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Questions and Answers
What is the trend of immunization rates in the country from 2013 to 2018?
What is the trend of immunization rates in the country from 2013 to 2018?
According to the World Bank data, what is the indicator used to measure health outcomes?
According to the World Bank data, what is the indicator used to measure health outcomes?
Which of the following is a potential factor contributing to declining immunization rates?
Which of the following is a potential factor contributing to declining immunization rates?
What is a potential geographic health disparity in Southeast Asia?
What is a potential geographic health disparity in Southeast Asia?
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What is a potential racial health disparity in Southeast Asia?
What is a potential racial health disparity in Southeast Asia?
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What is a potential healthcare access issue for marginalized groups in Southeast Asia?
What is a potential healthcare access issue for marginalized groups in Southeast Asia?
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What is a potential health inequity in Southeast Asia?
What is a potential health inequity in Southeast Asia?
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What is a potential socioeconomic health disparity in Southeast Asia?
What is a potential socioeconomic health disparity in Southeast Asia?
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What is a potential healthcare access issue in Southeast Asia?
What is a potential healthcare access issue in Southeast Asia?
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What is a potential health outcome disparity in Southeast Asia?
What is a potential health outcome disparity in Southeast Asia?
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What is the primary limitation to ASEAN's cooperation for health?
What is the primary limitation to ASEAN's cooperation for health?
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What is the primary goal of ASEAN's health policy approach?
What is the primary goal of ASEAN's health policy approach?
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What is a key principle of the ASEAN Way in health governance?
What is a key principle of the ASEAN Way in health governance?
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What is a challenge to ASEAN's coordination with the World Health Organization (WHO)?
What is a challenge to ASEAN's coordination with the World Health Organization (WHO)?
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What is the primary focus of ASEAN's health sector policies?
What is the primary focus of ASEAN's health sector policies?
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What is a key aspect of ASEAN's health governance approach?
What is a key aspect of ASEAN's health governance approach?
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What is a challenge to implementing ASEAN's health priorities?
What is a challenge to implementing ASEAN's health priorities?
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According to the WHO (2007), what is the primary intent of a health system?
According to the WHO (2007), what is the primary intent of a health system?
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What is the primary role of stewardship in a health system according to Figueras and McKee (2012)?
What is the primary role of stewardship in a health system according to Figueras and McKee (2012)?
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What is a characteristic of good health services according to the World Health Organization?
What is a characteristic of good health services according to the World Health Organization?
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What is a key component of a health system according to Figueras and McKee (2012)?
What is a key component of a health system according to Figueras and McKee (2012)?
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What is the role of a health system in relation to health inequities?
What is the role of a health system in relation to health inequities?
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What was the original objective of the health system framework according to WHO?
What was the original objective of the health system framework according to WHO?
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What are the three interrelated functions of a good health financing system?
What are the three interrelated functions of a good health financing system?
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What is a key aspect of health system stewardship?
What is a key aspect of health system stewardship?
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What is a key objective of a good health financing system?
What is a key objective of a good health financing system?
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What is a key aspect of health system governance?
What is a key aspect of health system governance?
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What is a key principle of health system financing?
What is a key principle of health system financing?
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What is a characteristic of a well-performing health workforce?
What is a characteristic of a well-performing health workforce?
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What is a key aspect of health system management?
What is a key aspect of health system management?
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What is a key aspect of a well-functioning health information system?
What is a key aspect of a well-functioning health information system?
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What is a priority for ensuring access to medical products, vaccines, and technologies?
What is a priority for ensuring access to medical products, vaccines, and technologies?
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What is a key aspect of health service delivery?
What is a key aspect of health service delivery?
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What is a priority for health workforce management?
What is a priority for health workforce management?
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What is a key aspect of health system stewardship?
What is a key aspect of health system stewardship?
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What is the primary goal of the ASEAN Community?
What is the primary goal of the ASEAN Community?
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What is the focus of the ASEAN Economic Community?
What is the focus of the ASEAN Economic Community?
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What is a key strategy for promoting healthcare development in the ASEAN region?
What is a key strategy for promoting healthcare development in the ASEAN region?
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What is a key aspect of ASEAN's health policy approach?
What is a key aspect of ASEAN's health policy approach?
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What is a key objective of ASEAN's healthcare sector policies?
What is a key objective of ASEAN's healthcare sector policies?
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What is a key strategy for promoting healthcare development in the ASEAN region?
What is a key strategy for promoting healthcare development in the ASEAN region?
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What is a key aspect of ASEAN's health governance approach?
What is a key aspect of ASEAN's health governance approach?
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What is a key strategy for promoting healthcare development in the ASEAN region?
