Sume Ndumbe?Eyoh|Hannah Moffatt
Intersectoral action for health equity: a rapid systematic review
action social determinants health considered necessary approach improving health equity social determinants health lie outside sphere health sector thus collaboration governmental nongovernmental sectors outside health required develop policies programs improve health equity case studies intersectoral action available however limited information impact intersectoral action social determinants health health equitysearch retrieval literature published 2001 2011 conducted 6 databases staged screening titles abstracts later fulltext conducted two independent reviewers reviewers independently assessed quality articles deemed relevant inclusion data extracted synthesized narrative format included studies conducted one reviewer checked another17 articles varied methodological quality met inclusion criteria one systematic review investigating partnership interventions found mixed limited impacts health outcomes primary studies evaluating impact upstream midstream interventions showed mixed effects downstream interventions generally moderately effective increasing availability use services marginalized communitiesthe literature evaluating impact intersectoral action health equity limited included studies identified reveal moderate effect social determinants health evidence impact intersectoral action health equity even limited lack evidence interpreted lack effect rigorous evaluations intersectoral action needed strengthen evidence base public health practice