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Sir Michael Marmot's
IHE team

Symposium: The Role of Physicians and National Medical Associations in Addressing the Social Determinants of Health and Increasing Health Equity. March 24th and 25th 2015, BMA House, London.

On the recommendation of the Council of the World Medical Association (WMA), the British Medical Association (BMA), Candian Medical Association (CMA), World Medical Association, and the UCL IHE hosted a symposium at BMA House on March 24-25, 2015 in London - to build on work already undertaken on the social determinants of health, and to discuss the role of physicians and National Medical Associations (NMA) in addressing these significant issues.

The objectives of the meeting were:

  • To produce a report outlining actions that can be undertaken by physicians at the clinical level to address the health inequities of their patients and communities
  • To develop recommendations for national medical associations on health equity actions at the national and international level
  • To establish an international network and knowledge exchange platform for sharing policy innovations, clinical practices, and education and training programs for addressing the social determinants of health and health equity

By assembling key players from various national medical associations, participants were able to share their successes, both clinical and policy focused, and learn from the experiences of other countries.

The resulting report can be found here.

A Sharing Resource

This page is designed as a resource for collating and sharing related reports and other relevant documents, prior to and beyond the symposium. It will be shared amongst attendees, and will be passed on to others interested in the outcome of the meeting.

Download the Agenda, and the Speakers Biographies.

You will also find here all of the speakers' presentations - where one was used.

In due course we will upload the filmed recordings of each presentation. They will be available for download or to stream.

You can also review the live Twitter feed from the two days at #Doctors4HealthEquity

We welcome submissions of related reports and case studies. They will be reviewed and uploaded as appropriate. Please submit your documents to Patricia Hallam -P.Hallam@ucl.ac.uk 

Press Coverage

The event was covered in the print edition of BMJ and in GP online, and Dr Ryan Meili interviewed Michael Marmot for The Huffington Post Canada: What Happens When Doctors Are Actors for Social Change

Presentations 

Across the two days we hosted a very full agenda, with over 20 speakers representing more than 15 different countries. Presentations are available to download below:

  • Mark Porter (British Medical Association (BMA) Council Chair) - Welcome and Introductions - No PowerPoint - Filmed speech available in due course
  • Andre Bernard (Canadian Medical Association's (CMA) representative to the World Medical Association (WMA)) - Lunch and Lunchtime Session (moderator): Social Determinants of Health in Education and Training - No PowerPoint - Filmed participation available in due course
  • Wunna Tun (Communication Director of Junior Doctor Network of World Medical Association) - Myanmar Medical Association- actions on the social determinants of health

> Related documents

Quality of Life and Patient satisfaction with Family Practice Care in a Roma Poulation with Chronic Conditions in North East Slovenia

Health Beliefs and practices among Slovenian ROma and Their Response to Febrile Illnessess: A Qualitiative Study

Attitudes of Roma Towards Smoking: Qualitative Study in Slovenia

Primary Care for Roma in Europe

  • Jenny Buckley (Research Specialist in the Medical Professionalism Directorate at the Canadian Medical Association (CMA)) - Lunch and Lunchtime Session (moderator): Lessons learned from working with vulnerable populations - No PowerPoint - Filmed participation available in due course
  • Aidan Halligan (Director of Well North) - Improving the health of the poorest fastest: a case study - No Powerpoint - Filmed presentation available in due course


Documents and Case Studies 

Separated by type:

Global Organisations

General

Title: Drugs for Neglected Diseases Initiative

Organisation: Drugs for Neglected Diseases Initiative

Country:  n/a

Type of resource: Research

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Global factors
  • Economics

Short description: A collaborative, patient’s needs-drive, non-profit research and development organisation that is developing new treatments for Neglected Diseases. DNDi has so far delivered six new treatments – 2 antimalarial treatments, 1 treatment for trypanosomiasis, 1 treatment for Visceral Leishmaniasis, a set of treatments for Visceral Leishmaniasis, and a paediatric dosage form of benznidazole for Chagas disease.

Further information

Education and Training

Title: The IFMSA Global Health Equity Initiative

Organisation: The International Federation of Medical Students’ Associations

Country:  n/a

Type of resource: Policy

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Global factors
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development
  • Economics
  • Governance and human rights

Short description: An initiative with the purpose of educating medical students on health equity, and advocating on behalf of medical students on health equity within the global health arena.

