Public health is a broad and evolving field including a wide range of related terms. Some of these terms have distinct meanings, while others are closely related and overlap in practice. Because health is shaped by biological, social, environmental, and economic factors, public health is inherently interdisciplinary. In this post, we will take a closer look at commonly used concepts and terminologies related to public health.
The definition, scope, and purpose, of public health related terms, have evolved along with societies, health challenges, and scientific understanding. Looking at some of these definitions can provide context and help understand the expansion of this field.
- Public Health
- Global Health
- International Health
- Global Public Health
- Population Health
Public Health
Winslow’s classic definition of public health as “the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, public and private communities, and individuals” captures the core principles and is timeless (1). Based on these values, public health professionals focus on prevention, education, research, and policy action, and collaboration to promote well-being, prevent disease, and respond to health threats like infectious diseases. Modern public health emerged in the mid-19th century, evolving from earlier tenets of hygiene and tropical medicine (2).
Global Health
Global health is a relatively recent term and is sometimes used ambiguously, or interchangeably with public health, though in global health, there is distinct emphasis on the geographic scope of health issues. Global health is best understood as an area of study, research, and practice that focuses on improving health and achieving health equity for people across high-, middle-, and low-income countries alike. It focuses on health of all across countries, cooperation between countries, and the influence of transnational determinants of health (2).
The scope of global health is broad. It is highly interdisciplinary and multidisciplinary, drawing not only from the health sciences but also from fields such as economics, sociology, environmental science, politics, etc. Examples of issues addressed within global health include nutrition, mental health, climate change, urbanization, migration, infectious diseases, and substance use among others.
International Health
Unlike global health, which emphasizes a global view point and transnational determinants of health, international health has traditionally been framed around differences between countries and development contexts. It has been used to refer to health work that focuses on health issues in low- and middle-income countries, often from the perspective of high-income or industrialized nations. Thus, the focus is on developing countries and often with attention to infectious and tropical diseases, water and sanitation, malnutrition, and maternal and child health.
Even though the term international health is still used in historic and programmatic contexts (e.g. International Health Regulations – IHR 2005) , the term global health is more predominant in academic, policy, and practice contexts. Authors have suggested that this shift is part of broader political and historical shifts in the international health landscape, including new challenges and changing power dynamics (3).
Global Public Health
Global public health can be seen as an extension of public health and global health perspectives, emphasizing the application of public health principles to improve health outcomes at a global scale. It can also be understood as an umbrella term, with its definition still evolving and often overlapping with global health. The term is increasingly used in academic and educational contexts, including as the title of a peer‑reviewed journal and in graduate programs that focus on public health issues within a global frame. In practice, the terms global health and global public health are sometimes used interchangeably.
Global public health is also regarded as a specialty within formal public health education, imparting competencies related to ethics and vulnerable populations, the health impacts of globalization, disease burden, social and political contexts, and management (4).
Population Health
Population health examines health outcomes and their underlying determinants within defined groups, using data to inform targeted policies and interventions. A definition is “the health outcomes of a group of individuals, including the distribution of such outcomes within the group”. While in public health, there is an emphasis on the conditions required for health, in population health the focus is on on structural and contextual factors, including how systems, agencies and organizations collaborate for health improvement (6). Population health also relies on transdisciplinary perspectives to address complex health challenges.
References
- Winslow CE. THE UNTILLED FIELDS OF PUBLIC HEALTH. Science. 1920 Jan 9;51(1306):23-33. doi: 10.1126/science.51.1306.23. PMID: 17838891.
- Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, Wasserheit JN; Consortium of Universities for Global Health Executive Board. Towards a common definition of global health. Lancet. 2009 Jun 6;373(9679):1993-5. doi: 10.1016/S0140-6736(09)60332-9. Epub 2009 Jun 1. PMID: 19493564; PMCID: PMC9905260.
- Brown TM, Cueto M, Fee E. The World Health Organization and the transition from “international” to “global” public health. Am J Public Health. 2006 Jan;96(1):62-72. doi: 10.2105/AJPH.2004.050831. Epub 2005 Dec 1. PMID: 16322464; PMCID: PMC1470434.
- Karkee R, Comfort J and Alfonso H (2015) Defining and Developing a Global Public Health Course for Public Health Graduates. Front. Public Health 3:166. doi: 10.3389/fpubh.2015.00166
- Kindig D, Stoddart G. What is population health? Am J Public Health. 2003 Mar;93(3):380-3. doi: 10.2105/ajph.93.3.380. PMID: 12604476; PMCID: PMC1447747.
- Bhosale AS, Urquhart O, Carrasco-Labra A, Mathur MR, Rafia K, Glick M. Population health and public health: Commonalities and differences. J Public Health Dent. 2025 Mar;85(1):40-46. doi: 10.1111/jphd.12651. Epub 2024 Dec 2. PMID: 39622770; PMCID: PMC11927948.