a. Juggling our principles and priorities (150 words) We have discussed many important concepts over this course, and at times, they can be difficult to reconcile. We have previously discussed the...

a. Juggling our principles and priorities (150 words) We have discussed many important concepts over this course, and at times, they can be difficult to reconcile. We have previously discussed the upstream determinants of health, and the challenges that often exist in evaluating health promotion strategies that address these. Yet we have also discussed the principles of evidence-based practice, and the importance of demonstrating such aspects as cost-effectiveness. Question: Comment on the potential conflicts and challenges this presents for health promotion. How might this influence our future action? b. Commenting on the following post (150 words) Potential conflicts and challenges Potential conflicts when addressing upstream determinants of health may be obtaining evidence of cost effectiveness. This will be evident in addressing socioeconomic characteristics such as employment, income and wealth, housing and access to services. These in turn may be linked to environmental factors such as geographical locations and remoteness. To address these determinants of health poses an enormous challenge as it entails major changes to the individuals environment and socioeconomic status in which the cost may be prohibitive. Access to many health services in remote areas would not be economically viable because of the small number of people who would use these services. In regards to income and wealth, this would entail a massive paradigm shift in society values to ensure equity for those of lower socioeconomic status. The same can be said for good affordable housing for all. It is also difficult to quantify the actual health problems that can be definitely attributed to upstream determinants. To to compare this discrepancy with smoking as an example (A health behaviour) we know the amount of average DALY's that will be lost through associated diseases directly attributed to smoking and the costs associated. The costs of prevention strategies can be arrived at which can then be compared with the costs saved by society. (eg for every dollar spent on prevention, seven dollars is saved by society) However costs associated with the environment and socioeconomic status are difficult to quantify even if there is a definite link to a particular health issue, and to address this problem may not be feasible or affordable for many governments. c. Find a plan relevant to your local region or country (200 words). Briefly describe the plan, provide a hyperlink to it online if possible, and comment on how well it meets the principles that we have discussed this week. Has this discussion of planning principles changed the way that you look at such documents?