The Social Determinants of Health in India


Book Description

Drawing from the work of academics and practitioners from ten states across the country, this edited volume showcases and synthesises the diversity and richness of efforts to understand and act on the social determinants of health in India, the conditions in which we are born, grow, live work and age. Such an effort is salient in the current era of Sustainable Development Goals (SDG), which have foregrounded the issue of equity and the need for a comprehensive, multi-sectoral agenda for health and development. In India, particularly in the last decade, there have been myriad efforts to more critically theorise and intervene in areas with bearing on health, like conflict, nutrition or urbanisation, or to address the concerns of vulnerable groups like women, children and the elderly. From these efforts emerge lessons of convergence for academic and policymaking institutions in India who are looking to operationalise and bring life to the SDG agenda in India and other Low and Middle Income Country settings. The book comprises eleven chapters and six short commentaries that appear in conversation with each other, as well as an annexure of validated, ready-to-use indicators for monitoring of social determinants of health.




The Social Determinants of Health in India


Book Description

Drawing from the work of academics and practitioners from ten states across the country, this edited volume showcases and synthesises the diversity and richness of efforts to understand and act on the social determinants of health in India, the conditions in which we are born, grow, live work and age. Such an effort is salient in the current era of Sustainable Development Goals (SDG), which have foregrounded the issue of equity and the need for a comprehensive, multi-sectoral agenda for health and development. In India, particularly in the last decade, there have been myriad efforts to more critically theorise and intervene in areas with bearing on health, like conflict, nutrition or urbanisation, or to address the concerns of vulnerable groups like women, children and the elderly. From these efforts emerge lessons of convergence for academic and policymaking institutions in India who are looking to operationalise and bring life to the SDG agenda in India and other Low and Middle Income Country settings. The book comprises eleven chapters and six short commentaries that appear in conversation with each other, as well as an annexure of validated, ready-to-use indicators for monitoring of social determinants of health.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Key Policies for Addressing the Social Determinants of Health and Health Inequities


Book Description

Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.




Closing the Gap in a Generation


Book Description

Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.




The Health Gap


Book Description

'Punchily written ... He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement 'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor. A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health. These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities. In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes. What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society.




Immigration as a Social Determinant of Health


Book Description

Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.




Health Inequities in India


Book Description

This timely contribution to the global literature on health inequities approaches the subject through a synthesis and analysis of relevant published literature on India. Amongst the BRICS countries, India ranks the lowest in the gender-gap index and has the highest poverty rate, and there is clear evidence that socio-economic inequalities have increased in India in the twenty-first century. These have direct impact on the health conditions of its people; however, there has been relatively little concerted research attention on health inequities in India. This volume fills the gap by synthesizing research evidence since the year 2000 on the topic. This is perhaps the first volume on this topic of such scope and breadth. Its uniqueness lies in the synthesis of evidence across a range of axes of disadvantages within a single volume: socio-economic position, caste, gender, other socially constructed vulnerabilities such as disability, HIV status, migrant status; and health-system factors contributing to or mitigating inequities in health. Each core chapter not only summarizes research findings but also engages critically with the perspectives reflected in the chapters and proposes a framework for understanding the mechanisms through which health inequities result. This volume highlights and addresses research gaps in both methodology and content, and is valuable to researchers and students of public health and allied health disciplines, including the social sciences, and also to policy makers and donors.




The Social Determinants of Mental Health


Book Description

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.




Oxford Textbook of Creative Arts, Health, and Wellbeing


Book Description

There is growing interest internationally in the contributions which the creative arts can make to wellbeing and health in both healthcare and community settings. A timely addition to the field, this book discusses the role the creative arts have in addressing some of the most pressing public health challenges faced today. Providing an evidence-base and recommendations for a wide audience, this is an essential resource for anyone involved with this increasingly important component of public health practice.