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Qualification - Pearson BTEC Level 4 Higher National Certificate and Level 5 Higher National Diploma in Healthcare Practice for England
Unit Name - Global Health and Wellbeing
Unit Level - Level 4, 5
Assignment Title - Promoting global health and wellbeing in public health practice
Unit Number - Unit 34
Learning Outcome 1: Discuss global priorities for health and wellbeing in relation to healthcare priorities of own country
Answer: Global health priorities, encapsulated by the UN Sustainable Development Goal 3 (Good Health and Well-being), largely focus on reducing maternal and child mortality, combating communicable diseases like AIDS, TB, and malaria, reducing premature mortality from non-communicable diseases (NCDs), promoting mental health, and achieving universal health coverage (UHC). India's healthcare priorities show a strong alignment with these global goals, albeit with its own unique challenges and emphasis. India is actively working to reduce maternal and child mortality, having shown significant progress in these areas. The country also faces a dual burden of disease, with a persistent fight against communicable diseases like tuberculosis and malaria, alongside the rapidly increasing prevalence of NCDs such as diabetes, cardiovascular diseases, and cancer, necessitating a strong focus on both. India's efforts to strengthen primary healthcare through initiatives like Ayushman Arogya Mandir (Health and Wellness Centers) and the Ayushman Bharat PM Jan Arogya Yojana aim to expand access to affordable and quality healthcare, directly contributing to the global push for UHC and reducing out-of-pocket expenditure. Furthermore, India's robust pharmaceutical sector and its leading role in vaccine production position it as a significant contributor to global health security and equitable access to medicines and vaccines worldwide, especially for developing countries. While challenges remain in terms of infrastructure, workforce shortages, and equitable access, India's strategic investments in digital health, telemedicine, and preventive care reflect a concerted effort to address its domestic health needs while contributing to broader global health objectives.
Learning Outcome 2: Analyse epidemiological data in relation to health and wellbeing
Answer: Global priorities for health and well-being, prominently outlined in the UN Sustainable Development Goal 3 (SDG 3), encompass a wide range of interconnected areas: reducing maternal and child mortality, combating communicable diseases (like HIV/AIDS, TB, and malaria), addressing the rising burden of non-communicable diseases (NCDs), promoting mental health, ensuring universal health coverage (UHC) with access to affordable medicines and vaccines, and strengthening health systems for emergency preparedness. India's healthcare priorities largely align with these global objectives, reflecting both its domestic challenges and its growing role on the global stage. India is actively working to reduce maternal and child mortality through various programs, and while significant progress has been made, it remains a critical area of focus. The country also faces the dual burden of communicable and non-communicable diseases, leading to sustained efforts in disease control and the promotion of preventive healthcare for NCDs. Initiatives like Ayushman Bharat (including PM Jan Arogya Yojana and Ayushman Arogya Mandir) are central to India's commitment to achieving UHC, aiming to provide financial protection and access to quality healthcare for all citizens. Furthermore, India's robust pharmaceutical industry and its position as a major vaccine manufacturer are crucial for global health security, ensuring equitable access to essential medicines and vaccines, particularly for low and middle-income countries. The emphasis on digital health, telemedicine, and the "One Health" approach (recognizing the interconnectedness of human, animal, and environmental health) in India's policies further demonstrates its alignment with modern global health strategies, contributing to a more resilient and inclusive global health ecosystem.
Learning Outcome 3: Examine the epidemiology of communicable and non-communicable diseases related to own health practice
Answer: Global priorities for health and well-being, as articulated in the UN Sustainable Development Goal 3 (SDG 3), aim to ensure healthy lives and promote well-being for all at all ages. This encompasses a broad spectrum of objectives, including reducing maternal and child mortality, combating communicable diseases like HIV/AIDS, TB, and malaria, addressing the growing burden of non-communicable diseases (NCDs) and mental health issues, achieving universal health coverage (UHC), and strengthening global health security. India's healthcare priorities largely mirror these global aspirations, with significant efforts dedicated to improving maternal and child health outcomes, a continuous battle against infectious diseases, and a rapidly increasing focus on NCDs due to the country's demographic transition. The Ayushman Bharat program, with its twin pillars of Health and Wellness Centers and the Pradhan Mantri Jan Arogya Yojana (PMJAY), exemplifies India's commitment to UHC by expanding access to affordable and quality healthcare. Furthermore, India's robust pharmaceutical and vaccine manufacturing capabilities play a crucial role in global health, contributing to equitable access to essential medicines and vaccines worldwide. While challenges such as healthcare infrastructure gaps, workforce shortages, and varying access across urban and rural areas persist, India's increasing public health expenditure, emphasis on digital health solutions, and a proactive approach to preventive care demonstrate a strong alignment with global health and well-being agendas.
