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SANDEEP SINGH JADON
G.R. MEDICAL COLLEGE
GWALIOR
Concept of Health &Concept of Health &
diseasedisease
Concept of health
Biomedical concept
Ecological concept
Psychological concept
Holistic concept
DEFINATION OF HEALTH
“Health is a state of complete physical, mental and social well being
and not merely the absence of disease or infirmity”.
WHO’s 191 member states have endorsed this statement.
Physical Health
The body structure and functions confirming to laid down standards
Within the range of normal development and functions of all the
systems.
• adequate body weight,
• Height
• circumference as per age and sex
• acceptable level of vision,
• hearing,
• locomotion or movements
• acceptable levels of pulse rate,
blood pressure, respiratory rate,
• chest circumference,
• headcircumference,
• waist hip ratio.
 Mental health is defined “as a state of well being in which
the individual realized his or her own abilities, can cope with
normal stresses of life, can work productively and fruitfully
and is able to make a contribution to his or her community”.
The positive dimension of mental health is stressed in WHO’s
definition of health as contained in its constitution
Mental health
• A mentally normal person has the ability to -----------
• mix up with others,
• he/she makes friendship,
• behaves in a balanced manner,
• keeps himself tidy
• observes adequate personal hygiene,
• well oriented to time, place and person & Environments
• he is unduly not suspicious of others.
• He is cheerful and happy and enjoys life with a purpose and
he thinks positively and has normal development and
contributes fully and is useful and productive to society and
nation.
Social well-being
 It is the third dimension of health.
It means ability of a person to adjust with others in his social
life, at home, at work place and with people.
Men interact with men and they inter-relate and inter depend
on each other and pay their effective role in accordance with a
situation.
Essentially social wellbeing includes inter-relation and
interaction of human beings.
Social wellbeing is a composite function of income level, literacy,
occupation and working conditions marital harmony, institution
of a family, social groups and have good cultural and behavioral
patterns of the society.
 Social wellbeing can be measured on scale by taking in to
consideration of indicators like-
income,
literacy, (socio economic status of family).
occupation
DIMENSION OF HEALTH
• Physical dimension
• Mental dimension
• Social dimension
• Spiritual dimension
• Emotional dimension
• Vocation dimension
• Philosophical dimension
• Cultural dimension
• Socio-economic dimension
• Environmental dimension
• Educational dimension
• Nutrition dimension
• Curative dimension
• Preventive dimension
Positive health
Definition- perfect functioning of body and mind
-biological component: every cell of body work in optimum
capacity and harmony with body
-psychological component: feeling of well
being and control over his environment
- social component: capacity of individual to participate in
social system optimally
State of positive health may never be reality, remains
partially fulfilled
Concept of well being
Standard of living
Level of living
Quality of life
i.physical quality of life(PQLI)
ii. Human development index(HDI)
SPECTRUM OF HEALTH
Concept
-health and disease lie on a spectrum
-health is dynamic phenomenon, not a static, prone to
continuous change.
-transition from optimum health to illness is mostly
gradual
Highest point of spectrum- positive health
Lowest point- death
Determinants of health
Heredity
Health services
 Promotive,
preventive,
curative,
rehabilitative
Environment
 Physical, social,
biological and man-
made
Behavior
 Actions
 Habits
 Reactions
 Belief,
attitudes
 Practices
(Lifestyles)
Health
1.Biological determinant: genetic determinant (e.g. Chromosomal
anomalies)
2.Behavioral: habit and lifestyle(e.g. smoking, alcoholism)
3.enviormental:internal & external
4.socioeconomic:income(scabies in poor),education(lesser IMR in
Kerala),occupational (pneumoconiosis)
5.health system and services: accessibility, availability of health
services
6.cultural:customs,beliefs,practices(e.g. purdah system- vita D
deficiency)
7.agening-older age(chronic diseases, disability)
8.gender-women’s health(e.g. nutritional anemia, domestic violence)
9.science and technology(radiation induced carcinoma)
10.equality and social justice(e.g. nutritional problem in poor,
vulnerable)
DETERMINANT OF HEALTH AND DISEASE
Ecology of health
Ecology of health is study of relationship between
variations in man’s environment and his health.
agent
environment
host
Epidemiology : is study of relationship between variations in man’s environment and
his health. Ecology embrace the inter-relationship of all living thing. thus
epidemiology constitutes a special application of human ecology
Right to health
Health is a fundamental human right.