What is a key strategy for promoting healthcare development in the ASEAN region?
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What is the main objective of the ASEAN Socio-Cultural Community?
What is the main objective of the ASEAN Socio-Cultural Community?
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What is a significant demographic shift facing ASEAN?
What is a significant demographic shift facing ASEAN?
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What is a key challenge facing ASEAN's health development?
What is a key challenge facing ASEAN's health development?
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What is a key aspect of the ASEAN Post-2015 Health Development Agenda?
What is a key aspect of the ASEAN Post-2015 Health Development Agenda?
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What is a significant challenge facing ASEAN?
What is a significant challenge facing ASEAN?
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What is a key priority for ASEAN's health sector policies?
What is a key priority for ASEAN's health sector policies?
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What is a key aspect of ASEAN's health governance approach?
What is a key aspect of ASEAN's health governance approach?
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What is a key challenge to implementing ASEAN's health priorities?
What is a key challenge to implementing ASEAN's health priorities?
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What is the primary focus of the ASEAN Sustainable Cities initiative?
What is the primary focus of the ASEAN Sustainable Cities initiative?
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What is the main goal of the Post-2015 Health Development Agenda?
What is the main goal of the Post-2015 Health Development Agenda?
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What is the primary objective of the ASEAN Economic Community (AEC)?
What is the primary objective of the ASEAN Economic Community (AEC)?
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What is the key principle of the ASEAN Way in health governance?
What is the key principle of the ASEAN Way in health governance?
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What is the primary role of the ASEAN Socio-Cultural Community (ASCC)?
What is the primary role of the ASEAN Socio-Cultural Community (ASCC)?
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What is the primary focus of the ASEAN Political-Security Community (APSC)?
What is the primary focus of the ASEAN Political-Security Community (APSC)?
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What is the main objective of the ASEAN 2025 vision?
What is the main objective of the ASEAN 2025 vision?
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What is the primary challenge to ASEAN's cooperation for health?
What is the primary challenge to ASEAN's cooperation for health?
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What is the primary focus of ASEAN's health sector policies?
What is the primary focus of ASEAN's health sector policies?
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What is the primary goal of the AHC 3: Strengthening Health System and Access to Care?
What is the primary goal of the AHC 3: Strengthening Health System and Access to Care?
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Which health priority is aligned with the goal of promoting access to safe food?
Which health priority is aligned with the goal of promoting access to safe food?
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What is the primary focus of the AHC 2: Regional Health Governance and Health System Strengthening?
What is the primary focus of the AHC 2: Regional Health Governance and Health System Strengthening?
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What is the vision of the ASEAN Post-2015 Health Development Agenda (APHDA) 2021-2025?
What is the vision of the ASEAN Post-2015 Health Development Agenda (APHDA) 2021-2025?
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What is the primary goal of the AHC 1: Promoting Health and Preventing Disease?
What is the primary goal of the AHC 1: Promoting Health and Preventing Disease?
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Which of the following Health Clusters is focused on promoting healthy lifestyles?
Which of the following Health Clusters is focused on promoting healthy lifestyles?
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What is the primary objective of the Health Priority 'Traditional & Complementary Medicine'?
What is the primary objective of the Health Priority 'Traditional & Complementary Medicine'?
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What is the primary goal of AHC 3: Strengthening Health System and Access to Care?
What is the primary goal of AHC 3: Strengthening Health System and Access to Care?
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What is the primary goal of the AHC 4: Ensuring Food Safety?
What is the primary goal of the AHC 4: Ensuring Food Safety?
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What is the primary objective of the Health Priority 'Reproductive, Maternal, Neonatal, and Child Health'?
What is the primary objective of the Health Priority 'Reproductive, Maternal, Neonatal, and Child Health'?
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What is the focus of the Cluster Goals under AHC 2: Responding to All Hazards and Emerging Threats?
What is the focus of the Cluster Goals under AHC 2: Responding to All Hazards and Emerging Threats?
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What is the primary goal of the Health Priority 'Pharmaceutical development'?
What is the primary goal of the Health Priority 'Pharmaceutical development'?
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What is the primary goal of the Health Priorities under AHC 1: Promoting healthy lifestyles?
What is the primary goal of the Health Priorities under AHC 1: Promoting healthy lifestyles?
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Which of the following is a Health Priority under AHC 1: Promoting healthy lifestyles?
Which of the following is a Health Priority under AHC 1: Promoting healthy lifestyles?
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What is the primary objective of the Health Priority 'Migrants' health'?
What is the primary objective of the Health Priority 'Migrants' health'?
