Nursing

Parameters Of A Healthy City

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Word Count

500 words

Subject

Environmental Health & Safety

Deadline

3 Days

Assignment Criteria

Introduction:

Please write at least two paragraph introduction of 500 words for the below mentioned document. Please cover all the aspects of the documents in the introduction. I need best performance work because this is group assignment and I want to be the best member of the group.

Document without introduction

Parameters of a Healthy City

The health of an individual person relies on much more than a simple lack of sickness. Good health is as much of a psychological and physical state of wellness brought on by the surrounding environments and social conditions. Communities, whether they be towns, cities or neighbourhoods are taking a vested interest in promoting health within their catchment areas. The World Health Organisation (WHO) are the acting body responsible for the constant improvement to the global health community and have listed eleven parameters that should be followed for a city to be healthy, including: 

  1. providing a clean, safe, high-quality environment to live; 
  2. a sustainable and stable ecosystem; 
  3. a strong, mutually supportive and non-exploitive community; 
  4. a high degree of public participation in control over the decisions affecting life, health and wellbeing; 
  5. the meeting of basic needs – food, water, shelter, income, safety, work; 
  6. access to a wide variety of experiences and resources with the possibility of multiple contacts, interaction and communication; 
  7. a diverse, vital and innovative economy; 
  8. encouragement of connections with the past, cultural and biological heritage and with other groups or individuals; 
  9. a city form that is compatible with and enhances the preceding parameters and form of behaviour; 
  10. an optimum level of appropriate public health for all; and 
  11. high health status. 

These can be looked at in parallel to the ten social determinants of health; social gradient; stress; early life; social exclusion; work; unemployment; social support; addiction; food and transport. Together, these act as guides for communities to follow to achieve an optimum level of health. The Healthy Cities Alliance, founded by the WHO has seen many cities in developed nations transform into comfortable places to live with great health facilities and programmes by following these guidelines. Sadly, third world countries are being left behind with often not enough food and water for the population, let alone an advanced health system. The WHO has recognised that the differences are not fair and has set about to change this with the aim of 'closing the gap in a generation'. 

In the Commission on Social Determinants of Health's final report regarding the closing the gap scheme, they list three major stages each community must go through to help reach their healthy city status and close the gap. The first of these is to improve the daily living conditions. This has the broadest scope of factors that can change the outcome for better or worse. When looking at the eleven principles, living conditions is also the top priority in that list too – highlighting that positive health comes from a good home that is safe, clean and healthy. The WHO believe that for any great change to take place, it should start from the youngest members of society. By educating our children to believe that health equity is essential, starting in particular with girls in developing countries and continuing on the broader community, the awareness that is necessary will become second nature. The aim in educating people early, is to seize opportunities for health equity to help eliminate obesity, malnutrition, mental health, disease, addiction and even criminality before they begin. There are strong links between the previous outcomes and several of the social determinants of health including early life, addiction and food. The next step in this stage is to find or create safe and constant work for the able bodied people in the society. In the developed world, unstable or causal working commitments cause a lot of stress on the workers, resulting in physical and/or mental illness. The right to safety at work and a stable income is a basic human right according to the eleven parameters and should be taken seriously. Another social determinant of health is social exclusion, which relates to the socioeconomic status of those who live in the city and ultimately what the city has to offer. A city that can offer a wide variety of experiences and resources fits into the model well as it provides opportunity for interactions, relationships and communications between people. Communities with active community networks and interest groups have a much more fair say in decisions that are made in regards to their lives. A united voice can push harder for what they want their community to look like because they are speaking as one. 

The second stage to creating a healthy city and closing the generation gap is to control the distribution of money, power and resources. There are two sides to this stage, the side giving aid and the side receiving it. For both of these sides to successfully close the gap in health inequality, gender discrimination must end. In many underdeveloped countries females are regularly treated with less respect and authority than their male counterparts; underpaid for the work that they are doing and subject to domestic abuse. From an economic standpoint, gender inequality is inefficient. It promotes paying a male more to do the same job a female could do for less money, thus producing higher costs. If gender equality is to be attained, one wage must change to meet the other. Once this has been achieved, the next step in controlling power, money and resources is making those receiving aid accountable for where it is going. Ideally, the WHO would like to see a global social determinants of health system set up so that all aid being supplied is distributed evenly, fairly and most importantly in the correct ways to benefit the community. No matter what the aid is, it should support a non-exploitive community where everyone is employed for the correct reasons and paid fairly. Unemployment and social support in third world countries go hand in hand as unemployment tends to be high and social support is not available for everyone. These are issues the WHO hopes to fix by employing another parameter for healthy cities: creating a diverse and innovative economy. If this was implemented correctly, there would be a range of jobs available, then if something were to happen to the economy, not everyone would be effected. The third and final stage sees knowledge, monitoring and skills combine to create a healthy city worthy of closing the gap. Knowledge is the most important of these aspects as it benefits everyone: the better educated the public is in regards to the social determinants of health, the more likely they are to respond positively. Whilst it is not essential, additional training in the medical industry on the social determinants of health would be beneficial for a holistic approach to medicine. Strict monitoring of morbidity and mortality rates also needs to improve for this plan to reach its full extent. It is known that countries who do not keep close accounts for these things find it increasingly hard to move forward in the health industry. Often these countries are effected by poverty, civil unrest or conflict, causing this data to become inaccurate. Finally, to execute this proposal it is recommended that a workforce is developed who are trained in the social determinants of health. This will help to increase the employment rate as well as promote public awareness, creating a close and optimistic connection to a healthy lifestyle. 

