• Culture: – Those qualities and attributes that seem to be characteristic of all humankind.
• Culture survives if it can accommodate to changing
conditions.
• Binds a particular society together, and includes its
manners, morals, tools, and techniques. • Society: – A group of people who have learned to live and work together. • Society is a holon and within the society, culture refers to the way of life is followed by the group (society). Nature of Culture • Culture is a group phenomenon. • Cultures evolve from the interaction of person with others, and a person’s belief or behavior becomes part of the culture when it is externalized and objectified. Components of Culture • Norms Specific guides to action, which define acceptable behavior in a particular situations. There are many norms governing our behavior. E-g wearing cloths is considered appropriate & acceptable. • Value value on the other hand provide more general guidelines – abstract ideas A belief that something is good & desirable. It defines what is important, worthwhile. • Many of our norms may be seen as reflections of value & verity of norms can be seen as an expression of a single value e.g The value that life is precious What is the relationship between culture and society? • the essential difference is that society is composed of people while culture consists of knowledge, ideas, customs, traditions, folkways, mores, beliefs, skills, institutions, organizations, and artifacts. Society is the combination of people with differentcultures. • How does culture in our society affect health?
• The influence of culture on health is vast.
It affects perceptions of health, illness and death, beliefs about causes of disease, approaches to health promotion, how illness and pain are experienced and expressed, where patients seek help, and thetypes of treatment patients prefer. Why is culture important in healthcare? • Respect is at the heart of cultural competence-patients who feel their healthcareproviders respect their beliefs, customs, values, language, and traditions are more likely to communicate freely and honestly, which can, in turn, reduce disparities inhealthcare and improve patient outcomes. Impact of cultural factors on Health • Concept of etiology & cure • Environmental sanitation • Food Habits • Mother & Child health • Personal Hygiene • Marriage & Sectuality Health System • Health system includes environmental conditions, nutrition, water supply, education, housing, status of women, social structures, economic and political system Factors influencing health service utilization • Socio-demographic factors • Age/sex of child • Family size/ parity • Education • Occupation Economic factors • Possession of household items • Possession of cattle • Possession of agriculture land • Type of residential house Physical accessibility factor • Availability of the transport • Physical distance for Health Facility/Health Care Provider • Time taken to reach Health Facility/Health Care Provider Health service factors • Attitudes of health provider • Satisfaction with the treatment • Received medicines from Health Facility/Health Care Provider • Received prescription for medicines • to be purchased from bazaar