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Health Equity (Social Determinants of Health (3 Principles to Close Health…
Health Equity
Social Determinants of Health
Health inequities due to unequal distribution of power, income, goods, service, unequal visible circumstances (work, home, education, etc.), and chances of leading a flourishing life
3 Principles to Close Health Gap
Improve Conditions of Daily Life
Equity from the start
Healthy places = healthy people
Fair employment and wages
Social protection throughout life
Universal healthcare
Measure problem, evaluate action, expand knowledge, develop trained workforce, raise public awareness about SDoH
Lack of data often means problems are unrecognized
Tackle inequitable distribution of power, money, and resources
Health equity in all policy, systems, and programmes
Fair financing
Market responsibility
Gender equity
Political empowerment
Good global governance
Need coherent action that addresses all social determinants in other to root out structural inequity
Need political will for changed to be done
Definition(s)
Social justice goal focused on producing the highest possible standard of health, paying closer attention to those at greater risk taking into account broad social, political, and economic influences, and access to care
Necessary skill for health professionals and a moral imperative for all other humans
Absence of systemic disparities between social groups that are more or less advantaged than the other
The equal opportunity to be healthy, where resources and processes are designed in ways most likely to move towards equalizing the health outcomes of disadvantaged groups w/ the more advantaged
3 Major Distinctions
Equity ≠ Equality
Equality
Everyone will have the same health outcomes
Not realistic due to uncontrollable factors outside of human control
Equity
Creation of equal opportunities for everyone to be healthy
Absence of disparities
Everyone has the chance to reach their fullest health potential
Vicious Nature of Health Inequities
Inequities in health system but disadvantaged people at further disadvantage to receiving proper health care
Often affects people with lack of political, social, or economic power
Equity in Health vs. Equity in Healthcare
Equity in Health
Elimination of all systemic differences in health status b/w socioeconomic groups
Equity in Healthcare
Matching services to need
Favouring of the more disadvantaged who are in greater need of health services
Difference in use of services b/w socioeconomic groups
Rights-Based Approach
Principles and Standards
Accountability
States to be held accountable for proper distribution of money and resources
Also keep non-state stakeholders accountable in respect to protection of human rights
Equality and Non-Discrimination
Address social determinants affecting enjoyment of right to health
Participation
Explicit strategies to empower citizens, especially the most marginalized
Creation of legal obligation for the state to provide appropriate quality healthcare
Focusing on most disadvantaged to gain greater equality in policy and program