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What is the primary goal of the AHC 3: Strengthening Health System and Access to Care in relation to vulnerable populations?
What is the primary goal of the AHC 3: Strengthening Health System and Access to Care in relation to vulnerable populations?
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What is the focus of AHC 4: Ensuring Food Safety?
What is the focus of AHC 4: Ensuring Food Safety?
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What is the primary goal of the ASEAN Post-2015 Health Development Agenda (APHDA) 2021-2025?
What is the primary goal of the ASEAN Post-2015 Health Development Agenda (APHDA) 2021-2025?
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Which of the following is a key strategy for promoting healthcare development in the ASEAN region?
Which of the following is a key strategy for promoting healthcare development in the ASEAN region?
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What is the main objective of the ASEAN Socio-Cultural Community?
What is the main objective of the ASEAN Socio-Cultural Community?
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Study Notes
Health Inequities
- Health inequities arise from patterns of social stratification, resulting in the unequal distribution of power, prestige, and resources among social groups.
- They are characterized by the systematic and unjust distribution of social, economic, and environmental conditions necessary for good health.
- Examples of such unequal distribution include:
- Access to quality education, healthcare, housing, transportation, and other resources.
- Employment opportunities and pay/income.
- Discrimination based on social status and other factors.
Health Disparities
- Health disparities refer to the differences in the incidence and prevalence of health conditions and health status between groups, based on factors such as:
- Race/ethnicity
- Socioeconomic status
- Sexual orientation
- Gender
- Disability status
- Geographic location
- Combinations of these factors
Health Development Index and Life Expectancy
- Comparing Health Development Index (HDI) and Life Expectancy at Birth reveals disparities in health outcomes.
- The Philippines lags behind its ASEAN neighbors in terms of health outcomes.
Mortality Rates and NCDs
- Mortality rates of selected diseases are higher in the Philippines compared to Vietnam and Indonesia.
- Non-Communicable Diseases (NCDs) are on the rise, even as some infectious diseases are declining.
Health Sector and Economy
- The Philippine economy and public health sector have grown significantly in the last decade.
- However, chronic inequalities in health remain entrenched.
Human Resource for Health (HRH)
- The number of HRH professionals has been maldistributed and in shortage.
- This shortage affects the quality of healthcare in the Philippines.
Health Inequities and Decentralization
- Decentralization has fragmented the health system, leading to central-local tensions.
- Health inequities persist, with life expectancy at birth and infant mortality rates varying greatly across regions.
Opportunities for Reforms
- There are opportunities for reforms in the Philippine healthcare system, including addressing health inequities and improving health outcomes.
- Life expectancy at birth, total (years) is a key indicator of health outcomes.
Health Financing
- A good health financing system raises adequate funds for health, ensures people can use needed services, and protects from financial catastrophe or impoverishment.
- Three interrelated functions: collecting revenues, pooling pre-paid revenues, and purchasing interventions.
- Priorities: national health financing policies, tools and data on health expenditures, and costing.
Leadership/Governance/Stewardship
- Involves ensuring strategic policy frameworks, effective oversight, coalition-building, regulation, system design, and accountability.
- Building blocks of the health system: organizations, institutions, and resources devoted to producing health actions.
Health System
- WHO (2000): Health systems comprise all organizations, institutions, and resources that produce health actions.
- WHO (2007): Health systems include promoting, restoring, or maintaining health, and compensating for permanent disabilities.
- Figueras and McKee (2012): A health system includes delivery of health services, activities to enable delivery, and stewardship activities aimed at influencing health impact.
Service Delivery
- Good health services deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with minimum waste of resources.
- Services may be delivered in the home, community, workplace, or health facilities.
- Priorities: packages, delivery models, infrastructure, management, safety, and quality.
Health Workforce
- A well-performing health workforce is responsive, fair, and efficient to achieve the best health outcomes possible.
- Health workers are all people engaged in actions to protect and improve health.
- Priorities: national workforce policies, investment plans, advocacy, norms, standards, and data.
Health Information
- A well-functioning health information system produces, analyzes, disseminates, and uses reliable and timely information on health determinants, system performance, and health status.
- Three domains: health determinants, health systems performance, and health status.
- Priorities: facility and population-based information, surveillance systems, and global standards.
Medical Products, Vaccines and Technologies
- A well-functioning health system ensures equitable access to essential medical products, vaccines, and technologies of assured quality, safety, efficacy, and cost-effectiveness.
- Priorities: health sector policies, harmonization, alignment, oversight, and regulation.
ASEAN – a regional body for health governance
- ASEAN Way: consensus-based decision-making, non-interference in internal affairs, sovereignty, and respect for independence and national identity.
