Introduction One common definition of culture is the “shared patterns of learned behaviors and values that are transmitted over time” (Vandenberg & Kalischuk, p. 100, 2014). As a result, there are numerous cultures in the world that can affect the delivery of health care services and/or the overall health of the global population. Overall, global health is improving the health and achieving equity in health for every individual worldwide (Wilson et al., 2014). The purpose of this paper is to identify how education, culture, poverty, and any other identified factors act in concert to induce barriers in global health. Identify the relative impact of each to healthcare barriers, and how the total can be greater than each individual factor. The relative impact of education to global health care barriers is that the health care professionals’ education in global health issues is an important component to help enhance global health. In addition, global health requires interprofessional collaboration, therefore it is essential to ensure that all of the disciplines engaged in global health activities have a standard set of common competencies (Wilson et al., 2014). Overall, identifying any global health competencies has the potential to improve performance and/or promote accountability and quality of care (Wilson et al., 2014). Furthermore, it is wise to invest in education since there is a linkage between global migration and educational investments (Walton-Roberts,
Culture is shaped over generations through the beliefs, customs, and attitudes within a group. Additional elements also include race, language, and socioeconomic status. Given that culture influences daily behaviors and lifestyle patterns, there is clearly an impact on the well-being and health practices within various cultural groups (Riegelman, & Kirkwood, 2015). These diversities influence patient interactions in the health care delivery system. Consequently, cultural influences have led to various disparities in healthcare.
Miscommunication, medication errors, and lack of compliance commonly occur in the healthcare field. These are just a few of the errors that occur due to the patient being from a different culture than the physician or healthcare worker. Those three errors alone have a huge impact on our healthcare today. If we could have a better understanding of other cultures that are different from our own we could have a dramatic decrease in errors and a great increase in healthcare participation. Training must be completed and must be done in more than one way. The first step is to make sure that all physicians and health care workers get the same nationwide training that focuses on improving cultural competence. How this is completed must be done in more than one way (Horwitz, 2001).
Núñez, A. E. (2000). Transforming cultural competence into cross-cultural efficacy in womenʼs health education. Academic Medicine, 75(11),
I have also found discrimination for people within HIV/AIDS and tuberculosis in my society because of lack of education. Furthermore, I also used to provide education as a health professional. I found it is effective for prevention of infectious diseases in case of socio-economic condition of people in Nepal where they have difficulty to access health care system and resources. In Nepal, we still believe in traditional treatment. Most people still use traditional medicine instead of using biomedicine of Western societies. “Unlike in the Australian context, in many poorer countries biomedicine is not the primary source of health care” (WHO as cited in Germov 2009, p.75).This may be due to unavailability of health care services in little distance. In contrast, I have found lifestyle health problems in Australia such as obesity, diabetes and cancer. Lifestyle behaviour is more likely to influence peoples’ health such as diet, exercise, smoking, alcohol and other drugs (Germov, 2009). I think it is exactly true as I have seen in modern Australian society that most of people are smoking and drinking alcohol which is affecting society in many ways, causing road traffic accidents and property damage. I think most people in Australia like to have junk food and go out for meals because of their busy life which can cause obesity. To examine why it is caused? I think it is a good idea to use social imagination to describe the different
At first glance, the definition of “health” as provided by the World Health Organization seems to be all encompassing. It states that health is dependent on complete well-being of mental, physical, and social faculties. However, with the study of different cultures using a public health perspective, we have learned that cultural aspects that affect disease vary immensely from population to population. While disease is a universal biological concept, social perceptions give an illness its cultural meaning and as we know, these perceptions heavily influence the recognition of the disease itself. If societal perceptions can give a disease a sense of cultural consciousness, then what can be said of their ability to mold a cultural normality. I
This paper explores published articles that report results from research on determinants of health. Also, defines determinants of health. No matter how much of research is done there will always be a question like what do we do? Where do we start? How can we address and improve poverty, social, education and cultural issues to improve health. Working in health care and working with uninsured and under insured population, patient from different cultures makes me wonder about what can be done. Also, being someone who experienced social inequality, economical and somewhat influenced by cultural norms. I believe that determinants of health are very important and there are some essential determinates of health no matter what health system we look at. Therefore, with so many factors that can affect the health of individual I would like to talk about some factors that have substantial impact on health such as income, education, culture and social inequalities. Through my professional and personal experience I have learned to believe that somehow most of this factors go hand in hand.
