Policies and actions addressing the social determinants of health inequalities:
Examples of activity at EU and member state level in Europe
DETERMINE is an EU Consortium for Action on the Socio-economic Determinants of Health (SDH). 2009
Available online at: http://www.health-inequalities.eu/pdf.php?id=3d14434d4f7ba34b262eab73cdfe0a50
“…..The first working document is based on an analysis of 16 questionnaires in 10 policy fields, and identifies and explores actions being taken at the regional, national and EU level on the SDH which contribute to reducing health inequalities. The results reflect that although there is no systematic way to address the SDH to reduce health inequalities, many different measures are being taken in other policy areas that can contribute to this goal. The report points to different kinds of mechanisms, such as inter-sectoral committees and impact assessments that facilitate inter-sectoral work
“….The aim of this analysis was to get a better insight into EU governments’ experiences with cross-sectoral collaboration to address the social determinants of health inequalities, in order to build on these experiences.
The outcomes point to a wide range of action on the social determinants of health across
• Where addressing SDHI is a stated government priority e.g. in the case of
• Where there is a cross departmental strategy to address SDHI e.g. the Investing for Health strategy in
• Where there is reference to SDHI in policy documents – many examples are available.
• Where there are cross-government mechanisms in place which support the establishment and maintenance of partnerships
– e.g. Social Partnership Agreement in the
• Where there are policy tools in place to facilitate action, such as IA and evaluation.
• Where there is evidence available which demonstrates clear links between health and social inequalities – e.g.
• Where there is leadership at both EU and national level – e.g.
Table of Contents
Introduction
Clarification of terms
Building on the existing knowledge base
Task 1 outline
Overview of findings
Section one: Policy
Health Inequalities Strategies
Health Strategies referring to SDHI
Addressing SDHI in education strategies
Addressing SDHI in employment strategies
Addressing SDHI in economic strategies
Addressing SDHI in environment strategies
Addressing SDHI in urban and regional planning
Addressing SDHI in neighbourhood renewal and housing policy
Social Inclusion strategies
Section two: Structures
Ministerial and Cabinet Groups
Offices and Committees located within or driven by health ministries
Offices and Committees located within or driven by non-health ministries
Consultation and collaboration in developing policy
Tools and methodologies
Section three: EU level
EU Health Strategy and Public Health Programmes
Tools and Mechanisms
Internal Market
Conclusion
Appendix 1: Work Package Partners
Appendix 2: Abbreviated questionnaire
Appendix 3: Other policies
For more information on DETERMINE see: www.health-inequalities.eu
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