Using Digital Stories to Educate Public Health Students About Local Social Determinants of Health

2017 ◽  
Vol 4 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Martine Hackett ◽  
Laraib Humayun

Digital stories are short videos that use narrative structures to address issues from a personal perspective. They have been used to educate populations about health topics, including teen pregnancy, cancer screening, and substance abuse. Social determinants of health and structural inequalities are known contributors to health inequity and are a set of fundamental concepts for public health students to understand, particularly within local communities. To address this issue, a digital story was created by an instructor of undergraduate and graduate public health courses with both the instructor’s personal narrative and commentary when driving between adjacent racially segregated neighborhoods in a suburb near where she lives. The health disparities and the connection between place and health were highlighted in the narration. Public health students at a university that borders the communities featured were shown the video, pre- and posttests were administered ( n = 119) and a paired t test was performed to measure differences in the students’ knowledge about social determinants of health. An open-ended question about the video was also analyzed. Students demonstrated increased understanding of social determinants of health ( p < .001), local health inequity ( p < .001), and residential segregation ( p < .000). Qualitative responses indicated that students had seen these differences in local neighborhoods but were unaware of the connection between residential segregation and health. Digital stories, particularly rooted in local neighborhoods, can be an effective way to educate undergraduate and graduate students about social determinants of health.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Stone ◽  
D e b Leyland

Abstract In New Zealand there are 20 district health boards (DHBs) with local elections every 3 years. There is low voter turnout for these, we suspect because the public has low cognizance of the role DHBs have in governing their health and disability system. Good governance ensures everyone whatever ethnicity, gender or sexual proclivity, from birth to old age, able or disabled, mentally well or unwell, drugfree or addicted, has equal rights of dignified access to healthcare. Without public engagement in DHB elections, the community risks having candidates elected that also don't understand their role through a preventative public health framework or human rights lens. The United Community Action Network (UCAN) developed a human rights framework and Health Charter for people driven into poverty by the costs of staying well in NZ. The framework outlines 6 social determinants of health needing protection through policy, to ensure all enjoy their rights to health. UCAN and the Public Health Association of New Zealand (PHA) partnered to raise public and the candidates' awareness during 2019 elections, of these social determinants causing inequity in health outcomes. A series of short explainer-videos were created for sharing through social media during the election build-up period, helping to promote PHA Branches' public Meet the Candidates events. Post-election, a longer film was produced to send to the elected DHB members. Our theory of change centred on spotlighting health inequity for voters, so that they would elect DHB members who had the greatest understanding and commitment to addressing this issue. With shareable videos we aimed to attract audience, raise awareness and debate the policy solutions to health inequity with candidates, enabling more informed choice amongst the voting public. Post-election, we maintain supportive relationships with the elected DHB members that promised their commitment to our Health Charter during their campaigns. Key messages Using videos and social media, local body elections provide an opportunity to promote everyone’s right to affordable healthcare, supporting and informing voter decision-making. UCAN's Health Charter is an advocacy resource for raising awareness of the social determinants of health inequity and poverty for people with mental illness, addiction and disability.


2007 ◽  
Vol 84 (S1) ◽  
pp. 164-173 ◽  
Author(s):  
Franςoise Barten ◽  
Diana Mitlin ◽  
Catherine Mulholland ◽  
Ana Hardoy ◽  
Ruth Stern

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
S van den Broucke ◽  
C Aluttis ◽  
K Michelsen ◽  
H Brand ◽  
C Chiotan ◽  
...  

2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio

Author(s):  
Bo Burström

This commentary refers to the article by Fisher et al on lessons from Australian primary healthcare (PHC), which highlights the role of PHC to reduce non-communicable diseases (NCDs) and promote health equity. This commentary discusses important elements and features when aiming for health equity, including going beyond the healthcare system and focusing on the social determinants of health in public health policies, in PHC and in the healthcare system as a whole, to reduce NCDs. A wider biopsychosocial view on health is needed, recognizing the importance of social determinants of health, and inequalities in health. Public funding and universal access to care are important prerequisites, but regulation is needed to ensure equitable access in practice. An example of a PHC reform in Sweden indicates that introducing market solutions in a publicly funded PHC system may not benefit those with greater needs and may reduce the impact of PHC on population health.


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