from PAHO/EQUIDAD
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WHO Task Force on Research Priorities for Equity in Health, & the WHO
Equity Team
Volume 83, Number 12, DECember 2005, 881- 968
Available online at: http://www.who.int/bulletin/volumes/83/12/948.pdf
Closing gaps in health equity
Piroska Östlin et al. from the WHO Taskforce on Research Priorities for
Equity in Health and the WHO Equity Team argue that health inequities can
be reduced through research investment into five areas: global factors and
processes affecting health equity; social and political factors that affect
people57;s chances of being healthy; factors that increase or decrease the
likelihood of achieving and maintaining good health; healthcare system
factors; and identifying policy interventions that can reduce inequities.
60;70;70;.Despite impressive improvements in aggregate indicators of
health globally over the past few decades, health inequities between and
within countries have persisted, and in many regions and countries are
widening. Our recommendations regarding research priorities for health
equity are based on an assessment of what information is required to gain
an understanding of how to make substantial reductions in health
inequities. We recommend that highest priority be given to research in five
general areas:
(1) global factors and processes that affect health equity and/or constrain
what countries can do to address health inequities within their own
borders;
(2) societal and political structures and relationships that
differentially affect people57;s chances of being healthy within a given
society;
(3) interrelationships between factors at the individual level and within
the social context that increase or decrease the likelihood of achieving
and maintaining good health
(4) characteristics of the health care system that influence health equity
and
(5) effective policy interventions to reduce health inequity in the first
four areas70;.61;
Members of the WHO Task Force: Piroska Östlin, Karolinska Institutet,
Sweden; Paula Braveman, University of California, USA; J. Norberto Dachs,
Universidade Estadual de Campinas, Brazil; Göran Dahlgren, University of
Liverpool, England; Finn Diderichsen, University of Copenhagen, Denmark;
Elisabeth Harris, Centre for Health Equity Training Research and
Evaluation, Australia; Philippa Howden-Chapman, University of Otago,
Wellington School of Medicine, New Zealand; Ronald Labonte, University of
Saskatchewan, Canada; Rene Loewenson, Training and Research Support Centre,
Southern Africa; Di McIntyre, University of Cape Town, South Africa;
Supasit Pannarunothai, Centre for Health Equity Monitoring, Naresuang,
Naresuan University, Thailand; Gita Sen, Indian Institute of Management,
India; Margaret Whitehead, University of Liverpool, England. Correspondence
should be sent to Piroska Östlin, Karolinska Institute, Department of
Public Health Sciences, Stockholm, Sweden.
2 Members of the WHO Equity Team: Jeanette Vega, Alexander Irwin, Ulysses
Panisset, Nicole Valentine, Evidence and Information for Policy Cluster,
World Health Organization, Geneva, Switzerland.
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