Category: upstream vs downstream
Posted in upstream vs downstream
How “upstream-downstream” metaphor helps us
The upstream-downstream metaphor helps to choose the most cost-effective public health interventions. This post curate peer-reviewed articles of which the main focus is the “upstream-downstream” metaphor. 1. The upstream-downstream metaphor to reduce health inequalities In this article Naoimh, E. McMahon , a big fan of the upstream-downstream story, reviews literature…
Posted in upstream vs downstream
Public health “Upstream – downstream parable”
Those who know public health know Irving Zola’s “upstream-downstream” parable. Irving Zola is a medical sociologist. His friend, John McKinlay, describes Zola’s parable in his 2019 article1 titled “A case for re-focusing upstream: The political economy of illness”1. The “Upstream boat” sails this upstream path. Following is the reproduction of…