Dimensions of health.pptx

CHN

1. Dimensions of health Presented by Deepa Manandhar Lecturer Community Health Nursing

2. Dimensions of health Health is multidimensional. The WHO definition envisages three specific dimensions - the physical, the mental and the social.

3. Physical dimension Physical dimension views heath form physiological perspective. It conceptualizes health that as biologically a state in which each and every organ even a cell is functioning at their optimum capacity and in perfect harmony with the rest of body.

4. Mental dimension Ability to think clearly and coherently. This deals with sound socialization in communities. Mental health is not merely an absence of mental illness.

5. Mental dimension Mental health is a state of balance between the individual and the surrounding world, a state of harmony between oneself and others, coexistence between the relatives of the self and that of other people and that of the environment.

6. Social dimension It refers the ability to make and maintain relationships with other people or communities. It states that harmony and integration within and between each individuals and other members of the society.

7. Social dimension Social dimension of health includes the level of social skills one possesses, social functioning and the ability to see oneself as a member of a larger society.

8. Spiritual dimension Spiritual health is connected with religious beliefs and practices. It also deals with personal creeds, principles of behavior and ways of achieving peace of mind and being at peace with oneself.

9. Spiritual dimension Spiritual health in this context, refers to that part of the individual which reaches out and strives for meaning and purpose in life. It is the intangible "something" that transcends physiology and psychology.

10. vocational dimension It is part of human existence. Work often plays a role in promoting both physical and mental health.

11. vocational dimension Physical work is usually associated with an improvement in physical capacity, while goal achievement and self-realization in work are a source of satisfaction and enhanced self-esteem. The importance of this dimension is exposed when individuals suddenly lose their jobs or are faced with mandatory retirement.

12. other dimensions philosophical dimension cultural dimension socio-economic dimension environmental dimension educational dimension nutritional dimension curative dimension preventive dimension.

13. Determinants of health Health is multifactorial . It is always under the influence of various factors which interact with each other and determine the health status of any individual, family and community at large at given point of time .

14. Determinants of health Biological determinants Behavioral and Socio-cultural Environment Socio-economic condition Health services Ageing of the population Gender Other factors

15. Determinants of health 2. Behavioral and Socio-cultural It is composed of cultural and behavioural patterns and lifelong personal habits (e.g., smoking, alcoholism) that have developed through processes of socialization.

16. Determinants of health 2. Behavioral and Socio-cultural Lifestyles are learnt through social interaction with parents, peer groups, friends and siblings and through school and mass media. Health requires the promotion of healthy lifestyle.

17. Determinants of health 3.Environmental factor Environment is classified as "internal" and "external ". Internal environment pertains to "each and every component part, every tissue, organ and organsystem and their harmonious functioning within the system".

18. Determinants of health 3.Environmental factor It is defined as "all that which is external to the individual human host ". It can be divided into physical, biological and psychosocial components, any or all of which can affect the health of man and his susceptibility to illness.

19. Determinants of health 3.Environmental factor Biological: disease producing agent (e.g. bacteria, virus, fungi ) Physical : Air, water, light, noise, soil, climate, altitude, radiation housing, waste etc. Psychosocial: psychological make up of individual and structure and functioning of society. E.g. habit, beliefs, culture, custom, religion etc.

20. Determinants of health 4. Socio-economic condition It consist of education, occupation and income . The very state of being employed in productive work promotes health, because the unemployed usually show a higher incidence of ill-health and deaths . For the majority of the world's people, health status is determined primarily by their level of socio-economic development,

21. Determinants of health 5. Health services: cover a wide spectrum of personal and community services for treatment of diseases, prevention of disease and promotion of health . The purpose of health services is to improve the health status of population . For example, immunization of children can influence the incidence/prevalence of particular disease.

22. Determinants of health 6. Ageing population: By the year 2020, the world will have more than one billion people aged sixty or over and more than two-thirds of them living in developing countries. A major concern of rapid population aging is the increased prevalence of chronic diseases and disabilities both being condition that tend to accompany the aging process and deserve special attention.

23. Determinants of health 7 . Gender: The 1990s have witnessed an increased concentration on women's issues . In 1993, the Global Commission on Women's Health was established .

24. Determinants of health 7 . Gender: The commission drew up an agenda for action on women's health covering nutrition, reproductive health, the health consequences of violence, ageing, lifestyle related conditions and the occupational environment.

25. Determinants of health 8. Other determinants: Other contributions to the health of population derive from systems outside the formal health care system, i.e., health related systems (e.g., food and agriculture, education, industry, social welfare, rural development), as well as adoption of policies in the economic and social fields that would assist in raising the standard of living.

26. Responsibility for health Health is on one hand a highly personal responsibility and on the other hand a major public concern . It thus involves the joint efforts of individual, the community and the state to protect and promote health.

27. Responsibility for health Health is on one hand a highly personal responsibility and on the other hand a major public concern . It thus involves the joint efforts of individual, the community and the state to protect and promote health.

28. Responsibility for health Individual responsibility: self care for maintaining their own health. Community responsibility: health care for the people to the health care by the people.

29. Responsibility for health 3. State responsibility: The responsibility for health does not end with the individual and community effort. In all civilized societies, the State assumes responsibility for the health and welfare of its citizens.

30. Responsibility for health 4. International responsibility: The health of mankind requires the cooperation of governments, the people, national and international organizations both within and outside the United Nations system in achieving our health goals.