Technorati href="http://www.technorProfile Thinking Nurse: Poverty and Health - Online Resources

Thinking Nurse

This blog will reflect my interests in learning disabilities, nursing, nursing theory, philosophy and politics and my general interests in the arts and literature. (Nursing is an art as well as a science!) Philosophy and nursing have been intrinsically linked since the days of Socrates, his mother was a midwife, and taught him everything he knew!

Thursday, June 02, 2005

Poverty and Health - Online Resources

Poverty is the major challenge to human health in the world today.

Thought I would compile a list of links and online resources that provide information on poverty and health outcomes, and ways that nurses can act to challenge poverty and the systems that create it.

This factsheet on poverty and health from the International Council of Nurses is a good starting point:

For those living in poverty the impact reaches far beyond income and monetary matters: the greatest adversities are the lost opportunities to develop essential human capabilities. Poverty is a disease that saps people’s energy, dehumanises them and creates a sense of helplessness and loss of control over one’s life. Illiteracy, ill health, malnourishment, environmental risks and lack of choices contribute to the perpetual cycle of poverty and ill health.


Here is an informative article from Healthlink on Poverty, Disability and Health:
The conditions in which poor people live and work make them and their children more vulnerable to mental and physical impairments and they are less likely to receive the health care they need. The World Health Organization (WHO) estimates that more than 500 million people - between seven and 10 per cent of the world’s population - have impairments that are preventable and treatable. Over 80 per cent of these people live in developing countries.


Ill health and poverty are not confined to developing countries. This PDF from the Public Health Institute of Scotland in 2002 outlines Health Inequalities in the New Scotland
the number of people in the UK living in poverty has increased from 5 million to 14.1 million in the last 20 years. Certain groups of society face the added risk of experiencing exclusion and poverty at sometime during their lifetime. These groups include lone parents, children, young adults, women, the elderly, the disabled, members of ethnic minorities and faith communities, the unemployed and those on low pay.


Policies that seriously tackled poverty in the UK would have immediate and major effects on improving health. Have a look at these findings by Mitchell, Dorling and Shaw for the Joseph Rowntree Foundation

This is a summary of a few of their major findings:
Annually, some 7,500 deaths amongst people younger than 65 could be prevented if inequalities in wealth narrowed to their 1983 levels.
The majority of lives saved from redistribution would be in the poorer areas of Britain, where 37% of 'excess' deaths would be prevented.
Some 2,500 deaths per year amongst those aged less than 65 would be prevented were full employment to be achieved. Two-thirds of these would be in areas which currently have higher than average levels of mortality, preventing 17% of the 'excess' deaths in these areas.
Some 1,400 lives would be saved per year amongst those under 15 if child poverty were eradicated (using the Government's relative definition of child poverty). This represents 92% of all 'excess' child deaths in areas of higher than average mortality


This map published by the Joseph Rowntree Foundation shows the number of lives that could be saved every year with just a modest redistribution of wealth, back to the levels of 1983, where disparities in income were still vast:

They point out the stark fact that
Your chances of premature death are strongly related to what type of person you are (defined here by your age, sex, social class and employment status).


This page on Poverty Health and Environment contains a list of links to articles that look at environmental effects on human health and poverty.

Here is a rather hard-hitting article on poverty in the USA by the Community Action Board of Santa Cruz County: The War On Poverty
A child is born into poverty every 43 seconds. A child is born without health insurance every minute. Over 40 million Americans are not covered by health insurance of any kind including 9 million children, 90% of whom are living in working families.


Children are hit particularly hard by poverty - they are being punished for the failures of an economic system and circumstances they have had no part in creating

This report by Astrid Guttman highlights child poverty in Canada: Child Poverty, Health and Healthcare Use in Canada
This research clearly points to an inequality in the access of appropriate preventative and specialty health care among the most vulnerable children, and to hospital utilization and morbidity, which may be avoidable.


If you are lucky enough to have access to the British Medical Journal via ATHENS, this regularly updated list of articles on poverty and health is invaluable: BMJ collection; Socioeconomic Determinants of Health

This article by Lovelace Opoku-Agyemang on Nurses Working With The Poor Against Poverty highlights the work of Ghanaian Nurses;
As nurses call for investment in health, education and sound social policies, they equally have a major role to play in reducing poverty. The teaching and care that nurses render their people gives them better health. Nurses must take up the challenge to accept postings to socially deprived areas and respond to the multiple health needs of the poor.


The fact that health workers are themselves poor, leads to absenteeism, lack of motivation, poor quality of services and one of the "push" factor for migration. Health is central to overall human development and poverty reduction. To improve the health of poor people, a pro-poor health approach needs to be adopted and supported. Scaling up financial resources for health should be a priority.

The issue of the 'healthcare skills drain' hinted at in the above quote is considered in this article: BMA - The Healthcare Skills Drain
in countries which already have severe shortages of healthcare workers (fewer than one health worker per 1000 population) further loss of such workers through premature death or migration is very likely to result in loss of health services and loss of life in the countries’ populations.
.

I will also include this debate from my own blog on The question of Human Solidarity in Nursing where I argue:
The question of health itself is inextricably linked to social and economic factors, with people from the most oppressed sections of society experiencing the worst health outcomes. In my own area of nursing, for example, people with learning disabilities are 58 times more likely to die before the age of 50 than the rest of society.


Finally, (for now) I have found this article by Ainna Fawcett-Henesy on Poverty, its reduction and elimination – The contribution of nurses and midwives She points out that:

Even in western European countries, sections of the professions engage in moonlighting so that they can earn a realistic wage. Such pressures on individuals results in tired nurses and midwives who are unlikely to be able to give high-quality care to their patients and clients. In addressing the poverty agenda, WHO and all partners involved in the eradication of poverty in society must pay attention to the needs of the professions in this regard.


These are just a few of the important resources available to nurses on poverty and health. If you find others that can add to this list, please feel free to post them below.

World leaders are to meet soon in Edinburgh for the G8 summit. People from all over the world will be reminding them of the crime against humanity that is world poverty. Nurses and other healthworkers must add their voices to this angry chorus.

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Hey Max, are you going to be at the G8 protests in Edinburgh?

 
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Hopefully.

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