Health Equity: 08/10/11

Wednesday, August 10, 2011

[EQ] New book: Social determinants approaches to public health: from concept to practice

Social determinants approaches to public health:
from concept to practice

Edited by Erik Blas, Johannes Sommerfeld and Anand Sivasankara Kurup

ISBN 978 92 4 156413 7

World Health Organization 2011

Available online PDF [222p.] at: http://bit.ly/jGKRYq

The thirteen case studies contained in this publication were commissioned by the research node of the Knowledge Network on Priority Public Health Conditions (PPHC–KN), a WHO-based interdepartmental working group associated with the WHO Commission on Social Determinants of Health.

The publication is a joint product of the Department of Ethics, Equity, Trade and Human Rights (ETH), Special Programme for Research and Training in Tropical Diseases (TDR), Special Programme of Research, Development and Research Training in Human Reproduction (HRP), and Alliance for Health Policy and Systems Research (AHPSR).

The case studies describe a wealth of experiences with implementing public health programmes that intend to address social determinants and to have a great impact on health equity. They also document the real-life challenges in implementing such programmes, including the challenges in scaling up, managing policy changes, managing intersectoral processes, adjusting design and ensuring sustainability.

Table of Contents

Chapter 1 Introduction and methods of work

Erik Blas, Anand Sivasankara Kurup and Johannes Sommerfeld

Chapter 2 Scaled up and marginalized: A review of the Bangladesh Menstrual Regulation Programme

and its impact

Heidi Bart Johnston, Anna Schurmann, Elizabeth Oliveras and Halida Hanum Akhter

Chapter 3 Youth for Youth – A Model for Youth Suicide Prevention:

Case Study of the Assembly of Manitoba Chiefs Youth Council & Secretariat

Stephanie Sinclair, Amanda Meawasige and, Kathi Avery Kinew

Chapter 4. Food and vegetable promotion and the 5-a-day programme in Chile for the prevention of chronic non-communicable diseases:
Across-sector relationships and public–private partnerships

Irene Agurto, Lorena Rodriguez and, Isabel Zacarías

Chapter 5 Dedicated delivery centre for migrants in Minhang District, Shanghai: intervention on the

social determinants of health and equity in pregnancy outcome for internal migrants in Shanghai,

China

Su Xu, Jia Cheng, Jia Cheng, Shaokang Zhan and Erik Blas

Chapter 6 Reviving health posts as an entry point for community development:
A case study of the Gerbangmas movement in Lumajang district, Indonesia

Siswanto Siswanto and Evie Sopacua

Chapter 7 Child malnutrition: engaging health and other sectors: The case of Iran

Sara Javanparast

Chapter 8 The Millennium Villages Project: improving health and eliminating extreme poverty in rural

African communities

Yeşim Tozan, Joel Negin and James Ogola Wariero

Chapter 9 Immunization programme in Anambra State, Nigeria:
an analysis of policy development and implementation of the reaching every ward strategy

Benjamin Uzochukwu, Benjamin Onwughalu, Erik Blas, Obinna Onwujekwe, Obinna Onwujekwe, Daniel Umeh and Uche Ezeoke

Chapter 10 Women’s Empowerment and its Challenges:
Review of a multi-partner national project to reduce malnutrition in rural girls in Pakistan

Kausar S Khan and Ajmal Agha

Chapter 11 Local Health Administration Committees (CLAS):
Opportunity and empowerment for equity in health in Perú

Laura C. Altobelli and Carlos Acosta-Saal

Chapter 12 What happens after a trial?
Replicating a cross-sectoral intervention addressing the social determinants of health:
the case of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE)

James Hargreaves, Abigail Hatcher, Vicki Strange, Godfrey Phetla, Julia Kim, Charlotte Watts, Linda Morison, John Porter, Paul Pronyk and Chris Bonell

Chapter 13 Insecticide-treated nets in Tanzania mainland:
challenges in reaching the most vulnerable, most exposed and poorest groups

