Showing posts with label World Health Day. Show all posts
Showing posts with label World Health Day. Show all posts

Saturday, April 7, 2018

It's World Health Day





April 7th is World Health Day.
This is the 70th anniversary of the World Health Organization (WHO)

 The theme of World Health Day 2018 is: Universal health coverage (UHC): everyone, everywhere. The slogan is “Health for All”.

 Key messages for World Health Day 2018

Universal health coverage is about ensuring all people can get quality health services, where and when they need them, without suffering financial hardship.

No one should have to choose between good health and other life necessities.

UHC is key to people’s and nations’ health and well-being.

UHC is feasible. Some countries have made great progress. Their challenge is to maintain coverage to meet people’s expectations.

All countries will approach UHC in different ways: there is no one size fits all. But every country can do something to advance UHC.

Making health services truly universal requires a shift from designing health systems around diseases and institutions towards health services designed around and for people.

Everyone can play a part in the path to UHC, by taking part in a UHC conversation.

Too many people are currently missing out on health coverage

“Universal” in UHC means “for all”, without discrimination, leaving no one behind.

Everyone everywhere has a right to benefit from health services they need without falling into poverty when using them.

Here are some facts and figures about the state of UHC today:

At least half of the world’s people is currently unable to obtain essential health services.

Almost 100 million people are being pushed into extreme poverty, forced to survive on just $1.90 or less a day, because they have to pay for health services out of their own pockets.

Over 800 million people (almost 12 percent of the world’s population) spend at least 10 percent of their household budgets on health expenses for themselves, a sick child or other family member. They incur so-called “catastrophic expenditures”.

Incurring catastrophic expenses for health care is a global problem.

In richer countries in Europe, Latin America and parts of Asia, which have achieved high levels of access to health services, increasing numbers of people are spending at least 10 percent of their household budgets on out-of-pocket health expenses.

What UHC is

UHC means that all people and communities receive the health services they need without suffering financial hardship.

UHC enables everyone to access the services that address the most important causes of disease and death and ensures that the quality of those services is good enough to improve the health of the people who receive them.

What UHC is not

UHC does not mean free coverage for all possible health interventions, regardless of the cost, as no country can provide all services free of charge on a sustainable basis.

UHC is not only about ensuring a minimum package of health services, but also about ensuring a progressive expansion of coverage of health services and financial protection as more resources become available.

UHC is not only about medical treatment for individuals, but also includes services for whole populations such as public health campaigns – for example adding fluoride to water or controlling the breeding grounds of mosquitoes that carry viruses that can cause disease.

UHC is not just about health care and financing the health system of a country.

It encompasses all components of the health system: systems and healthcare providers that deliver health services to people, health facilities and communications networks, health technologies, information systems, quality assurance mechanisms and governance and legislation.


© WHO 2018

Friday, April 7, 2017

April 7 - World Health Day: Depression, Let's Talk


Every year on the 7th of April, the World Health Day is celebrated.

Each year comes with its own theme and this year (2017) the theme is "Depression - Let's Talk"


 And this theme could not have been more apt, especially in Nigeria where the suicide rate in the past one month has jumped to 55% from a mere 2% before then.

What is Depression

Depression is a state of low mood and aversion to activity that can affect a person's thoughts, behavior, feelings, and sense of well-being.

People with a depressed mood can feel 

- sad
- hopeless
- helpless
- guilty
- irritable
- angry
- ashamed
- or restless.

They may
- lose interest in activities that were once pleasurable
- experience loss of appetite or overeating,
- have problems concentrating, remembering details or making decisions,
- experience relationship difficulties
- and may contemplate, attempt or commit suicide. 

aches
pains
digestive problems
or reduced energy may also be present

Depressed mood is a feature of some psychiatric syndromes such as major depressive disorder, but it may also be a normal temporary reaction to life events such as bereavement, a symptom of some bodily ailments or a side effect of some drugs and medical treatments.

