Health and Human Development Unit 4
Health and Wellbeing in a Global Context
Health and the Sustainable Development Goals
Characteristics of high, middle and low income countries
Dimensions of sustainability
Factors that contribute to differences in health status of different income countries
Concepts of human development
Implications of global trends
SDG 1
SDG 2
SDG 3
SDG 4
SDG 5
SDG 6
SDG 13
Gender Equality
No Poverty
Zero Hunger
Quality Education
Clean Water and Sanitation
Good Health and Wellbeing
Climate Action
Rationale of UN's SDGs
Priorities and work of the WHO
Sectors
The maternal mother has a 5-year-old daughter who is very communicative towards her very uncommunicative cat who has left a substance on the road that will be hard to reproduce as it isn't universally covered by health and could end up being a harmful chemical or pollutant.
Tobacco wouldn't make a very good vaccine or medicine so it wouldn't support the healthcare workforce or act as a warning system for global health risks.
Achieving universal health coverage
Promoting healthier populations
Addressing health emergencies
New set of goals and targets were needed when the Millennium Development Goals (MDGs) finished in 2015
Progress in all areas across regions and countries was uneven and left people disadvantaged due to poverty, sex, ethnicity, age, disability and geographical location
The arising of new global challenges such as increasing conflict and extremism, widespread migration, economic and financial instability, and large scale environmental change.
Objectives of the UN's SDGs
End extreme poverty
Fight inequality and injustice
Address climate change
Education
Health
Transport
Agriculture
Government
Legal
Water and Sanitation
Finance
Energy
Service access and quality
Health workforce
Access to medicines, vaccines and health products
Governance and finance
Health information systems
Advocacy
Country support
Provide all people everywhere access to essential healthcare, meet main health and wellbeing needs
Sufficient, trained, provide to everyone's needs
Safe, effective, essential medicines and vaccines (meet main needs of population)
WHO works with countries to strengthen government capacity to provide a health system, policies, services and funding
WHO works with countries to provide health information systems, helps to assess health system performance
WHO provides leadership by increasing global awareness and benefits of universal health coverage
WHO works with countries to support them on all levels in meeting health priorities
Building capacity to keep world safe from epidemics and health emergencies
Quick access to essential health services during health emergencies
Improving human capital across the lifespan
Accelerating action on preventing non-communicable diseases and promoting mental health
Accelerating elimination and eradication of high impact communicable diseases
Tackling antimicrobial resistance
Addressing health effects of climate change in small island developing States and other vulnerable States
Focus on early childhood, child and adolescent health and development
Focus on family planning, pregnancy and childbirth
Alcohol, tobacco, diet, exercise
Access to effective treatment
Road accidents, traffic
Increase awareness and understanding of misuse or overuse of anitmicrobials
2030 target of ending AIDS, TB malaria etc.
WHO works to prevent pollution based disease, support small island developing states with resilient health systems to extreme weather
High
Middle
Low
Upper middle
Lower middle
Economic
Economic
Economic
Economic
Categorised by GNI (Gross National Income per capita) developed by the World Bank
Low levels of poverty
High levels of poverty
Higher levels of poverty than high income, lower levels than low income
Higher levels of poverty than high income, lower levels than low income
Wide range of industries
Limited range of industries, mainly focused on agriculture and farming
Reflect aspects of both low and high income countries in terms of trade. They are in a transition period with increasing trade opportunities and growing economies
Reflect aspects of both low and high income countries in terms of trade. They are in a transition period with increasing trade opportunities and growing economies
High opportunities for global trade
Low opportunities for global trade
Limited range means it can be severely affected by natural disasters like drought, making global trade even more difficult
High levels of infrastructure
High knowledge and experience with global trade
In process of developing infrastructure and building trading links
In process of developing infrastructure and building trading links
Low levels of infrastructure
Social
Social
Social
Social
High levels of gender equality
Low levels of gender equality
Achieving greater gender equality
Achieving greater gender equality
Low birth rates
High birth rates
Birth rates lower than low income, higher than high income
Birth rates lower than low income, higher than high income
High rates of education and employment
Low education and employment rates
Families must pay for children to attend school
Higher education and employment rates
Governments contribute funds for schooling
Higher education and employment rates
