Non-communicable diseases (NCDs)
Action on the social determinants of health: learning from previous experiences
WHO launches new Commission to tackle the root causes of ill-health
Authors:
; WHO Secretariat of the Commission on the Social Determinants of Health
Publisher:
Commission on Social Determinants of Health, WHO, 2005
This paper from the World Health Organization provides background information for the Commission on the Social Determinants of Health (CSDH), launched in March 2005. It recognises that the most powerful causes of disease and health inequalities are the social conditions in which people live and work (known as the social determinants of health or SDH). The paper includes a detailed historical survey of past efforts to promote health policies on social determinants. It stresses the importance of learning from these experiences, both positive and negative, to increase chances of future success.
The paper highlights four key areas the Commission needs to address: (1) evaluating both comprehensive and selective approaches to healthcare and identifying appropriate policy changes; (2) developing dialogue with international financial institutions and identifying quick gains for those taking up the SDH agenda; (3) forging alliances with the business community and civil society, and managing their competing interests; and (4) finding a compelling ‘story’ to communicate the SDH message. The paper notes the opportunity for multisectoral action presented by the Millennium Development Goals, which link health with social factors. It concludes by stressing the key role of the Commission in tackling the root causes of ill-health. [adapted from author]
