The concept of health has been define in a variety of
ways. WHO in 1947 define health in terms of total well- being and discouraged the conceptualization of health as simply the absence of disease . In 1995 WHO launched a process known as " health for all " which is aimed at preparing countries to meet the challenges of twenty – first century and emphasize the need to see health is central to human development , societal growth. More contemporary definitions of health have emphasized the relationship between health and wellness and health promotion. Wellness is process of moving toward integration of human functioning, the maximization of human potential. Health promotion is the process of helping people enhance their well- being and maximize their human potential. The focus of health promotion is on changing pattern behavior or environmental structure to promote health rather than simply avoid illness. Determinant of Health: 1. Life style : refer to pattern of people live, behavior, eating, sleeping, communication. 2. Family is play critical role in develop health beliefs and behaviors such as exercise pattern use seat belt, avoidance harmful substance (e.g. tobacco ,alcohol and drugs ) . Determinant of Health: 3. Biological influences: Genetic endowment influences susceptibility to illness. Familial tendency toward disease such as Diabetes mellitus and heart disease are well established However illness related to genetics may also be influenced by cultural and environmental factors . Similarly genetics feature such as "sex, eye, skin and hair color, facial structure, height and weight". And may also influence by ethnic, race and environmentally influenced . 4. Environmental influences: Physical environment: whether, climate, noise, light, food, air, water pollution and exposure to toxic substance. Socio cultural environment : Historical era in which one lives, value of family and significant others, social institution e.g. (school, faith community), when increase level of education in the community and increase socioeconomic lead to increase health promotion. Note : according to Healthy People 2020, an estimated 25% of preventable illnesses worldwide can be attributed to poor environmental quality. Health care system : degree on prevention, cure and rehabilitation effort improved health society.