
<br><span class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>><br>crossposted from : <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>

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<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="maroon" size="3"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: maroon; FONT-FAMILY: Arial">Primary health care and the social determinants of health: <br>

essential and complementary approaches for reducing inequities in health <br><br></span></font></b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Kumanan Rasanathan1, <font color="#cc0000">Eugenio Villar Montesinos1</font>, Don Matheson3, Carissa Etienne2, Tim Evans4</span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">1 Department of Ethics, Equity, Trade and Human Rights, World Health Organization, Geneva, Switzerland </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">2 Health Systems and Services Cluster, World Health Organization, Geneva, Switzerland </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">3а Centre for Public Health Research, Massey University, Wellington, New Zealand </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">4 Information, Evidence and Research Cluster, World Health Organization, Geneva, Switzerland</span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial"><br></span></font><b><i><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">J Epidemiol Community Health</span></font></i></b><b><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> <span><span title="10.1136/jech.2009.093914">doi:10.1136/jech.2009.093914<br>

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<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Website: <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://bit.ly/aOiQAT" target="_blank"><font color="navy"><span style="COLOR: navy">http://bit.ly/aOiQAT</span></font></a> <br>

<br></span></font></p>

<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">СЕЕIncreasing focus on health inequities has brought renewed attention to two related policy discourses - primary health care and the social determinants of health. </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">а</span></font></p>

<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Both prioritise health equity and also promote a broad view of health, multisectoral action and the participation of empowered communities. Differences arise in the lens each applies to the health sector, with resultant tensions around their mutual ability to reform health systems and address the social determinants. </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">а</span></font></p>

<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">However, pitting them against each other is unproductive. Health services that do not consciously address social determinants exacerbate health inequities. If a revitalised primary health care is to be the key approach to organise society to minimise health inequities, action on social determinants has to be a major constituent strategy. </span></font></p>


<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">а</span></font></p>

<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Success in reducing health inequities will require ensuring that the broad focus of primary health care and the social determinants is kept foremost in policy - instead of the common historical experience of efforts being limited to a part of the health sector. Е.Ф<br>

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<p class="MsoNormal" style="MARGIN-LEFT: 0.5in"><br>а</p></div></div>