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Achieving Health Equity on a Global Scale through a Community-Based, Public Health Framework for Action

Published online by Cambridge University Press:  01 January 2021

Laura Anderko
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Extract

As a worldwide economic crisis emerged at the end of 2008, international health agencies were quick to highlight its predictable impact on health in the poorest of communities. The World Health Organization (WHO) underscored the need for a multisectoral approach to the crisis, “seeking health gains through demonstrating the importance of health in all policies” and whether current investments in health addressed the broader social determinants of health. However, despite good intentions and decades of discussion addressing the need for transformative changes globally to reduce poverty and improve health equity, little progress has been made.

A recent report on progress towards the Millennium Development Goals (MDGs) indicates that many targeted goals have not been met, with some goals lagging many years behind schedule (“Four years after the target date, gender parity in education has yet to be achieved”). Although progress towards achieving the MDGs has been made for some specific conditions (e.g., malaria), where targeted interventions have had an immediate impact, limited progress is reported in more complex areas such as maternal child health. Such complex health issues require structural changes, strong political will, long-term funding, and consideration of other health determinants, such as education and exposure to environmental hazards.

Type
Symposium
Information
Journal of Law, Medicine & Ethics , Volume 38 , Issue 3 , Fall 2010 , pp. 486 - 489
Copyright
Copyright © American Society of Law, Medicine and Ethics 2010

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References

World Health Organization, The Financial Crisis and Global Health: Report of a High Level Consultation, Geneva, Switzerland, January 21, 2009.Google Scholar
United Nations, The Millennium Development Goals Report, 2009, New York.Google Scholar
Id.Google Scholar
Id.Google Scholar
Anderson, E. T. and McFarlane, J., Community as Partner, 5th ed. (Philadelphia: Lippincott, Williams, & Wilkins, 2008): At 209–210CrossRefGoogle Scholar
Kass, N. E., “Public Health Ethics: From Foundations and Frameworks to Justice and Global Public Health,” Journal of Law, Medicine, & Ethics 32, no. 2 (2004): 232–242.CrossRefGoogle Scholar
See Anderson, and McFarlane, , supra note 5.Google Scholar
Wallerstein, N. and Duran, B., “The Conceptual, Historical, and Practice Roots of Community-Based Participatory Research and Related Participatory Traditions,” in Minkler, M. and Wallerstein, N., eds., Community-Based Participatory Research for Health (San Francisco: Jossey-Bass, 2003): At 27–52.Google Scholar
Public Health Society, Principles of the Ethical Practice of Public Health, 2002, available at <http://www.apha.org/NR/rdonlyres/lCED3CEA-287E-4185-9CBD-BD405FC60856/0/ethicsbrochure.pdf> (last visited June 10, 2010).+(last+visited+June+10,+2010).>Google Scholar
Israel, B. A., Schulz, A. J., Parker, E. A., and Becker, A. B., “Review of Community-Based Research: Assessing Partnership Approaches to Improve Public Health,” Annual Review of Public Health 19 (1998): 173–202; Israel, B. A., Schulz, A. J., Parker, E. A., Becker, A. B., Allen, A., and Guzman, J. R., “Critical Issues in Developing and Following Community-Based Participatory Research Principles,” in Minkler, M. and Wallerstein, N., eds., Community-Based Participatory Research for Health (San Francisco: Jossey-Bass, 2003): At 56–73; Olden, K., “The Complex Interaction of Poverty, Pollution, Health Status,” Scientist 12, no. 4 (1998): 7.Google Scholar
See Israel, et al., supra note 10.Google Scholar
Gostin, L. O., “A Proposal for a Framework Convention on Global Health,” Journal of International Economic Law 10, no. 4 (2007): 989–1008.CrossRefGoogle Scholar
Sanders, D. and Chopra, M., “Key Challenges to Achieving Health for All in an Inequitable Society: The Case for South Africa,” American Journal of Public Health 96, no. 1 (2006): 73–78.CrossRefGoogle Scholar
Baez, C. and Barron, P., Community Voice and Role in District Health Systems in East and Southern Africa: A Literature Review, Regional Network for Equity in Health in East and Southern Africa (EQUINET), June 2006; Bjorkman, M. and Svensson, J., Power to the People: Evidence from a Randomized Experiment of a Community Based. Project in Uganda, London Center for Economic Policy Research, June 2007; World Health Organization, Human Rights, Health and Poverty Reduction Strategies, Geneva, Switzerland, 2008.Google Scholar
Israel, B. A., Eng, E., Schulz, A. J., and Parker, E. A., eds., Methods in Community Based Participatory Research for Health (San Francisco: Jossey-Bass, 2005): At 27–52.Google Scholar
See Israel, et al., supra, note 15.Google Scholar
World Health Organization, Human Rights, Health and Poverty Reduction Strategies, Geneva, Switzerland, 2008. Id.Google Scholar
Filerman, G. and Pearson, C. E., “The Mandate: Transformational Leadership,” in Everett Koop, C., Pearson, C. E., and Schwarz, M. R., eds., Critical Issues in Global Health (San Francisco, Jossey-Bass 2002): At 56–73.Google Scholar
See United Nations, supra note 1.Google Scholar
Id.Google Scholar
Iton, A. B., “The Ethics of the Medical Model in Addressing the Root Causes of Health Disparities in Local Public Health Practice,” Journal of Public Health Management Practice 14, no. 4 (2008): 335–339.CrossRefGoogle Scholar