Further information

 

Working with Individuals and Communities

Organisation: Doctors of the World - Médecins du monde (MdM)

Country:  n/a (EU)

Type of resource: Intervention/Case Study

Which social determinants of health it tackles:

  • Local communities and social environment
  • Global factors
  • Physical environment
  • Governance and human rights
  • Prenatal, maternity and intergenerational transmission

Brief Description: Doctors of the World – Médecins du monde (MdM) is an international humanitarian NGO running 316 programmes in 78 countries. In Europe, they provide medical attention to people confronted with multiple vulnerability risks: undocumented migrants, asylum seekers, destitute EU nationals living in their own or in another European country, Roma communities, etc. We collect data on the social determinants of health and the patients’ state of health, to raise awareness about the difficulties vulnerable people face.

To find out further information about EU projects, download this Flyer and the report: Access to Healthcare for the most Vulnerable in a Europe in Social Crisis.

All documents and information about our European programme at: www.mdmeuroblog.wordpress.com. Please contact Nathalie.Simonnot@medecinsdumonde.net and Frank.Vanbiervliet@medecinsdumonde.net for further information.

Advocacy

Title: Statement on Inequalities of Health

Organisation: World Medical Association

Type of resource: Policy Document

Country: Global

Which social determinants of health it tackles:

  •  Poverty and income inequalities
  •  Disadvantage, social exclusion and vulnerability
  •  Global factors
  •  Gender
  •  Older people

Short description: A statement highlighting the prevalence of inequalities of health globally and the responsibility that medical associations and physicians have in playing a role in reducing them. It states recommendations for physicians to be actively involved reducing these inequalities.

Further information

Title: MSF Access Campaign

Organisation: MSF

Country:  n/a

Type of resource: Strategy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Global factors
  • Economics
  • Governance and human rights

Short description: A campaign purposed with pushing for access to, and the development of life-saving and life-prolonging medicines, diagnostic tests and vaccines for patients in MSF programmes and beyond.

Title: Closing the Gap in a Generation

Organisation: WHO

Country: Global

Type of resource: Policy Document

Which social determinants of health it tackles:

  •  Education and early years development
  •  Poverty and income inequalities
  •  Disadvantage, social exclusion and vulnerability
  •  Global factors
  •  Social protection and welfare policies
  •  Intergenerational equity
  •  Sustainable development
  •  Economics
  •  Governance and human rights

Short description: States the critical importance of health equity to the health, economy and social cohesiveness of all countries. The report gives three principles of action – to improve the conditions of daily life; tackle the inequitable distributions of power, money and resources; and to research and educate further on the social inequalities of health and the best methods at alleviating them.

Further information

Title: Climate and Health Council

Organisation: Climate and Health Council

Country: Global

Type of resource: Case Study

Which social determinants of health it tackles:

  • Physical environment
  • Global factors
  • Sustainable development

Short description: An international organisation consisting of doctors, nurses, and other health professionals who recognise the urgent need to address climate change to protect health and act as advocates to see the necessary changes take place.

Further information


National Medical Associations

Education and Training

Title: Health Care in Canada, What makes us sick?

Oganisation: Canadian Medical Association

Country: Canada

Type of resource: Research, evidence, and advocacy document

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Governance and human rights

Short description: a research paper in to the social inequalities of health and the general and medical population’s views on them, with clear recommendations set out for the government to tackle these areas including housing and food security.

Further information

Title: Health care transformation in Canada, Physicians and Health Equity – Opportunities in Practice

Organisation: Canadian Medical Association

Country: Canada

Type of resource: Research and Strategy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Sustainable development
  • Governance and human rights

Short description: an informative document detailing ideas and case studies of how Canadian physicians can tackle social health inequalities within their jobs, as well as the barriers which physicians may encounter, and actions to facilitate greater opportunities to alleviate the social inequalities of health within medical practice.

Further information

Title: Health Equity Scholars Program for Medical Students

Organisation: American Medical Student Association

Country: USA

Type of resource: Online Learning Community and Course

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Global factors
  • Social protection and welfare policies
  • Sustainable development
  • Governance and human rights

Short description: An online course to educate medical students on Health Equities Theory, understanding social inequalities of health, and why health disparities exist with a view to empowering future physicians with practical skills and tools to educate their peers and organise initiatives to address health disparities in their communities.

