Social Determinants of HEALTH AND ICTs in Jamaica Ishtar Govia,Ph.D. Lecturer in Psychology The University of the West indies, Mona jamaica

Outline Define SDH Review ICTs Present a case study of the potential of merging these two areas: Caribbean Migrations: Jamaica Returned Migrants Study (http://caribbeanmigration.com/)

Part I: Social Determinants of Health From WHO Conceptual Framework for Action on SDH

Part I: SDH (cont’d) From WHO Conceptual Framework for Action on SDH

Part I: SDH (cont’d) From WHO Conceptual Framework for Action on SDH

Part II: Information and Communication Technologies Unified communications Integration of telecommunications, computers, and systems that enable transmission, storage, access, and manipulation of information

PART III: the potential intersections between sdh and icts Multiple angles ICTs  capturing information on and addressing SDH and inequities in SDH SDH  informing innovations in ICTs Baseline data, Programmes and Interventions, Research

From Francisco Villanueva’s website: http://www. ictconsequences

From Francisco Villanueva’s website: http://www. ictconsequences

Case study: potential uses with caribbean migrations – jamaica returned migrants study Purpose of the Study: To assess social determinants of health and health inequities in a sample of Jamaican voluntary return migrants (VRM) and a smaller comparison sample of Jamaicans with no international migration history (NIMH)

http://caribbeanmigration.com

Limited Physical Activity ONE HEALTH OUTCOME OF INTEREST EXAMINED IN THE CM-JRMS: Modifiable risk behaviors Tobacco Use Limited Physical Activity Unhealthy Diet

Risk Behaviours in the Caribbean - 2010 No comparative data currently available on unhealthy diet in Caribbean countries. World Health Organization (2010b)

FOUNDATIONAL STEP: ACKNOWLEDGE AND MEASURE UNIVERSAL AND CULTURE SPECIFIC EQUITY STRATIFIERS Disparate socioeconomic conditions

Equity Stratifier: URBAN vs RURAL LOCAtion Urban Communities

Equity Stratifier: URBAN vs RURAL LOCAtion Rural Communities

Percentage distribution of urban population within parishes in jamaica (2001) Total Population 52% PIOJ (n.d.)

Parishes SampleD in CM’s JRMS St. Ann St. Andrew Manchester Kingston

BUILD ATTENTION TO SDH INTO Research and Sampling Design In the CM-JRMS this was done by using a sample frame for community selection based on Social Development Commission’s (SDC) listing of communities stratified based on community poverty level using the Deprivation Quintiles (DQ) as indicator Assesses poverty using Unsatisfied Basic Needs Approach (UBNA) i.e. “public poverty” Concerns the quality of life of residents Involves SDC defined “deprivation” related to: physical security availability of amenities (e.g. water, light, schools, clinics, physical infrastructure) Contrasts with the percent of persons below the poverty line indicator Random selection of two communities from each poverty quintile Set minimum quota for each community → 20 VRM; 7 NIMH

OTHER equity stratifiers – Universal and locally specific Age Sex Self-reported racial group Geographic location parish urban versus rural community Self-reported socioeconomic class Occupation Migration experience

partnering sdh and icts: Simple steps and potential innovations Collection of contact information: telephone, Facebook, actual named street address Geo-spatial mapping data collection points Website development to provide updates, translate and disseminate findings, and connect community of respondents and other stakeholders Using the social networks data for mapping of communities and health outcomes

Thank you! For more information, to share thoughts and ideas, to discuss collaborative possibilities, please contact: Ishtar Govia: ishtargovia@gmail.com