Dear SDOH colleagues,

> Latest publications from http://www.who.int/social_determinants/en/
> Commission on Social Determinants of Health (CSDH) website:
> (The views presented in the papers are those of the authors and do not
> necessarily represent the decisions, policy or views of WHO or the
> CSDH. The papers are published in their original form as submitted to
> the CSDH Secretariat.)
>
> Primary health care as a strategy for achieving equitable care
> De Maeseneer J, Willems S, De Sutter A, Van de Geuchte I, Billings M.
> (2007)
> http://www.who.int/social_determinants/resources/csdh_media/primary_he
> alth_care_2007_en.pdf
>
> In this paper we want to explore the contribution that primary health
> care can make to address the
> social determinants of health in the context of a changing society.
> The concept of primary health
> care, endorsed by the World Health Organisation in the Alma Ata
> Declaration in 1978, has been
> implemented in very different ways all over the world. We look at the
> main features of primary
> health care: what are the conditions that enable the introduction of
> primary health care, what is
> the evidence of the primary health care approach to promote health
> equity and inter-sectoral
> action and how may the health systems enhance the impact of primary
> health care on health
> equity, taking account of contextual factors. The aim is to draw an
> operational framework that
> may contribute to further developments in health systems contributing
> to more equity.
> Addressing social determinants of health should take into account the
> actual evolutions in the
> changing society, in order to assess adequately the changing needs
> that will be presented to the
> health care system ....
>
> Promoting health equity in conflict-affected fragile states
> Ranson K, Poletti T, Bornemisza O, Sondorp E. (2007)
> http://www.who.int/social_determinants/resources/csdh_media/promoting_
> equity_conflict_2007_en.pdf
>
> This paper was commissioned by the Health Systems Knowledge Network of
> the
> WHO Commission on the Social Determinants of Health in response to
> their
> conclusion that a lack of data from conflict-affected fragile states
> made it difficult to
> delineate pragmatic ways of creating better social conditions for
> health for vulnerable
> populations. The key questions we focused on were as follows:
> *     What are the main factors that threaten health equity and health
> care equity in
> conflict and post-conflict fragile states? Which populations are most
> vulnerable to
> worsening inequity under these situations?
> *     What strategies can reduce the impact of these factors? In
> particular what steps
> need to be taken to both build the foundation for future change and
> address
> immediate needs?
> *     What are the roles of different actors at national, regional,
> and global level in
> developing and implementing these strategies?
> Given the paucity of data to answer these questions, we adopted a
> broad based
> approach to data collection including a review of published and grey
> literature, as well
> as the use of key informants to provide an experiential perspective.
> We also
> conducted an analysis of some pre-existing data sets of health and
> social determinants
> of health indicators for fragile states and low income countries.

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