From the Social to the Ultimate Determinants of Health

The notion that health is influenced by society, and the politics governing it, has been around for generations. The contemporary uptake of this idea can be found in the increasingly popular concept of ‘social determinants of health’. But should all social determinants be treated with equal concern? Or are certain determinants more important than others in influencing the health of populations?

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WHO Reform: Background notes, Broader context, Directions for advocacy

In this guest post, David Legge directs us to his work at the WHO Watch where he provides insightful background on the upcoming WHO reform talks, set to take place this November. Advanced is an analysis of global health governance which positions the social determinants of health, and health system development, within a dynamic interplay of policy paradigms, donor practices and corporate power. David also offers thoughtful insight into key issues facing the WHO and possible directions for advocacy efforts. David is a teacher of public health at La Trobe University in Melbourne.  He is also very much involved with the international People’s Health Movement.

The WHO is in crisis. It is in debt and its agenda is increasingly dictated by donors rather than member states. The Director General has initiated a reform process which will come to a head in November 2011. There are powerful pressures at work which are directed to restricting WHO to a purely technical role and towards closer relationships (‘partnerships’) with private corporations and private foundations (in particular the Gates Foundation).

This paper provides background to the WHO Reform process, contextualises the reform initiatives within the wider global health governance scene and provides a starting point for consideration of possible advocacy messages.

Read more at: http://www.ghwatch.org/sites/www.ghwatch.org/files/Legge110909_WHOReformBackgroundOptions.pdf

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Community Participation

Reasons For and Benefits From Community Participation in Public Health

In this guest post, Lauri Andress continues her series on community participation and public health. In order to bring more clarity to the concept of community participation, Lauri provides a framework that
attempts to discern a range of benefits that stem from community participation. She argues that some justifications for community participation are more likely to benefit the community than others. Also outlined are various mechanisms through which these benefits impact population health.

Europe

Poland vs. Malta – or a beginner’s guide to strict anti-abortion policies

In this post, guest blogger Maria Pawlowska discusses anti-abortion policies in Malta, drawing comparisons to her previous post on Poland and relating the harmful repercussions of these policies to the influence of the Catholic Church, social conservatism, and gender inequality.

Health Inequalities

Tackling Health Inequalities: restructured into a luxury?

In this guest post, Kate Thomson discusses the elimination of a national taskforce proven to reduce health inequalities in England. She asks whether the shift of responsibility to local authorities will render health equity concerns into unaffordable luxuries. Kate is a Senior Lecturer in the Department of Public Health at Birmingham City University and is currently researching health reforms in the Russian Federation.

Featured

Social Determinants of Health: Resuscitating the Agenda in Rio

In this guest post, Ted Schrecker offers a commentary on how the 2011 World Conference on Social Determinants of Health might restore an otherwise ailing SDOH agenda. Ted is an associate Professor in the University of Ottawa’s Department of Epidemiology and Community Medicine, and a principal scientist at the University’s Institute of Population Health.

Community Participation

Community Participatory Methods : Positive, Negative or Negligible Benefits for the Community

This guest post is the first in a series of posts which will critique the use of community participatory methods in public health. The author of this series, Lauri Andress, is a public health policy analyst at Andress & Associates where she advises US public health departments on policies, programs, and competencies related to health inequities. In this introductory piece, Lauri introduces the idea of community involvement and demonstrates its alignment with a social determinants of health perspective.

Poland

The Price of Democracy in Illegal Abortions

In this guest post, Maria Pawlowska looks at how the transition from socialism to democracy has impacted reproductive health in Poland. In the absence of both evidence-based sex education and access to safe and affordable contraceptives, Maria illustrates that the transition has effectively delegalized abortions, shifted the discourse surrounding reproductive rights to mirror the sentiments of the extreme political right, and ultimately placed the lives of Polish women hugely at risk. Maria is a healthcare analyst with a passion for reproductive health and gender issues in health care provision. Maria has a PhD from Cambridge, where she was a Gates scholar, and has worked with the Global Poverty Project and RESULTS UK.

Canada

Housing and HIV/AIDS: What a Difference a Roof Makes

In this guest post, Kate Jongbloed presents housing instability as social determinant of HIV/AIDS in Canada. Kate draws on others’ arguments that the absence of a national housing policy is to blame for fueling housing instability, with severe implications for the HIV epidemic.

Europe

Health in All Policies: The emperor’s old clothes

Guest Blogger, Sebastián Peña  Fajuri, is a Chilean medical doctor and an associate editor at the National Institute for Health and Welfare in Finland where he is currently working on a ‘Health in All Policies’ book for the Global Conference on Health Promotion in Helsinki 2013. In a series of posts, Sebastián will explore the [...]

Canada

Small steps towards a big problem: Addressing the social determinants of health at the community level

Guest blogger, David Phipps, is Director of Research Services and Knowledge Exchange at York University in Toronto, Canada.  York University developed the first knowledge mobilization unit that is fully integrated in the university’s research infrastructure.  Operating in partnership with the United Way of York Region (UWYR), York University is making its research and expertise accessible [...]

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