PHA-Exchange> EXPERIENCES IN INTERSECTORAL ACTION, PUBLIC POLICY AND HEALTH

[Claudio Schuftan]

From: Dennis Raphael draphael at yorku.ca

Canada continues it's long tradition of producing dynamite policy statements
 ( with rather little to show for it in producing public policy or action).
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EXPERIENCES IN INTERSECTORAL ACTION, PUBLIC POLICY AND HEALTH

http://www.phac-aspc.gc.ca/publicat/2007/cro-sec/pdf/cro-sec_e.pdf

"This paper was written for the Health Systems Knowledge Network (HSKN)1
established as part of the WHO Commission on the Social Determinants of
Health, and was reviewed by at least one reviewer from within the HSKN and
one external reviewer.

To its credit, the Report states the obvious: nations ruled by social
democratic political parties are likely to establish public policy regimes
that support the SDOH... but are the implications of this followed up in
sufficient detail...?

Lntersectoral approaches were used by national and local governments in
Sweden well before the release
of the Black Report in England. Sweden's current national public health
strategy has emerged out of a social welfare model and recognition of health
inequities identified in the 1980s. Significant research into the nature
of these inequities and related intervention approaches provided evidence to
support broad-based public
health objectives. Ultimately, this focus was linked to a social
determinants framework, with an
overarching intersectoral action component.
Factors that contributed to the development of national public health goals
included: a history of social
democratic government; a strong relationship with the labour movement; a
highly developed welfare
system; involvement of politicians from  across the political spectrum;
strong civic literacy; a highly democratic process; political
commitment to equity;
and, a preference for collective, systemic approaches (Östlin 2003).

BOY, DO WE HAVE FAR TO GO IN NORTH AMERICA!!
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Of interest:

Poverty and Policy in Canada: Implications for Health and Quality of Life by
Dennis Raphael
Foreword by Jack Layton
http://tinyurl.com/2uds3s
Staying Alive: Critical Perspectives on Health, Illness, and Health Care,
edited by Dennis Raphael, Toba Bryant, and Marcia Rioux
http://www.cspi.org/books/s/staying.htm
Social Determinants of Health: Canadian Perspectives, edited by Dennis
Raphael
http://www.cspi.org/books/s/socialdeter.htm
The Politics of Population Health
http://msl.stream.yorku.ca/mediasite/viewer/?peid=ac604170-9ccc-4268-a1af-9a9e04b28e1d
Also, presentation on Politics and Health at the Centre for Health
Disparities in Cleveland Ohio
http://video.google.com/videoplay?docid=-4129139685624192201&hl=en

Dennis Raphael, PhD
School of Health Policy and Management
York University
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