Addressing the Strategic Determinants to Reduce Health Inequality

Transcription

1 Addressing the Strategic Determinants to Reduce Health Inequality Caroline Costongs, EuroHealthNet January 2013 DRIVERS is co-ordinated by EuroHealthNet and has received funding from the European Union s Seventh Framework Programme (FP7/ ) under grant agreement n

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3 Overview Funded by the EU s 7 th Framework Programme ( ). Focuses on three of the key drivers to reduce health inequities: Early Childhood Development Employment Income & Social Protection Co-ordinated by EuroHealthNet, bringing together leading researchers, civil society organisations and businesses

4 Aims and Objectives Reviewing existing evidence Researching advocacy strategies Testing in case studies across Europe Developing recommendations for policy and research Overall: To advance policy making in the three DRIVER areas so as to promote greater health equity.

5 Early Childhood Development UCL Institute of Health Equity (Scientific Lead & WP Leader) and Eurochild

6 Developing evidence-based knowledge and tools to increase health equity in early childhood Systematic reviews of social inequities, early-childhood development and early-childhood health (1x systematic review, 1x intervention review) 183 studies provide strong evidence that multiple adverse social factors at both household and neighbourhood level are associated with health and developmental outcomes in children (0-8) Comparative data analysis using data from EU member states

7 Fair Employment Department of Medical Sociology, Universität Düsseldorf (WP Leader) & Business in the Community

8 Building the evidence base on links between work characteristics, workplace interventions and health inequalities Systematic review on effect of work (psychosocial factors) on health varies according to socio-economic status (moderation/mediation) 3 main theories of psycho-social risk: Demand-Control model & Effort-Reward model & Organisational Injustice Systematic review of workplace interventions

9 Social Protection & Income Centre for Health Equity Studies, Stockholms Universitet (WP Leader) and EAPN

10 Understanding the relationships between income, social protection and health inequalities Literature review New analyses of European data of the role of poverty and the role of social protection policies for health inequalities Analyses of social policies and the linkages with labour market entry and exit (carried out by a research network) NEETs and His Disability, income protection and HI Welfare state institutions, labour market exit and HI

11 Advocacy for Health Equity EuroHealthNet (WP Leader), Eurochild, Business in the Community & EAPN

12 Improving methods of advocating for health equity Reviewing advocacy practices and case studies Advocacy & consultation workshop Consultations & interviews with key stakeholders Develop & putting into effect the advocacy strategy

13 Case Studies & Recommendations UCL Institute of Health Equity (WP Leader), EuroHealthNet, Universität Düsseldorf, Centre for Health Equity Studies, Eurochild, Business in the Community, EAPN

14 Driving practice and developing recommendations Establish case studies to test knowledge in different real-life contexts Evaluate the extent to which the research outcomes are applicable to the needs of different population groups Bring everything together and make recommendations for policy, research and practice on effectively addressing the strategic determinants of health to reduce health inequalities

15 Third parties & affiliated research network Third parties Public Health Wales (United Kingdom) PROLEPSIS (Greece) Norwegian Directorate of Health (Norway) North West Region (England, United Kingdom) University of La Laguna (Spain) Institute for health care improvement (Netherlands) Northern Ireland Early Years (Northern Ireland) Children in Scotland (Scotland) Faculty of Sociology and Social Work - University Cluj (Romania) Family, Child, Youth Association (Hungary) SCHEDIA (Greece) Affiliated research network partners (Social Protection & Income) Department of Health Sciences, Mid Sweden University (Sweden) The Norwegian Social Research (Norway) University of Uppsala (Sweden) (TBC)

16 More information Visit the website: Sign up for the DRIVERS newsletter Contact Claudia Marinetti Or Linden Farrer

17 This paper was produced for a meeting organized by Health & Consumers DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumers DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.