Citation of Hodges' model: 'Sustainable Health Model: Increasing Universal Access to Health Services in Remote Areas'

News received of another citation to add to the bibliography. It's just a sentence, but always welcome.

Noting the journal's title, Hodges' model incorporates a person's, family's, population's health career which is invariably impacted by a cascade of life chances. H2cm can also be applied temporally, longitudinally; taking in the past, current situation and future.

Good to see researchers discovering Hodges' model and considering it in respect of global health and sustainability also. If your purpose is to identify gaps, seek to reduce them, critique and evaluate change then again Hodges' model with the bridges it affords is an effective resource.

It's disappointing to see the journal - JoWFMHN list only the first author of referenced work. I must look at open access in the future, and remain grateful to Dr Wirnitzer - co-author in the cited paper - for assistance with writing and final publication, whose work includes:

The NURMI-Study (NURMI – Nutrition and Running high Mileage)
https://www.nurmi-study.com/en

Science 2 School: Nachhaltig gesund – bewegt & veggie
https://www.science2.school/

Abstract

Access to healthcare services in remote areas remains a significant global challenge, with many populations experiencing disparities in healthcare availability, quality, and affordability. Sustainable health models that ensure universal access to health services are essential for improving public health outcomes in underserved areas. This study investigates the potential for sustainable health models to increase healthcare access in remote regions, focusing on the role of telemedicine, mobile health clinics, and community health workers. The research employs a mixed-methods approach, combining qualitative interviews with healthcare professionals and quantitative data on healthcare access and outcomes in remote communities. The findings indicate that telemedicine platforms have improved healthcare delivery by 40%, while mobile health clinics and trained community health workers have expanded service reach, particularly in geographically isolated areas. Furthermore, community-based health interventions have led to a 30% reduction in preventable diseases in these regions. The study concludes that integrating technology with community-based solutions offers a scalable and effective approach to achieving universal health access in remote areas. However, challenges such as technology infrastructure, resource allocation, and healthcare workforce training need to be addressed to ensure the sustainability of these models.

Ardenny Ardenny, Le Hoang Nam, Pham Anh Tu (2025). Sustainable Health Model: Increasing Universal Access to Health Services in Remote Areas. Journal of World Future Medicine, Health and Nursing. 3. DOI: 10.70177/health.v3i1.1907

Simplifying universal health coverage to achieve political action

'The narrative on universal health coverage should be centred around four core elements: universality, equity, adequate financing, and preparedness in public health emergencies, write Katri Bertram and Justin Koonin'.

Bertram K, Koonin J. Simplifying the universal health coverage narrative can help to achieve political action BMJ 2024; 387 :q2441 doi:10.1136/bmj.q2441

A RESPONSE^* 

Can this be true? Why, this is absolutely marvellous! I?

Yes! Me. 

I do count! I'm seen, heard and included in the health care system and can have a voice in the service's development (1.). 

Not only that, but everyone in my - our community - has access - too (2.) ...

client - person - individual - self - patient - citizen

|

INTERPERSONAL : SCIENCES              

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

|

couple - family - group - community - village/town - city

1. UNIVERSALITY	4. PREPAREDNESS
2. EQUITY	3. ADEQUATE FINANCING

... Now that health and social care are properly funded, they've finally done it! They've taken the key step to include education. This is crucial, critical to preventing poor health. Whenever possible we want people to self-care. The mother of all us has always whispered of the safety net. Now she shouts and rages. We all must listen to the stories of old.  Children should be brought up to be health and media... literate and recognise for them as an individual, the merit, the joy of health and well-being.

At last - the power's-that-be are addressing policy. Not just policy on paper, but implementing it, to assure the quality and cost of food, baby-formula, the air and water (3.).

What does this mean?^ It means health budgets can be better managed. Being prepared does not mean we reach immediately for the technical solution, write the prescription (for antibiotics). No. Being prepared means wising-up too. Together, we are ready to face each other, and right across the world: S-N and E-W. Now we can look to the future, climate change and Gaia: as ONE (4-5).

^O’Connell T, Rasanathan K, Chopra M. What does universal health coverage mean? Lancet 2014;383:277-9. doi:10.1016/S0140-6736(13)60955-1 pmid:23953765

(Cited by Bertram & Koonin)

5. Spiritual.

^*A response, that is both too simple and too complex. Discuss.

