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Closing the Gap in a generation: health equity through action on the social determinants of health.

Marmot et al.

Shivani Gogna

on 27 September 2012

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Transcript of Closing the Gap in a generation: health equity through action on the social determinants of health.

Improve daily living conditions. Tackling Inequities in Power, Money, and Resources. Measure and Understand Problem, Assess Results of Action. Marmot et al. Closing the Gap in a generation: health equity through action on the social determinants of health 1 GOALS A NEW APPROACH
A GENERATION Intl. Agencies Action
on Social Determinants of Health Economic Growth Social Policies STRENGTHS WEAKNESSES Fresh, global approach
Call to actions
Multilateral, cohesive
Suggests optimism Generalizations
Advocates regulations
Financially unrealistic
Relies on political will WHAT'S NEXT? MARMOT ET AL. Over 800 million people in the world live in slum conditions. FOUR SQUARE Developing countries account for 99% of annual maternal deaths in the world. CANDANEDO, GOGNA, QUINTERO U.S. v Global
Health Equity Improving Statistical Power Translational Research:
implementing our findings HEALTH EQUITY RECOMMENDATIONS Strongly
Agree Now let's get out of our seats!
Agree Strongly
Disagree Disagree http://www.idea.gov.uk/idk/core/page.do?pageId=14114189 Local Communities & Businesses Gov. & Civil Society Ministries of Health HEALTH
EQUITY Acknowledging and Taking Action on SDH Health Equity
Surveillance Systems Recognize
Impact of
Policies Organizational Space and Capacity Training and
Awareness (cc) image by nuonsolarteam on Flickr ??? The article suggests that public-sector leadership is needed for effective national and international regulation of products. To what extent do you agree? The commission offered two examples for stronger global regulatory controls: processed foods and alcohol. Can you come up with some other examples of a commodity or social good that should be regulated globally? The Commission on Social Determinants of Health recommends that the international community must commit to a multilateral system whereas each country, regardless of economic condition, should have an equitable voice. How do you think this cross-boundary method should be approached, and do you realistically think this would work in society today? How do you think global health inequities should be measured to account for different social structures, political systems and economic values? ??? YOUR THANK YOU Closing the Gap in a generation: health equity through action on the social determinants of health
Marmot et al.

A presentation by Shivani, Jesica, and Sara http://www.faimer.org/images/world_11_06_large.gif Social Determinants
are Worldwide Number of Medical Schools by Region http://www.annualreviews.org/doi/abs/10.1146/annurev.soc.22.1.239?journalCode=soc Deaths by type in developing and developed countries in 1985/2012 Every day 21 000 children die before their fifth birthday. Women in Afghanistan have a lifetime risk of maternal death of 1 in 11, while a woman in Ireland has a risk of 1 in 17 800. Around 95% of TB deaths are in the developing world. About 80% of noncommunicable diseases are in low- and middle-income countries. A child born in Malawi can expect to live for 47 years while a child born in Japan can expect to live 83 years. According to the findings of the London Health Observatory, when traveling east from Westminster, each tube stop represents nearly one year of life expectancy lost. 10 facts on health inequities and their causes. (2011, October). WHO. Retrieved from
http://www.who.int/features/factfiles/health_inequities/en/index.html On behalf of the Commission on Social Determinants of Health •Poor health/poor people within AND among countries •3 overarching recommendations, call to actions under each
•Equity from the start--->child development-->educational programs, promotion of good nutrition, early intervention programs
•Policies and programs involving all sectors of society
•Governments, civil society, local communities
•Closing health gap achievable/coherent action is taken •No regard to society's cultural and social norms
•Gender equality •Socialist society
•Universal healthcare-increased taxation
•International market regulation •Debt relief •Implies strong and committed public sector leadership
•Assumes government capable of strengthened governance
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