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Victorian Certificate of Education · VCAA · 2026

VCE Health and Human Development: complete 2026 guide to Units 3 and 4 and the exam

A 2026 guide to VCE Health and Human Development Units 3 and 4 under the study design accredited from 2025: health and wellbeing, Australia's health status and risk factors, health promotion and the health system, global health, the SDGs, the WHO goal and objectives and aid, with the exam format and links to every dot-point guide.

VCE Health and Human Development is a written-response subject that examines health and wellbeing, health status and human development across the individual, national and global levels. It rewards students who can define key terms precisely, interpret health data with the right units, and apply concepts such as the dimensions of health and wellbeing, biological, sociocultural and environmental factors, the Ottawa Charter and the Sustainable Development Goals to case studies.

This page is the index for Units 3 and 4 (Year 12), the scored units. It follows the VCE Health and Human Development Study Design accredited from 1 January 2025; the 2025 examination was the first under it. Below are the areas of study, the assessment and exam structure, and links to every dot-point guide on the site.

Unit 3: Australia's health in a globalised world

Area of Study 1: Understanding health and wellbeing. Health and wellbeing, illness and the five dimensions as dynamic and subjective concepts; the benefits of optimal health and wellbeing as a resource individually, nationally and globally; health status indicators (incidence, prevalence, morbidity, burden of disease, DALY, YLL, YLD, life expectancy, HALE, maternal, infant and under-five mortality, self-assessed health status); biological, sociocultural (including commercial) and environmental factors that contribute to variations in health status between population groups; and the contribution to Australia's health status of smoking and vaping, alcohol, overweight and obesity, and nutritional imbalance.

Area of Study 2: Promoting health in Australia. Reasons for improvements in Australia's health status since 1900 ("old" public health, the biomedical approach and improvements in medical technology, the concept of the social model of health and the Ottawa Charter for Health Promotion); the role of health promotion; programs to improve Aboriginal and Torres Strait Islander Peoples' health and how they promote social justice; initiatives to promote healthy eating (the Australian Dietary Guidelines, the Australian Guide to Healthy Eating and the Aboriginal and Torres Strait Islander Guide to Healthy Eating) and the challenges in bringing about nutritional change; and Australia's health system (Medicare, private health insurance, the PBS and the NDIS) in terms of funding, sustainability, access and equity.

Unit 4: Health and human development in a global context

Area of Study 1: Global health and human development. The concept of human development; the advantages and limitations of the Human Development Index; characteristics of low-, middle- and high-income countries; similarities and differences in health status and human development, including Australia; factors that contribute to those differences (safe water, sanitation, poverty and discrimination); the concept and dimensions of sustainability; and the implications of global trends (climate change, conflict, mass migration, increased world trade, tourism and digital technologies).

Area of Study 2: Health and the Sustainable Development Goals. The importance of the SDGs; key features of SDG 3; relationships between SDG 3 and SDGs 1, 2, 4, 5, 6 and 12; the goal and objectives of the WHO; the purpose and characteristics of bilateral, multilateral and non-government aid; the role of Australia's aid program in supporting the SDGs and the partnerships involved; features of effective aid programs; and individual and social action.

Assessment structure

  • Unit 3 School-assessed Coursework: 25 per cent of the study score (Outcome 1 and Outcome 2, 50 marks each).
  • Unit 4 School-assessed Coursework: 25 per cent of the study score (Outcome 1 and Outcome 2, 50 marks each).
  • End-of-year examination: 50 per cent of the study score.

SAC task types are a written report, an extended response analysing stimulus, an oral presentation, a visual presentation, and structured questions; each type can be used only once per unit.

The examination

According to the VCAA examination specifications (from 2025):

  • 15 minutes reading time and 2 hours writing time; 90 marks in total.
  • Section A (80 marks): short-answer and extended-answer questions, many with several parts, often using case studies, data or media texts.
  • Section B (10 marks): one extended-response question with no parts, drawing on several pieces of stimulus. It is assessed on explaining and applying concepts of health and/or human development, examining concepts across more than one area of study, and synthesising, analysing and interpreting data from multiple sources.

The 2025 examiners' report stresses three habits: state the direction of any change in a health status indicator, write "health and wellbeing" in full before abbreviating it within a question, and in Section B structure the response around the question's dot points rather than working through the sources one by one.

Dot-point guides

Unit 3 Area of Study 1: Understanding health and wellbeing

Unit 3 Area of Study 2: Promoting health in Australia

Unit 4 Area of Study 1: Global health and human development

Unit 4 Area of Study 2: Health and the Sustainable Development Goals

Current figures worth knowing (checked September 2026)

  • Life expectancy at birth, 2022-2024: 81.1 years (males) and 85.1 years (females) (ABS).
  • Burden of disease, 2024: 5.8 million DALY; leading risk factors overweight including obesity (8.3 per cent) and tobacco use (7.6 per cent) (AIHW).
  • Health spending, 2023-24: 270.5 billion dollars, 10.1 per cent of GDP (AIHW).
  • International poverty line: US 3.00 dollars a day (2021 PPP), updated by the World Bank in June 2025; the VCAA FAQ says this is the only value to use in 2026.
  • Australia's HDI: 0.958, ranked 7th (Human Development Report 2025, 2023 data).

The VCE system

Common questions

Which study design applies to VCE Health and Human Development in 2026?
The VCE Health and Human Development Study Design accredited from 1 January 2025 (Units 1 to 4). Implementation began in 2025, so the 2025 exam was the first under it and the 2026 exam is the second. The 2018 to 2024 study design no longer applies.
How is VCE Health and Human Development structured in Units 3 and 4?
Unit 3 is Australia's health in a globalised world: Area of Study 1, Understanding health and wellbeing, and Area of Study 2, Promoting health in Australia. Unit 4 is Health and human development in a global context: Area of Study 1, Global health and human development, and Area of Study 2, Health and the Sustainable Development Goals.
How is VCE Health and Human Development Units 3 and 4 assessed?
Unit 3 School-assessed Coursework contributes 25 per cent of the study score, Unit 4 School-assessed Coursework 25 per cent, and the end-of-year examination 50 per cent. The exam has 15 minutes reading time and 2 hours writing time and is worth 90 marks: Section A has short-answer and extended-answer questions worth 80 marks, and Section B is one 10-mark extended response using stimulus material.
What changed in the 2025 study design?
New key knowledge includes the contribution of smoking and vaping, alcohol, overweight and obesity and nutritional imbalance to Australia's health status; commercial factors as a subset of sociocultural factors; challenges in bringing about nutritional change; the WHO goal and objectives from its Fourteenth General Programme of Work; and relationships between SDG 3 and SDGs 1, 2, 4, 5, 6 and 12. Specific population groups are no longer prescribed in Unit 3 Area of Study 1.
What is the Ottawa Charter and why does it matter?
The Ottawa Charter for Health Promotion (WHO, 1986) sets out three strategies (advocate, enable, mediate) and five action areas (build healthy public policy, create supportive environments, strengthen community action, develop personal skills, reorient health services). From 2025 students study the concept of the social model of health and the Ottawa Charter, not the principles of the social model.
What do I need to know about the WHO for the exam?
The goal and six objectives in the WHO's Fourteenth General Programme of Work (2025 to 2028). The goal is to promote, provide and protect health and well-being for all people, everywhere. In 2025 many students lost marks by giving the goal's components instead of an objective.

Past papers

Worked solutions to past VCAA Health and Human Development exams, with the official paper and marking guidelines linked.

Sources & how we know this

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