Health Definition

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HealthDefinition Dimensions

• Dr. HARIVANSH CHOPRA
• PROFESSOR
• COMMUNITY MEDICINE
• LLRM MEDICAL COLLEGE
• MEERUT
• harichop_at_gmail.com

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OBJECTIVE
TO LEARN DEFINITIONS OF HEALTH TO LEARN
DIMENSIONS OF HEALTH
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Health Definition

• Webster
• The condition of being sound in body, mind or
  spirit, especially freedom from physical disease
  or pain.
• Body Physical health
• Mind Mental health
• Spirit Spiritual health

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Health Definition

• Oxford English Dictionary
• Soundness of body or mind, that condition in
  which its functions are duly and efficiently
  discharged.
• Body Physical health
• Mind Mental health
• Efficient functioning

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Health Definition

• Perkins
• Relative equilibrium of body form and function
  which results from its successful dynamic
  adjustment to forces tending to disturb it.
• Body form Anatomy
• Body function Physiology
• Health Interaction of body to environment

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Health Definition

• Dubos
• A modus vivendi enabling imperfect men to achieve
  a rewarding and not too painful existence while
  they cope with an imperfect world
• Coping with imperfect world Interaction with
  environment

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Health Definition

• World Health Organization
• It is a state of complete physical, mental
• and social wellbeing and not merely
• absence of disease or infirmity.
• Mere absence of disease is NOT Health
• Three dimensions of health
• Complete wellbeing on three dimensions
• Fourth dimension spiritual now added

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Health Definition

1. Only four dimensions considered (emotional
   vocational omitted)
2. Too idealistic, not reachable in practice
3. Health considered as a state i.e. a static
   entity. (In practice it is a dynamic concept)
4. Ability to lead socially economically
   productive life is also now added to this
   definition.

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Dimensions of Health
Physical
Mental
Vocational
Social
Emotional
Spiritual
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Physical Dimension
Individual level Group
(Community) Level
Easily understood measurable
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Physical DimensionIndividual level

• Every organ of normal shape and size
• Every organ system functions at optimum level
• Individually in coordination
• E/o growth in children

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Physical DimensionCommunity Level

• Indicated by the indicators of
• Morbidity
• Mortality
• Fertility
• Disability

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Mental Dimension
Individual level Group
(Community) Level
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"a state of balance between the individual and
the surrounding world, a state of harmony between
oneself and others, a coexistence between the
realities of the self and that of other people
and that of the environment"
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• a. a mentally healthy person is free from
  internal conflicts he is not at "war" with
  himself.

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• b. he is well-adjusted, i.e., he is able to get
  along well with others. He accepts criticism and
  is not easily upset.

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• c. he searches for identity.
• d. he has a strong sense of self-esteem.

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• e. he knows himself his needs, problems and
  goals (this is known as self-actualization).

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• f. he has good self-control-balances rationality
  and emotionality.
• g. he faces problems and tries to solve them
  intelligently, i.e., coping with stress and
  anxiety.

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Mental DimensionIndividual Level

• Perception
• Confidence
• Self control

• Decision making
• Meaningfulness
• Coordination

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Perception

• Correct perception of own
• Abilities Neither underestimates nor
  overestimates
• Emotions feelings
• Strengths weaknesses

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• Decision making
• Right decision at right moment
• Realistic goals ambitions

• Meaningfulness
• Leading life with purpose
• Dependable

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• Confidence in
• Own abilities
• Own strengths
• Neither overconfident
• Nor under confident

• Self control
• Does not loose control easily
• Controls emotions
• Faces frustration conflict gracefully

• Coordination
• Leading life harmoniously with others
• Adjusting with others
• Rare conflicts

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Mental HealthCommunity Level

• Indicators
• Suicides
• Homicides
• Drug dependence
• Offences related to women children
• Morbidity due to mental illnesses
• Morbidity due to psychosomatic illnesses

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Social Dimension
Individual level Group
(Community) Level
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Social dimension

• It has been defined as the "quantity and quality
  of an individual's interpersonal ties and the
  extent of involvement with the community"

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Social HealthIndividual Level

• Development of Social skills functions
• (Socialization)
• Performance of roles
• Education, Occupation
• Economic status

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Social HealthCommunity Level

• Equity in distribution of resources
• Indicators
• Per capita GDP
• Literacy rates
• Status of women
• Employment / unemployment

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Spiritual Dimension

• Most difficult dimension to explain quantify
• Includes such aspects like
• Ethics
• Principles
• Integrity
• Relates to certain informal social controls like
  Hippocratess Oath for doctors.

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Spiritual Dimension

• 1 who am I ?
• 2 what do I want ?
• 3 what is the purpose of life ?
• 4 how this purpose can be fulfilled ?

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Emotional Dimension

• Emotion Sudden forces of feelings
• emerging in mind
• Types
• Positive Love, Joy
• Negative Hatred, Sadness, Dejection
• Expression of correct emotion, at correct place,
  in controlled form Emotional health

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Emotional Dimension

• Common forms of emotional disturbances
• Anxiety Inability to concentrate, insomnia
• Depression Sadness, dejection , suicidal
  tendency
• Mood swings Sadness / joy on trivial incidences,
  sometimes hostile

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Vocational Dimension

1. Concerned with job
2. Job person made for each other.
3. Expression of frustration, unhappiness
   over job
4. Frequent changes in job
5. Maladjustment with job
6. Occupational disorders

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CONCLUSION
HEALTH IS TO BE UNDERSTOOD IN PHYSICAL ,MENTAL,
SOCIAL,AND SPRITUAL CONTEXT. IT IS NOT STATIC
. IMPORTANCE OF HEALTH IS NOT REALISED TILL IT
IS LOST .