HEALTH, EQUITY AND
SUSTAINABILITY
ISEPICH Forum 23 November 2011
PROFESSOR HELEN KELEHER
INNER SOUTH COMMUNITY HEALTH SERVICE/
MONASH UNIVERSITY SCHOOL OF PUBLIC
HEALTH AND PREVENTIVE MEDICINE
Advancing Health, Health Equity and Opportunities for Children and Youth in T...Wellesley Institute
This presentation examines the ways in which to advance health and health equity for children and youth during difficult times.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to translate health equity into action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Social Isolation in the Elderly; Physical Activity to the Rescue -Crimson Pub...CrimsonpublishersDIDD
Social Isolation in the Elderly; Physical Activity to the Rescue by Ogundiran Opeyemi Olufemi* in
Degenerative Intellectual & Developmental Disabilities
'Wicked' Policy Challenges: Planning, Tools, and Directions for Driving Healt...Wellesley Institute
This presentation offers insight into the policy challenges that inhibit health equity.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Advancing Health, Health Equity and Opportunities for Children and Youth in T...Wellesley Institute
This presentation examines the ways in which to advance health and health equity for children and youth during difficult times.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
This presentation provides insight on how to translate health equity into action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Social Isolation in the Elderly; Physical Activity to the Rescue -Crimson Pub...CrimsonpublishersDIDD
Social Isolation in the Elderly; Physical Activity to the Rescue by Ogundiran Opeyemi Olufemi* in
Degenerative Intellectual & Developmental Disabilities
'Wicked' Policy Challenges: Planning, Tools, and Directions for Driving Healt...Wellesley Institute
This presentation offers insight into the policy challenges that inhibit health equity.
Bob Gardner, Director of Policy
Steve Barnes, Policy Analyst
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Driving Health Equity for Kids: From the Earliest Years to Transforming the S...Wellesley Institute
This presentation provides the history of health equity for children and how we need to transform the system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
An overview of the health situation of youth today is provided in this chapter, which also explores the serious health challenges this vulnerable group is facing with the context of local and global developments. Socio-economic, cultural, educational and other factors affecting young people’s health are examined, and reference is made to particular issues and areas of concern. Emphasis is given to the importance of involving young people in identifying problems and developing solutions to ensure that programmes, policies and health services address their needs.
This Policy Framework is intended to inform
discussion and the formulation of action plans
that promote healthy and active ageing.(World Health Organization)
Health Equity into Policy Action: A Policy Conversation at MOHLTCWellesley Institute
This presentation provides critical insights on how to transform health equity into policy action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
The Dharma Foundation of India under the leadership of Dr Alakananda Banerjee is working to promote the Active Ageing Initiatives in India. This slides give a brief outline of the work done in New Delhi,India
Driving Health Equity into Action: Strategy, Ideas, and Tools for Midwifery M...Wellesley Institute
This presentation provides a strategy, ideas and tools for the midwifery movement.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Income inequalities in health presentationPrashanth N S
Presentation on socio-economic inequalities in health in India made at the National Seminar on Health Equity Evidence and Priorities for Research in India conducted by the Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Trivandrum in 2015
Driving Health Equity for Kids: From the Earliest Years to Transforming the S...Wellesley Institute
This presentation provides the history of health equity for children and how we need to transform the system.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
An overview of the health situation of youth today is provided in this chapter, which also explores the serious health challenges this vulnerable group is facing with the context of local and global developments. Socio-economic, cultural, educational and other factors affecting young people’s health are examined, and reference is made to particular issues and areas of concern. Emphasis is given to the importance of involving young people in identifying problems and developing solutions to ensure that programmes, policies and health services address their needs.
This Policy Framework is intended to inform
discussion and the formulation of action plans
that promote healthy and active ageing.(World Health Organization)
Health Equity into Policy Action: A Policy Conversation at MOHLTCWellesley Institute
This presentation provides critical insights on how to transform health equity into policy action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
The Dharma Foundation of India under the leadership of Dr Alakananda Banerjee is working to promote the Active Ageing Initiatives in India. This slides give a brief outline of the work done in New Delhi,India
Driving Health Equity into Action: Strategy, Ideas, and Tools for Midwifery M...Wellesley Institute
This presentation provides a strategy, ideas and tools for the midwifery movement.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Income inequalities in health presentationPrashanth N S
Presentation on socio-economic inequalities in health in India made at the National Seminar on Health Equity Evidence and Priorities for Research in India conducted by the Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Trivandrum in 2015
Hawe dh vic november 2011 school hp (pp tminimizer)sarahportphillip
Critically important whole school health promotion work has to be sustained: Shifting from program thinking to system thinking
Penny Hawe
Population Health Intervention Research Centre
University of Calgary , Canada
www.ucalgary.ca/PHIRC phawe@ucalgary.ca
Mediation as the most popular among the ADR, is an emerging profession which is believed to be a mainstream profession by 2020 not only on the national level but also in the international arena--such as in the United Nations system.
