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Chapter 11
Public health and health promotionOlanma Ogbuehi
University of Hull, Hull, UK
Fiona Robinson
Women and Children’s Hospital, Hull, UK
Catriona Jones
University of Hull, Hull, UK
Acknowledgement:
Lizzy de Angelis, Specialist Obesity Dietician, Angel Nutrition, Visiting Lecturer at the University of Hull (Maternal Nutrition, Midwifery) and Sheffield Hallam University
(MSc Sports Science), London, UK
Learning outcomesBy the end of this chapter the reader will be able to:
explain different concepts of health
define public health, health promotion, epidemiology and demography
describe major contributing factors public health among the population of childbearing womenand their babies
explain the importance of good maternal health to the future health of populations
recognise the midwife’s unique contribution to public health of childbearing women and infants.
Introduction
In this chapter, the concept of public health will be defined, first exploring the meaning of healthand then the origin, development, notion and practice of public health, in the United Kingdom (UK). In doing this, the disciplines of epidemiology and demography will be introduced. The domains of public health will be outlined, along with a discussion of the determinants of health and illness in populations. Health inequalities in the UK will be explored with this in mind. The
Fundamentals of Midwifery: A Textbook for Students
, First Edition. Edited by Louise Lewis.© 2015 John Wiley & Sons, Ltd. Published 2015 by John Wiley & Sons, Ltd. Companion website: www.wileyfundamentalseries.com/midwifery
OR
Medical concept?
Functional concept?
Wellbeing concept?
OR
238
Figure 11.1
Differing Concepts of Health adapted from Bowden (2006).midwife’s role in public health and health promotion will be investigated. This chapter will also show that public health is a longstanding sphere of midwifery practice, rather than a 21st century innovation. Contemporary public health issues for mothers and infants, which come under the remit of midwifery care, will then be explored.
The concept and definition of health
Before the 18th century, health was seen as a function of metaphysical and spiritual theories(Tripp 1997). Societal attitudes and beliefs evolved, so that the body was viewed more mecha- nistically. Mordacci and Sobel (1998, p. 34) stated that defining ‘
health
’ is as ‘
slipper-as-mercury
’. Any group of individuals has a variety of shared and diverse life experiences, which may result in their adopting very different views of health, or wellness. Bowden (2006) explains a tripartite, construction of health (see Figure 11.1). These are:
a medical concept