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The Context Domain consists of four elements;
- Societal Organization and Culture
- Public Policy
- Governance
- Population Need and Demand
The Context Domain focuses on the environment in
which policy formulation will occur. It includes the environmental
factors in a country that influence the health of the population
and within which interventions are delivered. This includes factors
outside the health system that will influence the performance
of the mental health elements and determine some outcomes. "Although
the links between social forces and ill health are complex and
varied, close inspection suggests that mental health concerns
almost always relate to more general concerns that have to do
with economic welfare of a family or community, the environment
in which a person lives and the kinds of resources that he or
she can draw upon. In general-enduring political and economic
structures-both within and between societies-contribute to the
perpetuation of poverty, hunger, and despair. Demographic and
environmental pressures, spark regional and intrastate conflicts
which in turn lead to personal trauma, social demoralization,
and dislocation." (11,12)
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