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Addressing the Social Determinants of Health Health as a basic right of Filipinos   Ramon P. Paterno, MD, MPH Aug. 15. 2009 UPM
[object Object],only to send them back to the conditions that made them sick?
Objectives: At the end of this talk: the participant will be able to: ,[object Object],[object Object]
Definition of Health: ,[object Object],[object Object]
Two approaches to health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Historical context ,[object Object],[object Object],remedy for epidemics was: Doctor, Pathologist, Biologist, Politician: first to recognize Leukemia, elucidated embolism, founded “Social Medicine” founded discipline of Anthropology,  “ prosperity, education & liberty”
The Historical Context ,[object Object],[object Object]
Tuberculosis TB deaths in England Streptomycin BCG Vaccination *  David Werner, Questioning the Solution: The Politics of Primary Health Care and Child Survival, Healthwrights, 1997, p. 76. (cited also in WHO SDH Background papers)
Land Reform and TB: Japan ,[object Object],[object Object],[object Object],[object Object]
The Global Health Situation ,[object Object],[object Object],[object Object],[object Object],[object Object]
WHO WHOSIS Data   Table generated http://apps.who.int/whosis/data/Search.jsp 3 3 4 8 5 24 74 129 IMR  2006 14 7 8 16 45 230 950 1100 MMR  2005 80 43,300 Singapore 79 33,170 Finland 81 32,240 France 78 11,300 Chile 78 - Cuba 68 3,430 Philippines 50 980 Tanzania 47 270 DR Congo LEB  2006 GN Income per capita ($)
Case Study Philippines
Economic Determinants ,[object Object],[object Object]
Economic Determinants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Does Neo Liberal policies lead to the trickle down development? UN Human Development Report 1999 Equity: Income of the fifth of the world’s population 1960 1990 1997 Richest countries 30 60 74 Poorest countries 1 1 1
Elaboration of disparities in wealth ,[object Object],[object Object],[object Object]
How Countries Got Rich; Why Countries Stay Poor ,[object Object],[object Object],[object Object],[object Object],Erick Reinert, Norwegian Historical Economist
How Countries Got Rich … and Why Countries Stay Poor ,[object Object],[object Object],[object Object],[object Object]
Impact of Globalization - we de-industrialized .. Philippines: Critical Development Constraints ADB Dec 2007
Growth that has no impact on the poor… Headline, Philippine Daily Inquirer, June 1, 2006.
Impact  of Poverty Income decile 2006 ( in P1000) Income Expense Savings Nat ave 172 147 25 1 st 32 35 (3) 2 nd 51 52 (2) 3 rd 65 66 (.5) 4 th 81 79 2 5 th 100 95 5 10th 617 461 156
Impact on Health NDHS 2003
Can we in Health afford Moderate Greed?
Can we in health afford “moderate” greed? Inquirer Today June 25, 2008
Impact of Corruption on Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neri’s “Web of Dysfunction”
Crisis fatigue?
Cultural ,[object Object],[object Object],[object Object],[object Object]
Kick Gloria’s Con Ass
How do we address poverty? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
For genuine growth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alma Ata Primary Health Care ,[object Object],[object Object],[object Object],[object Object]
A New International Socio-Economic order  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So why did we discuss all these? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Role of a health student? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],only to send them back to the conditions that made them sick?
Thank you

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Blue S D H Aug 15 09

  • 1. Addressing the Social Determinants of Health Health as a basic right of Filipinos Ramon P. Paterno, MD, MPH Aug. 15. 2009 UPM
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Tuberculosis TB deaths in England Streptomycin BCG Vaccination * David Werner, Questioning the Solution: The Politics of Primary Health Care and Child Survival, Healthwrights, 1997, p. 76. (cited also in WHO SDH Background papers)
  • 9.
  • 10.
  • 11. WHO WHOSIS Data Table generated http://apps.who.int/whosis/data/Search.jsp 3 3 4 8 5 24 74 129 IMR 2006 14 7 8 16 45 230 950 1100 MMR 2005 80 43,300 Singapore 79 33,170 Finland 81 32,240 France 78 11,300 Chile 78 - Cuba 68 3,430 Philippines 50 980 Tanzania 47 270 DR Congo LEB 2006 GN Income per capita ($)
  • 13.
  • 14.
  • 15. Does Neo Liberal policies lead to the trickle down development? UN Human Development Report 1999 Equity: Income of the fifth of the world’s population 1960 1990 1997 Richest countries 30 60 74 Poorest countries 1 1 1
  • 16.
  • 17.
  • 18.
  • 19. Impact of Globalization - we de-industrialized .. Philippines: Critical Development Constraints ADB Dec 2007
  • 20. Growth that has no impact on the poor… Headline, Philippine Daily Inquirer, June 1, 2006.
  • 21. Impact of Poverty Income decile 2006 ( in P1000) Income Expense Savings Nat ave 172 147 25 1 st 32 35 (3) 2 nd 51 52 (2) 3 rd 65 66 (.5) 4 th 81 79 2 5 th 100 95 5 10th 617 461 156
  • 22. Impact on Health NDHS 2003
  • 23. Can we in Health afford Moderate Greed?
  • 24. Can we in health afford “moderate” greed? Inquirer Today June 25, 2008
  • 25.
  • 26. Neri’s “Web of Dysfunction”
  • 28.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.