From Individual Self-Health Management to Global Health Governance: Integrating SDGs, Behavioral Models, and Systems Theory for Sustainable Disease Prevention

Global health challenges in the twenty-first century are increasingly shaped by the interaction of individual behavior, socio-economic pressures, environmental degradation, and governance structures. This paper presents a comprehensive interdisciplinary framework that positions Self-Health Management (SHM) as a critical bridge between individual responsibility and global health governance. Anchored in the Sustainable Development Goals (SDGs), the Health Belief Model (HBM), and Systems Theory, the study integrates theoretical perspectives with empirical observations drawn from public health practice, community pharmacy experience, and global health crises such as COVID-19. The framework emphasizes that health outcomes are not solely determined by clinical or biomedical interventions but are significantly influenced by behavioral choices, institutional support systems, and environmental conditions. Findings indicate that effective preventive and corrective health outcomes emerge when individual health discipline aligns with enabling policies, robust social protection systems, and effective environmental regulation. The paper contributes to global health and development literature by expanding health discourse beyond traditional biomedical models to incorporate behavioral, managerial, and systemic dimensions. It argues that sustainable disease prevention requires a coordinated approach that strengthens individual agency while simultaneously enhancing governance structures and environmental stewardship at local and global levels.