Abstract
In 2008, the World Health Organization (WHO) released the report of its Commission on Social Determinants of Health – Closing the Gap in a Generation. We describe how the report was initially received, what went into shaping the report during the months of its preparation and what more can be done now to realize the ultimate goal: population-level reduction in inequalities. As we find the Report to be strong in its presentation of evidence but weak in its policy recommendations, we present our own recommendations for research and action. From our perspectives within the increasingly visible field of social determinants of health research, we address this question: how can research improve the ability of public health policymakers to implement the Report's suggestions, plus develop new and better ones?
References
Commission on Social Determinants of Health. (2008) Closing the gap in a generation. Health Equity Through Action on Social Determinants of Health. Geneva: World Health Organization.
Banerji, D. (2006) Serious crisis in the practice of International health by the World Health Organization: The Commission on Social Determinants of Health. International Journal of Health Services 36 (4): 637–650.
Davey Smith, G. and Krieger, N. (2008) Tackling health inequities. BMJ 337: a1526.
Berkman, L.F. and Sivaramakrishnan, K. (2008) WHO commission on the social determinants of health: A bold new venture. European Journal Public Health 18 (6): 547.
Blakely, T. (2008) Iconography and commission on the social determinants of health (and health inequity). Journal of Epidemiology and Community Health 62 (12): 1018–1020.
Lopez Arellano, O., Escudero, J.C. and Dary Carmona, L. (2008) Social determinants of health: Perspective of the ALAMES Working Group on social determinants. Social Medicine 3: 253–264.
The Economist. (2008) The Price of Being Well. London: The Economist Newspaper Limited, 30 August 2008: 55–56.
Rosenthal S. E. (2008) Dissident Voice, http://www.dissidentvoice.org/2008/09/engels-and-the-who-report, accessed 2 September 2008.
Marmot, M. (2005) Social determinants of health inequalities. Lancet 365 (9464): 1099–1104.
Marmot, M. (2007) Commission on social determinants of health. Achieving health equity: From root causes to fair outcomes. Lancet 370 (9593): 1153–1163.
Marmot, M., Friel, S., Bell, R., Houweling, T.A. and Taylor, S. (2008) Commission on social determinants of health. Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet 372 (9650): 1661–1669.
Marmot, M. and Friel, S. (2008) Global health equity: Evidence for action on the social determinants of health. Journal of Epidemiology and Community Health 62 (12): 1095–1097.
Chung, H. and Muntaner, C. (2007) Welfare state matters: A typological multilevel analysis of wealthy countries. Health Policy 80 (2): 328–339.
Irwin, A. et al (2006) The commission on social determinants of health: Tackling the social roots of health inequities. PLoS Medicine 3 (6): e106.
Benach, J., Muntaner, C. and Santana, V. (2007) Employment conditions and health inequalities. Final report to the WHO Commission on Social Determinants of Health (CSDOH), Employment Conditions Knowledge Network (EMCONET), http://www.who.int/social_determinants/knowledge_networks/final_reports/en/index.html, 20 September 2007.
Buss, P. M. and Pellegrini, F. A. (2006) Iniqüidades em saúde no Brasil, nossa mais grave doença: Commentários sobre o documento de referência e os trabalhos da Comissão Nacional sobre Determinantes Sociais da Saúde. Cadernos.de Saúde Pública 22 (9): 2005–2008.
Baum, F. (2007) Cracking the nut of health equity: Top down and bottom up pressure for action on the social determinants of health. Promotion and Education 14 (2): 90–95.
Narayan, R. (2006) The role of the people's health movement in putting the social determinants of health on the global agenda. Health Promotion Journal of Australia 17 (3): 186–188.
Vågerö, D. (2008) Closing the global health gaps in a generation – How is it possible? International Journal of Public Health 53 (6): 279–280.
Muntaner, C. and Chung, H. (2009) Teaching social inequalities in health: Institutional barriers and collective solutions. In: R. Bhatia and R. Hofrichter (eds.) Tackling Health Inequities Through Public Health Practice: Theory To Action. Oxford: Oxford University Press.
