In this framework, the determinants are divided into upstream (macro-level) factors, midstream (mid-level) factors and downstream (micro-level) factors. However, mortality is the result of past experiences of risk factors while morbidity is the result of on-going influences. As important as mortality and morbidity are for all those affected, to restrict actions to down-stream factors does not address the socio-economically driven determinants of health that are found more up-stream. Here governmental policy plays a key role, and is in turn influenced by still more up-stream determinants of global forces.