- Challenges: lack of economic commitment, limited data collection and analysis, and coordination with WHO.
- Objectives: promote exchange of experiences and best practices, not to prescribe uniform rules or deliver policy outcomes.
ASEAN Overview
- Founded on August 8, 1967, by Indonesia, Malaysia, the Philippines, Singapore, and Thailand
- Enlarged to include Brunei Darussalam (1984), Viet Nam (1995), Lao PDR and Myanmar (1997), and Cambodia (1999)
- The ASEAN Charter was established on December 15, 2008
- Ultimate goal: The ASEAN Community in 2015
The Three Pillars of ASEAN
- ASEAN Political-Security Community (APSC)
- ASEAN Economic Community (AEC)
- ASEAN Socio-Cultural Community (ASCC)
ASEAN Economic Community (AEC)
- Blueprint 2025
- Enhanced connectivity and sectoral cooperation
- Priority areas: healthcare, education, and infrastructure development
ASEAN Health Care
- Promote a strong healthcare industry for better healthcare facilities, products, and services
- Strategic measures:
- Private healthcare market and public-private partnership (PPP) in universal healthcare
- Harmonization of standards and conformance in healthcare products and services
- Promote high-growth potential sectors like health tourism and e-healthcare services
- Strong health insurance systems in the region
- Facilitate mobility of healthcare professionals in the region
- Development of ASEAN regulatory framework on traditional medicines and health supplements
- Healthcare product directives to facilitate trade in healthcare products
ASEAN Socio-Cultural Community (ASCC)
- Blueprint 2025
- Committed to lifting the quality of life of its people by putting their welfare and well-being at the heart of its activities
- ASEAN Post-2015 Health Development Agenda (2016-2020)
Challenges Facing ASEAN
- Sovereignty of member states
- Economic diversity
- Varying regulatory capabilities
- Demographic shift: transition to an ageing population
ASEAN Demographic Shift
- Proportion of population by various age groups
- Percentage by various age groups
- Top three challenges facing ASEAN: sovereignty, economic diversity, and varying regulatory capabilities
ASEAN Post-2015 Health Development Agenda (APHDA) 2021-2025
- The APHDA vision is to establish a healthy, caring, and sustainable ASEAN community.
Mission
- The mission is to ensure a healthy, caring, and sustainable ASEAN community by promoting healthy lifestyles, responding to all hazards and emerging threats, strengthening health systems and access to care, and ensuring food safety.
Health Clusters
- The APHDA is divided into four health clusters: AHC 1, AHC 2, AHC 3, and AHC 4.
AHC 1: Promoting Healthy Lifestyles
- Cluster goals: achieve health potential, ensure healthy lives, and promote well-being for all at all ages.
- Health priorities:
- Prevention and control of non-communicable diseases
- Reduction of tobacco consumption and harmful use of alcohol
- Prevention of injuries
- Promotion of occupational health
- Promotion of mental health
- Promotion of healthy and active aging
- Promotion of good nutrition and healthy diet
AHC 2: Responding to All Hazards and Emerging Threats
- Cluster goals:
- Promote resilient health system in response to communicable diseases, emerging infectious diseases, neglected tropical diseases, and zoonotic diseases
- Enhance regional preparedness and response to public health emergencies and ensure effective disaster health management
- Prepare and respond to environmental health threats and other hazards, including climate change
- Health priorities:
- Prevention and control of communicable diseases, emerging infectious diseases, neglected tropical diseases, and zoonotic diseases
- Regional preparedness and response to public health emergencies
- Strengthening laboratory capacity
- Combating antimicrobial resistance (AMR)
- Environmental health, health impact assessment (HIA), and health impact of climate change
- Disaster health management
AHC 3: Strengthening Health System and Access to Care
- Cluster goals:
- Provide universal access to safe, affordable, quality, holistic health care and essential medical supplies, including traditional and complementary medicines
- Advance health care deliveries by adapting and working towards innovation and digital health technology
- Promote health care delivery to vulnerable populations, such as women, children, and migrant workers
- Health priorities:
- Traditional and complementary medicine
- Reproductive, maternal, neonatal, and child health
- Universal health coverage, including health financing and health service delivery
- Migrants’ health
- Pharmaceutical development
- Human resources for health
- Digital health and health information system
AHC 4: Ensuring Food Safety
- Cluster goals:
- Promote access to safe food
- Strengthen food safety risk analysis in ASEAN
- Health priority: food safety
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Description
This quiz covers the concept of health inequities, as defined by the World Health Organization, and their relation to social stratification, unequal distribution of resources, and access to education, healthcare, and other essential services.