As the most popular form of ADR, Mediation as an emerging profession is believed to be a mainstream profession by 2020, not only on a national level but also in the international arena such as in the United Nations system.
The field of health promotion and education is at a turning point as it steps up to address the interconnected challenges of health, equity and sustainable development. Professionals and policy makers recognize the need for an integrative thinking and practice approach to foster comprehensive and coherent action in each of these complex areas.
Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity” or “equity in health” implies that ideally, everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
Public health is defined as “the approach to medicine that is concerned with the health of the community as a whole” ("Definition of Public Health", 2013). Without public health, health care would be in vain. A person could be in perfect health one day, come in contact with a person with a contagious disease, and be dead within twenty-four hours. This paper will discuss the local health department.
Child-health practitioners in Iowa must find better ways to address family, neighborhood and economic factors that shape children' health and well being, according to CFPC executive director Charles Bruner and Debra Waldron, director and chief medical officer of the Child Health Specialty Clinics at the University of Iowa. They presented at the Iowa Governor's Conference on Public Health in Ames on April 5.
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The Australian healthcare system provides a wide range of services, from population health and prevention through to general practice and community health; emergency health services and hospital care; and rehabilitation and palliative care.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Isepich nov 2011 keleher.pptx
1. 11/24/11
HEALTH, EQUITY AND
SUSTAINABILITY
ISEPICH Forum 23 November 2011
PROFESSOR HELEN KELEHER
INNER SOUTH COMMUNITY HEALTH SERVICE/
MONASH UNIVERSITY SCHOOL OF PUBLIC
HEALTH AND PREVENTIVE MEDICINE
OVERVIEW
Tenfundamentals for
understanding health
Planningfor equity and
sustainability through Joint
Chair ISCHS-Monash
University
1
2. 11/24/11
1. HEALTH IS NOT CREATED IN
THE HEALTH SYSTEM
Health is created where people live, work,
play, study, love, raise children, shop, play,
google, travel and care for our planet.
Sectors that matter for health: education,
housing, community services, arts,
agriculture, public sector, local government,
justice, sport and recreation, transport,
academia/research and business.
2. POVERTY IS THE CAUSAL
PATHWAY TO POOR HEALTH
The gradient of poor health is
widening
Poverty predicts poor health
Our governments could fix poverty
with greater political will
2
3. 11/24/11
3. MORE EQUAL SOCIETIES
ALMOST ALWAYS DO BETTER
Large income inequalities
damage the social fabric of
society, create mistrust and
extremes of poverty and
wealth
A fair tax and social security
system is THE most important
health reform
Read: THE SPIRIT LEVEL by Wilkinson and Pickett 2009
4. EDUCATION AND
LITERACY
. Only 18% of Australians have high levels of
literacy on ABS measures
Another 34% have functional literacy at the
minimum level of competence needed to cope
with everyday life and work (ABS 2008).
Health literacy levels are thought to
more accurately predict health status
than education level, income, ethnic
background, or any other socio-
demographic variable
3
4. 11/24/11
5. WORKING CONDITIONS
WORKHEALTH IS MUCH MORE THAN
HAVING HEALTH CHECKS AT WORK.
.
Stress in the workplace increases the risk of
disease - having little control or authority in
relation to your work decisions causes stress. The
effort/reward imbalance is a very significant
determinant of health.
Discrimination, sexism and bullying at work are
predictors of poor health
6. EARLY YEARS OF LIFE
Early years investment is are the most
important investment we can make
The effects of the early physical and social
environments on childhood development last
a lifetime and predispose children for adult
disease and ill health
20% of children in Australia live in family
poverty and are at developmental risk (OECD
2011)
Early
childhood intervention for vulnerable
children is not universally available
4
5. 11/24/11
7. SOCIAL EXCLUSION
Social exclusion creates misery
Social exclusion is frequently related to
discrimination base on difference
People experiencing social isolation and social
exclusion experience high levels of stress,
loneliness, poor health and higher death rates
Lack of opportunity, lack of access to money, to
work, to education, create disadvantage and
feelings of dispossession and alienation
People who are excluded have little or no stake in the
success of their community or their own health
8. VIOLENCE AGAINST WOMEN
AND CHILDREN
Violence against women and
children causes a bigger burden of
poor health than any disease or
lifestyle risk factor
30% of all presentations for
emergency housing are women and
their children fleeing violence at
home
5
6. 11/24/11
9. FOOD INSECURITY
Food insecurity affects children’s brain development
Food insecurity means malnourishment and weight
control issues exacerbating diabetes and other
conditions
12% of people regularly experience food insecurity
(running out of money for food).
