Creating a global covenant for healthcare reform in nursing

2019 ◽  
Vol 30 (11) ◽  
pp. 543-546
Author(s):  
Catherine Best

Social determinants of health continue to exist and perpetuate health inequalities. Catherine Best explores the contribution of nurses on an international scale, particularly in regards to solving inequality in access to healthcare Encouraging nursing to be a global profession has gained considerable momentum in recent years. For significantly longer, social determinants of health have featured in multiple national and international reports, and their devastating impacts on societies, both nationally and globally, are still being experienced. The time for rhetoric has long gone. Instead, unprecedented action is needed to bring this to the fore of all governments across the globe. The World Health Organization, International Council of Nurses and the United Nations have done much to raise awareness of the need for change and make it clear that the nursing profession can contribute to take positive action. The provision of good healthcare should not be reliant on where you live and work, but should be available to everyone. This article will explore the difference that nurses can make to the everyday lives of those we care for, and in improving equal access to healthcare for everyone.

Author(s):  
Marleen Thornton ◽  
Sabita Persaud

Reducing health inequity in the United States is a social mandate for nursing in the 21st century. The World Health Organization and others have defined and identified multiple social determinants of health (SDOH) that may negatively impact patient health and contribute to health inequity. Nurses, on the frontlines of healthcare, are uniquely positioned to assess for social determinants of health and positively address health equity. The purpose of this article is to explore social determinants of health and nursing education, including clinical and classroom opportunities. We also discuss faculty development and diversity as a strategy of impact, and conclude with a call to action and recommendations for nurse educators working to include SDOH in nursing program curricula.


Author(s):  
Hande Şahin ◽  
Sibel Erkal

The fundamental socio-economic effects of economic crises on societies are decreasing income, unemployment and hence, negative progress of living standards, increasing income inequality and poverty. According to the Commission on Social Determinants of Health Report of World Health Organization, crises adversely affect many social determinants of health and thus threat health in many aspects. An important part of overall psychological well-being is satisfaction with various aspects of life. One of those domains is one's financial situation. Financial distress has been described as judgments about and responses to one's financial condition. Financial distress is a subjective phenomenon. Two individuals with the same levels of income and economic resources may have different levels of perceived financial distress. Financial distress can result in or result from poor health, or both. The purpose of the study was to explore the relationships between financial distress and health.


2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Tammy Boyce ◽  
Amelie Gudorf ◽  
Catharina de Kat ◽  
Mark Muscat ◽  
Robb Butler ◽  
...  

In the World Health Organization (WHO) European Region, differences in uptake rates of routine childhood immunisation persist within and among countries, with rates even falling in some areas. There has been a tendency among national programmes, policymakers and the media in recent years to attribute missed vaccinations to faltering demand or refusal among parents. However, evidence shows that the reasons for suboptimal coverage are multifactorial and include the social determinants of health. At the midpoint in the implementation of the European Vaccine Action Plan 2015–2020 (EVAP), national immunisation programmes should be aware that inequity may be a factor affecting their progress towards the EVAP immunisation targets. Social determinants of health, such as individual and household income and education, impact immunisation uptake as well as general health outcomes – even in high-income countries. One way to ensure optimal coverage is to make inequities in immunisation uptake visible by disaggregating immunisation coverage data and linking them with already available data sources of social determinants. This can serve as a starting point to identify and eliminate underlying structural causes of suboptimal uptake. The WHO Regional Office for Europe encourages countries to make the equitable delivery of vaccination a priority.


2010 ◽  
Vol 38 (3) ◽  
pp. 470-485 ◽  
Author(s):  
Ruth Bell ◽  
Sebastian Taylor ◽  
Michael Marmot

On August 28, 2008, Michael Marmot, Chair of the Commission on Social Determinants of Health, formally handed over the Commission’s Final Report to Margaret Chan, the Director-General of the World Health Organization, at the Palais des Nations in Geneva. It was a significant moment. Dr. Chan addressed a hall packed with representatives of the world’s communications media in a speech that was remarkably direct. Dr. Chan reiterated the Commission’s position that to improve health and health equity action needs to be taken not just across the health sector but across all social and economic policy areas, and stated, “Social deprivation is not a matter of fate. It is a marker of policy failure.” This was a bold statement from one of the world’s leading diplomats. Policy failure! The phrase echoes the Commission’s assertion that “a toxic combination of poor social policies, unfair economic arrangements and bad politics is killing people on a grand scale.” The Commission’s messages are far reaching.


2017 ◽  
Vol 59 (4) ◽  
pp. 4
Author(s):  
Gboyega A Ogunbanjo

By the time, you receive this issue of the journal, the joint 5th WONCA Africa and 20th South African Academy of Family Physicians conference would have ended in Pretoria South Africa on 20 August 2017. The theme of the joint conference forms the basis of this editorial. So what is “Social Determinants of Health (SDH)”? The World Health Organization (WHO) defines it as the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The SDH are mostly responsible for health inequities – the unfair and avoidable differences in health status seen within and between countries. It is acknowledged that “health equity and social determinants” are critical components of the post-2015 sustainable development goals (SDG) global agenda and of the push towards progressive achievement of universal health coverage (UHC). If we have to reduce health inequities, the approach will be to address both SDH and UHC in an integrated and systematic manner.1


Sign in / Sign up

Export Citation Format

Share Document