Further information

Title: Health Day in the Israeli Knesset 2014

Organisation: Israeli Medical Association

Country: Israel
 

Type of resource: Evidence and Research Presentation
 

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: A presentation and discussion on issues of health inequality related to withdrawal of medical manpower from the periphery and the future interactions of doctor in patient in relation to health equality

Further information


Working with Individuals and Communities

Title: Ontario’s 18-month Well-being Assessment

Organisation: Ontario College of Family Physicians

Country: Canada

Type of resource: Strategy

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Sustainable development

Short description: Together with the Ontario Children’s Health Network, and the Ministry of Children and Youth Services, the Ontario College of Family Physicians has helped expand the standard 18-month well-baby assessment into a more holistic, full examination of child development which includes issues of educational development, environmental health, and behaviour and family issues.

Further Information

Title: Mobile Medical Service

Organisation: Myanmar Medical Association

Country: Myanmar

Type of resource: Strategy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability

Short description: A project designed to provide comprehensive primary care to people living in remote areas who are notoriously hard to reach and therefore underserved

Further Information


Health systems as employers, managers and commissioners

Title: Policy Paper - Equity in health care – doctors can make a difference

Organisation: Danish Medical Association 

Country: Denmark

Type of resource: Policy Paper

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development
  • Economics

Short Desription: Doctors can increase equity in the health care sector. The Danish Medical Association has assembled a number of initiatives and experiences on the possibilities that doctors have to directly strengthen resource disadvan-taged citizens’ benefit of the health care sector. 

For further information download the related document


Advocacy

Title: Tobacco Control Campaigning

Organisation: British Medical Association

Country: United Kingdom

Type of resource: Policy Document

Which social determinants of health it tackles:

  • Local communities and social environment
  • Social protection and welfare policies
  • Sustainable development
  • Economics

Short description: Long-term campaigning to reduce the external pressures that encourage young people to start smoking, to help smokers quit, and to protect smokers from second-hand smoke.

Further information


Title: Health Equity Position Statement

Organisation: New Zealand Medical Association

Country: New Zealand

Type of resource: Policy Document

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Governance and human rights

Short description: A statement paper detailing the pervasiveness of the social inequalities of health within society and the need for action to be taken in every sector of the government, within the health system, within the medical profession, and within medical education. This statement was then supported by the New Zealand Nurses Organisation (NZNO).

Further Information


Title: Social Determinants of Health and the Prevention of Health Inequalities Position Statement 2007

Organisation: Australian Medical Association

Country: Australia

Type of resource: Policy Document

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: A statement paper detailing the importance of health equity policies in contributing to the health of the Australian population, particularly Aboriginal and Torres Strait Islanders. It also encourages doctors to reassess their practices to ensure their treatment decisions are contributing to improving health equity for both individuals and communities. It also encourages education of medical students in the social determinants of health.

Further Information


Title: Inequality and Health – A Call to Action, Addressing Health and Socioeconomic Inequality in Australia, Policy Statement 2005

Organisation: The Royal Australian College of Physicians

Country: Australia

Type of resource: Policy Document

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Governance and human rights

Short description: An informative summary on socioeconomic-related health inequalities within Australia and a call to action for the government, health services and their own agency to address these concerns.

Further Information


Physicians (and other health professionals)

Education and Training

Title: Advancing a Healthier Wisconsin Endowment

Organisation: Medical College of Wisconsin

Country: USA

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development 

Short description: A program which focuses on educating, researching and undertaking projects related to improving health in the community through addressing the social determinants of health. They work with a variety of different groups and tackle a broad range of social inequalities including those related to the start and end of life, gender inequalities, mental health, and broader issues of financial poverty. In addition, they are developing a new statewide community medical education program to address the social inequalities of health.

Further Information

 

Title:  Prevention of Foetal Alcohol Syndrome

Organisation: Doctors of the World

Country:  Russia

Type of resource: Case study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability

Short description: With the aim of training healthcare professionals and the general population in the risks of foetal alcohol syndrome. This culminated in a meeting which provided both aims.