Jha, P. et al (RGI-CGHR Investigators) (2008) A nationally representative case-control study of smoking and death in India. New England Journal of Medicine 358 (11): 1137–1147.
Commission on Social Determinants of Health. (2007) A Conceptual Framework for Action on the Social Determinants of Health. Discussion paper for the Commission on Social Determinants of Health. http://www.who.int/social_determinants/resources/csdh_framework_action_05_07.pdf, April 2007.
Navarro, V., et al (2006) Politics and health outcomes. Lancet 368: 1033–1037.
Krieger, N. (2008) Ladders, pyramids and champagne: The iconography of health inequities. Journal of Epidemiology and Community Health 62 (12): 1098–1104.
Muntaner, C. and Lynch, J. (1999) Income inequality social cohesion and class relations: A critique of Wilkinson's neo-Durkheimian research program. International Journal of Health Services 29 (1): 59–81.
Henwood, D. (2008) Crisis of a guilded age. The Nation, September 24, 3–4.
Chung, H. and Muntaner, C. (2008) Welfare regime types and global health: An emerging challenge. Journal of Epidemiology and Community Health 62 (4): 282–283.
Borrell, C. and Artazcoz, L. (2008) Policies to reduce health inequalities. Gaceta Sanitaria 22 (5): 465–473.
Stahl, T., Wismar, M., Olila, E., Lahtinen, E. and Leppo, K. (eds.) (2006) Editors Health in All Policies: Prospects and Potentials. Helsinki: Ministry of Social Affairs and Health.
Sridharan, S., Tunstall, H., Lawder, R. and Mitchell, R. (2007) An exploratory spatial data analysis approach to understanding the relationship between deprivation and mortality in Scotland. Social Science & Medicine 65 (9): 1942–1952.
Muntaner, C., Armada, F., Chung, H., Mata, R., Williams-Brennan, L. and Benach, J. (2008) Venezuela's Barrio Adentro: Participatory democracy, south–south cooperation and health care for all. Social Medicine 3: 232–246.
Sridharan, S., Kawata, J.H., Campbell, B. and Tseng, C.W. (2005) Contemporaneous relationship between substance abuse treatment and poly-substance use: Evidence from the persistent effect of treatment studies. Journal of Substance Abuse Treatment 28 (1): S83–90.
Sridharan, S., Go, S. and Zinzow, H. (2007) Analysis of plans to assess planning for sustainability of comprehensive community initiatives. Evaluation and Program Planning 30: 105–113.
Pluye, P., Potvin, L. and Denis, J.-L. (2004) Making public health programs last: Conceptualizing sustainability. Evaluation and Program Planning 27: 121–133.
Sridharan, S., Campbell, B. and Zinzow, H. (2006) Developing a stakeholder-driven timeline of change for evaluations of social programs. American Journal of Evaluation 27 (2): 148–162.
Pluye, P., Potvin, L., Denis, J.-L., Pelletier, J. and Mannoni, C. (2006) Program sustainability begins with the first events. Evaluation and Program Planning 28: 123–137.
Johnson, K., Hays, C., Center, H. and Daley, C. (2004) Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation and Program Planning 27: 135–149.
Katz, A. (2005) The Sachs Report: Investing in health for economic development—or increasing the size of the crumbs from the Rich Man's Table? Part II. International Journal of Health Services 35 (1): 171–188.
Katz, A. (2004) The Sachs Report: Investing in health for economic development—or increasing the size of the crumbs from the Rich Man's Table? Part I. International Journal of Health Services 34 (4): 751–773.
Acknowledgements
The authors thank the contribution of Haejoo Chung, Jose Miguel Martinez, Michael Quinlan, Vilma Santana and Patricia O'Campo.
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The authors who participated in creating the report describe how it came about and then enumerate its strengths and weaknesses.
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Muntaner, C., Sridharan, S., Solar, O. et al. Commentary: Against unjust global distribution of power and money: The report of the WHO commission on the social determinants of health: Global inequality and the future of public health policy. J Public Health Pol 30, 163–175 (2009). https://doi.org/10.1057/jphp.2009.15
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DOI: https://doi.org/10.1057/jphp.2009.15