PHA-Exchange> Towards a Conceptual Framework for Analysis and Action on the Social Determinants of Health (fwd)

[Claudio]

> From: "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia at PAHO.ORG>
>
> Towards a Conceptual Framework for Analysis and Action on the Social
> Determinants of Health
>
> Discussion paper for the Commission on Social Determinants of Health -
> CSDH  > DRAFT 5 May 2005
>
> WHO Health Equity Team, Office of the Assistant Director-General,
> Evidence and Information for Policy Cluster
> Available as PDF file [35p.] at:
>
http://ftp.who.int/eip/commision/Cairo/Meeting/CSDH%20Doc%202%20-%20Conceptu
al%20framework.pdf
>
> "....This draft paper has sketched a framework on social determinants of
> health intended to catalyze discussion within the CSDH. The paper in its
> present form is of course not a finished product, but a tool to
> stimulate shared thinking and advance debate...."
>
> "....The key element of the framework presented is the distinction drawn
> between structural and intermediate social determinants of health, also
> thought of as social determinants of health equity and more specific
> determinants of health. ....."
>
> TABLE OF CONTENTS
> 1. INTRODUCTION
> 2. SOCIAL DETERMINANTS: DEFINITIONS; DIFFERENCE FROM INDIVIDUAL RISK
FACTORS.
> 3. DEFINING CORE VALUES: SDH AND HEALTH EQUITY
> 4. PURSUING EQUITY THROUGH HEALTH POLICY: HEALTH DISADVANTAGE, GAPS AND
GRADIENTS
> 5. MODELING HEALTH DETERMINANTS AND THE PATHWAYS TO INEQUITY
> 5.1 DAHLGREN AND WHITEHEAD: LAYERED INFLUENCES
> 5.2 DIDERICHSEN ET AL.: SOCIAL STRATIFICATION AND DISEASE PRODUCTION
> 5.3 MACKENBACH ET AL.: SELECTION AND CAUSATION
> 5.4 BRUNNER, MARMOT AND WILKINSON: MULTIPLE INFLUENCES ACROSS THE
LIFE-COURSE
> 5.5 SYNTHESIS
> 6. PROPOSED CONCEPTUAL FRAMEWORK FOR THE CSDH
> 6.1 STRUCTURAL AND INTERMEDIATE SOCIAL DETERMINANTS
> 6.2 SOCIO-POLITICAL CONTEXT
> 6.3 LEVELS FOR POLICY ACTION ON SDH
> 6.4. SELECTION OF SPECIFIC THEMES FOR THE CSDH
> 7. INTERVENTION AND POLICY DEVELOPMENT MODELS FOR ACTION ON SDH
> 7.1 K. STRONKS FRAMEWORK
> 7.2 M. WHITEHEAD AND G. DAHLGREN FRAMEWORK
> 7.3 DIDERICHSEN ET AL. FRAMEWORK
> 7.4. SYNTHESIS: KEY POLICY PRINCIPLES
> 8. CONCLUSION
> REFERENCES