Governments contribute funds for schooling
Governments contribute funds for schooling
Developed social security systems, relatively stable political systems
Low social security systems, do not have means to assist citizens
Low social security systems, do not have means to assist citizens
Low social security systems, do not have means to assist citizens
Developed health system
Access to public healthcare
Lack access to suitable healthcare
Lack access to suitable healthcare
Lack access to suitable healthcare
Strong political and legal system
Unstable governments, political unrest
Some have unstable governments, political unrest
Some have unstable governments, political unrest
Environmental
Environmental
Environmental
Environmental
Safe water and sanitation
Many have safe water and sanitation
Many have safe water and sanitation
Low levels of sanitation, limited or no access to safe water
High levels of food security
Lack food security
Increasing levels of food security
Increasing levels of food security
Lack access to adequate housing
Lack access to adequate housing
Lack access to adequate housing
Urban slums are common
Urban slums are common
Urban slums are common
High levels of adequate housing
Greater amounts of CO2 emissions
More heavily impacted by climate change due to lack of economic resources
More heavily impacted by climate change due to lack of economic resources
More heavily impacted by climate change due to lack of economic resources
HDI (Human Development Index)
Defining human development
PPPCCKHD
Environmental
Economic
Social
Define sustainability: Meeting the needs of the present without compromising the ability for future generations to meet their own needs
Dimensions
A long a healthy life
Knowledge
A decent standard of living
Indicator: Life expectancy at birth
Indicator: GNI per capita
Indicators: Mean years of schooling (average no, of years in school for people aged 25 and over), expected years of schooling (expected years of schooling for children of school entry age)
Lead PRODUCTIVE and creative lives according to their needs and interests
Advantages
Limitations
Takes more than just average incomes into account
Provides a single statistic based on four indicators and three dimensions, making comparison easier
Effective for analysing overall progress of countries
Only reflects selected aspects of human development, doesn't include things such as gender equality or freedom of speech
Based on averages, doesn't provide indication of inequalities that exist within countries
Survey data is not collected in the HDI, people's feelings about their lives and communities not reflected
Ensuring average incomes in all countries are adequate to sustain a decent standard of living and continue to rise in line with inflation and increase in the cost of living
Job creation
Trade
Innovation and diversity of industries
Creating an equitable society that meets the needs of all citizens and can be maintained indefinitely
Ensuring natural environment is used in a way that will preserve resources into the future
Climate change
Biodiversity
Use of natural resources
Waste removal and pollution
Economic growth
Gender equality
Peace and security
Elimination of poverty and provision of social protection systems
Promotion of political and legal rights
Access to safe and decent working conditions
Access to essentials such as housing, food, and basic healthcare. E.g. Centrelink
Eliminating discrimination and violence against women
Better represent minorities in politics such as women or Indigenous populations
Reduction of conflict and/or war
Range prevents economic catastrophe when a specific industry is interrupted e.g. agriculture interrupted by drought
People earn a wage and contribute to country's economy
More jobs required as population grows, industries need to continue to evolve
Sustained growth in GNI per capita to counter inflation and so governments can keep providing services and infrastructure
Cannot be done where future generations' ability to sustain economic growth is compromised e.g. depleting natural resources such as coal where it won't be available in the future
Reducing unfair trade e.g. Fairtrade creating decent working conditions and fair prices for producers in low or middle income countries
Variety of all forms of life and the ecosystems they make up
An imbalance in ecosystem due to extinction of a vital species could lead to things like food insecurity for humans e.g. bees pollinating plants that humans rely on for food
Sustainable use of renewable resources such as solar energy, wind, timber where the rate of usage matches or is less than the rate of regeneration
Non-renewable resources do not regenerate very quickly e.g. fossil fuels and will eventually run out, future generations will not be able to use
Minimising and treating waste where possible to reduce impacts on environment
Reduce disease risk
Nutrient rich soil
Safe, clean water
Minimising helps stabilise weather and rainfall patterns, sea levels stop rising, communicable disease rates decrease, ecosystems can be maintained
PARTICIPATE in the decisions that affect their lives and the community
Develop to their full POTENTIAL
Expand their CHOICES
Enhance their CAPABILITIES