Jaap Koot, Romanus Mtung’e and Jane Miller

Chapter 14 Addressing the social determinants of alcohol use and abuse with adolescents in a Pacific Island country (Vanuatu)

Patrick Harris, Jan Ritchie, Graham Tabi and Tony Lower

Chapter 15 From concept to practice: Synthesis of findings Erik Blas

To order the book, please visit: http://www.who.int/bookorders
To know more about the work of WHO on social determinants of health, please visit: www.who.int/social_determinants/en

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[EQ] Knowledge Synthesis - Public Policies on Nutrition Labelling: Effects and Implementation Issues

Public Policies on Nutrition Labelling: Effects and Implementation Issues

A Knowledge Synthesis

National Collaborating Centre for Healthy Public Policy - NCCHPP– Canada, 2011

Institut national de santé publique du Québec

Available online PDF [111p.] at: http://t.co/MPUvK2s

"………..Following a brief discussion of the targeted problem, namely, obesity in Canada, this document defines the subject of the present knowledge synthesis: nutrition labelling, whose effectiveness we attempt to document, along with its unintended effects, equity, cost, feasibility and acceptability.

Next follows a description of the method used to study public policies on nutrition labelling: explication of their logic model; review of the scientific and grey literatures; and organization of deliberative processes that bring together Canadian actors involved in addressing obesity.

This document next describes the logic model for nutrition labelling. It then synthesizes the data gathered from the literature on the status of nutrition-labelling policies in industrialized countries, on the effectiveness of nutrition labelling, and on its unintended effects, equity, cost, feasibility and acceptability. Then, the data on these same topics gathered through deliberative processes are presented.

The document concludes with a summary of the key points to note regarding the effects and implementation of public policies on nutrition labelling….."

TABLE OF CONTENTS

1􀀃 INTRODUCTION: OBESITY IN CANADA

2􀀃 SUBJECT OF THE KNOWLEDGE SYNTHESIS: PUBLIC POLICIES ON NUTRITION LABELLING

3􀀃 METHOD

3.1􀀃 Explication of the intervention logic of nutrition labelling

3.2􀀃 Literature review

3.2.1􀀃 Documentary search:

3.2.2􀀃 Appraisal of the quality of data

3.2.3􀀃 Data perusal and extraction

3.2.4􀀃 Synthesis of data drawn from the literature

3.3􀀃 Deliberative processes

4􀀃 INTERVENTION LOGIC OF NUTRITION LABELLING

5􀀃 SYNTHESIS OF DATA DRAWN FROM THE LITERATURE

5.1􀀃 Status of nutrition-labelling policies in industrialized countries

5.1.1􀀃 Canada

5.1.2􀀃 United States

5.1.3􀀃 Europe

5.1.4􀀃 Australia and New Zealand

5.2􀀃 Effectiveness

5.2.1􀀃 Plausibility of the intervention logic

5.2.2􀀃 Intermediate effects

5.2.2.1 Effectiveness for modifying consumers' level of information: Visibility, reading and comprehension of nutrition information

5.2.2.2 Effectiveness at influencing purchasing and consumption

5.2.3􀀃 Effectiveness as a means of affecting the targeted problem: obesity

5.2.4􀀃 Impact of context on the policy's effectiveness

5.3􀀃 Unintended effects

5.4􀀃 Equity: Differential effects on various population groups

5.4.1􀀃 Gender

5.4.2􀀃 Age

5.4.3􀀃 Familial status

5.4.4􀀃 Education level

5.4.5􀀃 Socio-economic status

5.4.6􀀃 Ethnic minorities

5.4.7􀀃 Knowledge about nutrition

5.4.8􀀃 Eating habits

5.4.9􀀃 Body type

5.5􀀃 Cost

5.6􀀃 Feasibility

5.7􀀃 Acceptability

5.7.1􀀃 Position of consumers

5.7.2􀀃 Position of the food industry

5.7.3􀀃 Position of associations and public actors

6􀀃 SYNTHESIS OF DATA GATHERED DURING DELIBERATIVE PROCESSES

7􀀃 CONCLUSION

7.1􀀃 Key points to note

7.2􀀃 How can you make use of this knowledge synthesis in your own decisionmaking context?

