Presentor : Maher shahid (Post RN, BScN 1 ST sem) Subject: Culture Health Society Faculty: Ramesh kumar Date: 16,Nov, 2015 NEWLIFE COLLEGE OF NURSING

 Describe the outcomes of the black report 1980, Alma_ Ata declaration,1978 and millennium development initiatives  Relate human rights to social determents of health  Relate economic efficiency to health equity  Describe the outcomes of the black report 1980, Alma_ Ata declaration,1978 and millennium development initiatives  Relate human rights to social determents of health  Relate economic efficiency to health equity

 INTRODUCTION: The black report was a 1980, document published 1 by the determent of health and social security (now the united kingdom,which was the report of expert committee into healthy inequality chaired by sir Douglas black

 The declaration of Alma Ata was adopted at the international conference or primary health care PHC. Almaty (Formerly Alma_Ata) kazakistan.( formely kazakh soviet socialist republic),6-12 sep 1978 Alma Ata decleration called on all the govt formulate national health policies.According to their own circumtances to launch and sustain PHC as a part of national health system.

What does the health mean for all??

 Large number of worlds people, perhaps more than half,have no access to health care at all, and for many of the rest the care. They receive does not answer the problem thay have.

 “Primary health care is an essential health care based on practical, scientifically sound and socially acceptable methods and technology, made universally accessible to individual and families in the community, through their full participation and at a cost that the community and the country can afford”.

There is a set of CORE ACTIVITIES, which were normally defined nationally or locally. According to the 1978 Declaration of Alma-Ata proposed that these activities should include:

1. Education concerning prevailing health problems and the methods of preventing and controlling them 2. Promotion of food supply and proper nutrition 3. An adequate supply of safe water and basic sanitation 4. Maternal and child health care, including family planning 5. Immunization against the major infectious diseases 6. Prevention and control of locally endemic diseases 7. Appropriate treatment of common diseases and injuries 8.. Basic laboratory services and provision of essential drugs. 9. Training of health guides, health workers and health assistants. 10. Referral services 1. Education concerning prevailing health problems and the methods of preventing and controlling them 2. Promotion of food supply and proper nutrition 3. An adequate supply of safe water and basic sanitation 4. Maternal and child health care, including family planning 5. Immunization against the major infectious diseases 6. Prevention and control of locally endemic diseases 7. Appropriate treatment of common diseases and injuries 8.. Basic laboratory services and provision of essential drugs. 9. Training of health guides, health workers and health assistants. 10. Referral services

 In 2000,the millennium goals declaration was adopted but did not contain the MDGs in their present form.in 2001,ateam of UN expect, created, the MDGs with indicator without any inter gov process. ( There are 8 MDGs )

Health economic evaluations  The three main approaches for economic evaluations include 1. Cost-benefit analysis, 2. Cost-effectiveness analysis, 3 Cost utility analysis. Health economic evaluations  The three main approaches for economic evaluations include 1. Cost-benefit analysis, 2. Cost-effectiveness analysis, 3 Cost utility analysis.

 Cost-benefit analysis involves placing monetary values on all the possible costs and benefits of an intervention and the total costs are then compared with the total benefits after discounting

 involves assessing the costs and cost- savings in terms of a predefined unit of health outcome. The total net cost per unit of health outcome is then calculated.

 a form of cost-effectiveness analysis in which the outcome is expressed in terms of utility or quality.  By comparing the cost-utilities of various interventions, health policy makers may decide which interventions should be implemented  a form of cost-effectiveness analysis in which the outcome is expressed in terms of utility or quality.  By comparing the cost-utilities of various interventions, health policy makers may decide which interventions should be implemented

    John bryant in his book health and the developing world