COLLEGE OF NURSING
NCM 101
COMMUNITY HEALTH NURSING
Health Promotion and Public Health
Health • A State of complete physical, mental and social well- being, not merely an absence of disease or infirmity (WHO, 1948). • A State of being well and using every power the individual possesses to the fullest extent (Nightingale, 1969). • Optimum Level of Functioning (OLOF)
Determinants of Health (World Health Organization) • The health of individuals and communities are, to a large extent, affected by a combination of many factors. 1. Income and social status – Higher income and social status are linked to better health. 2. Education – Low education levels are linked with poor health, more stress and lower self-confidence. 3. Physical Environment – Safe water and clean air, healthy workplaces, safe houses, communities and roads all contribute to good health. 4. Employment and working conditions – People in employment are healthier, particularly those who have more control over their working conditions. 5. Social support networks – Greater support from families, friends and communities is linked to better health. 6. Culture – Customs and traditions, and the beliefs of the family and community all affect health. 7. Genetics – Inheritance plays a part in determining lifespan, healthiness and the likelihood of developing certain illness. 8. Personal Behavior and coping skills – Balanced eating, keeping active, smoking, drinking, and how we deal with life’s stresses and challenges all affect health. 9. Health Services – Access and use of services that prevent and treat disease influence health. 10. Gender – Men and Women suffer from different types of diseases at different ages.
Eco-System Influences on Optimum Level of Functioning (OLOF) 1. Political - Safety, Oppression, People Empowerment 2. Behavior - Culture, Habits, Mores, Ethnic Customs 3. Heredity - Generic Endowment (Defects,