BIBLIOGRAPHY

APPENDIX 1 WEBSITES EXPLORED

APPENDIX 2 SUBDIVISIONS OF EXTRACTION TABLES

APPENDIX 3 EXAMPLES OF NUTRITION LABELLING FORMATS

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[EQ] Understanding and Improving Aboriginal Maternal and Child Health in Canada

Understanding and Improving Aboriginal Maternal and Child Health in Canada

Health Council Canada, 2011

Available online PDF [52p.] at: http://t.co/AbR5ckE

“……The problems facing Aboriginal Peoples need little introduction. The information on disparities (opposite) is a stark reminder that many First Nations, Inuit, and Métisa people have significantly worse health and more challenging living conditions than the larger Canadian population.

This cycle must be broken. In 2010, the Health Council of Canada began a multi-year project to learn more about the crisis in Aboriginal health, with a focus on programs or initiatives that have the potential to reduce unacceptable health disparities between Aboriginal and non-Aboriginal Canadians.

In the first year of this work, we set out to learn about the health care of expectant mothers and children from the prenatal stage to age six. It’s well documented that better lifelong physical, mental, and spiritual health begins in childhood; this is the place to start.1

The Aboriginal population in Canada currently has a much younger demographic than the non-Aboriginal population,2 and a higher birth rate.3 In the last few years, a number of leading organizations have urged governments to focus their attention on this vulnerable population.

Aboriginal disparities at a glance:

While there is diversity among First Nations, Inuit, and Métis populations, there are significant overall health and economic disparities between the Aboriginal and non-Aboriginal Canadian population:

• Aboriginal people are much more likely to live in poor health and die prematurely.

• Aboriginal people have a higher burden of chronic conditions and of infectious disease.

• Aboriginal children are more likely to die in the first year of life.

• Aboriginal people are more likely to live in poverty, which has a domino effect on other aspects of their lives.
They are more likely to go hungry, to suffer from poor nutrition and obesity, and to live in overcrowded, substandard housing.

• Aboriginal people are less likely to graduate from high school, and more likely to be unemployed………
“

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and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] World Conference on Social Determinants of Health - Proposals for Stakeholder Events

Proposals for Stakeholder Events
World Conference on Social Determinants of Health

Rio de Janeiro, Brazil, October 2011

An event proposal should be sent by August 31, 2011

Website: http://bit.ly/iEJvRR

The Secretariat of the World Conference on Social Determinants of Health has received requests to hold stakeholder events related to the themes of the conference. The secretariat will require written proposals to select the eligible events, given the limited space available.

An event proposal addressing the following points:

1. The objective of the event with preliminary program and proposed speakers

2. The target audience

3. The number of people expected

4. The proposed financing for the event

5. The proposed date and time for the event

Selection of the proposals will be based on their relevance to the conference themes and availability of rooms with sufficient capacity at the conference venue on the date and time requested. WHO will not be involved in the organization and promotion of these stakeholder–led events and cannot provide logistical support.

The meeting rooms will be located in the Rio Othon Palace Hotel and will be available from October 18-21, 2011. This hotel is a 10 minute walk from the official conference venue.

Please note that these stakeholder events will not be part of the official conference program, however, the conference participants will be informed of all stakeholder events. Furthers, individuals invited to a stakeholder event will not be able to attend the World Conference of Social Determinants of Health without a formal invitation to the conference.

Conclusions and recommendations from the stakeholder events will be accepted for consideration by the drafting committee of the World Conference on Social Determinants of Health.

An event proposal should be sent to obbadim@who.int by August 31, 2011.

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“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
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