<div class="gmail_extra">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br><div class="gmail_quote">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:.5in;text-autospace:none"><b><font color="maroon" face="Arial" size="4"><span style="font-size:14.0pt;font-family:Arial;color:maroon;font-weight:bold">Improving Equity in Health by Addressing Social
Determinants<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><i><font color="#231f20" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:#231f20;font-weight:bold;font-style:italic"><br>
Edited by:<u></u><u></u></span></font></i></b></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font color="#231f20" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:#231f20;font-weight:bold">The Commission on Social Determinants of
Health Knowledge Networks<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font color="#231f20" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:#231f20;font-weight:bold">Jennifer H Lee and Ritu Sadana<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">World Health Organization, <u></u><u></u>Geneva<u></u><u></u> – 2011</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Available online PDF [319p.] - [1.5 MB] at: <a href="http://bit.ly/JnYFv6" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/JnYFv6</span></font></a>
<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">This recently published book
highlights actions to improve health equity based on findings from the nine
global Knowledge Networks that were established during the WHO Commission on
Social Determinants of Health. <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
Their task was to synthesize existing evidence and identify effective and
appropriate actions to improve health equity in nine thematic areas: <br>
- globalization; <br>
- gender; <br>
- social exclusion; <br>
- early child development; <br>
- urban settings; <br>
- employment conditions; <br>
- health systems; <br>
- public health programs; and <br>
- measurement and evidence. <br>
<br>
The evidence reinforces the fundamental impact of social determinants on health
outcomes and in creating health inequities. <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“… the Commission was designed to marshal this
existing knowledge about what can be done to promote health equity and by so
doing to focus global attention on the challenges of achieving greater health
equity within and between countries.” <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“Across the knowledge networks, there are common
actions that were identified as key to reducing inequities in health related to
social determinants: increase universal access to public education, establish a
minimum living wage, improve social protection, and reduce discrimination based
on gender, race, ethnicity, etc.”<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“A rigorous understanding of the distribution of
health outcomes and opportunities across socioeconomic groups is an essential
tool for policy-makers to appropriately and effectively tailor interventions
that address patterns of health inequity.”<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“Effective action to address the social determinants
of health requires us all to rethink dominant understandings of the way in
which population health is improved and health inequities reduced.” <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">The chapters communicate that in order to address the
underlying causes of health inequities, multiple and sustained action across
sectors are required and pro<a name="136eaf36582b23f3__GoBack"></a>vide recommendations for
doing so. <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“……The report by
the Commission on Social Determinants of Health represents a watershed moment
in public health. It marks the first systematic and truly comprehensive attempt
to draw together data and evidence on social determinants that is pluralistic
and diverse methodologically, empirically and theoretically. It is a rallying
cry for political action in support of the action against those elements which
do so much damage to human health, and it is an important signpost for action political
and scientific…..<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
……Recently, WHO convened a global conference in <u></u><u></u>Rio de Janeiro<u></u>, <u></u>Brazil<u></u><u></u>
to build support for the implementation of action on social determinants of
health. The conference provided a global platform for dialogue on how to
implement the recommendations from the Commission's report on all socioeconomic
groups and at rate of improvement that increases at each step down the socioeconomic
ladder.<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">….. At the conclusion of the
conference, 125 participating Member States adopted the Rio Political
Declaration on Social Determinants of Health pledging to work towards reducing
health inequities by taking action across five core areas related to the
evidence synthesized across this book: <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
1) Adopt better governance for health and development; <br>
2) Promote participation in policy-making and implementation; <br>
4) Strengthen global governance and collaboration; and <br>
5) Monitor progress and increase accountability (WHO, 2011).<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
……The evidence compels action and the momentum generated by the Rio
Declaration confirms that it is imperative for all to act to reduce health
inequities…”<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">Contents<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-style:italic">Preface<u></u><u></u></span></font></i></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">1. Strengthening efforts to improve
health equity<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"> </span></font><i><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;font-style:italic">Ritu Sadana, Sarah
Simpson, Jennie Popay, Daniel Albrecht, Ahmad Reza Hosseinpoor and Tord
Kjellstrom</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">2. Globalization: the global
marketplace and social determinants of health</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
</span></font><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">Ted
Schrecker and Ronald Labonté</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">3. Gender inequity
in health<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">
Gita Sen and Piroska Östlin</span></font></i><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">4. Social exclusion and health inequalities: definitions, policies and
actions</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
</span></font><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">Jennie
Popay, Sarah Escorel, Mario Hernández, Heidi B. Johnston, Jane Mathieson and
Laetitia Rispel</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">5. Early child development: a
powerful equalizer<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"> <i><span style="font-style:italic">Arjumand
Siddiqi, Emily Hertzman, Lori G. Irwin and <u></u>Clyde<u></u>
Hertzman</span></i><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">6. Urban settings: our cities, our
health, our future<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"> </span></font><i><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;font-style:italic">Jostacio Lapitan,
Jennifer H. Lee and Tord Kjellstrom</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">7. Employment and working conditions
as health determinants<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"> </span></font><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">Joan Benach and Carles Muntaner with the
EMCONET</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">8. Challenging inequity through
health systems<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"> </span></font><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">Lucy Gilson, Jane Doherty and Rene Loewenson</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">9. Reducing health inequities
through public health programmes</span></font></b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
</span></font><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">Erik
Blas and Anand Sivasankara Kurup</span></font></i><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">10. Measuring the
social determinants of health: theoretical and empirical challenges<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-bottom:12.0pt;text-autospace:none"><i><font color="#231f20" face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;color:#231f20;font-style:italic">
Josiane
Bonnefoy, <u></u><u></u>Antony<u></u><u></u>
Morgan, Emma Doohan, Jennie Popay, Johan Mackenbach and Michael P. Kelly</span></font></i><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:10.0pt;margin-left:.5in;line-height:115%"><b><font face="Arial"><span style="font-size:10.0pt;line-height:115%;font-family:Arial;font-weight:bold">11.
The way forward: acting on the evidence and filling knowledge gaps<br>
</span></font></b><font face="Arial"><span style="font-size:10.0pt;line-height:115%;font-family:Arial"> </span></font><i><font face="Arial" size="1"><span style="font-size:9.0pt;line-height:115%;font-family:Arial;font-style:italic">Jennifer H. Lee and Ritu Sadana<u></u><u></u></span></font></i></p>
<p class="MsoNormal" style="margin-right:0in;margin-bottom:10.0pt;margin-left:.5in;line-height:115%"><font face="Arial" size="1"><span style="font-size:9.0pt;line-height:115%;font-family:Arial"><br>
</span></font><font face="Arial"><span style="font-size:10.0pt;line-height:115%;font-family:Arial"></span></font><br></p></div></div></div><br></div>