Admin, Sorry for delayed posting…. 🙂
I would like to share this, just as a compliment to what we have already learnt about determinants of health that you may also familiar with some models that pictured their relationships; for instance HL Blum models.
Similarly, The mandala of health is also one of the models that describe determinants factor of health which I think quite complete since it addressing some issue that were missed by other models.
The Mandala means the circular symbol of universe; meanwhile, the mandala of health is a bio-psycho-socio-environmental model of health (Hancock and Perkins, 1985) It’s pretty old model, isn’t it?
It describes both the relationships and the dynamics within the determinants factors; it looks at the individual as a part of bigger community and the environment (include physical and social environment), as well as two way influenced that could be come about between them. This model is quite flexible to implement in many health issues, and it has been extensively implemented for health promotion and education purposes.
[Click the picture for viewing the larger model !!]
Picture. The Mandala of Health [Hancock and Perkins, 1985]
I would like to highlight some distinction of this model, e.g.
It distinguishes personal behaviour and life style as a different thing; lifestyle is regarded as a result of personal behaviour and psycho-socio-economic environment composition. It actually give us a new sight that we could not always blame ones for their risky personal behaviour (victim blaming) without looking at their environment, community and others.
“How could we try to suggest people to stop smoking when their peer’s smoke, when they have high stress burden, when they live in deprived community?”
It also placed medical system only related to personal behavior and human biology. Unarguably, only these determinants could possibly be reached by medical system; unless, they reorient their service. Hence, it consistent with the fact that curative approach only, could not alleviate our health problems.
Many issues are beyond health capabilities that really need contribution and coordination from other sectors
Hope this will be useful!!