Introduction to Epidemiology for Global Health
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Racial and Ethnic Disparities in Health Care, Updated 2010
RACIAL AND ETHNIC DISPARITIES IN HEALTH CARE, UPDATED 2010 American College of Physicians A Position Paper 2010 Racial and Ethnic Disparities in Health Care A Summary of a Position Paper Approved by the ACP Board of Regents, April 2010 What Are the Sources of Racial and Ethnic Disparities in Health Care? The Institute of Medicine defines disparities as “racial or ethnic differences in the quality of health care that are not due to access-related factors or clinical needs, preferences, and appropriateness of intervention.” Racial and ethnic minorities tend to receive poorer quality care compared with nonminorities, even when access-related factors, such as insurance status and income, are controlled. The sources of racial and ethnic health care disparities include differences in geography, lack of access to adequate health coverage, communication difficulties between patient and provider, cultural barriers, provider stereotyping, and lack of access to providers. In addition, disparities in the health care system contribute to the overall disparities in health status that affect racial and ethnic minorities. Why is it Important to Correct These Disparities? The problem of racial and ethnic health care disparities is highlighted in various statistics: • Minorities have less access to health care than whites. The level of uninsurance for Hispanics is 34% compared with 13% among whites. • Native Americans and Native Alaskans more often lack prenatal care in the first trimester. • Nationally, minority women are more likely to avoid a doctor’s visit due to cost. • Racial and ethnic minority Medicare beneficiaries diagnosed with dementia are 30% less likely than whites to use antidementia medications. -
Global Governance, International Health Law and WHO: Looking Towards the Future Allyn L
Global governance, international health law and WHO: looking towards the future Allyn L. Taylor1 Abstract The evolving domain of international health law encompasses increasingly diverse and complex concerns. Commentators agree that health development in the twenty-first century is likely to expand the use of conventional international law to create a framework for coordination and cooperation among states in an increasingly interdependent world. This article examines the forces and factors behind the emerging expansion of conventional international health law as an important tool for present and future multilateral cooperation. It considers challenges to effective international health cooperation posed for intergovernmental organizations and other actors involved in lawmaking. Although full consolidation of all aspects of future international health lawmaking under the auspices of a single international organization is unworkable and undesirable, the World Health Organization (WHO) should endeavour to serve as a coordinator, catalyst and, where appropriate, platform for future health law codification. Such leadership by WHO could enhance coordination, coherence and implementation of international health law policy. Keywords Treaties; International law; Legislation, Health; World health; International cooperation; Intersectoral cooperation; World Health Organization (source: MeSH, NLM). Mots cle´s Traite´ s; Droit international; Le´gislation sanitaire; Sante´ mondiale; Coope´ration internationale; Coope´ration intersectorielle; Organisation mondiale de la Sante´(source: MeSH, INSERM). Palabras clave Tratados; Derecho internacional; Legislacio´ n sanitaria; Salud mundial; Cooperacio´ n internacional; Cooperacio´n intersectorial; Organizacio´ n Mundial de la Salud (fuente: DeCS, BIREME). Bulletin of the World Health Organization 2002;80:975-980. Voir page 979 le re´sume´ en franc¸ais. En la pa´ gina 980 figura un resumen en espan˜ ol. -
Global SDG Baseline for WASH in Health Care Facilities Practical Steps to Achieve Universal WASH in Health Care Facilities
Global SDG baseline for WASH in health care facilities Practical steps to achieve universal WASH in health care facilities Questions and Answers What is meant by WASH in health care facilities? The term “WASH in health care facilities” refers to the provision of water, sanitation, health care waste, hygiene and environmental cleaning infrastructure and services across all parts of a facility. “Health care facilities” encompass all formally-recognized facilities that provide health care, including primary (health posts and clinics), secondary, and tertiary (district or national hospitals), public and private (including faith-run), and temporary structures designed for emergency contexts (e.g., cholera treatment centers). They may be located in urban or rural areas. Why is WASH in health care facilities so important? WASH services are fundamental to providing quality care. Without such services, health goals, especially those for reducing maternal and neonatal mortality, reducing the spread of antimicrobial resistance and preventing and containing disease outbreaks will be not met. WASH is also critical to the experience of care. Services such as functional and accessible toilets with menstrual hygiene facilities and safe drinking-water support patient and staff dignity and fulfill basic human rights. With a renewed focus on primary health care services through the Astana Declaration and a renewed focus on preventing early childhood deaths through the Every Child Alive Campaign the opportunity to address WASH in health systems strengthening has never been greater. What are the current global estimates for WASH in health care facilities? The WHO and UNICEF Joint Monitoring Programme (JMP) 2019 SDG baseline report establishes national, regional and global baseline estimates that contribute towards global monitoring of SDG 6, universal access to WASH. -