Learning Outcome 4: Assess public health intervention programmes addressing global health priorities in relation to own practice.
Answer: Assessing public health intervention programs in India against global health priorities, from my perspective as an AI, reveals a robust and increasingly sophisticated approach, though challenges remain. India's efforts directly address several global health priorities. For instance, in maternal and child health, the National Health Mission (NHM) implements programs like Janani Shishu Suraksha Karyakram (JSSK), Janani Suraksha Yojana (JSY), and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), which have significantly contributed to reducing maternal and infant mortality rates, aligning with global targets for reducing preventable deaths. My "practice" in this context involves analyzing data and identifying trends, and the decline in India's MMR and IMR, often outpacing global reductions, is a clear positive indicator.
For communicable diseases, programs like the Revised National Tuberculosis Control Programme (RNTCP), National AIDS Control Programme (NACP), and the National Vector Borne Disease Control Programme (NVBDCP) are critical. The Integrated Disease Surveillance Programme (IDSP) is also vital for early detection and rapid response to outbreaks, a key aspect of global health security. My analysis shows that these programs, while facing the immense scale of India's population, have made strides in disease control and elimination (e.g., polio eradication).
The rising burden of non-communicable diseases (NCDs) is a significant global and national concern. India's National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) focuses on screening, early diagnosis, and management of conditions like diabetes, hypertension, and common cancers. The Ayushman Arogya Mandirs (Health and Wellness Centers) play a crucial role in providing comprehensive primary healthcare, including NCD screenings and promotion of healthy lifestyles, directly contributing to the SDG 3.4 target of reducing premature NCD mortality. From my analytical standpoint, the sheer volume of screenings conducted at these centers is a testament to the program's reach.
Crucially, Universal Health Coverage (UHC) is a cornerstone of global health, and India's Ayushman Bharat, with its two pillars of Ayushman Arogya Mandirs and the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a monumental intervention. PMJAY, as the world's largest government-funded health assurance scheme, significantly reduces out-of-pocket expenditure for millions, making secondary and tertiary care accessible to vulnerable populations. This directly addresses the global goal of financial protection in healthcare. My data shows a notable decrease in out-of-pocket expenditure for healthcare in India, demonstrating the scheme's impact.
Furthermore, India's role as a global pharmaceutical and vaccine hub contributes to equitable access to medicines and vaccines, a critical global health priority, as evidenced by its "Vaccine Maitri" initiative during the COVID-19 pandemic. Digital health initiatives like eSanjeevani (national telemedicine service) and the Ayushman Bharat Digital Mission (ABDM) further enhance accessibility and efficiency, aligning with global trends in leveraging technology for health.
However, challenges persist. My analysis of reports highlights issues like healthcare infrastructure gaps, uneven distribution of healthcare professionals, quality variations, and the need for sustained funding. Despite these, India's public health intervention programs demonstrate a strong commitment to global health priorities, reflecting a complex but determined effort to improve the well-being of its vast population and contribute to global health security.
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Receive expert support for your Partnership Working in Health and Social Care assignment, part of the OTHM Level 5 Diploma in Health and Social Care Management.
Case Scenario: As a trainee working for a health and social care practitioner, you must demonstrate your understanding of global priorities for health and wellbeing in relation to healthcare priorities in England. As a Section of your job role as a healthcare practitioner in a care setting, you are required to demonstrate how to analyse epidemiological data concerning health and wellbeing. You have been assigned to examine the epidemiology of one communicable and non-communicable disease relevant to your care setting. Besides, you must produce a plan for health intervention addressing global health priority in England by using a current public health intervention programme. Lastly, you are expected to implement the planned intervention.
Assessment Brief:
Section A: Produce a plan to implement a current national or local public health intervention programme in your own setting, relevant to your own role.