Further information

Title: Poverty Identification Tool Development for a Family Practice Setting

Organisation: Department of Family Practice, University of British Columbia

Country: Canada

Type of resource: Research

Which social determinants of health it tackles:

  • Poverty and income inequalities 

Short description: The Department of Family Practice at the University of British Columbia researched and developed evidence to understand which questions had the highest specificity when it came to understanding if a family was in poverty. The question “Do you (ever) have difficulty making ends meet at the end of the month?” was the best predictor with a sensitivity of 98% and a specificity of 60%.

Further Information


Title: Deaf Awareness Training

Organisation: Royal United Hospital, Bath

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Disadvantage, social exclusion and vulnerability

Short description: After recognising that profoundly deaf patients experienced worse health care and therefore health outcomes due to barriers of communication with healthcare professionals, Royal United Hospital in Bath provided deaf awareness training to 250 hospital staff and also implemented and funded use of an online interpreter service.

Further information


Working with Individuals and Communities

Title: PATHway – An Independent Domestic Violence Advisory Service

Organisation: St Mary’s Maternity Hospital, Manchester

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Gender
  • Prenatal, maternity and intergenerational transmission

Short description: From 2009-2010, a fifteen-month year pilot project was run in which an Independent Domestic Violence Advisory scheme was run within St Mary’s Maternity Hospital in Manchester. Every female patient was asked routinely by their midwife about abuse. An independent evaluation reported increased referrals, a cost-saving, and an increase in patients feeling safe (116 out of 126 women said they felt safer).

Further Information


Title: Seldom-heard Communities

Organisation: Royal Free London NHS Foundation Trust

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Gender 

Short description: The Royal Free Foundation Trust runs a variety of projects aimed at reducing health inequalities including improving access to maternity care by Irish traveller women, improving awareness of staff to visually impaired patients, creating a transgender guide for NHS hospital trusts, and producing a film preparing people with learning disabilities for a visit to hospital.

Further Information


Title: Mobile Telepsychiatry Service for Mental Health

Organisation: SCARF

Country: India

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: A bus with internet connection and video call services provides free mental health consultations and free prescriptions to those with serious mental health conditions in poor rural communities in India. About 1500 patients have benefited from the programme.

Further Information


Title: Boston Medical Center

Organisation: Boston Medical Center

Country: USA

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities

Short description: Boston Medical Center has a food pantry within the hospital that provides ‘prescriptions’ to more than 6,500 low-income patients and their family members each month, helping to offset hunger in the Boston area where almost half of all low-income households lack adequate amounts of food. Food is also prescribed to help in tackling medical conditions which specific dietary specifications. Families can visit the Food Pantry twice per month and receive three to four days worth of food for their household each time.

Further Information

 

Title: Food for Families

Organisation: Massachusetts General Hospital

Country: USA

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Global factors
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development
  • Economics
  • Governance and human rights

Short description: Food for Families screens patients for hunger and food insecurity via a simple single-question form that patients fill out whilst waiting for their appointments. Those who screen positively are connected to local nutrition resources such as food pantries and community meal. It also educates providers within the hospital about how food insecurity affects patients and connects health providers with other community services to ensure continued access for patients seeking food resources.

Further Information


Title: Baystate Medical Center

Organisation: Baystate Medical Center

Country: USA

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: Screens paediatric patients for hunger during routine medical visits. Medical staff prescribe the families food vouchers for local grocery stores and also connect up the families with long-term solutions such as the federal nutrition programs.

Further Information

 

Title: Community Gardens Project

Organisation: North Adams Regional Hospital

Country: USA

Type of resource: Case Study

Which social determinants of health it tackles:

  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Older people
  • Intergenerational equity
  • Sustainable development

Short description: The North Adams Regional Hospital has developed garden programs as a way of tackling poor nutrition and hunger in its community. Elders and students are paired together to help grow food for the senior citizens and schools teach children about growing their food.

Further Information


Title: Ottawa Inner City Health

Organisation: Ottawa Inner City Health

Country: Canada

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: A non-for-profit corporation that works with physicians to provide better access to primary health care and other health services including addiction services and palliative care services. Their work includes providing special health care units within local homeless shelters. These health care units are staffed by doctors, nurses and personal support workers and offer health outcomes which are comparable to the Canadian standard.

