5 & 6 Flashcards
(16 cards)
ppl reaching their max healht potential & arent disadvantaged from ti bcs socially determined circumstance
health equity
health inequity can be….
systemic: health difference is patterned
socially produced: through soc & eco conditions
unfair & unjust
circumstances in which ppl born, grow up and work & are influenced y a wider set of forces; soc eco politics
social determinants of health SDOH
target vs priority pop
PH
= ppl who are at risk of adverse health outcomes, & PH intervention couild’ve have a substantial impact @ pop lvl
= same thing bt due to socialluy produced inequities
why is cultural humility better than cultural safety cultural awareness?
self reflection
self relfection to understand personal and ysstemic bias / culturiva a respectful rel based on mutual trust
=> must acknowlege yourself as a learner bcs your norm arent alwyas correct or universal
upstream vs midstream vs downstream
cause
= fix cause of the cause; attack power structures and income
= fix cause; material circumstances such as housing
= clinical care
how to treat health inequity
univnersal approach vs targeted streategies
same health status ./. Small Start for
–> dir to an entire pop based on the belief that every society’s memebr should have the = health status
London health unit rec water as first choice of bev
-> dir to sub group for certain cocerns
Small Start for Babies for low income pregnant women on ehalthy eating
how to treat healht inequity
include a range of reposnses for diff lvl of disadvantage
proportionate universalism
a blended approach to treat health inequity
specific strategy / prenatl immigrant program
targeting w/ universalism
dvlop specific streategies to treat healht inequity or adjust unviersal intervention to < accessibility for certain groups
= adjust universal prenatal curriculum to teach in arrabic
why conduct a SA?
1) id
2) program’s implementation
3) boss
- learn abt pop of interest: id commu health wants assets
- assess trends & issues that’d affect program’s implementation
- help write funding priposal w/ boss
STEP 1A: assess pop health & surveilance
ii) assess ___ ____ w/ epi
if no surveillance data,
brainstorm PH issue & data: statemetn and key qs
ii) enviro scans / surveillance data / commu health status indicators
- look into PH lit / experts
- => be aware of data limitations
surveillance data can be
____ / morbidity / _____
e.g smoking
e.g breastfeeding
sociodemographics / mortality
risk factors
preventative health practice
step 1b:
step 1b: conduct an enviro scans
if target / priority pop id, / summarise commu assess
- key informant intw, survey, focus groups
- invovle them in
- use SWOT / PESTLE analysis to guide qs when talking w/ commu partners
- linkage gap priorities / all info gathered / prioritise certain stake holders
describe the overall steps of situational assessment
1A: pop health assessment and surveilance
1b: comm assesment
2: id target / priority pop
3: syntheise and summarise findings
what is Situational Assessment aned when is it conducted?
systematic process to gather / synthesise and / comm data to inform planning decisions on actions and goals of health promo program
-> early in the planning process
in addtition to commu needs, SA should also
look for __-SDOH
show the (+) strengths and assets
be the result of ongoing, meaningful input from the intended audience
enviro-socio DOH