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COMMISSION ON SOCIAL DETERMINANTS OF HEALTH 4th Meeting of Commissioners Tehran, Iran, 16-20 January 2006. Proposal for a Global Initiative “Using Social Determinants for Health”. Dr Erio Ziglio World Health Organization European Office for Investment for Health and Development. FEEDBACK.
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COMMISSION ON SOCIAL DETERMINANTS OF HEALTH 4th Meeting of Commissioners Tehran, Iran, 16-20 January 2006 Proposal for a Global Initiative“Using Social Determinants for Health” Dr Erio Ziglio World Health Organization European Office for Investment for Health and Development
FEEDBACK PROPOSAL CONTEXT
END May 2008 CDSH activity period START March 2005
Maximizing impact Translate the evidence into know-how for action in both WHO and in countries Put the reduction of health inequalities at the centre of all health policy decisions. Review and contribute to “best practice”
Isolated programmes Power structures System rigidity Lack of incentives “Territorialism” …at other times it’s a more complex matter!
FEEDBACK PROPOSAL Need for systematic support
Interventions aimed at reducing disease and saving lives succeed only when they take the social determinants of health adequately into account (…) That knowledge needs to be more fully developed and widely shared so that it can be used. WHO Director-General Dr J.W. Lee The Lancet, vol.365, 19 March 2005
The WHO European Office for Investment for Health and Development Venice, Italy
The Social Determinants for Health (SDfH) Initiative is a proposal for a WHO programme to help decision makers to use the evidence on the social determinants of health.
THE ACTIVITIES Consensus Building Workshops Mapping WHO skills and know-how Communication and social marketing strategy Building a critical capability in countries
Mapping WHO skills and know-how • Aims • To map knowledge and know-how • To give SDfH a central position • Method • Case studies • Programme reviews • Focused interviews • Impact • Identification of training focal points • Assessment of assets and gaps
Aims • To increase awareness and reduce barriers • To develop supportive networks • Method • Case studies • Interactive knowledge sharing • Impact • To strengthen awareness • To expand the know-how Consensus Building Workshops
Aims • To strengthen leadership • To support system development • To improve human resource capacity • Method • Strategy Labs • Intensive training for future leaders • Impact • To increase knowledge, skills and know-how Building a critical capability in countries
Communication and social marketing strategy Informing national and international media Integrating social determinants into vertical and population specific programmes Supporting leaders in taking action Increasing awareness within and outside the health sector
THE SDfH PROGRAMME BENEFICIARIES • Those in key positions to promote mainstreaming • Those with technical experience who can spearhead practical utilization in countries • Those who have not yet had an opportunity to explore the importance of social determinants
Different levels of SDfH impact: Doing different things Doing same things better
FEEDBACK SDfH a tool to sustain change Need for systematic support