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SOCIAL DETERMINANTS OF HEALTH
(SDOH) AND THEIR IMPACT ON PUBLIC
HEALTH INITIATIVES
Course: MSC PUBLIC HEALTH AND HEALTH PROMOTION
Student Name
INTRODUCTION
•
Definition of Social Determinants of Health
(SDOH).
•
Importance of SDOH in understanding health
disparities.
•
SDOH responsible for up to 80% of health
outcomes.
•
SDOH encompass various factors, including
education, income, and social support networks
(National Health Authority., 2023)
LEARNING OUTCOMES REVIEW
•
Discuss the critical role of SDOH in public health initiatives.
•
Highlight the impact of SDOH on health disparities.
•
Emphasize the significance of addressing SDOH for improved public health.
•
Reference learning outcomes related to health promotion, inequalities, and social contexts.
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DEFINITION OF SOCIAL
DETERMINANTS OF HEALTH
•
SDOH are conditions where people live, work, and age.
•
Include factors like education, employment, and access
to healthcare.
•
These factors significantly influence health outcomes.
•
Medical care accounts for only 10-20% of health
outcomes.
(Frank et al., 2020)
HISTORICAL CONTEXT OF PUBLIC
HEALTH
•
Evolution of public health from basic sanitation
to comprehensive approaches.
•
Historical examples like improved sanitation
reducing infectious diseases.
•
The transition from solely medical interventions
to addressing social determinants.
•
Public health's role in shaping healthier living
environments.
MISSION AND VISION OF HEALTHY
START
•
Mission:
To improve maternal and infant health outcomes, with a particular
focus on reducing infant mortality rates in disadvantaged communities by
addressing social determinants of health.
•
Vision:
A future where all mothers and infants, regardless of socioeconomic
status, have access to quality healthcare, education, and support, leading to
healthier lives and stronger communities.
(Frank et al., 2020)
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EMERGENCE OF HEALTH
PROMOTION
•
Health promotion emphasizes prevention and
addressing SDOH.
•
Reference the Ottawa Charter for Health Promotion
(1986).
•
Promote strategies to improve overall health and reduce
disparities.
•
Highlight the holistic approach to health and wellbeing.
(National Health Authority., 2023)
CURRENT PUBLIC HEALTH
CHALLENGES
•
Identify modern public health challenges related to
SDOH.
•
Include income inequality, housing insecurity, and
unequal healthcare access.
•
Reference COVID-19 pandemic disparities as an
example.
•
Acknowledge the need to address these challenges for
equitable health outcomes
CHOOSING AN INITIATIVE
•
The importance of selecting a relevant public health initiative.
•
Introduction of "Healthy Start" as the chosen program.
•
Mention its focus on reducing infant mortality in disadvantaged communities.
•
Emphasize the initiative's connection to addressing SDOH
(National Health Authority., 2023)
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INITIATIVE DESCRIPTION
•
"Healthy Start" provides prenatal and postnatal support.
•
Focuses on at-risk mothers and infants.
•
Aims to reduce infant mortality disparities.
•
Targeting disadvantaged communities with higher rates of infant mortality.
(Holt-Lunstad, J., 2022)
INITIATIVE RATIONALE
•
Justification for choosing "Healthy Start."
•
Highlight how the program addresses SDOH.
•
Reference poverty and limited access to healthcare as factors it targets.
•
Show how addressing SDOH positively impacts infant mortality rates.
THEORETICAL FRAMEWORK
•
Explanation of the Health Belief Model and Social Ecological Model.
•
How these models underpin "Healthy Start."
•
Reference their effectiveness in improving maternal and child health.
•
The importance of theoretical frameworks in public health initiatives.
(Holt-Lunstad, J., 2022)
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PREVALENCE OF INEQUALITIES
•
Acknowledge the existence of health inequalities.
•
Provide statistics, e.g., U.S. infant mortality disparities.
•
Emphasize that inequalities are a global concern.
•
Highlight disparities within and between countries
(Hill-Briggs et al., 2023)
CHARACTERISTICS OF
INEQUALITIES
•
Discuss factors contributing to health inequalities.
•
Mention socioeconomic status, race, and gender.
•
How these factors intersect and amplify disparities.
•
Show that health inequalities affect various populations differently.
(
Bharmal et al., 2015)
IMPACT OF INEQUALITIES
•
Explain the consequences of health inequalities.
•
Mention adverse health outcomes and increased costs.
•
Reference the economic burden of health disparities.
•
Acknowledge the need to address inequalities for overall well-being.
(Catalyst, N.E.J.M., 2017)
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SOCIAL CONTEXT AND
INTERVENTIONS
•
Stress the importance of understanding the social
context.
•
Tailoring interventions to address SDOH
effectively.
•
Reference targeted programs like "Healthy Start"
as successful examples.
•
Highlight the role of cultural sensitivity in
interventions.
(Catalyst, N.E.J.M., 2017)
CONCLUSION
•
Summarize the key role of SDOH in public health initiatives.
•
Emphasize the importance of addressing SDOH for health equity.
•
Reinforce the need for holistic approaches to public health.
•
Connect SDOH to the presentation's learning outcomes.
REFERENCES
•
National Health Authority. (2023). National Health Authority.
https://nha.gov.in/
•
Frank, J., Abel, T., Campostrini, S., Cook, S., Lin, V.K. and McQueen, D.V., 2020. The social
determinants of health: time to re-think?.
International journal of environmental research and public
health
,
17
(16), p.5856.
•
Bharmal, N., Derose, K.P., Felician, M. and Weden, M.M., 2015. Understanding the upstream social
determinants of health.
California: RAND
, pp.1-18.
•
Hill-Briggs, F. and Fitzpatrick, S.L., 2023. Overview of social determinants of health in the
development of diabetes. Diabetes Care, 46(9), pp.1590-1598.
•
Holt-Lunstad, J., 2022. Social connection as a public health issue: The evidence and a systemic
framework for prioritizing the “social” in social determinants of health. Annual Review of Public
Health, 43, pp.193-213.
•
Catalyst, N.E.J.M., 2017. Social determinants of health (SDOH). NEJM Catalyst, 3(6).
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