Putting our own house in order: some resources for taking health system action on socially determined health inequalities
A joint action by the WHO Regional Office for Europe and the European Commission – March 2011
Inequalities in Health System Performance -
Social Determinants in Europe Tools for Assessment - Information Sharing
Website: http://bit.ly/gjJukB
“…..Socially determined health inequalities (SDHI) in the European region have been increasing and are likely to continue to do so without determined action to counter them. Left unchallenged, their negative consequences on vulnerable populations will also impose costs on society as a whole. These health inequalities are caused by and relate to social determinants such as poverty, unemployment, unsafe working conditions and precarious work, gender norms and standards and level of education as well as activity in the health system itself. While the health system alone cannot reduce health inequalities, it nevertheless has a vital role in achieving that goal, and as part of any overall approach to tackling SDHI.
In 2007 the WHO Regional Office for Europe together with the European Commission commenced a joint action on inequalities in health-system performance and their social determinants in Europe with the two objectives of:
· mapping health inequalities in the European Union and selected neighbouring countries based on a range of Eurostat indicator datasets (demographic, socioeconomic, health resources, mortality and hospitalization admission dimensions), available on a regional level; and
· developing resources to assist policy-makers in taking action, based on current and past examples of health system action across
This has resulted in the development of the following products which are now available through the WHO Regional Office for
1. An interactive system of atlases of health inequalities in
URL: http://bit.ly/gf78AO
a) the regional comparison, which allows quick view of several key indicators between a limited number of regions;
http://bit.ly/e1EToE
b) the correlation map atlas allows a quick visualization of two variables in maps and their association in a graph; and,
http://bit.ly/gBqdVN
c) the atlases of social inequalities which allows visualization of the difference between a target value
(most advantaged situation) and the value in a region or group of regions while taking into account the effect of different socioeconomic stratifiers.
http://bit.ly/e5P2XS
2. A web-based resource – URL: http://bit.ly/g5oQsw of examples of health system action that can be taken to tackle SDHI as part of an overall approach to the health system putting its own house in order. The resource is both a source of primary health intelligence and an applied source of information. It documents examples of health systems actions to counter SDHI and seeks to assist in the application of the information to different contexts.
3. A companion publication – URL: http://bit.ly/htchvN Putting our own house in order: examples of health-system action on socially determined health inequalities, which aims to show how to systematically use and generate evidence-informed options for action from the knowledge contained in a selection of the examples available on the web-based resource.
4. Six policy issues briefings that are available through different links on the WHO EURO website including:
How health systems can address inequities in priority public health conditions: the example of tuberculosis
http://bit.ly/eszAew
How health systems can address health inequities linked to migration and ethnicity
http://bit.ly/hAJZgj
Poverty, social exclusion and health systems in the WHO European Region
http://bit.ly/hRJ5Ut
How health systems can accelerate progress towards Millennium Development Goals 4 and 5 on child and maternal health by promoting gender equity
http://bit.ly/hxToDa
How health systems can address health inequities through improved use of Structural Funds
http://bit.ly/hz5LHY
Rural poverty and health systems in the WHO European Region
http://bit.ly/gEMBAE
The joint action has received funding from the European Commission under the Public Health Programme.
http://data.euro.who.int/equity
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