Global Health Comparison Grid Template

Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement

Global Healthcare Issue
Air Pollutions
The Diesel Emissions Reduction Act (DERA) which controls matters of air pollution in the US, vs. The Air (Prevention and Control of Pollution) Act of 1981 of India

Country United States
Describe the policy in each country related to the identified healthcare issue DERA was created by the US Congress in 2008 to control health issues arising from the release of carcinogenic content into the atmosphere through the emission of harmful substances.

On the other hand, the primary objective of the statute is to cater for the issues of air pollution as stipulated by the World Health Organization under its operational framework (Gazette of India, 1981).

What are the strengths of this policy?
Strengths of DERA include the ability of the policy to deal with the health issues of air pollution due to its limited scope of operation.

The statute highlights clear implementation structures for the sanctions contained under it thereby creating an opportunity for addressing health problems arising from inhaling harmful carcinogenic substances (Gazette of India, 1981).
What are the weaknesses of this policy? The weaknesses of the statute are that it fails to distinguish the various pollutants which lead to health problems in people.

The shortcoming of the policy is that it fails to offer recourse to people who are affected due to negligent acts of industrial players who continually emit harmful substances into the atmosphere.

Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
Specifically, age as a social health determinant affects the extent to which the spread of carcinogenic contents affect human health as such substances spread through the air (Salmond & Echevarria, 2017). In India, age causes variation in the effects of air pollution because while children are usually safe from industrial areas, most adults spend their time in such zones to generate daily income (WHO, 2019).

How has each country’ government addressed cost, quality, and access to the selected global health issue? Through the enactment of DERA, the US offers affordable healthcare to victims of carcinogenic emission as they experience different health complications. This aspect of subsidies under the statute is crucial in cost reduction and enhancement of quality of healthcare (Kelly & Fussell, 2015). Moreover, the funding means created under the Act allow for access in healthcare through the expansion of facilities.

The Air policy in India addresses the problem of cost by imposing penalties on industrial players who fail to observe the restrictions on air pollution hence leading to less harm on citizens (Gazette of India, 1981). Also, through more funding to the health sector, the policy ensures access to quality health services for patients will air-related illnesses

How has the identified health policy impacted the health of the global population? (Be specific and provide examples) The policy prohibits activities which lead to emission of harmful substances into the atmosphere thereby creating an avenue for improvement of health conditions of people across the globe (Kelly & Fussell, 2015). Specifically, through prevention of gases which cause global warming, most people across the globe are protected from infection with diseases like skin cancer.

By eliminating harmful actions of industries, the Act preserves the environment hence preventing the spread of diseases to other parts of the globe.
Describe the potential impact of the identified health policy on the role of nurse in each country. DERA creates an advocacy opportunity for nurses through its implementation aspects where nurses are expected to take part in awareness and sensitization on the health implications of carcinogenic contents (Lundy & Janes, 2009).

The nursing professionals in India perform the function of care delivery to patients with air-related illness arising from carcinogenic contents. This aspect of home care is a specialized service as created under the policy.
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)
Issues of global healthcare by the WHO inspire collaboration among health stakeholders in the US. For example, nursing associations in the US continually interact with Congress to push for crucial legislative changes to address health issues.

Problems of global health prompt major organizations in India to conduct scientific research to find permanent solutions to the problem (Kelly & Fussell, 2015). For instance, India’s Central Pollution Control Board gives guidelines after consultation with the rest of health stakeholders

Part 2: A Plan for Social Change

Social Change
To include essential aspects of global perspective into local practice, the nursing professionals will offer viable ideas about the necessary interventions which meet the interest of patients of air-related illnesses (Lundy & Janes, 2009). Under this aspect of incorporation, as a nurse leader, I would push for the formulation of policy directions which prohibit air pollution while ensuring that the implementation of the existing regulations is ongoing.
Therefore, my role as a nursing leader would involve aspects of advocacy to ensure the creation of a safe environment (Kelly & Fussell, 2015). Also, I would undertake crucial coordination functions with the local players in the healthcare industry to ensure that matters of global health such as the illnesses arising from instances of air pollution are averted. Lastly, the introduction of global perspective would affect local practice through allowing me to educate other nursing professionals on the need for sensitization of the public about their right to a safe environment as evident in other parts of the globe.
The incorporation of global ideas into local practice may affect my professional role as a nurse through the change of duties from care provision in hospitals to advocacy during policy-making processes. These changes may also lead to social change through catering for the needs of patients by way of policy interventions in areas directing affecting the daily lives of such individuals.

Gazette of India. (1981).The Air (Prevention and Control of Pollution) Act of 1981 of India. Retrieved from “”
Kelly, F. J., & Fussell, J. C. (2015). Air pollution and public health: emerging hazards and improved understanding of risk. Environmental geochemistry and health, 37(4), 631–649. doi:10.1007/s10653-015-9720-1
Lundy, K. S., & Janes, S. (2009). Community health nursing: Caring for the public’s health. Sudbury, Mass: Jones and Bartlett Publishers.
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12 25. doi:10.1097/NOR.0000000000000308
World Health Organization (WHO). (2019). Ten Threats to Global Health comparison in 2019 (World Health Organization). Retrieved from “”

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