addressing the strategic determinants to reduce health...

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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 (FP7/2007-2013) under grant agreement n°278350

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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 (FP7/2007-2013) under grant agreement n°278350

Overview

Funded by the EU’s 7th Framework Programme (2012-2014). 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

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.

Early Childhood Development

UCL Institute of Health Equity (Scientific Lead & WP

Leader) and Eurochild

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

Fair Employment

Department of Medical Sociology, Universität

Düsseldorf (WP Leader) & Business in the Community

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

Social Protection & Income

Centre for Health Equity Studies, Stockholms

Universitet (WP Leader) and EAPN

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

Advocacy for Health Equity

EuroHealthNet (WP Leader), Eurochild, Business in

the Community & EAPN

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

Case Studies &

Recommendations

UCL Institute of Health Equity (WP Leader),

EuroHealthNet, Universität Düsseldorf, Centre for

Health Equity Studies, Eurochild, Business in the

Community, EAPN

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

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)

This paper was produced for a meeting organized by Health & Consumers DG and represents the views of its author on thesubject. 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 dataincluded in this paper, nor does it accept responsibility for any use made thereof.