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Lecture Determinant of Morbidity 2022
Lecture Determinant of Morbidity 2022
MORTALITY IN POPULATION
Direct:
Factor A Disease
Indirect:
Factor A Step1 Step2 Disease
rarely happens
2. Necessary but not Sufficient
Factor A
+
Factor B Disease
+
Factor C
Factor A
or
Factor B Disease
or
Factor C
Factor A + Factor B
or
Factor C + Factor D
Disease
or
Factor E + Factor F
HOST (intrinsic)
AGENT ENVIRONMENT
(biologic, physic, mechanical, (Physical, Biological, Social)
chemical, nutrient)
Model Roda (Wheel Model)
INTERNAL
(intrinsic)
Social
Biological HOST • politic,
Environ- Genetic • economic
ment • culture
Physical Environment
EXTERNAL (extrinsic)
WEB MODELContoh Kasus Kematian
(SARANG Ibu
LABA-LABA)
Morbidity and
Behavior Health
mortality in
services
a population
Environmental factors
(biological, physical, social, economical, politic)
Determinant of health
• Who they are
• What they do
• Condition in which people born, grow, live,
work and age
HEALTH INEQUITIES
SOCIAL DETERMINANTS OF HEALTH
WHO- CSDH conceptual framework
“Some of the people need health care
some of the time
BUT
All of the people need public health all
of the time."
C. Everett Koop, MD
former U.S. Surgeon General
Thank you