Increasing the Reliability of Wellness Metrics in Unique

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Transcript Increasing the Reliability of Wellness Metrics in Unique

Increasing the Reliability of Wellness Metrics in Unique Groups

3 rd International Conference on Gross National Happiness Bangkok: 26 November 2007 Presented by Linda A. E. Nowakowski, Ubon Ratchathani University, Thailand


  Human Development Index (HDI)    Life span - objective Literacy - objective GDP - objective GDP

Gross National Happiness

  What is happiness?

    Subjective Cultural Linguistic Requires a degree of emotional/linguistic maturity How is it related to development?

What is development?

 Health of a country or group of people  Economic       Physical Mental Intellectual Social Spiritual Cultural

Regression – Why measure development?

   Report on who is better than whom?

To assess areas that the people are doing well in and where they need work?

Assist in guiding program development?


 Using GDP as the measure of development only tells you how much the country has participated in the western economic model.


   Gives you a measure of GDP Tells how you are doing in getting people to go to school Gives you a hint at the physical health

Gross National Happiness

 Provides some broad and fuzzy feeling of well-being.

   No indicators of the economy No indicators of health No indicators of education

Thailand’s GNH

 It has shown a decline over recent reporting periods.

 What does it mean?

Northern Uganda - 1980

 The richest farmland in the country  Large commercial farms  Educated population

Northern Uganda - 2007

  Civil war for the last 20 years     People living in IDP camps External dependence for everything Child soldiers Broken educations HIV/AIDS pandemic  Has killed XXXX people in YYYY years.

Peace on the horizon

 It is safe to return to their lands  Land has been fallow for 20 years

Homes and equipment are gone

The people are gone

 Uganda has thousands of child-headed households   Parents killed in the war Parents killed by HIV/AIDS

The children are gone

    Children who have not had the opportunity to play or learn Children who have been raped and forced to be soldiers Children who have had to assume the roles of adults Hurting children with the responsibility of raising other hurt children

The community wisdom is gone     What crops grow best?

What do you do about the local pests?

What plants and herbs are safe to eat?

What plants and herbs can be used as local medicines?

Opok Farms An Organically Grown Community

Sufficiency Economy

  Sufficiency entails three components:    moderation reasonableness a self-immunity system, i.e. being able to cope with shocks from internal and external changes.

Two underlying conditions are necessary to achieve this sufficiency:   knowledge (breadth and thoroughness in planning, and carefulness in applying knowledge and in the implementation of those plans are required) morality (people are to possess honesty and integrity, while conducting their lives with perseverance, harmlessness and generosity)

Evaluating this development

   Sufficiency Economy models generate little to no GDP The children have broken educations Many of the children are already HIV positive

What is happiness here?

    These children will need to work for the first time in their lives These children have few adult role models These children have no money, no education, no vocational training and few skills These children must behave as responsible adults

Coming up with new metrics

 Maslow


Subsistence Protection Affection Understanding Participation Leisure Creation Identity Freedom Being

(qualities) Physical and mental health Care, adaptability, autonomy Respect, sense of humor, generosity, sensuality Critical capacity, curiosity, intuition, communities Receptiveness, dedication, sense of humor Imagination, tranquility, spontaneity Imagination, boldness, inventiveness, curiosity Sense of belonging, self-esteem, consistency Autonomy, passion, self-esteem, open-mindedness

UN Millenium Development Goals         Eradicate extreme poverty and hunger Improve maternal health Achieve universal primary education Combat HIV/AIDS, malaria, and other diseases Promote gender equality and empower women Ensure environmental sustainability Reduce child mortality Develop a global partnership for development

Health of a country or group of people        Physical health – individual and family Mental / psychological health – individual, family and community Mental / intellectual health – individual, family and community Political health – community and nation Social health – family and community Spiritual health – individual, family and community Financial health – individual, family and community


  A list of indicators for each area    Objective Subjective Specific Guidance for communities on how to set goals

Goals and toolbox – what next?

   Selection of indicators by the community based on the goals.

Administration of the survey Evaluation

Sample list

Physical health – individual:

 

Adequate diet

  Calories Under-development   Height Weight

Access to health care

  Contraceptive use Infant mortality rate         Low birth rate Children born with attending health care professional Availability of oral rehydration therapy (ORT) Immunizations – measles, tuberculosis    Incidence of tuberculosis Number of children under 5 with fever receiving anti malarial drugs Days absent from school or work due to illness.

Healthy life style

  Insecticide treated bed nets Sustainable access to clean water    Sustainable access to sanitary CO2 emissions per capita Prevalence of smoking Prevalence of drinking 


 Life expectancy  Population growth rate Shelter – living in permanent shelter Clothing – changes of clothes and appropriateness

A toast:

To a future of community defined, driven and evaluated development