Access to KNOWLEDGE
Access to HEALTH and lead a long and HEALTHY life
Have access to resources in order to experience a DECENT standard of living
Access to safe water
Sanitation
Poverty
Inequality and discrimination
Global distribution
Tobacco
Alcohol
Processed foods
Climate change
Conflict and mass migration
Increased world trade and tourism
Digital technologies
Low income countries tend to lack adequate infrastructure to provide safe, clean water to those who need it, leading to higher rates of waterborne disease such as dysentery and cholera compared to high income countries such as Australia
In low income countries, more time is spent in ill health or collecting water from distances via walking as a result of lack of access, therefore less time spent in school for children and work or education for women. Long distances could lead to musculoskeletal conditions
Stagnant water is an ideal breeding ground for malaria carrying mosquitoes, disease is more prevalent in low income as a result
Inadequate facilities like toilets available for disposal of human faeces and urine in many low and middle income countries. People defecate in the open in places like gutters or near open bodies of water which contaminates water utilised for consumption. This can lead to diseases like cholera as a result
Few schools in low and middle income countries have toilets, so many girls don't attend, especially when menstruating. Due to lack of private toilets, girls are expected to wait until it's dark before relieving themselves which can be a risk to harassment, assault or animal attacks
Low income countries have a lower GNI than middle and high income countries and therefore poverty is more prevalent and governments have less available funds to spend on improving infrastructure such as schools for education, or services such as sanitation, safe water, health services, and social protection measures (pensions, welfare, disability payments). This can lead to increased rates of communicable diseases or injury compared to high income countries
However, GNI doesn't indicate distribution of wealth in a country so low and middle income countries can still have few very wealthy people who are more likely to suffer from non-communicable diseases such as cancers, cardiovascular disease and type 2 diabetes. This contributes to a double burden of disease in low and middle income countries
Lack of access to nutritious food and adequate housing, more common in low income
Poor ventilation leads to increase rates of respiratory conditions such as asthma
Race
Religion
Gender
Sexuality
Sex
Important because: lack of income leads to lack of resources and infrastructure (food, shelter, clothing, healthcare). Lack of income reduces ability for countries to economically develop which leads to a lower HD
Aims to ensure no person is living on $1.90 USD a day by 2030
Aims to halve the number of men, women and children living in poverty by 2030
Building resilience of those in vulnerable situations and reducing exposure to natural disasters that may result in poverty by 2030
Important because: high mortality rates, particularly for children, as a result of millions suffering chronic hunger and malnutrition
Aims to end all forms of malnutrition and hunger by 2030 by ensuring all people, especially children, pregnant women and vulnerable individuals, have access to adequate, safe and nutritious food
Tax on cigarettes is non-existent in many low and middle income countries, you can purchase individual cigarettes too (cheaper)
Higher rates of smoking in many low and middle income countries is contributing to an increased BOD, particularly YLL. Many are due to cancer (lung), cardiovascular disease (high blood pressure, lack of oxygen in blood), respiratory conditions (asthma)
Indirectly: scarce financial resources, money spent on tobacco may therefore mean there is less available for food, clothes, shelter, healthcare. Increased risk of disease not directly related to tobacco use, such as communicable disease like measles
Low and middle income often have less education, campaigns, road laws and healthcare services related to alcohol consumption
Excessive drinking leads to increased rates of liver disease, stomach cancer. Money spent on alcohol indirectly impacts like tobacco does
Any food items that have been deliberately changed before being ready for consumption. Many are healthy to consume regularly (frozen veggies, canned fruit), many aren't (added salts, sugars)
Neglect of traditional foods, that are often low in fat, for westernised foods that are high in saturated fats, salt and/or sugar and contribute to a more energy dense diet. This leads to higher incidence of increase in obesity, hypertension, atherosclerosis. Contributes to double burden of disease.
Challenges
Rising sea levels as a result of expansion of water as it warms and increase in volume from melting of ice glaciers
Define: A global trend is a pattern of social, environmental and economic activity that will have an affect at some stage in the future and require action to be taken on a global scale
Changes in weather patterns and extreme weather
Challenges
Biodiversity
Coastal areas
Fresh water availability
Food availability