scholarly journals Research for health equity policy - being strategic about reality

2021 ◽  
Author(s):  
Jinhee Kim ◽  
Evelyne de Leeuw ◽  
Patrick Harris
Keyword(s):  
2020 ◽  
Author(s):  
Kassa Mohammed Abbe ◽  
Bethabile L Dolamo

Abstract Background : Ethiopia generally provides a story of progress in child health, but unevenly distributed. The attitude, knowledge, political drives, interest groups and institutional dynamics in health equity policy setting and execution has not been explored in Ethiopia. Without addressing these issues, the right kind of policy choice and implementation cannot be attained. Methods : This study was conducted between 2015 and 2017 in Ethiopia. The study utilized a qualitative framework, grounded in social determinants for health and health policy. Semi-structured interviews; executed policy analysis; and reviewed the literature. In-depth interviews were conducted among twenty-one policymakers and reviewed 23 policy documents and over 350 literatures, Transcribed data, policy extracts and articles were synthesised and analysed by ATLAS.ti 7.1.4. Results: Ethiopia is in an early state of recognizing and intervening against health inequalities. The quality and level of knowledge is mixed and gets reduced as one goes to the rural areas. Consensus is slowly developing on the major underlying causes of inequality. The contents of health policy documents are neither comprehensive nor strongly supported by evidence. There are multiple interest groups with varying level of knowledge and power. Complex political and institutional relations affect policy making process negatively. Participants demonstrated denialism; blaming of victims; misconceptions; and one size fits all attitudes. Conclusions : Any future work for improving health equity needs to be build more on evidence and embrace more participatory processes to address all types of interest groups.


2017 ◽  
Vol 46 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Christian Elling Scheele ◽  
Ingvild Little ◽  
Finn Diderichsen

Aims: Local governments in the Scandinavian countries are increasingly committed to reduce health inequity through ‘health equity in all policies’ (HEiAP) governance. There exists, however, only very sporadic implementation evidence concerning municipal HEiAP governance, which is the focus of this study. Methods: Data are based on qualitative thematic network analysis of 20 interviews conducted from 2014 to 2015 with Scandinavian political and administrative practitioners. Results: We identify 24 factors located within three categories; political processes, where insufficient political commitment to health equity goals outside of the health sector and inadequate economic prioritization budget curbs implementation. Concerning evidence, there is a lack of epidemiological data, detailed evidence of health equity interventions as well as indicators relevant for monitoring implementation. Concerted administrative action relates to a lack of vertical support and alignment from the national and the regional level to the local level. Horizontally within the municipality, insufficient coordination across policy sectors inhibits effective health equity governance. Conclusions: A shift away from ‘health in all policies’ based on a narrow health concept towards ‘health equity for all policies’ based on a broader concept such as ‘sustainability’ can improve ownership of health equity policy goals across municipal sectors.


2018 ◽  
Vol 42 (5) ◽  
pp. 421-423
Author(s):  
Rubina Amin‐Korim ◽  
David Legge ◽  
Deborah Gleeson
Keyword(s):  

2019 ◽  
Vol 29 (Supp2) ◽  
pp. 329-342 ◽  
Author(s):  
Megan D. Douglas ◽  
Robina Josiah Willock ◽  
Ebony Respress ◽  
Latrice Rollins ◽  
Derrick Tabor ◽  
...  

Health disparities have persisted despite decades of efforts to eliminate them at the national, regional, state and local levels. Policies have been a driving force in creat­ing and exacerbating health disparities, but they can also play a major role in eliminat­ing disparities. Research evidence and input from affected community-level stakeholders are critical components of evidence-based health policy that will advance health equi­ty. The Transdisciplinary Collaborative Cen­ter (TCC) for Health Disparities Research at Morehouse School of Medicine consists of five subprojects focused on studying and informing health equity policy related to maternal-child health, mental health, health information technology, diabetes, and leadership/workforce development. This article describes a “health equity lens” as defined, operationalized and applied by the TCC to inform health policy development, implementation, and analysis. Prioritizing health equity in laws and organizational policies provides an upstream foundation for ensuring that the laws are implemented at the midstream and downstream lev­els to advance health equity. Ethn Dis. 2019;29(Suppl 2):329-342; doi:10.18865/ed.29.S2.329.


2011 ◽  
Vol 18 (4) ◽  
pp. 41-77 ◽  
Author(s):  
Shin Young Jeon ◽  
Seo, Jae-Hee ◽  
Baek Geun Jeong ◽  
윤태호 ◽  
Myoung-Hee Kim

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