dr erio ziglio world health organization
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Dr Erio Ziglio World Health Organization
European Office for Investment for Health and Development
COMMISSION ON SOCIAL DETERMINANTS OF HEALTH4th Meeting of Commissioners Tehran, Iran, 16-20 January 2006
Proposal for a Global Initiative “Using Social Determinants for Health”
FEEDBACK
PROPOSAL
CONTEXT
START March 2005
END May 2008
CDSH activity period
Maximizing impact
Translate the evidence into know-how for action in both WHO and in countries
Review and contribute to “best practice”
Put the reduction of health inequalities at the centre of all health policy decisions.
Sometimes it’s only a matter of a quick fix…
…at other times it’s a more complex matter!
Isolated programmes
Power structures
System rigidity
Lack of incentives
“Territorialism”
PROPOSAL
FEEDBACK
Need for systematic
support
WHO Director-General Dr J.W. Lee The Lancet, vol.365, 19 March 2005
Interventions aimed at reducing disease and saving lives succeed only when they take the social determinants of health adequately into account (…)
That knowledge needs to be more fully developed and widely shared so that it can be used.
The WHO European Office for Investment for Health and Development
Venice, Italy
The Social Determinants for Health (SDfH) Initiative is a proposal for a WHO programme to help decision makers to use the evidence on the social determinants of health.
THE ACTIVITIES
Mapping WHO skills and know-how
Consensus Building
Workshops
Building a critical capability in
countries
Communication and social
marketing strategy
Mapping WHO skills and know-how
Aims
• To map knowledge and know-how
• To give SDfH a central position
Method
• Case studies
• Programme reviews
• Focused interviews
Impact
• Identification of training focal points
• Assessment of assets and gaps
Aims
• To increase awareness and reduce barriers
• To develop supportive networks
Method
• Case studies
• Interactive knowledge sharing
Impact
• To strengthen awareness
• To expand the know-how
Consensus Building
Workshops
Aims
• To strengthen leadership
• To support system development
• To improve human resource capacity
Method
• Strategy Labs
• Intensive training for future leaders
Impact
• To increase knowledge, skills and know-how
Building a critical capability in
countries
Supporting leaders in taking action
Increasing awareness within and outside the health sector
Informing national and international media
Integrating social determinants into vertical and population specific programmes
Communication and social
marketing strategy
THE SDfH PROGRAMME BENEFICIARIES
• Those in key positions to promote mainstreaming
• Those with technical experience who can spearhead practical utilization in countries
• Those who have not yet had an opportunity to explore the importance of social determinants
Different levels of SDfH impact:
Doing different things
Doing same things better
FEEDBACK
SDfH a tool to sustain change
Need for systematic support
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