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Trouble? Can’t type: F11 Can’t hear & speakers okay or can’t see slide? Cntrl R or Go out & come back in PLEASE TELL US ABOUT YOURSELF Where do you live? Major at Kaplan? Career Goals? What would you like us to know about you? 1 Audio Seminar! Please be sure your speakers are on!
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Dec 13, 2015

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PLEASE TELL US ABOUT YOURSELF

Where do you live?Major at Kaplan?Career Goals?What would you like us to know

about you?

1

Audio Seminar!Please be sure your speakers are on!

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HS315 PUBLIC HEALTH FOR HEALTH SCIENCESUNIT 1

Audio Seminar!

Please be sure your speakers are on!2

Kristen Hathcock

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SEMINAR AGENDAS

Questions re: previous units?Brain Teasers if timeKey TermsSeminar questions in platformReview of unit project if neededPreview of “coming attractions”

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SEMINAR BASICS

Focus on questions on linkQuestions? Ask anytime

Format: ????your questionStay Focused – no side

conversationsLOST? Type SLOW DOWN;

everyone stop4

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RESEARCH METHODS IN HEALTH SCIENCE

By the end of this course you will be able toDiscuss the scope and practice of public health. Critically evaluate articles about research in health science Apply the tools used for assessing the community health such as demography, epidemiology, biostatistics.Practice skills through realistic scenarios

Effectively communicate and educate to build community partnerships for implementation of public health

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PROJECTSSkill Development

Matrix Review of Types of

Articles

Develop a questionnaire

Simple data analysis

EssayLong paper using concepts to

analyze a research article

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RESOURCES: READ ANNOUNCEMENTS!

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RESOURCES: COURSE HOME LINKS

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RESOURCES: NAVIGATION LINK

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RESOURCES: UNIT RESOURCES

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RESOURCES: UNIT RESOURCES

Check out resources under

Extra! Extra!

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RESOURCES: UNIT RESOURCES

Click on Arrow !READ all sections!

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RESOURCES ON READING PAGES

eChapters for Text Key Terms

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DOC SHARING

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ACCESSING DOC SHARING CATEGORIES IS SIMPLE!

Click on link

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ACCESSING CATEGORIES IS SIMPLE!

Lot’s of great resources!

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RESOURCES: WRITING CENTER

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TERRIFIC resources!

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QUESTIONS?

Related to Syllabus?Navigating platform?Course requirements?Anything else?

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REMEMBER THE RESOURCES!

AnnouncementsKey terms via the vocabulary link

on the unit reading pageseText chapters through the

reading page and in doc sharingMany powerpoints in doc sharing

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QUESTIONS?Unit Questions linkAOL instant message (Imail):

pkhjr1999Email: [email protected] Phone if an emergency: 620.282.1014

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PUBLIC HEALTH : STATE OF THE SCIENCE

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By the end of the this week the

participants should be able to:

Define public health Understand its core functions Articulate its 10 Essential

Services

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WHO DEFINITION OF HEALTH

(…a complete state of physical, mental, and social well-being and not merely the absence of disease or infirmity.)

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Definition of Public Health

(…one of the efforts organized by society to protect, promote, and restore the people’s health. It is a combination of multidisciplinary sciences, with concepts, skills, practices and beliefs that are directed to the maintenance and improvement of the health of all the people through collective social action….) John Last with some modifications!.

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EVOLUTION OF PUBLIC HEALTH-I

Started with the first days of humanity on earth as humans began to explore what is harmful and what is helpful to health.

Disease prevention was entrenched in different cultures.

Started to develop as a discipline In the 19th century for example, John snow’s studies in London and the establishments of public health departments in the US.

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RESOURCES

EVOLUTION OF PUBLIC HEALTH-II

Historically developed as infectious diseases control measures after microbes were discovered. It allowed communities to develop policies, laws and regulations to protect the health of the public and to EMPLOY people (sanitarians) to enforce these laws (safe water, quarantine, ..etc).

This was the old public health, centralized, non-democratic, but effective, and focused on microbes and epidemics.

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EVOLUTION OF PUBLIC HEALTH-III

Now with epidemiological transition the major causes of suffering and death especially in the developed world are chronic/non-communicable diseases.

Understanding the multiofactorial causes of ill health such as genetic, environmental and life style related factors and appropriate prevention is a main task of this discipline .

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What is public health?

1. The science and art of protecting and improving community health through health education, promotion, research, and disease prevention strategies.

2. Knowledge and application of multidisciplinary, interdisciplinary population-based methods of research, teaching, service, and practice involving various academic disciplines.

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PUBLIC HEALTH COMPONENTS

MULTIDISCIPLINARY SCIENCESCONCEPTSSKILLSPRACTICESALL INTERTWINED WITH

BELIEFS

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BELIEFS

Health is a social construction. Social justice and an ethical and equitable

distribution of resources are of the essence. All members of society should have access to

health promotion and disease prevention services, needed for good health to be maintained ,and lastly, illness care services when needed

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RESOURCES

SCIENCE

(The scientific basis for public health rests on the study of risks to the health of populations including risks related to the environment and on the systems designed to deliver required services)*

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RESOURCES

SKILLS

The most important skill is the capacity to develop a vision of the potential for health that exists within a community.

