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