Further Information

 

Title: Rockaways Free Clinic

Name of the organisation:  Doctors of the World USA

Country:  USA

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities

Short description: Provides basic healthcare services for adults without medical insurance. Services provided, which are free of charge, include health management and community health education. Staff members speak a variety of languages.

 

Title:  Promoting Access to Rights and to Healthcare for Migrants

Name of the organisation: Doctors of the World

Country:  Algeria

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description:  The project focuses around migrant access to healthcare in two ways. Firstly,  the project delivers  health education activities within their communities; secondly, the project communicates with local healthcare professionals to raise awareness of the migrants’ situation, health needs and legal issues.

Further information 

 

Title:  Treating Childhood Malnutrition

Organisation: Doctors of the World

Country:  Burkina Faso

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: Child malnutrition is being tackled through both provision of healthcare for children and pregnant mothers and food provision through the opening up of a Misola flour artisan production unit, which also serves to provide an income-generating activity for women’s groups, local farmers and small shops.

 

Title: Primary Healthcare for Refugee Populations in Kachin

Name of the organisation: Doctors of the World

Country:  Myanmar

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: As a consequence of internal conflict, over 100,000 people have been displaced in Myanmar, living in makeshift camps. Doctors of the World has set up a primary healthcare programme for the most vulnerable within this population. It also supports established healthcare centres  within the area through the provision of medicine and medical equipment, renovation of health centres and covering emergency transportation costs to the hospital.

Further information

 

Title: Dedicated Delivery Service for Migrants in Minhang District, Shanghai

Name of the organisation: Minhang District Bureau

Country:  China

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: Migrants in Shanghai are often from rural areas, and hold a low status and are paid poorly. Migrant women do not seek care or seek it from alternative, illegal providers because of the costs and stigma they receive. The Minhang District Bureau therefore promised to create a dedicated service for migrants which would offer significantly cheaper healthcare and to train the  staff and recallobrate the system to better serve the migrants.

Title: The Sputnik Initiative

Name of the organisation: Partners in Health

Country: Russia

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: A project aimed at supporting and empowering patients undergoing TB treatment who are at the greatest risk of defaulting from treatment. Patients included those who had been discharged from hospitals due to behavioural challenges, struggled with alcoholism and substance abuse, or faced socioeconomic problems. The initiative dramatically improved treatment success rates amongst the particular group of patients.

Further information

 

Title: Mend

Name of the organisation: Mend 

Country:  UK

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability

Short description: Mend empowers children and adults to become fitter, healthier and happier and to reach or maintain a healthier weight. This is achieved through offering weight management programmes and through educating professionals, communities, and organisations on how to keep healthy and treat those who are above a healthy weight.

 

Title: Community Health Centre, Ledeberg, Ghent

Name of the organisation:  Community Health Centre

Country:  Belgium

Type of resource: Case study

Which social determinants of health it tackles:

  • Local communities and social environment

Short description: Inactivity is a huge problem in Ledeberg, especially in children. A project called ‘Ledeberg Moves’ was set up to encourage physical activity. This saw the setting up and promotion of new activities, and community success within the project was measured by the project mascot Oli, an elephant from Moscow who was lost in Ledeberg and needed the community to undertake 2586km of exercise to get him home. Oli ended up with 7,255km – more than enough to go there and back again!

 


Health Systems as Employers, Managers and Commissioners

Title: Barts Health Public Health Vision

Organisation: Barts Health

Country: United Kingdom

Type of resource: Strategy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Sustainable development

Short description: Barts Health has put in place strategy to improve the health and wellbeing of staff, leading on from the publication of the Booram Review of NHS Health and Wellbeing which detailed the need for the NHS to improve the support it gives staff in looking after their own health. Services provided to staff include smoking cessation programmes and assistance in increasing levels of physical activity through the trust installing an outdoor gym and providing a lunchtime Pilates class.

Further Information


Title: London Health, Work and Wellbeing Forum

Organisation: London Health, Work and Wellbeing Forum

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: An enabling network for the NHS and local authority organisations, supporting workplace health professionals to share good practice on improving health and wellbeing at work. It covers a range of themes from employee engagement to health inequalities, mental wellbeing and flexible working.