The first year of my program would allow me to expand my knowledge on global health issues and the use of policy to influence those issues. I am particularly interested in health disparities and learning about how and why certain diseases and outbreaks disproportionately affect specific populations of people. By learning more about epidemiology I can learn the skills necessary to development preventative measures or medical training specific to those populations. In my second year, I believe that I will gain the skills necessary to run a hospital or healthcare system or organization. The modules associated with the module will allow me to enhance critical thinking abilities necessary when solving complex problems in the context of healthcare. I anticipate that these two independently comprehensive programs, together will provide me the tools necessary to accomplish my career goals. My hope is that the Global Health and International Health Management programs will combine epidemiology research, population disparities, health policy and healthcare systems management outside of the scope of U.S. healthcare. It is my vision that the tools I learn here will equip me to influence United States healthcare reform and establish global healthcare
Global health is defined as “health problems, issues, or concerns that transcend national borders” (Institute of Medicine, 1997, p. 2). Koplan (2009) proposed a new definition for global health which he described as an “area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide” (para, 7). Global health emphasizes transnational health issues, determinants, and solutions from an interdisciplinary perspective and blends population health and clinical care.
Madeline Leininger’s sunrise model was first developed in 1976, she calls it a trans-cultural health model. It includes major social and cultural factors influencing individual perspective of health care systems. The model is designed to provides a guidance for the study and analysis of the major variables found within different cultures in order to obtain a “trans-cultural heath care perspective of health-illness systems” ( Leininger,1976). The 1976 model consisted of two major categories: levels of analysis and major domains of study and analysis. Four different levels of analysis and corresponding domains of study were included. Level one analysis of social structure features and the domain associated with this level were political, economic, social, cultural, technological, educational, demographic, and environment factors. Level two was analysis of cultural values and health care. The domains associated with level two include dominant cultural values and health care values. Level three analysis of health care system and its typologies. Major domains of study associated with this level included folk and professional health systems. Level four analysis focuses on role and function of health professionals. Domains of study included role responsibility and functions.
Global health education needs to prepare students, residents, and faculty, health workers of all types on how to work in disadvantage situations. To work across cultures, across language barriers, across social economic and cultural barriers. There is not enough interdisciplinary team within the health sciences and also with social sciences. That mindset needs to change. There needs to be more collaboration. Collaboration should be a integrated concept in Global health education, which would be taught in all the different
“Culture is the characteristics and knowledge of a particular group of people, defined by everything from language, religion, cuisine, social habits, music and arts” (Zimmerman, 2015). The process of learning the behaviors and beliefs of our culture begins at birth. We are so driven into that culture and the way that we express is often without conscious thought. Our culture can have a definite and insightful effect on how we interact with others and how we relate to the healthcare system. The culturally based care factors are identified as major influences upon human expressions related to health, illness, wellbeing, or to face death and disabilities (Anderson, 2010).
Cultural sensitivity is the difference between two groups of people or race. Cultural sensitivity also plays an enormous role in relieving people and ensures ways or plans for change. For example in African countries today still practice male and female circumcision, it is culture for all men and women in Africa to enter adulthood the culturally way due to this cultural practice the spread of HIV is passed from person to another through the same tool or one tools used to many initiates any due to loss of blood and improper facility to cater for initiates many young lives are lost through the this cultural practise.as health professionals one should learn one’s language and cultural practice to response in a way that it raises their lifestyle and health status
The knowledge I acquired through the University of Hawaii at Manoa’s undergraduate Public Health degree has prepared me to become an ideal candidate for the position of Director of the World Health Organization. To most people, “health” is often synonymous with individual care, such as doctors and nurses. However, the socioecological model states that health is a product of various components. Many forget that public policy, communities, organizations, economics, and our environment has an impact on our health. By focusing on these aspects in conjunction with individual health, we can create programs and initiatives that better serve the needs of our populations. Therefore, I believe as the Director of the World Health Organization, I can exceed these responsibilities due to my public health background.
I first became interested in the field of public health after making a comparison between my older family member’s perceptions of preventive health care to my own. The elders in my family experienced a drastically different upbringing than my own. My family is from Somalia, a war-torn nation that has been at the helms of a corrupt government leading to a failed state. Upon questioning my family members, I realized that often in developing nations the concept of preventative health care is foreign to many. Growing up in California, I had a preconceived idea that all countries had similar health protocols and tools to ensure the wellbeing of its citizens.
India is a nation of many different individuals, each with their own beliefs and way of life. The different beliefs that are held by these people and the traditions they follow can have a significant impact on how they view modern healthcare. The beliefs and moral values which are a part of human nature can have positive impacts on an individual, but can also bind them and cause negative impacts on mental and physical health (Worthington & Gogne, 2011). It is necessary for health professionals to be aware of the cultural beliefs and influences so that they can effectively provide healthcare services. A lack of cultural competence in care leads to poor patient outcomes, low compliance, and higher disparities regardless of the services and systems available ("Diversity & Cultural Competency in Health Care Settings").