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The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. It is part of the U.N. Sustainable Development Group. The WHO Constitution, which establishes the agency's governing structure and principles, states its main objective as ensuring "the attainment by all peoples of the highest possible level of health." It is headquartered in Geneva, Switzerland, with six semi-autonomous regional offices and 150 field offices worldwide.
A health system, also sometimes referred to as health care system or as healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
Health is a state of physical, mental and social well-being in which disease and infirmity are absent.
Healthy city is a term used in public health and urban design to stress the impact of policy on human health. It is a municipality that continually improves on a physical and a social level until environmental and pathological conditions are reached establishing an acceptable morbidity rate for the population. Its modern form derives from a World Health Organization (WHO) initiative on Healthy Cities and Villages in 1986, but has a history dating back to the mid 19th century. The term was developed in conjunction with the European Union, but rapidly became international as a way of establishing healthy public policy at the local level through health promotion. It emphasises the multi-dimensionality of health as laid out in WHO's constitution and, more recently, the Ottawa Charter for Health Promotion. An alternative term is Healthy Communities, or Municipios saludables in parts of Latin America.
Health care, health-care, or healthcare is the maintenance or improvement of health via the prevention, diagnosis, treatment, recovery, or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals in allied health fields. Physicians and physician associates are a part of these health professionals. Dentistry, pharmacy, midwifery, nursing, medicine, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training and other health professions are all part of health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health.
Preventive healthcare, or prophylaxis, consists of measures taken for disease prevention. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices and are dynamic processes which begin before individuals realize they are affected. Disease prevention relies on anticipatory actions that can be categorized as primal, primary, secondary, and tertiary prevention.
The World Health Day is a global health awareness day celebrated every year on 7 April, under the sponsorship of the World Health Organization (WHO), as well as other related organizations.
Primary Health Care, or PHC refers to "essential health care" that is based on scientifically sound and socially acceptable methods and technology. This makes universal health care accessible to all individuals and families in a community. It is through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. In other words, PHC is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy. PHC includes all areas that play a role in health, such as access to health services, environment and lifestyle. Thus, primary healthcare and public health measures, taken together, may be considered as the cornerstones of universal health systems. The World Health Organization, or WHO, elaborates on the goals of PHC as defined by three major categories, "empowering people and communities, multisectoral policy and action; and primary care and essential public health functions as the core of integrated health services[1]." Based on these definitions, PHC can not only help an individual after being diagnosed with a disease or disorder, but actively prevent such issues by understanding the individual as a whole.
The right to health is the economic, social, and cultural right to a universal minimum standard of health to which all individuals are entitled. The concept of a right to health has been enumerated in international agreements which include the Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights, and the Convention on the Rights of Persons with Disabilities. There is debate on the interpretation and application of the right to health due to considerations such as how health is defined, what minimum entitlements are encompassed in a right to health, and which institutions are responsible for ensuring a right to health.
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, "the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being".
The social determinants of health are the economic and social conditions that influence individual and group differences in health status. They are the health promoting factors found in one's living and working conditions, rather than individual risk factors that influence the risk for a disease, or vulnerability to disease or injury. The distributions of social determinants are often shaped by public policies that reflect prevailing political ideologies of the area. The World Health Organization says, "This unequal distribution of health-damaging experiences is not in any sense a 'natural' phenomenon but is the result of a toxic combination of poor social policies, unfair economic arrangements [where the already well-off and healthy become even richer and the poor who are already more likely to be ill become even poorer], and bad politics."
The Ottawa Charter for Health Promotion is the name of an international agreement signed at the First International Conference on Health Promotion, organized by the World Health Organization (WHO) and held in Ottawa, Canada, in November 1986. It launched a series of actions among international organizations, national governments and local communities to achieve the goal of "Health For All" by the year 2000 and beyond through better health promotion.
Workplace wellness is any workplace health promotion activity or organizational policy designed to support healthy behavior in the workplace and to improve health outcomes. Known as 'corporate wellbeing' outside the US, workplace wellness often comprises activities such as health education, medical screenings, weight management programs, on-site fitness programs or facilities. A recently published article in Forbes Magazine states that according to the American Psychological Association, five elements should be considered in workplace to make it a healthy working environment. These five elements are work-life balance, health and safety, employee growth and development, employee recognition and employee Involvement. Workplace wellness programs can be categorized as primary, secondary, or tertiary prevention efforts, or an employer can implement programs that have elements of multiple types of prevention. Primary prevention programs usually target a fairly healthy employee population, and encourage them to more frequently engage in health behaviors that will encourage ongoing good health. Example of primary prevention programs include stress management, and exercise and healthy eating promotion. Secondary prevention programs are targeted at reducing behavior that is considered a risk factor for poor health. Examples of such programs include smoking cessation programs and screenings for high blood pressure or other cardiovascular disease related risk factors. Tertiary health programs address existing health problems, and aim to help control or reduce symptoms, or to help slow the progression of a disease or condition. Such programs might encourage employees to better adhere to specific medication or self-managed care guidelines.