 

Title: Guys and St Thomas’ NHS Foundation Trust

Organisation: Guys and St Thomas’ NHS Foundation Trust

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Global factors
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development
  • Economics
  • Governance and human rights

Short description: Employees are seen as role models of public health priorities, and ambassadors to service users and patients. This is centred around key areas of reducing obesity, encouraging physical activity, providing smoking cessation services, and promoting well-being. The most recent audit achieved a score of 92.5 out of 100 in improving staff health and well-being.

Further Information

 

Working in Partnership

Title: Les centres de pédiatrie sociale

Organisation: Les centres de pédiatrie sociale

Country: Canada

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Governance and human rights

Short description: A paediatric clinic offering an integrative approach to tackling inequalities in child health including social services, schools, hospitals, and other early childhood services. It also takes a role in advocating on behalf of children and protecting the legal rights of the children involved.

Further Information


Title: Homeless Families Health Care Team

Name of the organisation: NHS Greater Glasgow and Clyde

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission

Short description: A dedicated Primary Care Team working in partnership to assess, support and empower families and pregnant women staying in temporary homeless accommodation. Services provided include full health assessment and health services, financial assistance on school transportation, help accessing government benefits, and help to maintain links with mainstream health services. The GP team member visits homeless units or hostels every day. It also has strong connections with partner agencies such as housing, social work, and in the voluntary sector.

Further Information


Title: Bromley-by-Bow Centre

Organisation: Bromley-by-Bow Centre

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability

Short description: A GP centre is situated within a community centre which provides a range of services and activities including a children’s centre, a healthy living centre, and adult education centres. The centre has received international recognition for its social entrepreneurial approach to community regeneration and effective delivery of integrated services.

Further Information

 

Title: Step Forward Charity

Organisation: Step Forward Charity

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Gender

Short description: Based in Tower Hamlets, Step Forward Charity offers a variety of services for young people living in poverty ncluding sexual health and contraceptive services as well as support groups for rape, sexual abuse, and self-harm victims.

Further Information


Title: Healthy Housing Programme

Organisation: Healthy Housing Programme

Country: New Zealand

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Sustainable development

Short description: The Healthy Housing Programme is a joint programme between government housing and health agencies aimed at reducing the risk of infectious diseases (particularly meningococcal disease) through improving heating, reducing damp and mould through insulation and ventilation, food banks and referral to health professionals as well as budgeting and education as well as services.

Further Information

 

Title: Bethnal Green and Hackney GP Clinics

Organisation: Doctors of the World UK

Country:  UK

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: Clinics in East London which aim to provide medical care, information, and practical support to vulnerable people, as well as advocating on behalf of their patients. Vulnerable groups helped include vulnerable migrants, sex workers, and people with no fixed address. The clinics are run by volunteer doctors, nurses, and support workers.

 

Title: TB Treatment in Lima

Organisation: Partners in Health

Country: Peru

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Governance and human rights

Short description: The project has involved multiple activities including treating TB, educating local residents on the disease, and also helping shaping national policies on treating MDR-TB and HIV.

Further information

 

Title: Earl’s Court Health and Wellbeing Centre

Organisation: Earl’s Court Health and Wellbeing Centre

Country:  United Kingdom

Type of resource: Case study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability

Short description:  A health centre with a GP practice, dentist and sexual health clinic, as well as a wider range of integrated services which the centre’s health professionals can refer people on to. These include Wellbeing Coaches who help people identify their physical, emotional and social goals and then build together with them a wellbeing plan to empower them to address these concerns; and a peer mentoring scheme for people with chronic conditions who need some support from people who have more personal experience on living with the particular condition.

Further information

 

Title: National Hauora Coalition

Name of the organisation: National Hauora Coalition

Country:  New Zealand

Type of resource: Strategy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability

Short description: The National Hauora Coalition (NHC) is a Whānau Ora (family health) driven primary care network for the indigenous Māori people group. It  is run by Māori people to deliver holistic care to Māori people within their social context to make care accessible and effective. It is active in five district health board areas of New Zealand, and 72% of those enrolled have high needs.

 

Advocacy

Title: Support for Women affected by Domestic Violence

Name of the organisation: Doctors of the World

Country: Pakistan

Type of resource: Case study

Which social determinants of health it tackles:

  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies
  • Gender
  • Sustainable development
  • Governance and human rights

Short description: Working alongside the Department of Social Affairs of Punjab, Doctors of the World have been able to improve the care of women and their children who, as a result of violence, have decided to leave home and take refugee in one of the province’s shelter houses. Around mid-2011, Doctors of the World began the transfer of the project to the authorities so it can focus more on enhancing the skills of those working with these vulnerable women to ensure sustainability.