Unhealthy marketing of food is virtually unregulated
by governments
There are increasing numbers of people whose
knowledge of nutrition and food preparation are
insufficient to support health.
10. SOCIAL SUPPORT/
SOCIAL SAFETY NET
Friendship, good social relations and strong
supportive networks improve health at home, at
work and in the community.
Support from families, friends and communities
is associated with better health. They help people
solve problems and deal with adversity, as well
as in maintaining a sense of mastery and control
over life circumstances.
The health effect of social relationships may be
as important as established risk factors such as
smoking, physical activity, obesity and high blood
pressure (Public Health Agency of Canada 2011)
6
7. 11/24/11
Other determinants
TRANSPORT
HEALTH SERVICES
GENDER
CLIMATE CHANGE
ENVIRONMENTS
THE DETERMINANTS OF HEALTH ARE
FUNDAMENTAL TO HEALTH EQUITY
Determinants are the pathways to health
and equity/inequity- most of them are
amenable to change
The challenge for a PCP is in deciding
how to act in ways that create
sustainable change…
7
8. 11/24/11
WHERE CAN AND SHOULD WE ACT AT
PCP LEVEL?
All of these are amenable to change that can create
sustainable change in people’s lives:
Education and literacy
Working conditions
Food insecurity
Social exclusion
Early years of life
Violence against women and children
Social support networks
SO HOW ARE WE TAKING ACTION AT INNER
SOUTH COMMUNITY HEALTH SERVICES?
Joint Chair in Health Equity between
Monash University and ISCHS
Purpose:
Build evidence base to inform advocacy agenda
Develop a research agenda
Organisational Capacity building – research &
evaluation
Inform service development
Facilitate best practice health promotion
Establish strategic linkages
8
9. 11/24/11
AIMS OF JOINT CHAIR POSITION
build an evidence base about health inequities to
inform and support ISCHS’s advocacy agenda,
guided by a three year research agenda and
annual implementation plan;
build the internal capacity of ISCHS staff to
participate in and lead research and evaluation
activities and work with ISCHS staff to translate
research outcomes into service development and
service delivery;
act as a resource to ISCHS in prevention and
health promotion best practice to impact on
health inequities
STEPS IN THE PROCESS
SCOPING
STUDY INTERNALLY AND
EXTERNALLY
BROADRESEARCH STRATEGY
APPROVED BY BOARD
PROCESSES FOR SETTING PRIORITIES
9
10. 11/24/11
RESEARCH STRATEGY
Establish key concepts Define roles for ISCHS
Determinants of Leadership
health Catalyst
Health equity Advocate
Health inequity Collaborator
Population health Communicator
Health service Knowledge broker
population
Role of ISCHS in
research
FOUR LEVELS FOR RESEARCH
Structural
level
Intermediate
level
Popula>on
health
level
Health
service
level
10
11. 11/24/11
POPULATION-FOCUSED HEALTH
PROMOTION
Population and community profiles
Social and community networks/strength;
Targeted initiatives to promote social inclusion
Local social policy coalitions to create the
framework for intersectoral action
Neighbourhood development:
bottom-up approaches supported by cross-sector groups
meeting regularly,
facilitating action in local communities through
community development
INTERMEDIATE DETERMINANTS OF
HEALTH
Build evidence about:
housing, education, transport, employment
financial and geographical inequality
access to services (increase poor uptake of
benefits advice, awareness of services and
people’s rights to use them)
health and illness inequities between
individuals and groups
11
12. 11/24/11
STRUCTURAL
General socio-economic, cultural and
environmental conditions
welfare and housing policies,
funding for primary health care systems and services,
Increase funding for education, and
policies which widen the social gradient.
STRATEGIES FOR SUSTAINABLE OUTCOMES
1.
Work from an evidence base – find out what
has been published about what works, for whom,
under what circumstances
2.
Begin planning in relation to determinants,
populations, settings and sectors rather than
individuals, behaviours and lifestyles
3.
Establish evaluation to measure what you
value.
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13. 11/24/11
SUMMARY
Highlighted linkages between the SDH and
the ISCHS research for health equity agenda.
Shown how the evidence we seek to strengthen
about health equity will arise from program
evaluations, and research, which are integral
to the development of evidence-informed
advocacy.
Success and effectiveness are about achieving
demonstrable outcomes for communities.
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