Globalization and Infectious Diseases: a Review of the Linkages
TDR/STR/SEB/ST/04.2 SPECIAL TOPICS NO.3 Globalization and infectious diseases: A review of the linkages Social, Economic and Behavioural (SEB) Research UNICEF/UNDP/World Bank/WHO Special Programme for Research & Training in Tropical Diseases (TDR) The "Special Topics in Social, Economic and Behavioural (SEB) Research" series are peer-reviewed publications commissioned by the TDR Steering Committee for Social, Economic and Behavioural Research. For further information please contact: Dr Johannes Sommerfeld Manager Steering Committee for Social, Economic and Behavioural Research (SEB) UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR) World Health Organization 20, Avenue Appia CH-1211 Geneva 27 Switzerland E-mail: [email protected] TDR/STR/SEB/ST/04.2 Globalization and infectious diseases: A review of the linkages Lance Saker,1 MSc MRCP Kelley Lee,1 MPA, MA, D.Phil. Barbara Cannito,1 MSc Anna Gilmore,2 MBBS, DTM&H, MSc, MFPHM Diarmid Campbell-Lendrum,1 D.Phil. 1 Centre on Global Change and Health London School of Hygiene & Tropical Medicine Keppel Street, London WC1E 7HT, UK 2 European Centre on Health of Societies in Transition (ECOHOST) London School of Hygiene & Tropical Medicine Keppel Street, London WC1E 7HT, UK TDR/STR/SEB/ST/04.2 Copyright © World Health Organization on behalf of the Special Programme for Research and Training in Tropical Diseases 2004 All rights reserved. The use of content from this health information product for all non-commercial education, training and information purposes is encouraged, including translation, quotation and reproduction, in any medium, but the content must not be changed and full acknowledgement of the source must be clearly stated. -
Different Perspectives for Assigning Weights to Determinants of Health
COUNTY HEALTH RANKINGS WORKING PAPER DIFFERENT PERSPECTIVES FOR ASSIGNING WEIGHTS TO DETERMINANTS OF HEALTH Bridget C. Booske Jessica K. Athens David A. Kindig Hyojun Park Patrick L. Remington FEBRUARY 2010 Table of Contents Summary .............................................................................................................................................................. 1 Historical Perspective ........................................................................................................................................ 2 Review of the Literature ................................................................................................................................... 4 Weighting Schemes Used by Other Rankings ............................................................................................... 5 Analytic Approach ............................................................................................................................................. 6 Pragmatic Approach .......................................................................................................................................... 8 References ........................................................................................................................................................... 9 Appendix 1: Weighting in Other Rankings .................................................................................................. 11 Appendix 2: Analysis of 2010 County Health Rankings Dataset ............................................................ -
What the Public Thinks About Menatl Health and Mental Illness
What the Public Thinks about Mental Health and ~entaleI1lness A paper presented by Shirley A. Star, Senior Study Director National Opinion Research Center, University of Chicago to the Annual Meeting The National Association for Mental Health, Inc. November 19, 1952 For the past two and a half years, the National Opinion Research Center has been engaged upon a pioneering study of the-American public's thinking in the field of mental health, under the joint sponsorship of the National Association for Mental Health and the National Institute of Mental Health, It is a vast and ambitious project, and I'm afraid that the title which has been assigned to my remarks about .the study is going to prove to be misleading in at least two ways. In the first place, and this must be obvious, both the title given me and the scope of the study cover Ear more ground than I could possibly present in the course of one afternoon. About all I can do today is hit a few of the high spots in public thinking and emphasize beforehand that the study aims to be inclusive. You can pretty well assume that it contains some information on just about any question in the area you might raise, even though I don't refer to many of them. So, as they say in the more enterprising shops--"If you don't see what you want, ask for it," In the second place, and this is more serious, I am in the em- barrassing position of having to stand here this afternoon and honestly- -2- admit that I don1t -know what the public thinks as yet. -