 

Title: Canadian Doctors for Refugee Care

Name of the organisation: Canadian Doctors for Refugee Care

Country:  Canada

Type of resource:  Policy

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: Canadian health workers joining together to call for a reversal in government policy after cuts were implemented to health insurance for refugees.  Campaigning has included 3 National Days of Action, and articles written within medical journals with a view to educating more health professionals on the issue and how to tackle it.

Title: Best Advice Guide: Social Determinants of Health

Name of the organisation: Patient’s Medical Home (PMH) ©The College of Family Physicians of Canada 2015 All rights reserved.

Country: Canada

Type of resource: Advice Guide

Which social determinants of health it tackles: 

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Global factors
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Gender
  • Older people
  • Intergenerational equity
  • Sustainable development
  • Economics
  • Governance and human rights


Other Sectors

General

Title: People-Powered Health

Organisation: Nesta

Country: United Kingdom

Type of resource: Research

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Physical environment
  • Disadvantage, social exclusion and vulnerability
  • Global factors
  • Social protection and welfare policies
  • Prenatal, maternity and intergenerational transmission
  • Older people
  • Sustainable development
  • Economics
  • Governance and human rights

Short description:  Reports and blogs written on the concept of ‘People Powered Health’, a new proposal for a health system which is more focused on mobilising patients to take control of their lifestyle choices through more equal relationships with healthcare professionals and through organising care in a way that blurs the multiple boundaries between health, public health, social care, and community and voluntary organisations.

 

Title: Text Messaging Health Workers for Care Reminders in Kenya

Name of the organisation: Kenyan Government Health Facilities

Country:  Kenya

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities

Short description: In Kenya, rural government health facilities took part in a trial to assess the efficacy of providing health workers with mobile phone text-message reminders on malaria case-management, compared to a control group. Intention-to-treat analysis demonstrated that the correct drug regimen was delivered 23.7% more often immediately after intervention and by 24.5% 6 months later.

Education and Training

Title: Leeds School of Medicine

Organisation: Leeds School of Medicine

Country:  United Kingdom

Type of resource:  Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Social protection and welfare policies

Short description: Leeds School of Medicine has taken steps to ensure that the social determinants of health and health inequalities teaching are given a greater role in their medical curriculum. Teaching occurs through workshops, teaching, and placements for students.


Working with Individuals and Communities

Title: Family Nurse Partnerships

Organisation: Department of Health, UK

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Education and early years development
  • Poverty and income inequalities
  • Disadvantage, social exclusion and vulnerability
  • Prenatal, maternity and intergenerational transmission

Short description: A voluntary, preventive programme for vulnerable, young first-time mothers. Specially trained nurses visit home in an intensive, structured plan from early pregnancy until the child is age two. There is a strong evidence of the benefits this provides to the vulnerable families in the short, medium and long term across a wide range of outcomes. The programme also helps improve social mobility and break the cycle of inter-generational disadvantage and poverty.

Further Information


Title: Sandwell Lifestyle Choices

Organisation: Sandwell Borough Council

Country: United Kingdom

Type of resource: Case Study

Which social determinants of health it tackles:

  • Local communities and social environment
  • Sustainable development
  • Governance and human rights

Short description: Sandwell Council has set up a free phone number service for health professionals or other members of the public to find out information on programmes running in the local area. These include smoking cessation, healthy eating and exercising programmes.

Further Information

 

Title: Safe House for Vulnerable Women

Organisation: Humanitarian Assistance for the Women and Children of Afghanistan

Country:  Afghanistan

Type of resource: Case Study

Which social determinants of health it tackles:

  • Poverty and income inequalities
  • Local communities and social environment
  • Disadvantage, social exclusion and vulnerability
  • Gender
  • Older people

Short description: A safe house for women at risk needing temporary housing/protection because of physical or psychological abuse from families, community members, warlords, officials etc. Once under protection, the women are provided with food, clothes, medical attention, education, vocational training and an understanding of their human rights.

Further information