Effects of Education Curricula on National health: A look at Low and Middle-Income countries (LMICs)

Studies have shown that there is a relationship between awareness and health-related practices. The Health Belief Model (HBM) suggests that the threat of an illness combined with a belief in the effectiveness of the recommended behavior—in this case, preventive measures—predicts the likelihood of adopting a certain behavior. The likelihood of adopting a certain behavior is based on an individual assessment of threat, which involves evaluating the likelihood of getting the disease and its severity. In addition, individual factors (e.g., age, gender, ethnicity, socioeconomic status, knowledge, and awareness), cues to action, and the benefits and feasibility of adopting a behavior help to predict whether preventive measures will be adopted.

Cues to action are contingent on the ambient context of occurrence. Children are exposed to a motley of digital paraphernalia. As such, they are prone to the impacts of social media. Studies have reported that social media can have deleterious effects on the psychosocial salubrity of students. Consequently, in view of the foregoing, students perceive the benefits of health actions in many different ways. Accordingly, misperceptions and misinformation abound. At the same time, health decisions are determined by family factors such as smoking parents as well as the application of tobacco and alcohol in homeopathy. Considering the contemporary ambience that children share with adults, there is need for caution when designing curricula to circumvent the pitfalls that plague many LMIC technocratic space.

  Knowledge and awareness related to all constructs in HBM help individuals carry out an assessment, which results in either adopting a new behavior or not.

 The education systems in many LMICs are designed for subsistence and have limited capacity to propel most of the LMICs to attainment of development. Worse still many students pass through the education system without acquiring skills requisite for healthy living.

 Furthermore, many students drop out of school before attaining the basic education that would drive them to seek a better understanding of their health and other members of their communities.

In countries where many competing priorities continue to define and determine the health decisions, individuals and families make again and again, there is need for development of curricula that can enable students to apply preventative skills to manage risk factors from various diseases.

In most LMICs, the healthcare systems are limited by economic and social determinants. As such disease is a cause and outcome of poverty. The hallmarks of the healthcare systems in LMICs include late presentation of illnesses for Medicare with poor therapeutic outcomes. For instance, in the management of non-communicable diseases, many LMICs lack the capacity for screening, diagnosis, and treatment. Understanding and elucidating the dynamics of health and disease in the LMICs is the first step towards effectively managing healthcare provision. Overall, the lacuna that exists in the continuum of health awareness and practices warrants urgent and strategic action to prevent undesirable health outcomes in the future. As an important determinant of awareness, the education and training curricula should be designed with disease-preventative components.  

 

Relevant Reading

Health Literacy, Mammogram Awareness and Screening Among Tertiary Hospital Women Patients. Yılmazel G. J Cancer Educ. 2018 Feb;33(1):89-94. doi: 10.1007/s13187-016-1053-y. PMID: 27236309

Organizational health literacy as a determinant of patient satisfaction.

Hayran O, Özer O. Public Health. 2018 Oct;163:20-26. doi: 10.1016/j.puhe.2018.06.011. Epub 2018 Jul 21. PMID: 30041046

Health literacy weakly but consistently predicts primary care patient dissatisfaction.

Shea JA, Guerra CE, Ravenell KL, McDonald VJ, Henry CA, Asch DA. Int J Qual Health Care. 2007 Feb;19(1):45-9. doi: 10.1093/intqhc/mzl068. Epub 2006 Dec 18. PMID: 17178765

The impact of health literacy, patient-centered communication and shared decision-making on patients' satisfaction with care received in German primary care practices.

Altin SV, Stock S. BMC Health Serv Res. 2016 Aug 30;16(1):450. doi: 10.1186/s12913-016-1693-y. PMID: 27577702 Free PMC article.

Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey.

İlhan N, Telli S, Temel B, Aştı T. Prim Care Diabetes. 2021 Feb;15(1):74-79. doi: 10.1016/j.pcd.2020.06.009. Epub 2020 Jul 6. PMID: 32646764

Organizational Health Literacy and Health Among New York State Medicaid Members.

Robertson TW, Manganello JA, Wu M, Miller LS, Yucel RM, Schettine AM. Health Lit Res Pract. 2023 Jul;7(3):e154-e164. doi: 10.3928/24748307-20230822-01. Epub 2023 Sep 9. PMID: 37698848 Free PMC article.

Lost in Communication: Do Family Physicians Provide Patients with Information on Preventing Diet-Related Diseases?