Hodges' model? Simple: it's a rich, complicated, complex picture

In wider reading (relations, maths... and) drafting a post concerned with 'universal construction' I came across:

Rasanathan, K., Montesinos, E. V., Matheson, D., Etienne, C., & Evans, T. (2011). Primary health care and the social determinants of health: essential and complementary approaches for reducing inequities in health. Journal of Epidemiology and Community Health (1979-), 65(8), 656–660. http://www.jstor.org/stable/23050931

Figure 2 stood out for rather obvious reasons:

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Figure 2 'works' and not merely because it is clearly 'all political', but I would have swapped 'leadership reforms' with 'service delivery forms'. Trying to emphasize leadership at the individual level empowered to actually effect change. This could quickly change as per the situation. I also appreciate the jigsaw graphic.

You soon appreciate the complex nature of health care:

Primary, Secondary, Tertiary, Quaternary care and prevention. Add social care, welfare, all the fields of medicine, surgery, nursing, education, policy, information, literacies, human rights, consent, mental capacity, mental health law, forensic psychiatry, self-care, local, national and global health, urban, rural, remote, virtual environments, ethics, developed and developing nations, ecosystems and funding.

And this just scratches the surface ...

World Health Day 2024

World Health Day 2024

Around the world, the right to health of millions is increasingly coming under threat.

Diseases and disasters loom large as causes of death and disability.

Conflicts are devastating lives, causing death, pain, hunger and psychological distress.

The burning of fossil fuels is simultaneously driving the climate crisis and taking away our right to breathe clean air, with indoor and outdoor air pollution claiming a life every 5 seconds.

The WHO Council on the Economics of Health for All has found that at least 140 countries recognize health as a human right in their constitution. Yet countries are not passing and putting into practice laws to ensure their populations are entitled to access health services. This underpins the fact that at least 4.5 billion people — more than half of the world’s population — were not fully covered by essential health services in 2021.

To address these types of challenges, the theme for World Health Day 2024 is 'My health, my right’. ...

https://www.who.int/campaigns/world-health-day/2024

My source: HIFA

World Health 24/7/365 . . . also calls for a generic conceptual framework around which individual, family, community and population health can be assessed, planned, formulated, delivered and evaluated.

"Reforming oral health policy to contain noma"

"In a landmark decision in December 2023, the World Health Organisation designated noma as a neglected tropical disease, shedding light on a condition that often lurks in the shadows of poverty-stricken communities across sub-Saharan Africa, Latin America, and Asia. Noma is a severe rapidly progressing disease of the mouth and face mostly affecting children between the ages of two and six years suffering from malnutrition, infectious diseases, or living in extreme poverty with poor oral health or weakened immune systems like HIV and other diseases, which can lead to death due to complications such as sepsis. In 2012, the UN Human Rights Council acknowledged that neglecting noma is affected may amount to a violation of basic child rights."

Oluwaseyi Atoyebi. Reforming oral health policy to contain noma, 15th March 2024
https://punchng.com/reforming-oral-health-policy-to-contain-noma/ 

Individual
|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

Psychological impacts
Social impacts - life chances	(neglected) neglected tropical disease

Previously:

From - https://hodges-model.blogspot.com/search?q=noma

Ioana Cismas (York) - What's in a Frame? A Human Rights Approach to Neglected Tropical Diseases - https://www.york.ac.uk/cahr/events/2022/justice-in-global-health-workshop/

Concept Note in Support of the Inclusion of Noma (Cancrum Oris) on the World Health Organization List of Neglected Tropical Diseases (Commissioned by the Government of Namibia, 2016), 6 pp. (with Marie-Solène Adamou Moussa-Pham).

Srour, M. L., & Baratti-Mayer, D. (2020). Why is noma a neglected-neglected tropical disease?. PLoS neglected tropical diseases, 14(8), e0008435. https://doi.org/10.1371/journal.pntd.0008435

Seventy-sixth World Health Assembly

WHO Note for Media, 26 May 2023

Read online:

https://www.who.int/news/item/26-05-2023-seventy-sixth-world-health-assembly---daily-update--26-may-2023

Text of note follows and a Comment from me below.

