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Transcript of Increasing the Reliability of Wellness Metrics in Unique Groups 3 rd International Conference on...
Increasing the Reliability of Wellness Metrics in Unique Groups
3rd International Conference on Gross National Happiness
Bangkok: 26 November 2007Presented by Linda A. E.
Nowakowski, Ubon Ratchathani University, Thailand
Development
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?
GDP
Using GDP as the measure of development only tells you how much the country has participated in the western economic model.
HDI
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 FarmsAn 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
Max-NeefBeing (qualities)
Subsistence Physical and mental health
Protection Care, adaptability, autonomy
Affection Respect, sense of humor, generosity, sensuality
Understanding Critical capacity, curiosity, intuition, communities
Participation Receptiveness, dedication, sense of humor
Leisure Imagination, tranquility, spontaneity
Creation Imagination, boldness, inventiveness, curiosity
Identity Sense of belonging, self-esteem, consistency
Freedom 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
Needs
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
Other 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