Fundamentals of Public Health Nutrition (3 Credit Hours) Fall: 2018 Delivery Format: E-Learning in Canvas
University of Florida College of Public Health & Health Professions Syllabus PHC 6521: Fundamentals of Public Health Nutrition (3 credit hours) Fall: 2018 Delivery Format: E-Learning in Canvas Instructor Name: Dr. von Castel Room Number: FSHN 227 Phone Number: 352 Email Address: [email protected] *****PLEASE USE THIS NOT CANVAS Office Hours: by appointment via phone,conferences (in canvas) or Lync(Microsoft) Preferred Course Communications: email through ufl.edu Prerequisites None PURPOSE AND OUTCOME Public health nutrition involves the promotion of health through nutrition and the prevention of nutrition related disease in a population. It focuses on improving the food choices, dietary intake, and nutritional status at the community, regional, or national level. The public health nutrition professional works to assess nutritional problems and needs by considering environmental causes, identifying intervention points, developing policies and programs to intervene at those points, implementing the policies or programs, and evaluating the effectiveness of the intervention. Course Overview This course will provide an introduction to Public Health Nutrition and the role of the Public Health Nutrition professional. Emphasis will be on definition, identification and prevention of nutrition related disease, as well as improving health of a population by improving nutrition. Malnutrition will be discussed on a societal, economic, and environmental level. It will include the basics of nutritional biochemistry as it relates to malnutrition of a community and targeted intervention. Finally, it will review existing programs and policies, including strengths, weaknesses and areas for modification or new interventions. Relation to Program Outcomes MPH Competencies covered 1. Monitor health status to identify and solve community health problems 2. -
Emergence, Hegemonic Trends and Biomedical Reductionism Jens Holst
Holst Globalization and Health (2020) 16:42 https://doi.org/10.1186/s12992-020-00573-4 DEBATE Open Access Global Health – emergence, hegemonic trends and biomedical reductionism Jens Holst Abstract Background: Global Health has increasingly gained international visibility and prominence. First and foremost, the spread of cross-border infectious disease arouses a great deal of media and public interest, just as it drives research priorities of faculty and academic programmes. At the same time, Global Health has become a major area of philanthropic action. Despite the importance it has acquired over the last two decades, the complex collective term “Global Health” still lacks a uniform use today. Objectives: The objective of this paper is to present the existing definitions of Global Health, and analyse their meaning and implications. The paper emphasises that the term “Global Health” goes beyond the territorial meaning of “global”, connects local and global, and refers to an explicitly political concept. Global Health regards health as a rights-based, universal good; it takes into account social inequalities, power asymmetries, the uneven distribution of resources and governance challenges. Thus, it represents the necessary continuance of Public Health in the face of diverse and ubiquitous global challenges. A growing number of international players, however, focus on public- private partnerships and privatisation and tend to promote biomedical reductionism through predominantly technological solutions. Moreover, the predominant Global Health concept reflects the inherited hegemony of the Global North. It takes insufficient account of the global burden of disease, which is mainly characterised by non- communicable conditions, and the underlying social determinants of health. -
Where Can International Health Take You?
Where can International Health Take You? DEPARTMENT OF INTERNATIONAL HEALTH The Department of International Health Since 1961, our mission has been to protect the lives of underserved populations across the globe. We achieve this by understanding health problems and developing efficient, affordable means of preventing and treating disease. To serve the world’s most vulnerable populations, we draw on all public health disciplines. We conduct research, educate scientists and health professionals, guide health policy and public health practice, and build institutional capacity that can result in sustained, improved health for all. International Health Graduates For over 50 years, the Department of International Health has trained global health leaders. Our alumni hold principal roles at international agencies, ministries of health, research institutions, foundations, and volunteer organizations. To help prospective students see the opportunities available to our graduates, we have highlighted alumni from each of our program areas and degree programs. Program Areas Degrees Offered • Global Disease Epidemiology and Control • Master of Science in Public Health (MSPH) • Health Systems • Doctor of Philosophy (PhD) • Human Nutrition • Doctor of Public Health (DrPH) • Social and Behavioral Interventions • Master of Health Science (MHS) in Health Economics Additional master’s programs • MSPH/Peace Corps • MSPH/Registered Dietitian Program • MSPH/MA Dual Degree with School of Advanced International Studies (SAIS) www.jhsph.edu/InternationalHealth Global Disease Epidemiology GLOBAL DISEASE EPIDEMIOLOGY AND CONTROL Global Disease Epidemiology & Control (GDEC) PROGRAM trains students to be future & Control leaders in identifying disease etiologies, and in the design, implementation and evaluation of biomedical interventions to prevent, mitigate or treat diseases of James Fuller, MSPH ’11 Kriti Jain, MSPH ’11 global public health importance. -
