IncreasingtheReliabilityofWellnessMetricsinUniqueGroups增加健康指标在独特的组的可靠性

IncreasingtheReliabilityofWellnessMetricsinUniqueGroups

3rdInternationalConferenceonGrossNationalHappinessBangkok:26November2007PresentedbyLindaA.E.Nowakowski,

UbonRatchathaniUniversity,ThailandDevelopmentHumanDevelopmentIndex(HDI)Lifespan-objectiveLiteracy-objectiveGDP-objectiveGDPGrossNationalHappinessWhatishappiness?SubjectiveCulturalLinguisticRequiresadegreeofemotional/linguisticmaturityHowisitrelatedtodevelopment?Whatisdevelopment?HealthofacountryorgroupofpeopleEconomicPhysicalMentalIntellectualSocialSpiritualCulturalRegression–Whymeasuredevelopment?Reportonwhoisbetterthanwhom?Toassessareasthatthepeoplearedoingwellinandwheretheyneedwork?Assistinguidingprogramdevelopment?GDPUsingGDPasthemeasureofdevelopmentonlytellsyouhowmuchthecountryhasparticipatedinthewesterneconomicmodel.HDIGivesyouameasureofGDPTellshowyouaredoingingettingpeopletogotoschoolGivesyouahintatthephysicalhealthGrossNationalHappinessProvidessomebroadandfuzzyfeelingofwell-being.NoindicatorsoftheeconomyNoindicatorsofhealthNoindicatorsofeducationThailand’sGNHIthasshownadeclineoverrecentreportingperiods.Whatdoesitmean?NorthernUganda-1980TherichestfarmlandinthecountryLargecommercialfarmsEducatedpopulationNorthernUganda-2007Civilwarforthelast20yearsPeoplelivinginIDPcampsExternaldependenceforeverythingChildsoldiersBrokeneducationsHIV/AIDSpandemicHaskilledXXXXpeopleinYYYYyears.PeaceonthehorizonItissafetoreturntotheirlandsLandhasbeenfallowfor20yearsHomesandequipmentaregoneThepeoplearegone Ugandahasthousandsofchild-headedhouseholdsParentskilledinthewarParentskilledbyHIV/AIDSThechildrenaregoneChildrenwhohavenothadtheopportunitytoplayorlearnChildrenwhohavebeenrapedandforcedtobesoldiersChildrenwhohavehadtoassumetherolesofadultsHurtingchildrenwiththeresponsibilityofraisingotherhurtchildrenThecommunitywisdomisgoneWhatcropsgrowbest?Whatdoyoudoaboutthelocalpests?Whatplantsandherbsaresafetoeat?Whatplantsandherbscanbeusedaslocalmedicines?OpokFarms

AnOrganicallyGrownCommunitySufficiencyEconomySufficiencyentailsthreecomponents:moderationreasonablenessaself-immunitysystem,i.e.beingabletocopewithshocksfrominternalandexternalchanges.Twounderlyingconditionsarenecessarytoachievethissufficiency:knowledge(breadthandthoroughnessinplanning,andcarefulnessinapplyingknowledgeandintheimplementationofthoseplansarerequired)morality

(peoplearetopossesshonestyandintegrity,whileconductingtheirliveswithperseverance,harmlessnessandgenerosity)EvaluatingthisdevelopmentSufficiencyEconomymodelsgeneratelittletonoGDPThechildrenhavebrokeneducationsManyofthechildrenarealreadyHIVpositiveWhatishappinesshere?ThesechildrenwillneedtoworkforthefirsttimeintheirlivesThesechildrenhavefewadultrolemodelsThesechildrenhavenomoney,noeducation,novocationaltrainingandfewskillsThesechildrenmustbehaveasresponsibleadultsComingupwithnewmetricsMaslowMax-NeefBeing(qualities)SubsistencePhysicalandmentalhealthProtectionCare,adaptability,autonomyAffectionRespect,senseofhumor,generosity,sensualityUnderstandingCriticalcapacity,curiosity,intuition,communitiesParticipationReceptiveness,dedication,senseofhumor

LeisureImagination,tranquility,spontaneity

CreationImagination,boldness,inventiveness,curiosity

IdentitySenseofbelonging,self-esteem,consistencyFreedomAutonomy,passion,self-esteem,open-mindedness

UNMilleniumDevelopmentGoalsEradicateextremepovertyandhungerImprovematernalhealthAchieveuniversalprimaryeducationCombatHIV/AIDS,malaria,andotherdiseasesPromotegenderequalityandempowerwomenEnsureenvironmentalsustainabilityReducechildmortalityDevelopaglobalpartnershipfordevelopmentHealthofacountryorgroupofpeople

Physicalhealth–individualandfamilyMental/psychologicalhealth

–individual,familyandcommunityMental/intellectualhealth–individual,familyandcommunityPoliticalhealth–communityandnationSocialhealth–familyandcommunitySpiritualhealth–individual,familyandcommunityFinancialhealth–individual,familyandcommunityNeedsAlistofindicatorsforeachareaObjectiveSubjectiveSpecificGuidanceforcommunitiesonhowtosetgoalsGoalsandtoolbox–whatnext?Selectionofindicatorsbythecommunitybasedonthegoals.AdministrationofthesurveyEvaluationSamplelistPhysicalhealth–individual:Adequatediet

CaloriesUnder-developmentHeightWeightAccesstohealthcareContraceptiveuseInfantmortalityrateLowbirthrateChildrenbornwithattendinghealthcareprofessionalAvailabilityoforalrehydrationtherapy(ORT)Immunizations–measles,tuberculosisIncidenceoftuberculosisNumberofchildrenunder5withfeverreceivingantimalarialdrugsDaysabsentfromschoolorworkduetoillness.HealthylifestyleInsecticidetreatedbednetsSustainableaccesstocleanwaterSustainableaccesstosanitary