scholarly journals Equity focused health impact assessment: social determinants of health

Author(s):  
Hassan Ayyoub
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Ryan Petteway ◽  
Shannon Cosgrove

Background: Health Impact Assessment (HIA) can be used to assess any type of policy/program related to social determinants (SDH).  However, local public health departments (LHDs) have been slow to adopt formal use of HIA in efforts to address local SDH, even with growing evidence linking SDH and place-health relationships. Ten years ago we completed a review of Baltimore City Council policies to advance this conversation within the LHD. Our goal here is to revisit this review and, again, outline a process by which LHDs can: a) monitor local policies in regard to SDH and b) identify opportunities for potential HIA use. Methods:  We reviewed all policies introduced into Baltimore City Council in calendar years 2008 and 2009. We reviewed each policy to identify those with potential health impacts. We then categorized these policies as: a) “explicitly health-related” or b) “related to SDH.” We then tabulated the number and sub-types of these policies that were referred for LHD review. Results: We identified and reviewed 597 total policies. 89 policies (15%) were identified as “explicitly health-related,” 34 (38%) of which were referred for LHD review. 208 policies (35%) were identified as “related to SDH,” 13 (6%) of which were reviewed. Overall, 297 (50%) policies were identified as having potential health impacts, 47 (16%) of which were reviewed. Conclusion: This work represents a potentially replicable process to identify HIA opportunities, and potential launch point for health-in-all-policies efforts. In Baltimore, it facilitated dialogue with Baltimore City officials and led to the LHD’s first HIA grant.


2018 ◽  
Vol 95 (5) ◽  
pp. 765-765
Author(s):  
Elizabeth Kelley Sohn ◽  
Lauren J. Stein ◽  
Allison Wolpoff ◽  
Ruth Lindberg ◽  
Abigail Baum ◽  
...  

2020 ◽  
pp. 002073142094145
Author(s):  
Yasaswi N Walpita ◽  
Liz Green

The health impact assessment (HIA) is increasingly recognized around the world as an effective governance tool to incorporate Health in All Policies to address the wider determinants of health. However, it is still poorly recognized and practiced in many developing countries, including Sri Lanka, where its applicability is most appropriate considering the complexity of social determinants of health and inequalities. This comparative case study aimed to explore the barriers for implementation of HIA in Sri Lanka in the areas of supportive policy framework, institutional infrastructure, capacity-building, and multi-sectoral collaboration and to compare them with a successful HIA system in a developed country (Wales) with a view toward identifying the “best practices” applicable in a developing country context. The case study revealed that there is an emerging government commitment in Sri Lanka to embrace the Health in All Policies approach and much potential in the health system to develop a centrally dedicated expert team with peripheral counterparts and multi-sectoral collaboration, which were the primary pillars of success in the Welsh system. However, there is a great need for capacity-building and for development of country-specific tools, which would facilitate the establishment and sustainability of HIA processes in Sri Lanka.


2018 ◽  
pp. 11
Author(s):  
Mohammad Monjurul Karim

This study was conducted to aware the audience to be more concern about “person with disabilities” and their “social determinants of health” as an emerging area in public health. WHO mentioned, 15% of the global populations are suffering from some form of disabilities and the number is higher comparing the report of 1970s. Public health aim to prevent mortality, morbidity and disability in different sectors (Donald, Lollar & John, 2003). But its alarming that disability preventive program often neglected in public health programs. Even the link between diseases and disability is often overlooked in several cases like GBS, encephalitis, transverse myelitis etc. Reduced inflow and increased outflow of finance and social determinants of health impact negatively on the life of the person with disabilities. Continuous effort to improve the social determinants of health worked tremendously over the last few decades to improve the life of human being globally, which is unfortunately sometimes worked as predisposing factor to the increased number of disabilities. But effort to reduce burden of disability and to improve SDH is just negligible. The 67th World Health Assembly adopted a resolution endorsing the WHO global disability action plan 2014–2021: Better health for all people with disability. It reflects the major shift in global understanding and responses towards disability. It could be concluded that it’s the high time to look more precisely in this neglected area whiting various discourse of SDH which will be a big burden of the public health in coming days. More research is required to minimize number of disability as well the after math of disability.


2021 ◽  
Vol 50 (1) ◽  
pp. 249-249
Author(s):  
Alina West ◽  
Hunter Hamilton ◽  
Nariman Ammar ◽  
Fatma Gunturkun ◽  
Tamekia Jones ◽  
...  

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1700-1705 ◽  
Author(s):  
Isabel Amélia Costa Mendes ◽  
Carla Aparecida Arena Ventura ◽  
Laís Fumincelli ◽  
Valtuir Duarte de Souza-Junior ◽  
Simone de Godoy

ABSTRACT Objective: To evaluate to which extent nursing professors understand how social determinants of health impact on health, and whether the topic is addressed in nursing undergraduate education in Brazil. Method: This is a methodological study carried out with 222 nursing faculty members from Brazilian higher education institutions. The answers of the domain “Social and environmental determinants of health”, concerning a questionnaire on “Core Competencies in Global Health”, were analyzed. Results: Most professors have over 10 years of experience in nursing higher education. A large part of the participants strongly agreed or agreed on the importance of college subjects related to the above-mentioned topic for the education of the nurses. Conclusion: The professors in this study agreed that social and environmental health determinants must be taught in Nursing school, since it is necessary that nurses value this knowledge, slowly making it a part of the curriculum framework.


Author(s):  
Conner Lombardi ◽  
Logan Glosser ◽  
Hanna Knauss ◽  
Teanya Norwood ◽  
Julia Berry ◽  
...  

Background: Striking disparity exists in the incidence and treatment of chronic kidney disease (CKD) secondary to individual social determinants of health.  Additionally, the uninsured, minority racial-ethnic groups, and Medicaid enrollees receive less nephrology care prior to being diagnosed with end-stage renal disease (ESRD). The most effective treatment for the management of kidney failure is kidney transplantation. This review addresses how social determinants of health impact the workup for patients with ESRD, with emphasis on the kidney transplant process.   Methods: A search was conducted via multiple online databases (MedLine, PubMed, etc.) for articles that addressed the interplay between CKD, ESRD and kidney transplantation with the social determinants of health.   Findings: The impact of the social determinants of health on CKD, ESRD, and the kidney transplantation process can be qualitatively and quantitatively measured using the five categories of education, health care and access, economic stability, neighborhood and built environment, and social and community context.   Conclusion: Social determinants of health impact outcomes in CKD, ESRD, and kidney transplantation. Public and private initiatives aimed at reducing social disparities among patients with kidney disease must include emphasis on education, health care and access, economic stability, neighborhood and built environment, and social and community context. This initiative is necessary to prevent progression to ESRD and to ensure quality care in the kidney transplantation process.


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