Water, Sanitation and Hygiene in Health Care Facilities: Driving Transformational Change for Women and Girls Wateraid/ James Kiyimba Wateraid
Water, sanitation and hygiene in health care facilities: driving transformational change for women and girls WaterAid/ James Kiyimba WaterAid/ 1 Water, sanitation and hygiene in health care facilities: driving transformational change for women and girls Access to clean water, sanitation and hygiene (WASH) in healthcare facilities is a fundamental component of Universal Health Coverage (UHC) and underpins the delivery of safe, quality health services for all, especially women and girls. As the main users of health services and the primary caregivers for family members in many countries around the world, the burden of poor WASH in healthcare facilities falls disproportionately on women. Improving access to WASH in healthcare settings, designed with gender considerations, can contribute to sustainable improvements in the quality of healthcare services, supporting core aspects of UHC including equity and dignity, and ultimately, to positive health and empowerment outcomes for women and their families. Despite being a fundamental component of health systems, WASH services are too often neglected and under-prioritised by governments and development partners. In 2018, the United Nations Secretary General issued a Global Call to Action to elevate the importance of, and prioritize action on, WASH in healthcare facilities. This is in line with the SDGs WaterAid/ James Kiyimba WaterAid/ on health (SDG 3) and clean water and sanitation (SDG 6), and supports a long-term vision that all healthcare facilities provide quality care in a safe, clean environment -
Core Principles to Reframe Mental and Behavioral Health Policy 2
Getty Images / Maskot Core Principles to Reframe Mental and Behavioral Health Policy January 2021 Historic and modern-day policies rooted in discrimination and oppression have created and widened harmful inequities impacting many communities of color. Effectively and equitably addressing mental health requires intervening at systemic and policy levels to dismantle the structures that produce negative outcomes like generational poverty, intergenerational and cultural trauma, racism, sexism, and ableism. Changing social, economic, and physical environments alongside key mental and behavioral health supports through immediate relief and longer-term fixes impact individual and community mental health and wellbeing. An individual’s mental health is impacted by and informs nearly every aspect of their life, identity, and community. CLASP looks at how one’s social, economic, and physical environment impact individual and community views of mental health and wellbeing. To improve mental health outcomes, we must think about an individual and family’s economic security, family support, and their community’s built environment. CLASP recognizes the influence of intergenerational and cultural trauma on communities and believes that all mental and behavioral health practices should be trauma-informed and healing- centered. Policymakers must significantly reform and reimagine systems that support the wellbeing of people with low incomes. This includes, but is not exclusive to: • Universal health coverage, as noted in our health care principles; • Recognizing -
Vaccinating the World in 2021
Vaccinating the World in 2021 TAMSIN BERRY DAVID BRITTO JILLIAN INFUSINO BRIANNA MILLER DR GABRIEL SEIDMAN DANIEL SLEAT EMILY STANGER-SFEILE MAY 2021 RYAN WAIN Contents Foreword 4 Executive Summary 6 Vaccinating the World in 2021: The Plan 8 Modelling 11 The Self-Interested Act of Vaccinating the World 13 Vaccinating the World: Progress Report 17 Part 1: Optimise Available Supply in 2021 19 Part 2: Reduce Shortfall by Boosting Vaccine Supply 22 The Short Term: Continue Manufacturing Medium- and Long-Term Manufacturing Part 3: Ensure Vaccine Supply Reaches People 37 Improving Absorption Capacity: A Blueprint Reducing Vaccine Hesitancy Financing Vaccine Rollout Part 4: Coordinate Distribution of Global Vaccine Supply 44 Conclusion 47 Endnotes 48 4 Vaccinating the World in 2021 Foreword We should have recognised the warning signs that humanity’s international response to Covid-19 could get bogged down in geopolitical crosscurrents. In early March 2020, a senior Chinese leader proclaimed in a published report that Covid-19 could be turned into an opportunity to increase dependency on China and the Chinese economy. The following month, due in part to the World Health Organisation’s refusal to include Taiwan in its decision- making body, the Trump administration suspended funding to the agency. In May 2020, President Trump announced plans to formally withdraw from it. Quite naturally, many public-health experts and policymakers were discouraged by the growing possibility that global politics could overshadow efforts to unite the world in the effort to fight the disease. However, this report from the Global Health Security Consortium offers hope. It recommends a strategic approach to “vaccine diplomacy” that can help the world bring the pandemic under control.