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2013年4月 2日 (火)

’ Health Promotion for Jusitice’・・・New name for New stage of the Health -Strategy to aim at the right to health

I am thinking about    new  name  for new stage of the  health -strategy to aim at the right to health  that had been initiated by Amartya Sen's thought.

It is necessary to recognize that there is a historical transition in WHO's health -strategies.

The first stage was "Primary health care" PHC. This went out strongly a medical biology side, and ended in infectious disease control only (partial PHC). It can be said that it failed in the incentive-making of health- creation by resident's social participation.

The second stage is Health promotion HP.Though it almost completed in the idea,the clue of practice was not obtained, it fell  into  self-responsibility theory  and  overemphasis of   empowerment  individual lifestyle like Japanese "Healthy Japan 21"  and United States' "Healthy people 2000"   in  the large wave of neoliberalism globalization, and it failed .

The third stage is  on the epoch where the Health promotion discovered the direction of advancement along "Social determinats of health" SDH (→ 'solid facts') that is the maximum factor to decide health by obtaining arms of social epidemiology.

Michael Marmot  is the leading person of  this movement.

By it  health-strategy and the right  to health  hado become the acquisition targets with the scientific basis from the subjective effort target and the wish .

However, there is no name  for the third stage yet. The content is not reflected in "New Health promotion".

SDH Health promotion (HP-SDH)  can not catch a lot of people's hearts .

ComprehensiveHP(CHP)is too official.

Scientific HP is like the scientific socialism.

Might "HP for the justice"   be too passionate ?

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