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

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

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

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

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

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

7. 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

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

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

11. 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)

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

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

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

16. Equity Stratifier: URBAN vs RURAL LOCAtion
Urban Communities

17. Equity Stratifier: URBAN vs RURAL LOCAtion
Rural Communities

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

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

20. 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

21. 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

22. 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

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