The International Network of Health Promoting Hospitals and Health Services (HPH) is a network initiated by the World Health Organization - Regional Office for Europe. It is based on the health promotion philosophy of the World Health Organization (WHO) as outlined in the WHO Ottawa Charter for Health Promotion which was re-confirmed in the WHO Bangkok Charter for Health Promotion in a Globalised World . The Ottawa Charter lists five action areas for health promotion, of which health care services are one:
The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions and governments.
They must work together towards a health care system which contributes to the pursuit of health. The role of the health sector must move increasingly in a health promotion direction, beyond its responsibility for providing clinical and curative services. Health services need to embrace an expanded mandate which is sensitive and respects cultural needs. This mandate should support the needs of individuals and communities for a healthier life, and open channels between the health sector and broader social, political, economic and physical environmental components.
Reorienting health services also requires stronger attention to health research as well as changes in professional education and training. This must lead to a change of attitude and organization of health services which refocuses on the total needs of the individual as a whole person.
Nutrition transition is the shift in dietary consumption and energy expenditure that coincides with economic, demographic, and epidemiological changes. Specifically the term is used for the transition of developing countries from traditional diets high in cereal and fiber to more Western pattern diets high in sugars, fat, and animal-source food.
The Tajikistan health system is influenced by the former Soviet legacy. It is ranked as the poorest country within the WHO European region, including the lowest total health expenditure per capita. Tajikistan is ranked 129th as Human Development Index of 188 countries, with an Index of 0.627 in 2016. In 2016, the SDG Index value was 56. In Tajikistan health indicators such as infant and maternal mortality rates are among the highest of the former Soviet republics. In the post-Soviet era, life expectancy has decreased because of poor nutrition, polluted water supplies, and increased incidence of cholera, malaria, tuberculosis, and typhoid. Because the health care system has deteriorated badly and receives insufficient funding and because sanitation and water supply systems are in declining condition, Tajikistan has a high risk of epidemic disease.
European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases since its launch in 2008. EIW activities are carried out by participating WHO/Europe member states. In the past these have included: disseminating informational materials about immunization, organizing immunization campaigns, organizing training sessions for health care workers, arranging workshops or conferences with political decision makers to discuss immunization, and holding press conferences about immunization-related issues.
The European Observatory on Health Systems and Policies is an intergovernmental partnership, hosted by the World Health Organization (WHO) Regional Office for Europe, which specialises in the development of health systems within Europe. The partnership includes the Governments of Austria, Belgium, Finland, Ireland, Norway, Slovenia, Sweden and the United Kingdom; the Veneto Region of Italy; the French National Union of Health Insurance Funds (UNCAM); the World Health Organization; the European Commission; the World Bank; the London School of Economics and Political Science (LSE); and the London School of Hygiene & Tropical Medicine (LSHTM). The observatory was established in 1998 by Josep Figueras, with colleagues Martin McKee, Elias Mossialos, and Richard Saltman, when Dr Jo E. Asvall, the then WHO Regional Director for Europe, approved its foundation.
EuroHealthNet is a non-profit partnership of organisations, agencies and statutory bodies working to contribute to a healthier Europe by promoting health and health equity between and within European countries. EuroHealthNet achieves this through its partnership framework by supporting members’ work in EU and associated states through policy and project development, networking and communications. The network’s office has been located in Brussels since 1996 and staff members are experienced in engaging with the EU institutions, decision makers and a large number of stakeholders from public authorities, civil society, the corporate sector and academia. EuroHealthNet has connections with national and regional governments, as well as with the European institutions, and therefore a good understanding of how evidence and information on health equity can be introduced in current policy making agendas.
The United Nations Interagency Task Force on the Prevention and Control of Non-communicable Diseases (UNIATF), hereafter referred to as the Task Force, was established by the United Nations Secretary-General in 2013. Non-communicable diseases (NCDs), also known as chronic diseases, include cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. The role of the Task Force is to bring relevant actors from across the United Nations (UN) system and national governments together to develop whole-of-government, whole-of-society approaches for the prevention and control of NCDs. Following the establishment of the 2030 Agenda for Sustainable Development in 2015, the Task Force's scope of work was expanded to include “NCD related Sustainable Development Goals (SDGs)” such as addressing mental health conditions, violence, injuries, nutrition and environmental issues that contribute to the global burden of NCDs. The Task Force promotes multisectoral action for the prevention and control of NCDs, supports countries to achieve the Sustainable Development Goals (SDGs) and supports countries to move towards Universal Health Coverage (UHC). The work of the Task Force includes implementing the Global Joint Programme to conduct investment cases, coordinating interagency joint programmes and facilitating thematic working groups. The World Health Organization acts as a Secretariat for the Task Force.
References
- ↑ World Health Assembly. Resolution WHA51.7. Health for all policy for the twenty-first century. Geneva: World Health Organization, 1998. Accessed 2013 Apr 9.
- 1 2 Health21: an introduction to the health for all policy framework for the WHO European Region. (European Health for All series; no. 5.) Copenhagen: World Health Organization, Regional Office for Europe, 1998. ISBN 92-890-1348-6. Accessed 2013 Apr 9.
- 1 2 Health21: the health for all policy framework for the WHO European Region. (European Health for All series; no. 6.) Copenhagen: World Health Organization, Regional Office for Europe, 1999. ISBN 92-890-1349-4. Accessed 2013 Apr 9.