Global Perspectives · Oct / Nov 2025 · Paper 11 · Question 4

0457

As printed in the paper

The question as text

A government wants to improve health in the community. The following actions are being considered: • Provide more health education lessons in schools. • Employ more doctors and nurses. • Reward people for adopting a healthy lifestyle. Which one of these actions would you recommend to the government and why? In your answer, you should: • state your recommendation • give reasons and evidence to support your choice • use the material in the sources and/or any of your own ideas • consider different arguments and perspectives.

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Show the answer and mark scheme

A government wants to improve health in the community.

The following actions are being considered:

Provide more health education lessons in schools.

Employ more doctors and nurses.

Reward people for adopting a healthy lifestyle.

Which one of these actions would you recommend to the government and why?

In your answer, you should:

state your recommendation

give reasons and evidence to support your choice

use the material in the sources and/or any of your own ideas

consider different arguments and perspectives.

Main Annotations

Tables G, H and I

Use these tables to give marks for each candidate response.

Table G

Use evidence and reasons to support arguments

(AO1)

Level

Description

7–8 4

Effective use of evidence and reasons to support

arguments

Uses a wide range of evidence and reasons to fully support the candidate’s argument.

Evidence and reasons are clearly relevant to the

issue in the question.

5–6 3

Mainly uses evidence and reasons to support

arguments

Uses a range of evidence and reasons to support the candidate’s argument.

Evidence and reasons are relevant to the issue in the question.

3–4 2

Some use of evidence and reasons to support

arguments

Uses a limited range of evidence and reasons to

partly support the candidate’s argument.

Evidence and reasons are not always relevant to the issue in the question.

1–2 1

Limited use of evidence and reasons to support

arguments

Uses one or two pieces of evidence and/or reasons and these give very little support the candidate’s

argument.

Evidence and reasons are tangential or not relevant to the issue in the question.

No creditable response

Table H

Develop a line of reasoning (AO1)

Level

Description

7–8 4

Convincing and clear reasoning

Clear, convincing, and sustained lines of reasoning related to the issue in the question and the

candidate’s argument.

Well-structured and explicit consideration of different perspectives or actions.

5–6 3

Clear reasoning

Clear lines of reasoning mainly related to the issue in the question and the candidate’s argument.

Structured consideration of different perspectives or actions.

3–4 2

Some reasoning

Lines of reasoning are difficult to follow at times and not always related to the issue in the question and the candidate’s argument.

Some consideration of different perspectives or

actions.

1–2 1

Limited reasoning

Lines of reasoning lack clarity and are often unrelated to the issue in the question and the candidate’s

argument.

Little or no consideration of different perspectives or actions.

No creditable response

Table I

Judgements about perspectives and action (AO1) Level

Description

Judgements are fully supported

Judgements are clearly related to the issue, clearly

explained and consistent with the candidate’s

argument.

Judgements are supported

Judgements are related to the issue, explained and consistent with the candidate’s argument.

Judgements are partly supported

Judgements are partly related to the issue, partly

explained and not consistent with the candidate’s

argument.

Asserted judgements

Judgements are asserted and not explained.

No creditable response

0 Indicative Content

Candidates are expected to make a judgement about the recommended action using reasons and evidence to justify their choice. Candidates may use and develop material found in Sources 1 to 4 but should go beyond simply repeating or recycling without interpretation. Other material may be introduced but is not necessary to gain full marks.

Candidates may consider some of the following:

Reference to scale of impact on a healthy community.

Reference to different consequences and implications for individuals / groups / government.

How long it might take to make a difference.

Barriers to change.

The power of collective action versus individual responsibility.

The influence of individuals and groups on decision making.

The role of vested interests and power differences.

Potential conflicts of interest.

Difficulties in planning and coordinating improvements.

Cost and access to resources to implement change.

Other reasonable response.