Gearing up for a historic UN High-Level Meeting on Universal Health Coverage

Member States expressed alarm that millions of people cannot access life-saving and health-enhancing interventions. Out-of-pocket spending on health catastrophically affects over 1 billion people, pushing hundreds of millions of people into extreme poverty. The situation has worsened due to the COVID-19 pandemic.

In response, Member States agreed a resolution supporting preparations for the United Nations High-Level Meeting (HLM) on Universal Health Coverage (UHC) in September 2023. UHC means that all people have access to the full range of quality health services they need without financial hardship.

c/o World Health Assembly - media

In a transformative policy shift, Member States across high-, middle- and low-income countries expressed strong commitment to reorient their health systems based on primary health care (PHC) as a foundation for achieving health for all and reaching the furthest left behind first. About 90% of UHC interventions can be delivered using a PHC approach; from health promotion to prevention, treatment, rehabilitation and palliative care, potentially saving 60 million lives by 2030.

The Member States emphasized the importance of demonstrating the highest-level political commitment at the HLM in September with the aim of achieving resulting in a concise, action-oriented declaration for UHC.

[...]

COMMENT (NPW): I would add that quality of care is just as important as access and affordability. As we have discussed on HIFA, a 2018 Lancet paper estimated that 5-8 million deaths are caused by poor quality care every year (as we pointed out at the time, the true figure is probably much higher higher because it did not include care in the home or community before reaching a health facility). The Lancet paper did not estimate the number of deaths due to poor-quality primary versus secondary care. Quality of care is fundamentally dependent on the timely application of reliable healthcare information, and most deaths are probably (arguably, as we do not know the numbers) avoidable through the timely application of reliable healthcare information, even with minimal physical resources.

HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil AT hifa.org

HIFA - my source.

From: The Communication Initiative (The CI)

With many thanks to Kier and 'The CI' Community ...

 

Dear Peter Jones,

Warm greetings from The Communication Initiative (The CI) - https://www.comminit.com

Thanks so much for contacting us on November 25th to submit/share your work. I am writing to let you know that we have added a summary of "Hodges' Model: The Sustainable Development Goals and Public Health - Universal Health Coverage Demands a Universal Framework" to The CI website. Please do me the favour of reviewing the summary here - https://www.comminit.com/global/content/hodges-model-sustainable-development-goals-and-public-health-universal-health-coverage-d - and sending along any feedback you may have. I will be glad to make the necessary changes promptly.

For more information on our editorial objectives and the principles that guide our posting of information, please see: https://www.comminit.com/global/content/editorial-policy-ci-global

In the future, this summary may be featured in our e-newsletters, including The Drum Beat and Drum Beat Clicks. If you wish to subscribe to these mailings so you can see when your work is featured and read about other relevant programmes and resources, simply log into your registration page: https://www.comminit.com/global/content/peter-jones-hodges-model

We plan to spread the word about this summary via social media and would appreciate it if you might do the same.

Kind regards,
Kier

Kier Olsen DeVries, MA
Senior Editor, The Communication Initiative
Editor, The Drum Beat
kdevries AT comminit.com
https://www.comminit.com
Facebook: The Communication Initiative Network
https://www.facebook.com/The-Communication-Initiative-Network-344005148956579/
https://twitter.com/warrencomminit

PJ - The paper in question (is listed in the bibliography - please see the blog's sidebar):

Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;0:e000254. doi:10.1136/bmjnph-2021-000254

A Universal Language needs a Universal Framework ...

and so does ...

Integrated Care

Psychotherapy 

Universal Health Coverage

Global Health

Planetary Health ...


individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Journal of Universal Language	Journal of Universal Language
Journal of Universal Language	Journal of Universal Language

Earth Day & Night

We need coherent vision to do the right things ...

We need not just to look, but to see, envision and act ...

As Earth Day turns to Night -

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

- we should not allow people 
to be kept in the dark about 
the things that really matter ...

Climate Change

Universal Health Coverage

Universal Access to Health

Health Information for All

The Social Determinants of Health

Open Access ...

"What if we were to rethink it from the perspective of sick people and decide that the work of knowledge creation isn’t finished until it’s been disseminated to all of them?" @ePatientDave gives his thoughts on the open access debate https://t.co/cCsAZGI0Pd

— The BMJ (@bmj_latest) April 22, 2019

Earth Day 2019