Olszewski R, Obiała J, Obiała K, Owoc J, Mańczak M, Ćwiklińska K, Jabłońska M, Zegarow P, Grygielska J, Jaciubek M, Majka K, Stelmach D, Krupienicz A, Rysz J, Jeziorski K. Int J Environ Res Public Health. 2022 Sep 2;19(17):10990. doi: 10.3390/ijerph191710990. PMID: 36078700 Free PMC article.

Digital health literacy, online information-seeking behaviour, and satisfaction of Covid-19 information among the university students of East and South-East Asia.

Htay MNN, Parial LL, Tolabing MC, Dadaczynski K, Okan O, Leung AYM, Su TT. PLoS One. 2022 Apr 13;17(4):e0266276. doi: 10.1371/journal.pone.0266276. eCollection 2022. PMID: 35417478 Free PMC article.

Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey.

Yiğitalp G, Bayram Değer V, Çifçi S. BMC Public Health. 2021 Jun 10;21(1):1109. doi: 10.1186/s12889-021-11119-7. PMID: 34112137 Free PMC article.

User satisfaction with public oral health services in the Brazilian Unified Health System.

Amorim LP, Senna MIB, Alencar GP, Rodrigues LG, de Paula JS, Ferreira RC. BMC Oral Health. 2019 Jun 25;19(1):126. doi: 10.1186/s12903-019-0803-8. PMID: 31238976 Free PMC article.

 Taylor RB, Ureda JR, Denham JW (1982). Health promotion: principles and clinical applications. Norwalk CT: Appleton-Century-Crofts. ISBN 978-0-8385-3670-4.

 

Dychtwald K (1986). Wellness and health promotion for the elderly. Rockville MD: Aspen Systems. ISBN 978-0-87189-238-6.

 

Green LW, Lewis FM (1986). Measurement and evaluation in health education and health promotion. Palo Alto CA: Mayfield. ISBN 978-0-87484-481-8.

 

Teague ML (1987). Health promotion programs: achieving high-level wellness in the later years. Indianapolis: Benchmark Press. ISBN 978-0-936157-08-5.

Heckheimer E (1989). Health promotion of the elderly in the community. Philadelphia: W.B. Saunders. ISBN 978-0-7216-2136-4.

 

Fogel CI, Lauver D (1990). Sexual health promotion. Philadelphia: W.B. Saunders. ISBN 978-0-7216-3799-0.

 

Hawe P, Degeling D, Hall J (1990). Evaluating health promotion: a health worker's guide. MacLennan & Petty. ISBN 978-0-86433-067-3.

 

Dines A, Cribb A (1993). Health promotion: concepts and practice. Blackwell Science. ISBN 978-0-632-03543-4.

 

Downie RS, Tannahill C, Tannahill A (1996). Health promotion: models and values (2nd ed.). Oxford University Press. ISBN 978-0-19-262592-2.

 

Seedhouse, David (1997). Health promotion: philosophy, practice, and prejudice. New York: Wiley. ISBN 978-0-471-93910-8.

 

Bracht NF (1999). Health promotion at the community level: new advances (2nd ed.). Thousand Oaks: SAGE. ISBN 978-0-7619-1844-8.

Green LW, Kreuter MW (1999). Health promotion planning: an educational and ecological approach (3rd ed.). Mountain View CA: Mayfield. ISBN 978-0-7674-0524-9.

 

Mittelmark, M; Kickbusch, I; Rootman, I; Scriven, A and Tones, K. (2008) Health Promotion Encyclopedia of Public Health. London: Elsevier

 

Naidoo J, Wills J (2000). Health promotion: foundations for practice (2nd ed.). Baillière Tindall. ISBN 978-0-7020-2448-1.

 

DiClemente RJ, Crosby RA, Kegler MC (2002). Emerging theories in health promotion practice and research: strategies for improving public health. San Francisco: Jossey-Bass. ISBN 978-0-7879-5566-3.

 

 O'Donnell MP (2002). Health promotion in the workplace (3rd ed.). Albany: Delmar Thomson Learning. ISBN 978-0-7668-2866-7.

 

Cox CC, American College of Sports Medicine (2003). ACSM's worksite health promotion manual: a guide to building and sustaining healthy worksites. Champaign IL: Human Kinetics. ISBN 978-0-7360-4657-2.

 

Lucas K, Lloyd BB (2005). Health promotion: evidence and experience. SAGE. ISBN 978-0-7619-4005-0.

 

Bartholomew LK, Parcel GS, Kok G, Gottlieb NH (2006). Planning health promotion programs: an intervention mapping approach (2nd ed.). San Francisco: Jossey-Bass. ISBN 978-0-7879-7899-0.

 

 

Comments

Popular posts from this blog