There is a difference of 18 years of life expectancy between high- and low- income countries.Poorer populations systematically experience worse health than richer populations. There remain persistent and widening gaps between those with the best and worst health and well-being. Life expectancy and healthy life expectancy have increased, but unequally. This is necessary for effective delivery to addressing inequities in health and promoting healthier populations. Scaled up and systematic action is required that is universal but proportionate to the disadvantage across the social gradient. Measure and understand the problem and assess the impact of action:Įxpand the knowledge base, develop a workforce that is trained in the social determinants of health, and raise public awareness about the social determinants of health.The structural drivers of those conditions of daily life (for example, macroeconomic and urbanization policies and governance) Tackle the inequitable distribution of power, money and resources:.The circumstances in which people are born, grow, live, work and age Three areas for critical action identified in the report of the Global Commission on Social Determinants of Health reflect their importance in tackling inequities in health. While the evidence base on the social determinants of health has strengthened during the past decade, the evidence base on what works needs to be strengthened and good practices disseminated effectively. In addition, social determinants of health data can be difficult to collect and share. It involves a wide range of stakeholders within and beyond the health sector and all levels of government. The social determinants of health equity is a complex and multifaceted field. There are challenges to overcome in implementing action to address health inequities through the social determinants of health. In addition, estimates show that the contribution of sectors outside health to population health outcomes exceeds the contribution from the health sector.Īddressing SDH appropriately is fundamental for improving health and reducing longstanding inequities in health, which requires action by all sectors and civil society. For example, numerous studies suggest that SDH account for between 30-55% of health outcomes. Research shows that the social determinants can be more important than health care or lifestyle choices in influencing health. Access to affordable health services of decent quality.Social inclusion and non-discrimination.Housing, basic amenities and the environment.The following list provides examples of the social determinants of health, which can influence health equity in positive and negative ways: In countries at all levels of income, health and illness follow a social gradient: the lower the socioeconomic position, the worse the health. The SDH have an important influence on health inequities - the unfair and avoidable differences in health status seen within and between countries. These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. The social determinants of health (SDH) are the non-medical factors that influence health outcomes.
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