Taking action on the social determinants of health: Insights from politicians, policymakers and lobbyists
This report examines how changes to create a shift in the distribution of the social determinants of health and improve health equity were a fit in the Australian political context.
The team found that those interviewed (current politicians, senior bureaucrats and external lobbyists) were aware of evidence on the social determinants of health and assessed that evidence as accurate. However, participants thought that policies needed to change the distribution of the social determinants of health were not well-aligned with the ways the political process was structured and understood.
Structurally, silos between departments are not conducive to the large-scale social change. This reality is contrary to intersectoral and whole-of-government approaches being promoted by many organizations such as the World Health Organisation. Participants recommend that interventions be reduced to more manageable, solutions-focused interventions that fell within the mandates of specific departments.
Noting that moral and ethical arguments were at the centre of public policy, participants argued that advocates and researchers should embrace ideological debate and not rely solely on objective evidence-based approaches.
Use this resource to:
- Identify how to better work with politicians and decision-makers in health and non- health sectors
- Develop interventions which are aligned with departmental boundaries
- Employ moral- and values-based arguments
Reference:
Carey, G. & Crammond, B. (2014). Taking Action on the Social Determinants of Health: Insights from politicians, policymakers and lobbyists. Retrieved from: http://determinantsofhealthalliance-org.webs.com/140714Taking%20Action.pdf
Related resources:
- Let's Talk: Advocacy and health equity
- Key public health resources for advocacy and health equity: A curated list
- Common agenda for public health action on health equity
Tags: Healthy public policy, Intersectoral action, Leadership & capacity building, Participate in policy development, Partner with other sectors, Report / Document