Other skills include: conceptual and analytical skills, and proficiency in applying the techniques required for a particular public health specialization, as well as monitoring and evaluation.

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RESOURCES

ASSOCIATED DISCIPLINES-I

Preventive medicine:(.. The application of preventive measures by clinical practitioners…)Community medicine: (..the study of health and disease in the population of a defined community..)

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RESOURCES

ASSOCIATED DISCIPLINES-II

Epidemiology Statistics Nutrition Health education ( debatable if separate or part of

PH) Environmental health Population and demography Medical sociology Anthropology Health ethics Behavioral sciences/health education Health services administration

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RESOURCES

AGAIN, WHAT IS PUBLIC HEALTH?

Public health clearly includes some elements of medical practice, preventive medicine, community medicine. It also includes other disciplines such as nutrition, environmental health, and anthropology

However, it is greater than the sum of all theses parts.

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AREAS OF CONCENTRATION

Health promotion:(...the process of enabling people to increase control over and improve their health...) Disease prevention:(...the goals of medicine are embodied in the word prevention: to promote health, to preserve health, to restore health when it is impaired, and to minimize suffering and distress)

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Public health v. medicine

Patient Population Individual

Intervention

Assessment, Policy Development, Assurance

Medical, surgical treatment

Process System management

Patient management

Outcome Healthy community

Healing

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RESOURCES

Who “does” public health? In Palestine

Practice settings Govt. agencies-MOH Local agencies, municipalities ..etc NGOS Private UNRWA International organizations?

Academic institutions Schools of public health & other

programs

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The future of public healthInstitute of Medicine,

National Academies Press, Washington DC, 1988

Updated in 2002 report: The future of the public’s health in the 21st century

THE FUTURE PUBLIC HEALTH / COMMITTEE ON THE FUTURE OF PUBLIC HEALTH

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Core Functions

Assessment Policy Development Assurance

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Vision

Healthy People in Healthy Communities

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Mission

Promote physical and mental health and prevent disease, injury, and disability.

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The fundamental obligation of agencies responsible for population-based health is to:

Prevent epidemics and the spread of disease Protect against environmental hazards Prevent injuries Promote and encourage healthy behaviors and mental

health Respond to disasters and assist communities in

recovery Assure the quality and accessibility of health

services

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The Ten Essential Services of Public Health

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Core Functions

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ASSESSMENT

“The Committee for the Study of the Future of Public Health “recommends that every public health agency regularly and systematically collect, assemble, analyze, and make available information on the health of the community, including statistics on health status, community health needs, and epidemiological and other studies of health problems."

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THE TEN ESSENTIAL SERVICES - ASSESSMENT

1. Monitor health status to identify community health problems

2. Diagnose and investigate health problems and health hazards in the community

3. Evaluate effectiveness, accessibility, and quality of personal and population-based health services

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POLICY DEVELOPMENT

"The committee recommends that every public health agency exercise its responsibility to serve the public interest in the development of comprehensive public health policies by promoting use of the scientific knowledge base in decision-making about public health and by leading in developing public health policy. Agencies must take a strategic approach, developed on the basis of a positive appreciation for the democratic political process"

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THE TEN ESSENTIAL SERVICES - POLICY

4. Inform, educate, and empower people about health issues

5. Mobilize community partnerships to identify and solve health problems

6. Develop policies and plans that support individual and community health efforts

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ASSURANCE

"The committee recommends that public health agencies assure their constituents that services necessary to achieve agreed upon goals are provided, either by encouraging actions by other entities (private or public sector), by requiring such action through regulation, or by providing service directly”.

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THE TEN ESSENTIAL SERVICES - ASSURANCE

7. Assure a competent public health and personal health care workforce

8. Enforce laws and regulations that protect health and ensure safety

9. Link people to needed personal health services and assure the provision of health care when otherwise unavailable

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THE TENTH ESSENTIAL SERVICE

10. Impacts Assessment, Policy and Assurance

(Research for new insights andinnovative solutions to health problems)

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SOCIAL ISSUES

Public health implications for new problems that require a new level of understanding for effective intervention.

Examples: epidemics of drug abuse, smoking, violence, teenage pregnancy, mental health problems,…etc.

We must expand our understanding of culture, belief systems, society, community and family structures and their interaction with each other.

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NEW PUBLIC HEALTH

Old public health

+Decentralization, human rights, laws and

regulations, community participation in decision making and bearing responsibility, ethics, assessment of health status and needs, policy development, and assurance of people’s right to good health and quality of services which is a basic human right.

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ACKNOWLEDGEMENT

Some of the slides used in this lecture were extracted, modified, and summarized from a lecture by Virginia M. Dato MD MPH titled (Principles of Public Health- the Mission, Core Functions and Ten Essential Services ) & Neil Rambo’s lecture titled: Public Health: population-based approaches to improving health—information needs, resources, and uses & Abdullatif Husseini

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COMING ATTRACTIONS: UNIT 2

Seminar: The Steps of the scientific research process: Issues and activities

Discussion: Write a problem statement for potential research in your area of Health Sciences