Transcript Socity Culture and Health Care system I

Society, Culture &
Health Care system
Dr. Babar T Shaikh
The Aga Khan University,
Karachi
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If anything was made to be taken
for granted, it is ‘culture’.
Gallagher and Subedi, 1995
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Culture
The totality of socially transmitted behavior
patterns, arts, beliefs, institutions, and all
other products of human work and thought.
These patterns, traits, and products
considered as the expression of a particular
period, class, community, or population.
The predominating attitudes and behavior
that characterize the functioning of a group
or organization.
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Culture
contd…
Intellectual and artistic activity and the
works produced by it.
Development of the intellect through
training or education.
Enlightenment resulting from such training
or education. A high degree of taste and
refinement formed by aesthetic and
intellectual training.
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Culture
contd…
1. a particular civilization at a
particular stage
2. the tastes in art and manners that
are favored by a social group
3. all the knowledge and values shared
by a society
WordNet ® 1.6, © 1997 Princeton University
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Culture
contd…
The act of, or any labor or means
employed for, training, disciplining,
or refining the moral and
intellectual nature of man; as, the
culture of the mind.
The Webster's Dictionary
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Characteristics of ‘Culture’
• Culture is ‘symbolic’
• Culture is ‘learned’
• Culture is ‘shared’
• Culture is ‘adaptive’
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Elements of ‘Culture’
Symbols
Ideology
Language
Religion
Values
Mass Media
Norms
‘Cultural Lag’
Folklore
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Global Culture
Ethnocentrism
Cultural hegemony
Cultural relativism
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Health and the Health Care System
A set of cultural beliefs
underlying health seeking and
health promoting behavior.
Health
System
Institutional arrangements within
which that behavior occurs.
Socio-economic, political, and
physical context of these beliefs
and institutions.
Institutional arrangements include family, community,
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health care services, and other related sectors.
Health and the Health Care System
HEALTH SYSTEM WOULD INCLUDE:
Cultural beliefs and practices
Environmental conditions
Nutrition
Water supply
Education
Housing
Status of women
Social structure
Economic / political systems
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Health and the Health Care System
• Health Care System: a part of the health system -
one aspect of the institutional arrangements.
• Health: Full development of the human potential.
A fundamental right? Freedom from unnecessary
illness and premature death is a fundamental
prerequisite for development.
• Health and development: intricately interrelated.
Health is both a condition and a product of
development.
• Health: the role of healthy public policy.
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Viability
HEALTH
ENVIRONMENT
ECONOMY
Equity
Sustainability
Health (full development of the human potential)
requires both an adequate economy and a viable
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environment.
Determinants of health
Social
Environment
Individual
Responses
Physical
Environment
Illness
Biological
Endowment
Health Care
Health Status
+
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Productivity & Wealth
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