As mentioned prior, the WHO wanting to close the gap in a generation is an aspiration more so than a prediction. Thus, they do not expect third world countries to catch up to developed countries who have had a whole generational head start. Instead, the aim is the create a network of health that helps each community individually but the whole country as a whole too. The current health model does not allow for this to happen, so unless change is put into motion it will never be achieved. The planners, doctors, councillors and ministers for health all need to band together to empower their citizens to act now because in another thirty years time it will be too late. Education needs to start with the children in this generation so that is becomes a way or life not an enforced policy. For people to appreciate their lives, they need job security and safety, this will reduce the levels of stress and anxiety that are felt from the workforce. Further, when the community take a vested interest in the changes happening to their town or city, they can have a fair say with a good chance that it will be heard. Aid given must be accounted for and put to use helping to solidify the presence of the eleven parameters of a healthy city. Gender equality should be at the forefront of human rights, followed by shelter, food, water, work and safety. When work is put into creating a diverse economy, everyone benefits and there is less chance of failure. Finally, additional training for community members, medical practitioners and local representatives will encourage a sustainable outlook on the social determinants of health. The WHO have put this program together, along with the eleven parameters for a healthy city and the social determinants of health to change the way health is viewed, implemented and access all over the world.

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Assignment Solution

Introduction:

The concept of a healthy city or community is a recent phenomenon. It all evolved in the past decade soon after the UK indulged into the incorporation of a socially responsible activity in an innovative manner to help Europeans lead a healthy life. This unique project immediately grabbed the attention of the environment police and they converged from different parts of the world to focus on launching activities to improve the health of the cities and its people. According to WHO, the organisation that is responsible for nurturing quality health of people around the globe identified that good health is a state of mind which may be attained by improving the overall living conditions of urban life.  Hence in a responsible way, they have launched activities to maintain healthy city and communities around the world. It is believed that a healthy environment would help in nurturing fit and productive population who can successfully assist in overall growth and development of the country in a positive way. Besides WHO, other communities and social care units, government and responsible environment activists and thinkers jointly developed unique policies to create healthy city and communities for the citizens. Urbanisation has impacted adversely on human health. Development of cities and town has forced people to shift from the lap of nature to unhealthy urban dwelling areas. It has been further studied that the sudden surge in the urban dwelling and the abnormal rise in the population growth adversely affected the surviving conditions. The constant rise in population growth led to the shortage of space and unhealthy sewage system affected the health conditions of the population. To overcome such problems the social care units and health organisations jointly focused on developing programmes to develop a healthy living environment, known as healthy cities or communities where people could reside happily amidst healthy and hygienic environment.  

Environment plays a key role in human body and mind, while a clean and clear surrounding encourages one to think positively and the greenery improves vision and fills the atmosphere with fresh oxygen, an unhealthy or polluted environment causes depression and even leads to negative thinking. Hence it has been studied that government and social care units have indulged into developing policies to maintain healthy city and healthy community to ensure quality life of people. 

The particular research would, therefore, focus on studying the involvement of various social care and healthcare organisations in relation to the maintenance of healthy cities and communities in a responsible manner. Health promotion is an integral aspect of the study. The research also evaluates ways in which promotion campaigns such as encouraging for the development of a healthy working environment and schools or living conditions are to be created for improving the overall human health in a systematic manner. Besides this the thesis would study the need of developing healthy cities from two different perspectives and evaluate ways in which healthy city could be created, firstly, by creating adequate living conditions by elimination of waste or impurities from the environment in a defined manner, and secondly by reducing the gap in the generation by controlling the distribution of money, power and resources. 

Parameters of a Healthy City

The health of an individual person relies on much more than a simple lack of sickness. Good health is as much of a psychological and physical state of wellness brought on by the surrounding environments and social conditions. Communities, whether they be towns, cities or neighbourhoods are taking a vested interest in promoting health within their catchment areas. The World Health Organisation (WHO) is the acting body responsible for the constant improvement to the global health community and have listed eleven parameters that should be followed for a city to be healthy, including:  

  1. providing a clean, safe, high-quality environment to live; 
  2. a sustainable and stable ecosystem; 
  3. a strong, mutually supportive and non-exploitive community; 
  4. a high degree of public participation in control over the decisions affecting life, health and wellbeing; 
  5. the meeting of basic needs – food, water, shelter, income, safety, work; 
  6. access to a wide variety of experiences and resources with the possibility of multiple contacts, interaction and communication; 
  7. a diverse, vital and innovative economy; 
  8. encouragement of connections with the past, cultural and biological heritage and with other groups or individuals; 
  9. a city form that is compatible with and enhances the preceding parameters and form of behaviour; 
  10. an optimum level of appropriate public health for all; and 
  11. high health status. 

These can be looked at in parallel to the ten social determinants of health; social gradient; stress; early life; social exclusion; work; unemployment; social support; addiction; food and transport. Together, these act as guides for communities to follow to achieve an optimum level of health. The Healthy Cities Alliance, founded by the WHO has seen many cities in developed nations transform into comfortable places to live with great health facilities and programmes by following these guidelines. Sadly, third world countries are being left behind with often not enough food and water for the population, let alone an advanced health system. The WHO has recognised that the differences are not fair and has set about to change this with the aim of 'closing the gap in a generation'.

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