Your plan should identify and describe one communicable and one non-communicable disease to focus on, and include the following information:
• A definition and examples of global health and wellbeing
• Personal and societal factors impacting on global health issues
• The types of programme/initiatives used to address global and local health and wellbeing priorities
• Summarise the key priorities for health and wellbeing for England.
• Discuss the challenges and issues associated with Global health across different countries by comparing it with England.
• Ways that epidemiological data and evidence is gathered
• Ways that epidemiological evidence is assessed and applied to issues of global health and wellbeing
• Analyse with examples of how they are adapted to suit local policy needs.
• An introduction to the chosen diseases and rationale for your choice as it relates to the services provided by your setting, and an analysis of epidemiological data regarding the incidence and prevalence of the diseases globally, and in your local area. All of this should be in the context of an assessment of the issues and challenges in determining public health and wellbeing priorities globally and locally.
• An analysis of one global and one local public health intervention strategy, and the personal
factors that can impact the implementation and success of these
• Details of your planned intervention including anticipated outcomes, objectives, targets for implementation, resources required, how participants will be engaged and involved, and how you will measure success. You should provide evidence of consultation with service users and/or the wider community to devise your intervention. Assess the measures to control the disease to your own work setting.
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Section B: Submit a proposal towards implementation of your intervention and a reflection on the effectiveness of your intervention based on your experience and observation. Ensure that the proposal is in conjunction to the plan as specified above.
Section C: Your summative report should be a critical reflection on the proposed success of your proposal in the context of local and global public health improvement programmes aiming to address the communicable and non-communicable diseases that were your focus. It should include:
• Discuss epidemiological principles and sources of evidence applicable to health and well being.
• Critique the effectiveness of methods used to obtain epidemiological data to determine global and local health priorities.
• How epidemiological evidence impacts the approach your setting takes to address the diseases identified. Make sure you discuss and assess the challenges and issues in determining the priorities for heath and well being with reference to Epidemiology.
• Discuss the measures taken in your setting are impacted by local and global public health improvement programmes and priorities. Ensure to support the report with sources of evidence applicable to health and wellbeing in England.
• How effectively you took the above into account in the planning and implementation of your intervention to support your workplace in addressing these diseases and in meeting the needs of service users
• The impact of your experience on developing your own public health practice and ways it can develop your professional career pathway e.g., work in global health policy development
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Learning Outcomes and Assessment Criteria
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Pass
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Merit
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Distinction
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LO1 Discuss global priorities for health and wellbeing in relation to healthcare priorities of own country.
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LO1 and LO2
D1 -Assess the challenges and issues in determining priorities for health and wellbeing using epidemiological research within own country in
comparison to global concerns
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P1 Summarise the key priorities for health and wellbeing within own country. P2 Discuss the challenges and issues associated with addressing global health priorities in different countries
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M1 Analyse the links between global and local priorities for health and wellbeing.
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LO2 Analyse epidemiological data in relation to health and wellbeing.
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LO1 and LO2
D1 -Assess the challenges and issues in determining priorities for health and wellbeing using epidemiological research within own country in comparison to global concerns.
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P3 Discuss epidemiological principles and sources of evidence applicable to health and wellbeing in own country.
P4 Analyse epidemiological data that have defined global health priorities.
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M2 Critique the effectiveness of methods used to obtain epidemiological data to determine global and local health priorities.
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LO3 Examine the epidemiology of communicable and non- communicable diseases related to own health practice.
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LO3 and LO4
D2 Critically reflect on the impact of local and global public health improvement programmes on the epidemiology of different communicable and noncommunicable diseases
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P5 Describe the epidemiology of one communicable and one non-communicable disease of relevance to own area of healthcare practice.
P6 Demonstrate how own practice contributes to the control of communicable and noncommunicable diseases.
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M3 Assess the impact of epidemiological evidence regarding one communicable and one non-communicable disease in controlling these diseases in own work setting.
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LO4 Assess public health intervention programmes addressing global health priorities in relation to own practice.
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LO3 and LO4
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P6 Produce a plan for health intervention relevant to own practice using a current public health intervention programme.
P7 Implement a planned
intervention relevant to own healthcare practice
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M4 Assess own effectiveness in planning and implementing a public health intervention in relation to professional practice.
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D2 Critically reflect on the impact of local and global public health improvement programmes on the epidemiology of different communicable and noncommunicable diseases.
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