Equity in Health

59th World Health Assembly
World Health Organisation, 22-27 May 2006

The World Health Assembly is the supreme decision-making body for WHO. It generally meets in Geneva in May each year, and is attended by delegations from all 192 member states. The main function of the World Health Assembly is to determine the policies of the Organization. This year, issues discussed included: strengthening pandemic-influenza preparedness and response; infant/child nutrition; HIV/AIDS; polio eradication; sickle-cell anaemia; smallpox eradication and the destruction of variola virus stocks; prevention of avoidable blindness; international trade and health; tobacco control; and intellectual property rights.

Africa’s three major killers in spotlight at AU health summit
AFP/SAPA, 4 May 2006: Awoniyi O

African leaders met in Abuja, Nigeria, in May to discuss the battle against HIV/AIDS, tuberculosis and malaria, the continent’s top three killers, at a summit organised by the African Union (AU). The pan-African body’s gathering would be attended by attended by senior government figures from at least 18 African countries including SA. Health ministers from 24 countries and finance ministers from about 10 countries had confirmed their attendance; the central theme being universal access to care for HIV/AIDS, tuberculosis and malaria across Africa by 2010.

Brief Review of the World Health Assembly
Third World Network Info Service on Health Issues, 30 May 2006: Khor, M

Last week’s annual meeting of Health Ministers at the World Health Assembly of the WHO started with the shocking news of the sudden death of its Director General, and went on to review global health problems, including avian flu, the effects of patents on health care, and the drain of doctors from poorer to rich countries.

Further details: /newsletter/id/31496
The Commission on Social Determinants of Health: Tackling the social roots of health inequities
PLoS Medicine 3(6), June 2006: Irwin A, Valentine N, Brown C, Loewenson R; Solar O, Brown H, Koller T, Vega J

The greatest share of health problems is attributable to the social conditions in which people live and work, referred to as the social determinants of health (SDH). Good medical care is vital to the well-being of populations, but improved clinical care is not enough to meet today's major health challenges and overcome health inequities. Without action on social determinants, those countries in greatest need will neither meet the health-related Millennium Development Goals nor achieve global targets for reducing chronic diseases. The article discusses the conceptual and operational challenges thus faced by the commission.

WHO called to return to Alma-Ata Declaration
World Health Organisation

At the 59th World Health Assembly, Dr Serag challenged WHO to return to the principles of the Alma Ata Declaration in "Managing the Politics of Equity and Social Determinants of Health". The briefing drew sharper focus on the necessity of major health stakeholders to step up action on the social causes of ill-health. High-level policy makers, civil society members and WHO staff attended the briefing, proclaimed as a "historical moment" by a floor delegate. Among the attendees was Dr Halfdan Mahler considered to be the father of the Alma Ata Declaration and former WHO Director-General from 1973 to 1988.

Social capital and health: Does egalitarianism matter?
International Journal for Equity in Health 5:3: Islam MK, Merlo J, Kawachi L, et al

The aim of the paper is to critically review the notion of social capital and review empirical literature on the association between social capital and health across countries. Findings of this literature review led to the tentative conclusion that an association between social capital and health at the individual level is robust with respect to the degree of egalitarianism within a country.

Global Health Watch and Global Health Action
GEGA

The Global Health Watch for 2005-2006 looks at some of the most important problems, suggests solutions, and monitors the efforts of institutions and governments concerned with promoting health world-wide. This report arises out of many civil society and professional campaigns and struggles for better health, and has been released to coincide with the Second People's Health Assembly, held in Cuenca, Ecuador, at which two thousand people from across the world have gathered to discuss and debate strategies to overcome the political, economic and social barriers to better and fairer health.

Priorities for resarch to take forward the health equity policy agenda
WHO Task Force on Research Priorities for Equity in Health and the WHO Equity Team: Bulletin of the World Health Organisation; December 2005, 83 (12)

Despite impressive improvements in aggregate indicators of health globally over the past few decades, health inequities between and within countries have persisted, and in many regions and countries are widening. Our recommendations regarding research priorities for health equity are based on an assessment of what information is required to gain an understanding of how to make substantial reductions in health inequities. We recommend that highest priority be given to research in five general areas; described in detail in this article.

Further details: /newsletter/id/31457
The developing world in The New England Journal of Medicine
Lown BB, Banerjee AA: Globalization and Health 2006, 2:3

Rampant disease in poor countries impedes development and contributes to growing North-South disparities; however, leading international medical journals underreport on health research priorities for developing countries. The medical information gap between rich and poor countries as judged by publications in the NEJM appears to be larger than the gap in the funding for research. Under-representation of developing world health issues in the medical literature is a global phenomenon. International medical journals cannot rectify global inequities, but they have an important role in educating their constituencies about the global divide.

What evidence is there about the effects of health care reforms on gender equity, particularly in health?
Östlin P: Health Evidence Network, World Health Organization

In the last two decades, powerful international trends in health care reform have been observed around the world. Although health care reform is a global phenomenon driven by common financial and political actors, adopted reforms vary by country and region. Albeit from a European perspective, this article discusses how, regardless of the national and regional contexts in which health care reforms are implemented, the changes have fundamental consequences for many people's day-to-day lives and well-being.

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