Healthier environments
-Helped to increase the community’s health and to dramatically reduce toxic emissions such as lead and mercury.
Healthier mothers babies
-In the 1900’s many major health threats were assosciatedwith poor maternal and infant health.
-Today the health of mothers and children in Canada is among the best in the world.
-Really good maternitiy leave(important in health)
Motor-Vehicle safety
In 1998, Canada’s road fatality rate was ranked ninth among 29 member countries.
Safer and healthier foods
Canada is well known worldwide for it’s safe and high-quality food.
Recognition of tobacco use as a health hazard
more control of tobacco in recent years then any other country in the world.
Decline in tobacco consumption, along with a pervasive shift in attitudes.
Decline in deaths from heart disease and strok
-decrease in death rates
-Canada is a world leader in the treatment and control of hypertension
Universal policies
-benefits that are awarded solely on the basis of age, residence or citizenship.
Acting on Social Determinants of health
Many factors outside the healthcare system has strengthened public health’s commitment.
-family allowance programs
-Watershed document -‘Ottawa charter for Health Promotion
Determinants of Health
Physical & Social
-Income and Income Distribution (Social Status)
-Education and literacy
-Unemployment, Job security
-Physical environment
*Geography, housing, food security
-Health Services
-Gender
-Culture race and rascism
-Social Environments
Income
Money impacts resources, impacting housing, general health and food security
lack of money increases stress and increases the risk of health threatening coping behaviours.
Education & Literacy
Functional, interactive literacy, critical
-Tied to income
-enables increased understanding and ability to obtain and use information.
Unemployment, job security and working conditions
-example nursing, and working conditions
-stress ex. migrate workers not very good conditions
Early childhood development
-ages 0-6 are most impactful
-child obesity is a major concern
-caring environments and supporting parenting.
Physical environment
- geography housing food security (insecurity)
- safe drinking water, fresh air
-position in society and location of healthcare facilities
Health services
What is available and what is acessible
Primary Healthcare
-High level
-patient centre
-early access
-equal access
-Health promotion
eg. prenatal care, immunization clinics, education services, assisted living.
Gender
Stereotypes
females -less money=less access
Males -increased social exclusion and die prematurely
Culture race and racism
Systemic racism- policy laws, regulations colonization
-distress, anxiety depression
-intergration, employment, food housing.
Social environment
-Social safety net, social exclusion, disability
do you have family and or connection?
Ottawa charter
Policy and health promotion, peace education, shelter, food, income . . .
Healthy equity
-Health is a human right
-Healthy inequity puts those disadvantaged at a further disadvantage
Social justice
-fairness, examines roots of inequities
SDHOH strageties
Health promotion - increasing well being and self actualization
disease prevention - action to avoid or foresee all illness/disease
Health promotion
- build healthy public policy
-create supportive environments
-strengthen community action. - develop personal skills
-reorient health services.