A DSM diagnosis distinguishes an episode (or 'state') of depression from the habitual (or 'trait') depressive symptoms someone can experience as part of their personality.

People who pursue long term courses tend to have more symptoms of depression than those who pursue short term courses e.g Medical Students

People who are constantly under stress and pressure tend to be more depressed than the general population e.g. Medical Doctors

Blacks in the USA tend to be more depressed than Whites

Women tend to be more depressed than men but men tend to have more suicide tendencies as a result of depression then women

Causes:

1.      Life events

Adversity in childhood, such as bereavement, neglect, mental abuse, physical abuse, sexual abuse, and unequal parental treatment of siblings can contribute to depression in adulthood.

Childhood physical or sexual abuse in particular significantly correlates with the likelihood of experiencing depression over the life course.

Life events and changes that may precipitate depressed mood include

- financial difficulties
- unemployment
- work stress
- a medical diagnosis (cancer, HIV, etc.)
-bullying
- loss of a loved one
- rape
- relationship troubles
- jealousy
- separation

Adolescents may be especially prone to experiencing depressed mood following social rejection, peer pressure and bullying.

2.      Personality

High scores on the personality domain neuroticism make the development of depressive symptoms as well as all kinds of depression diagnoses more likely, and depression is associated with low extraversion.

3.      Medical treatments

Depression may also be iatrogenic (the result of healthcare), such as drug induced depression.

Therapies associated with depression include interferon therapy, beta-blockers, Isotretinoin, contraceptives, cardiac agents, anticonvulsants, antimigraine drugs, antipsychotics, and hormonal agents such as gonadotropin-releasing hormone agonist.

4.      Substance-induced

Several drugs of abuse can cause or exacerbate depression, whether in intoxication, withdrawal, and from chronic use.

These include

sedatives (including prescription benzodiazepines)
and illicit drugs like heroin),
stimulants (such as cocaine and amphetamines)

5.      Non-psychiatric illnesses

Depressed mood can be the result of a number of infectious diseases, 
neurological conditions 

and physiological problems
including hypoandrogenism (in men)
and cancer.

6.      Psychiatric syndromes

A number of psychiatric syndromes feature depressed mood as a main symptom.

The mood disorders are a group of disorders considered to be primary disturbances of mood.

These include major depressive disorder (MDD; commonly called major depression or clinical depression) where a person has at least two weeks of depressed mood or a loss of interest or pleasure in nearly all activities; and dysthymia, a state of chronic depressed mood, the symptoms of which do not meet the severity of a major depressive episode.

Another mood disorder, bipolar disorder, features one or more episodes of abnormally elevated mood, cognition and energy levels, but may also involve one or more episodes of depression.

When the course of depressive episodes follows a seasonal pattern, the disorder (major depressive disorder, bipolar disorder, etc.) may be described as a seasonal affective disorder.

Outside the mood disorders: borderline personality disorder often features an extremely intense depressive mood; adjustment disorder with depressed mood is a mood disturbance appearing as a psychological response to an identifiable event or stressor, in which the resulting emotional or behavioral symptoms are significant but do not meet the criteria for a major depressive episode: and post traumatic stress disorder, an anxiety disorder that sometimes follows trauma, is commonly accompanied by depressed mood.

Depression is sometimes associated with substance use disorder.

Both legal and illegal drugs can cause substance use disorder.

Assessment

Mental Health Providers use questionnaires and check lists to detect and assess the severity of depression

Treatment

Depressed mood may not require professional treatment, and may be a normal temporary reaction to life events, a symptom of some medical condition, or a side effect of some drugs or medical treatments.

A prolonged depressed mood, especially in combination with other symptoms, may lead to a diagnosis of a psychiatric or medical condition which may benefit from treatment.

Different sub-divisions of depression have different treatment approaches.

In the United States, it has been estimated that two thirds of people with depression do not actively seek treatment.

The World Health Organisation (WHO) has predicted that by 2030, depression will account for the highest level of disability accorded any physical or mental disorder in the world (WHO, 2008).

Source:     Wikipedia