scholarly journals Integral assessment and geoinformational analysis of social determinants of population health of the Extreme North of the European part of the Russian Federation

2019 ◽  
Vol 25 (1) ◽  
pp. 23-34
Author(s):  
Alexander Ogurtsov ◽  
Vasiliy Dmitriev
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Russian Federation ◽  
Social Determinants ◽  
The State ◽  
Social Conditions ◽  
Integral Index ◽  
The Social ◽  
The Russian Federation ◽  
Integral Assessment

Along with the geographical environment, the social environment plays an important role in assessing the state of public health. It is no coincidence that the World Health Organization (WHO) considers the inequality of social conditions as the main cause of negative consequences and spatial inequalities in public health. In the Russian Federation, the issues of social determinants of health are given increased attention as one of the factors of sustainable development of the country. The article considers the system of indicators of social determinants and assesses the state of public health. Public health is assessed from the standpoint of multiple criteria. Through the use of the ASPID-method of integrated assessment, the synthesis of indicators is performed and the integral index is calculated. The integral index characterizes the state of public health from the point of view of social determinants. The ASPID method helps to consider trends in the development of the situation, taking into account different priorities. A two-level hierarchical model of regional assessment is proposed. The article presents the results of several scenarios for an integral assessment of the state of the social determinants of health for the five northern regions Each evaluation scenario allowed to consider the spatial changes of social living conditions estimates from different viewpoints (priorities) and to identify their tendency. The results reveal the potential for using the ASPID method to assess the social conditions of the constituent entities of the Russian Federation and the role of prioritization in the organization of the assessment process. The application of the method can be a valuable tool for analyzing social policies and combating inequities in public health. The results of the studies also illustrate the need for an active social policy in the field of public health in regions with adverse social conditions of life.

scholarly journals Integrated assessment of social determinants of public health of the population of the Kaliningrad Region (municipal level)

2020 ◽  
Vol 26 (3) ◽  
pp. 78-90
Author(s):  
Alexander Ogurtsov ◽  
Vasiliy Dmitriev
Keyword(s):  
Public Health ◽  
Social Environment ◽  
Social Determinants ◽  
Integrated Assessment ◽  
The State ◽  
Social Conditions ◽  
The Social ◽  
Kaliningrad Region ◽  
Integral Assessment ◽  
Municipal Level

Health equality and public health promotion have been and remain relevant throughout the world. The social environment plays a leading role in addressing this issue, along with the geographical one. The complexity and multifactorial social environment lead to the use of integral assessment methods taking into account individual criteria. This article presents the results of an integral assessment of the social determinants of public health at the municipal level. As an individual evaluation criteria were used by 8 indicators that characterize the state of employment, conditions of development and education at an early age, the state of food security, living conditions, the state of crime and the availability of primary health care. ASPID method of randomized composite indicator was used to integrated assessment for social determinants of health. As an example, the article cites the results of two scenarios of calculation and evaluation, social determinants, determining the degree of social benefits in relation to the public health of the population of municipal urban districts Kaliningrad Region. Map models reflecting the spatial variability of integrated assessments are presented. Analysis of the results in the first scenario showed that when there is no preference for any of the indicators, social conditions regarding public health in most municipalities are characterized as “relatively favorable — favorable”. In the second scenario, where primary care accessibility rates are a priority, in most counties social conditions can be described as “favorable — most favorable”. The results of an integrated assessment of social determinants can be useful for decision-makers on public health issues.

Respect for the social and economic rights of citizens as an imperative to reduce poverty in the Khabarovsk territory

2020 ◽  
Vol 93 (4) ◽  
pp. 161-169
Author(s):  
I. I. Chesnitskiy ◽  
Keyword(s):  
Human Rights ◽  
Russian Federation ◽  
The State ◽  
Economic Rights ◽  
Priority Area ◽  
Regional State ◽  
The Social ◽  
The Russian Federation ◽  
A Priority ◽  
Social And Economic Rights

The article presents an analysis of the state and problems of implementing the socio-economic rights of population of the Khabarovsk territory as a priority area for reducing poverty. Attention of the authorities was drawn to the situation of poverty in a number of northern municipalities, where the population is experiencing difficulties in realizing their socio-economic rights due to the lack of jobs. Concern was expressed about the socio-economic rights of persons released from the places of deprivation of liberty. The Commissioner for human rights in the Khabarovsk territory, taking into account the study of situation in the region, sets out his vision for solving the problem of reducing poverty in the Khabarovsk territory and makes proposals that, in his opinion, can be used by the regional state authorities to achieve the indicators set by the President of the Russian Federation.

scholarly journals Public Health capacities for action on the social determinants of health in Europe

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
S van den Broucke ◽  
C Aluttis ◽  
K Michelsen ◽  
H Brand ◽  
C Chiotan ◽  
...  
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social

A public health model of the social determinants of health

2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Public Health Model ◽  
The Social ◽  
Health Model

scholarly journals Analysing local public health action plans: development of a tool for the French CLoterreS Study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Le Bodo ◽  
R Fonteneau ◽  
C Harpet ◽  
H Hudebine ◽  
F Jabot ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Care ◽  
Local Health ◽  
The Social ◽  
Prevention And Health Promotion ◽  
Living Circumstances

Abstract Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans.

Lessons from Public Health Legal Preparedness to Operationalize Health in All Policies

2017 ◽  
Vol 45 (3) ◽  
pp. 392-401
Author(s):  
Maxim Gakh ◽  
Lainie Rutkow
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Vulnerable Populations ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Health In All Policies ◽  
Public Health Preparedness ◽  
The Social

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.

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