The Social Roots of Health Inequity in Tunisia: A Preliminary Study on the Social Determinants of Health Inequity

2021 ◽  
Vol 8 (4) ◽  
pp. 576-593
Author(s):  
Ahmed Bilel KOTTI ◽  
Aicha CHERIF ◽  
Ali ELLOUMI

Addressing the Social Determinants of Health is critical if we truly want to achieve health equity. The World Health Organization’s Commission on the Social Determinants of Health (2008) recognized the need to broaden the understanding of these determinants among the general public to facilitate change in communities and improve the overall health status. Using the data from the Tunisian Health Examination Survey (2016), this quantitative preliminary study explored the state of social inequity in health among the Tunisian population using a quantitative statistical analysis that shed light on the relations between the SDHs (Age – gender – SES – Geographical location – Area of residence – and Educational attainment) and the self-rated health status. This preliminary study explored the current state of health equity in Tunisia through exploring the hidden patterns of social identity formation and power relation inside society. This preliminary study also pointed out certain aspects of health inequity in Tunisia as well as the social factors and determinants contributing to the status-quo. The findings of this preliminary study could be the basis of an ambitious academic work that will explore the intersection between SDHs and their impact on health outcomes in Tunisia that will be an asset in the process of implementing health equity policies in the future.

2007 ◽  
Vol 84 (S1) ◽  
pp. 164-173 ◽  
Author(s):  
Franςoise Barten ◽  
Diana Mitlin ◽  
Catherine Mulholland ◽  
Ana Hardoy ◽  
Ruth Stern

2016 ◽  
Vol 22 (4) ◽  
pp. 254-258 ◽  
Author(s):  
Hans-Peter de Ruiter

The social determinants of health are the conditions in which humans are born, grow up, live, work, and age (World Health Organization [WHO], 2012). In nursing programs, this content is typically taught in community health courses. Another strategy for teaching students how to understand the social determinants of health is study-abroad courses. Budding nurses can learn how to assess conditions that influence the health of a community. Conducting this assessment in a culture that differs from the student’s own can help highlight what factors impact one’s own health. For the past eight years, the author has been teaching the social and cultural determinants of health to nursing students by taking them on 3-week cultural immersion/community health study-abroad programs. Destinations have included Ghana, Austria, the Netherlands, and Thailand. This article presents observations on how the teaching of social determinants of health has changed during the period 2008–2016.


2017 ◽  
Vol 45 (3) ◽  
pp. 392-401
Author(s):  
Maxim Gakh ◽  
Lainie Rutkow

The Health in All Policies (HiAP) approach aims to integrate health into decisions across sectors to address the social determinants of health and enhance health equity. Jurisdictions interested in implementing this approach may seek clarification about how to operationalize it. Public health legal preparedness provides useful lessons for HiAP. While there are important differences between these two areas, there are also critical similarities. These similarities are particularly important because HiAP and public health preparedness are complementary. Law has been essential in advancing public health preparedness by helping to: (1) prioritize planning; (2) allocate responsibility; (3) enhance collaboration and coordination; (4) establish responsive funding; and (5) emphasize the needs of vulnerable populations. Law can be used similarly to advance HiAP.


Author(s):  
Joia S. Mukherjee

This chapter focuses on the social determinants of health. The phrase—the social determinants of health—is used to describe the factors and forces in society that cause ill health and premature death. To achieve health equity, it is important to understand the impact of social determinants and work to mitigate their adverse health effects. The practice of social medicine uses a biosocial approach that merges biomedical science with social analysis to design programs that strive for health equity. Because of the historical and geopolitical forces that have shaped global inequities, social medicine and a biosocial approach are important in global health and health equity and are addressed in this chapter.


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