malaria)
Improved fam care
Breastfeeding pracs (Maternal health)
8 Imp Global Health Issues
Diarrhoeal diseases
Pneumonia
Malaria & insecticide-treated nets
Childhood Immunisations & Vaccines & Polio
Micronutrient supplementation- Vit A, Zn, Iodine, Fe
Maternal Health- leading causes of death
Who are the neglected tropical diseases?
living w/ coronary heart disease & diabetes in a developing country