The attainment of highest possible level of health is the most
important world wide social goal.
Health indicators of community
 It is some what easier to defined health for an individual.
But to define “community health” it is some what more difficult.
 “Community health” parameters are different from health
parameters of an individual.
“Community health” can be measured through indicators of
economics, (gross national product gross national income and
per capita income), life expectancy, under five mortality, infant
mortality, literacy level, composite index of human
development, maternal mortality etc.
Health indicators of community
A community is healthy when it enjoys sound health where disease
and death rate is acceptably low, it is not threatened with bad
environments and its economy is sound and the health resources are
available, practices are sound and based on scientific evidences.
Its literacy levels are high and demographically it has balanced sex
ratio and people live long, quality of life is good and human
development index is high.
A village is said to be healthy if it has: safe sources of improved water
supply, safe method of waste water disposal, paved streets, disposal of
garbage refuse and animal excreta by manure pits, people use sanitary
latrines, female literacy is high, girls enrolment is universal, deliveries
are conducted by trained persons, birth rate and death rate are within
acceptable limits, immunization coverage is high and housing
condition is good.
Health indicator
• Mortality indicator
• Morbidity indicator
• Disability rate - i. HALE ii. QALY iii. DALY
• Nutritional status indicator - doctor population ratio
• Health care delivery indicator- availabilty of hospital
• Utilization rates
• Indicator of social and mental health- sucides, homicides etc.
• Environmental indicator- safe water ,air etc.
• Socio-economic indicator- GNP etc.
• Health policy indicator
• Indicator of quality of life- PQLI etc.
• Social indicator
• Basic needs indicator
Health indicator
Mortality indicator-
i. crude death rate
ii. life expectancy
iii. infant mortality rate
iv. maternal morality rate
v. child death rate (1-4 year)
Morbidity indicator
i. incidence rate
ii. Prevalence rate
“Any restriction or lack of ability to perform an
activity in the manner or within or within the range
considered normal for a human being”.
i. Restrictive activity days
ii. Bed disability days
iii. Work loss days
iv. Sullivan index
Disability rates:-
Thank you

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Concept of health 2017

  • 1. SANDEEP SINGH JADON G.R. MEDICAL COLLEGE GWALIOR Concept of Health &Concept of Health & diseasedisease
  • 2. Concept of health Biomedical concept Ecological concept Psychological concept Holistic concept
  • 3. DEFINATION OF HEALTH “Health is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity”. WHO’s 191 member states have endorsed this statement.
  • 4. Physical Health The body structure and functions confirming to laid down standards Within the range of normal development and functions of all the systems. • adequate body weight, • Height • circumference as per age and sex • acceptable level of vision, • hearing, • locomotion or movements • acceptable levels of pulse rate, blood pressure, respiratory rate, • chest circumference, • headcircumference, • waist hip ratio.
  • 5.  Mental health is defined “as a state of well being in which the individual realized his or her own abilities, can cope with normal stresses of life, can work productively and fruitfully and is able to make a contribution to his or her community”. The positive dimension of mental health is stressed in WHO’s definition of health as contained in its constitution Mental health
  • 6. • A mentally normal person has the ability to ----------- • mix up with others, • he/she makes friendship, • behaves in a balanced manner, • keeps himself tidy • observes adequate personal hygiene, • well oriented to time, place and person & Environments • he is unduly not suspicious of others. • He is cheerful and happy and enjoys life with a purpose and he thinks positively and has normal development and contributes fully and is useful and productive to society and nation.
  • 7. Social well-being  It is the third dimension of health. It means ability of a person to adjust with others in his social life, at home, at work place and with people. Men interact with men and they inter-relate and inter depend on each other and pay their effective role in accordance with a situation. Essentially social wellbeing includes inter-relation and interaction of human beings. Social wellbeing is a composite function of income level, literacy, occupation and working conditions marital harmony, institution of a family, social groups and have good cultural and behavioral patterns of the society.
