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Lecture 2

IDSB04H3 Lecture Notes - Lecture 2: Social Class, Heredity, Microorganism

International Development Studies
Course Code
Anne- Emanuelle Birn

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Introduction to International/Global Health
Lecture #2
The Political Economy of Health and Development
- Politics and economics are interconnected
- Smelter workers in Kenya
- Lead is killing them
- Social conditions are determinants of there ill health as well
Bus Driver Vignette
- Middle aged bussed driver 40+ hours and not given bathroom breaks or any breaks, always working, so the
chapter analyzes the situation between approaches
Biomedical Model (90-91)
- Views health and illness at individual level
- Body as a machine- constituent parts that can be manipulated or repaired
- Health= absence of disease
- Curative
- Risk factors- personal characteristics related to heredity and lifestyle
- Dramatic technological advances in medical treatment over the last century
Behavioral Model (91-92)
- Health and illness primarily a consequence of individual or household actions and beliefs
- Regulation or changing of personal conduct and cultural attitudes
o Education
o Counseling
o Incentives
- Individual (and sometimes household or community) viewed as responsible for health
- Often filtered through spiritual beliefs (good or ill health may be linked to supernatural phenomena)
Political Economy Approach
- Considers political, social, cultural, and economic contexts which disease and illness arise
- Societal structures (ex: political and economic practices and institutions and class interactions) interact with
particular conditions leading to good or ill health
- Health function and reflection of linked determinants that operate at multiple levels
o Individual
o Household
o Community
o Workplace
o Social class
o Nation ~ society
o Global political and economic context
- Underlying determinants need to be addressed in order to improve health
o Public policy (eg) aimed at improving transportation and housing conditions
o Medical care
o Social empowerment strategies (gender equity, unionization)
o Social class mediated political involvement aimed at bettering redistribution and overall
societal welfare
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