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Overarching Recommendation I: Improve daily living conditions. Thaksaphon Thamarangsi Alcohol Policy Research (APR) & Tackling Obesity Program (TOP) International Health Policy Program (IHPP) firstname.lastname@example.org. Why Social Determinants of Health?.
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Alcohol Policy Research (APR) & Tackling Obesity Program (TOP)
International Health Policy Program (IHPP)
‘Lack of health care is not the cause of huge global burden of illness: water-borne disease are not caused by lack of antibiotics but by dirty water and by the political, social, and economic forces that fail to make clean water available to all; heart disease is caused not by a lack of coronary care units but by the lives people lead, which are shaped by the environments in which they live; obesity is not caused by moral failure on the part of individuals but by the excess availability of high-fat and high-sugar foods’.
‘The circumstances in which people are born, grow, live, work, and age’
Total for Overarching Recommendation I= 26 RECs
5.1 WHO and Unicef set up an interagency mechanism to ensure policy coherence for early child development (ECD)
5.2 Governments build universal coverage of a comprehensive package of quality ECD programmes and services for children, mothers, and other caregivers, regardless to ability to pay
5.3 Governments provide quality education that pays attention to children’s physical, social/emotional and language/cognitive development, starting in pre-primary school
5.4 Governments provide quality compulsory primary and secondary education for all boys and girls, regardless to ability to pay, identify and address the barriers to girls and boys enrolling and staying in school, and abolish user fee for primary school
6.1 Local government and civil society, backed by national government, establish local participatory governance mechanisms that enable communities and local government to partner in building healthier and safer cities
6.2 National and local government, in collaboration with civil society, manage urban development to ensure greater availability of affordable quality housing. With support from UN-HABITAT where necessary, invest in urban slum upgrading including, as a priority, provision of water and sanitation, electricity, and paved streets for all household regardless of ability to pay
6.3 Local government and civil society plan and design urban areas to promote physical activity through investment in active transport; encourage healthy eating through retail planning to manage availability of and access to food; and reduce violence and regulatory controls, including control of the number of alcohol outlets
6.4 National and local government develop and implement policies and programmes that focus on: issue of rural land tenure and rights; year-round rural job opportunities; agricultural development and fairness in international trade arrangements; rural infra structure including health , education, roads and services; and policies that protect the health of rural-to-urban migrants
6.5 International agencies and national governments building on the Intergovernmental Panel on Climate Change recommendations, consider the health equity impact of agriculture, transport, fuel, building, industry, and waste strategies, concerned with adaptation to and mitigation of climate change
Decent work= opportunities for work that is productive and delivers a fair income, security in the workplace, and social protection for families; better prospects for personal development and social integration; freedom for people to express their concerns, organize, and participate in the decisions that affect their lives; and equality of opportunity and treatment for all women and men
Fair employment= inc. public health perspective, behaviours, outcomes, practices, and institutions
7.1 Full and fair employment and decent workbe made a shared objective of internationalinstitutions and a central part of national policyagendas and development strategies, withstrengthened representation of workers in thecreation of policy, legislation, and programmesrelating to employment and work
7.2 National governments develop and implementeconomic and social policies that provide securework and a living wage that takes into accountthe real and current cost of living for health
7.3 Public capacity be strengthened to implementregulatory mechanisms to promote and enforcefair employment and decent work standards forall workers
7.4 Governments reduce insecurity among people inprecarious work arrangements including informalwork, temporary work, and part-time workthrough policy and legislation to ensure thatwages are based on the real cost of living, socialsecurity, and support for parents
7.5 Occupational Health and Safety (OHS) policy and programmes be applied toall workers – formal and informal – and thatthe range be expanded to include work-relatedstressors and behaviours as well as exposure tomaterial hazards
Social protection: broad range of services and benefits, inc. basic income security, entitlements to non-income transfers, health care, education
8.1 Governments, where necessary with help fromdonors and civil society organizations, and whereappropriate in collaboration with employers,build universal social protection systems andincrease their generosity towards a level that issufficient for healthy living
8.2 Governments, where necessary with help fromdonors and civil society organizations, and whereappropriate in collaboration with employers,use targeting only as back up for those who slipthrough the net of universal systems
8.3 Governments, where necessary with help fromdonors and civil society organizations, and whereappropriate in collaboration with employers,ensure that social protection systems extendto include those who are in precarious work,including informal work and household or carework
9.1 National governments, with civil society anddonors, build health-care services on the principleof universal coverage of quality services, focusingon Primary Health Care
9.2 National governments ensure public sectorleadership in health-care systems financing,focusing on tax-/insurance-based funding,ensuring universal coverage of health careregardless of ability to pay, and minimizing outofpocket health spending
9.3 National governments and donors increaseinvestment in medical and health personnel,balancing health-worker density in rural andurban areas
9.4 International agencies, donors and nationalgovernments address the health human resourcesbrain-drain, focusing on investment in increasedhealth human resources and training, and bilateralagreements to regulate gains and losses