Sociocultural Essay

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ess. The desire of this essay is to initiate the social determinants approach to health and to coverse the collision of rural location in Nepal as social determinants of health. This article will discuss regarding two programs intention’s to reduce health inequities in Nepal rural states. Last but not least, the essay will analyse the implications of each foremost points raised in this essay, the review and reflections of the major findings.

Social determinants are the critical factors affecting health. According to the World Health Organization (CDSH, 2008):
The social determinants of health are conditions in which people are born, grow, live, work and age including the health system. These circumstances are shaped by the distribution of money, power, and resources at global, national and local levels, which are themselves influenced by policy choices. The social determinants of health are mostly responsible for health inequalities- the unfair and unavoidable differences in health status seen within and between countries.

Also, examples of social determinants defined by Keleher and MacDougall:

Economic participation and access to money, employment and working condition, stress, food security, gender, violence, social exclusion, transport, health systems, health literacy, gender equity and human rights, discrimination, racism and stigma, material resources and personal health practices and coping skills (Keleher & MacDougall, 2009,p.53).

What is rural? Can anybody defines it and standardized? There are many description of rural, but there is no standardized definition or any single rural explanation that can be used in all policy uses. The clarity of rural is used to distinguish the characteristics of the human population in certain geographical location. In Australia, there are three major classifications for rurality/remoteness: the RRMA (Rural, Remote and Metropolitan Areas) classification; the ARIA (Accessibility/Remoteness Index of



References: CDSH (2008). Closing the Gap in a Generation; Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organisation. Germov, J. (Ed). (2009). Second Opinion; An introduction to health sociology (4th ed). Melbourne: Oxford University Press. Keleher, H. & MacDougall, C. (2009). Understanding Health; A Determinants Approach (2nd ed). Melbourne; Oxford University Press. Singh, S. (2004). Impact of long-term political conflict on population health in Nepal. Canadian Medical Association. Journal, 171(12), 1499-1500. doi:10.1503/cmaj.1040777 Nutbeam, D. (2001). Health Literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century’, in Health Promotion International, Vol. 15, No. 3. pp. 259 – 267. Berkman, N. D., DeWalt, D. A., Pignone, M. P., Sheridan, S. L., Lohr, K. N., Lux, L., et al. (2004). Literacy and Health Outcomes (AHRQ Publication No. 04-E007-2). Rockville, MD: Agency for Healthcare Research and Quality. Poudel, K. (2004) Health a casualty of Maoist attacks in Nepal. Kathmandu: One World South Asia. Retrieved from http://southasia.oneworld.net/article/view/84604/1 Dhakal, S., Teijlingen, E.V., Raja, E.A., Dhakal, K.B Pokhrel, D., Bhandari, B. S., & Viraraghavan, T. (2009). Natural hazards and environmental implications in Nepal. Disaster Prevention and Management, 18(5), 478-489. doi:10.1108/09653560911003679

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