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<h2 class="hd hd-2 unit-title">Definition of Global Health</h2>
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<p>The videos in this unit are presented by:</p>
<p>Richard Wamai PhD<br />Associate Professor of Cultures, Societies and Global Studies<br />Northeastern University</p>
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<h3 class="hd hd-2">What is global health?</h3>
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<legend id="2fd4d690793c4ec2b9e9be165f58219f_2_1-legend" class="response-fieldset-legend field-group-hd">The World Health Organization defines "health" as pertaining to :</legend>
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<h2 class="hd hd-2 unit-title">Why does Global Health Matter?</h2>
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<h2 class="hd hd-2 unit-title">The Current Situation</h2>
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<h4>The Current Situation</h4>
<p>Over 2000 years ago, Hippocrates first attempted to describe disease from a rational perspective observing geographical and temporal patterns. From these earliest foundations, epidemiology traces its history through the work and lives of those including John Graunt, Thomas Sydenham, Ignaz Semmelweiss, John Snow, Louis Pasteur, Robert Koch, and Florence Nightingale. Modern epidemiology— defined as the “study of the distribution and determinants of health-related states or events (including disease) and the application of this to the control of diseases and other health problems”— is an essential component of public health today. Epidemiology helps to understand the root causes and contexts of disease, and thereby it informs health care planning and delivery. The Global Burden of Disease is a concept first published in 1996 that provides summary epidemiology data in order to quantify the levels of disease and disability utilizing metrics such as the Disability Adjusted Life Year (DALY). Whether a District Health Officer in rural Uganda or the Director-General of the World Health Organization, it is critical to utilize data and evidence to identify, understand, and address the health issues faced by communities and populations.</p>
<p> Entering 2015, the world’s population has surpassed 7 billion with Earth presently supporting “more people than have lived in all of human history.” Improvements in agricultural production and sanitation have led to unprecedented population growth. Transitioning into the post-2015 sustainable development framework, the world is very different than it was even fifteen years ago when the United Nations General Assembly unanimously adopted the Millennium Declaration and its Millennium Development Goals. Moreover, the rate of change is accelerating with advances in science, technology, communications, and trade. People are more mobile and living longer than ever before. Furthermore, as populations age, people are living longer with chronic diseases and disability. The leading causes of death and disability have shifted from infectious diseases in childhood to noncommunicable diseases in adults. Risk factors for diseases and disability are transitioning. For example, people are now more likely to “suffer from eating too much food rather than too little.” Yet, these global trends differ greatly across regions, communities, and populations with marked variation and divergence highlighting the growing realities of health inequities despite social and scientific advancements.</p>
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<h2 class="hd hd-2 unit-title">Approaches to Global Health Practice</h2>
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<p>The following video in this unit is presented by:</p>
<p>Richard Wamai, PhD<br />Associate Professor of Cultures, Societies and Global Studies<br />Northeastern University</p>
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<legend id="ae0a90250a7a45b9a54f8f3434b13577_2_1-legend" class="response-fieldset-legend field-group-hd">Which of the following are examples of horizontal approach to global health? Check all that apply.</legend>
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<h2 class="hd hd-2 unit-title">Identification of Needs</h2>
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<p>Richard Wamai PhD<br />Associate Professor of Cultures, Societies and Global Studies<br />Northeastern University</p>
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<h3 class="hd hd-2">Prioritization of Global Health</h3>
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<legend id="4c8bfe12704b4104b72a80942fb8ac95_2_1-legend" class="response-fieldset-legend field-group-hd">Which of the following goals refer to: a universal call to action to end poverty, protect the planet and ensure that all people enjoy peace and prosperity.</legend>
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<h2 class="hd hd-2 unit-title">Global Burden of Disease</h2>
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<h4>Measuring the Global Burden of Disease</h4>
<p>The global burden of disease does appear different depending on the measurement tool used to quantify health outcome. These differences will be highlighted in this section, as we move from more aggregate traditional outcomes (life expectancy and mortality) to more nuanced measurements (such as YLDs, HALEs and DALYs) that seek to quantify the social and economic impact of ill health and disability. Despite these differences, some trends are constant, such as epidemiologic shifts towards noncommunicable diseases, increasing inequities in health outcomes between regions of the world, and a growing burden of chronic disability. Each of these trends will require the global health community to adapt delivery systems to meet the needs of a larger, sicker and more unequal world. </p>
<p>People are living longer than ever before. The global life expectancy for both sexes has increased from 65.3 years in 1990 to 71.5 in 2013. Meanwhile the mean age of death has increased from 46.7 years to 59.3 over this same time period. These increases were mainly caused by decreases in mortality from lower respiratory tract infections and diarrheal diseases (contributing 2.2 years of the increased life expectancy), cardiovascular and circulatory diseases (contributing 1.1 years), neonatal conditions (contributing 0.7 years), cancers (contributing 0.4 years), chronic respiratory diseases (contributing 0.5 years), and unintentional injuries (contributing 0.3 year). For women, reductions in maternal mortality accounted for approximately 0.2 years of increased life expectancy. While these striking advancements in health outcomes are encouraging, they fail to highlight the increasing reality of global health inequity. </p>
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<h4>Figure: Trend in Life Expectancy Over Time</h4>
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<p>The figure above demonstrates changes in the average age of death by region from 1970 to 2010 and while there have been increases in all regions, marked disparity is evident across multiple regions with those of sub-Saharan Africa demonstrating the lowest mean age at death. Furthermore, in high-income regions, years of life lost (YLL) due to premature death account for approximately half of the total disease burden while in sub-Saharan Africa they staggeringly account for over 80%. In other words, health is improving in aggregate numbers but not for all, with communities traditionally burdened by poor health outcomes disproportionately marginalized from global health advances in the last four decades.</p>
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<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><p>"To ensure a health system is adequately aligned to a population&#8217;s true health challenges, policymakers must be able to compare the effects of different diseases that kill people prematurely and cause ill health." </p>
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<legend id="df9be573d5b845bbbbec1f43c288709c_2_1-legend" class="response-fieldset-legend field-group-hd">This statement alludes to:</legend>
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<h2 class="hd hd-2 unit-title">Global Health Effectiveness</h2>
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<p>The following videos in this unit are presented by:</p>
<p>Richard Wamai PhD<br />Associate Professor of Cultures, Societies and Global Studies<br />Northeastern University</p>
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<h3 class="hd hd-2">How to Improve Global Health Effectiveness</h3>
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<h2 class="hd hd-2 unit-title">Call to Action</h2>
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<h3 class="hd hd-2">Effectiveness of Global Health</h3>
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