  • 8.  Social wellbeing can be measured on scale by taking in to consideration of indicators like- income, literacy, (socio economic status of family). occupation
  • 9. DIMENSION OF HEALTH • Physical dimension • Mental dimension • Social dimension • Spiritual dimension • Emotional dimension • Vocation dimension • Philosophical dimension • Cultural dimension • Socio-economic dimension • Environmental dimension • Educational dimension • Nutrition dimension • Curative dimension • Preventive dimension
  • 10. Positive health Definition- perfect functioning of body and mind -biological component: every cell of body work in optimum capacity and harmony with body -psychological component: feeling of well being and control over his environment - social component: capacity of individual to participate in social system optimally State of positive health may never be reality, remains partially fulfilled
  • 11. Concept of well being Standard of living Level of living Quality of life i.physical quality of life(PQLI) ii. Human development index(HDI)
  • 12. SPECTRUM OF HEALTH Concept -health and disease lie on a spectrum -health is dynamic phenomenon, not a static, prone to continuous change. -transition from optimum health to illness is mostly gradual Highest point of spectrum- positive health Lowest point- death
  • 13.
  • 14. Determinants of health Heredity Health services  Promotive, preventive, curative, rehabilitative Environment  Physical, social, biological and man- made Behavior  Actions  Habits  Reactions  Belief, attitudes  Practices (Lifestyles) Health
  • 15.
  • 16. 1.Biological determinant: genetic determinant (e.g. Chromosomal anomalies) 2.Behavioral: habit and lifestyle(e.g. smoking, alcoholism) 3.enviormental:internal & external 4.socioeconomic:income(scabies in poor),education(lesser IMR in Kerala),occupational (pneumoconiosis) 5.health system and services: accessibility, availability of health services 6.cultural:customs,beliefs,practices(e.g. purdah system- vita D deficiency) 7.agening-older age(chronic diseases, disability) 8.gender-women’s health(e.g. nutritional anemia, domestic violence) 9.science and technology(radiation induced carcinoma) 10.equality and social justice(e.g. nutritional problem in poor, vulnerable) DETERMINANT OF HEALTH AND DISEASE
  • 17. Ecology of health Ecology of health is study of relationship between variations in man’s environment and his health. agent environment host Epidemiology : is study of relationship between variations in man’s environment and his health. Ecology embrace the inter-relationship of all living thing. thus epidemiology constitutes a special application of human ecology
  • 18. Right to health Health is a fundamental human right. The attainment of highest possible level of health is the most important world wide social goal.
  • 19. Health indicators of community  It is some what easier to defined health for an individual. But to define “community health” it is some what more difficult.  “Community health” parameters are different from health parameters of an individual. “Community health” can be measured through indicators of economics, (gross national product gross national income and per capita income), life expectancy, under five mortality, infant mortality, literacy level, composite index of human development, maternal mortality etc.
  • 20. Health indicators of community A community is healthy when it enjoys sound health where disease and death rate is acceptably low, it is not threatened with bad environments and its economy is sound and the health resources are available, practices are sound and based on scientific evidences. Its literacy levels are high and demographically it has balanced sex ratio and people live long, quality of life is good and human development index is high. A village is said to be healthy if it has: safe sources of improved water supply, safe method of waste water disposal, paved streets, disposal of garbage refuse and animal excreta by manure pits, people use sanitary latrines, female literacy is high, girls enrolment is universal, deliveries are conducted by trained persons, birth rate and death rate are within acceptable limits, immunization coverage is high and housing condition is good.
  • 21. Health indicator • Mortality indicator • Morbidity indicator • Disability rate - i. HALE ii. QALY iii. DALY • Nutritional status indicator - doctor population ratio • Health care delivery indicator- availabilty of hospital • Utilization rates • Indicator of social and mental health- sucides, homicides etc. • Environmental indicator- safe water ,air etc. • Socio-economic indicator- GNP etc. • Health policy indicator • Indicator of quality of life- PQLI etc. • Social indicator • Basic needs indicator
  • 22. Health indicator Mortality indicator- i. crude death rate ii. life expectancy iii. infant mortality rate iv. maternal morality rate v. child death rate (1-4 year) Morbidity indicator i. incidence rate ii. Prevalence rate
  • 23. “Any restriction or lack of ability to perform an activity in the manner or within or within the range considered normal for a human being”. i. Restrictive activity days ii. Bed disability days iii. Work loss days iv. Sullivan index Disability rates:-