Policy and planning context 2. Globalisation: How globalisation’s dynamics and processes Social determinants of health affect health outcomes: trade liberalisation, integration of production of The social determinants of health7 are the conditions in which people are born, 3. Health systems: Innovative approaches that effectively grow, live, work and age. There is now worldwide recognition that inequity in health incorporate action on social determinants of health. is in part due to underlying social, economic and political inequities. This is in contrast to viewing the of health status as residing predominately with the 4. Measurement and evidence: The development of individual. methodologies and tools for measuring the causes, pathways and health outcomes of policy interventions. A good environment in early years is identified as one of the ten aspects of the social 5. Urbanisation: Broad policy interventions related to healthy determinants of health.8 urbanisation, including close examination of slum upgrading. Municipal early years planning can consider the daily living conditions of young 6. Employment conditions: Measures to clarify how different children and their families, how the economic and social conditions of the municipality types of jobs and the threat of unemployment affect workers’ affect them and what responses and interventions can improve them. It can health. move planning away from service delivery and focus thinking on the child’s 7. Social exclusion: The relational processes that lead to the experiences within their family, neighbourhood and community. This approach is exclusion of particular groups of people from engaging fully in particularly important when planning for indigenous and other vulnerable groups in the community and social life. municipality. 8. Priority public health conditions: Factors in the design and implementation of programs that increase access to World Health Organisation: Social health care for socially and economically disadvantaged Determinants of Health groups. 9. Women and gender equity: Mechanisms, processes and 1. Early childhood development: Well established evidence actions that can be to reduce gender-based inequities illustrates that opportunities provided to young children are in health by examining different crucial in shaping lifelong health and development status. As defined by World Health Organisation (http://www.who.int) 7 WHO (2000) Social Determinants of Health: The Solid Facts; WHO Commission on Social Determinants 8 Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health (2008) of Health 16
Policy and planning context Social determinants of health The social determinants of health7 are the conditions in which people are born, grow, live, work and age. There is now worldwide recognition that inequity in health is in part due to underlying social, economic and political inequities. This is in contrast to viewing the of health status as residing predominately with the individual. A good environment in early years is identified as one of the ten aspects of the social determinants of health.8 Municipal early years planning can consider the daily living conditions of young children and their families, how the economic and social conditions of the municipality affect them and what responses and interventions can improve them. It can move planning away from service delivery and focus thinking on the child’s experiences within their family, neighbourhood and community. This approach is particularly important when planning for indigenous and other vulnerable groups in the municipality. World Health Organisation: Social Determinants of Health 1. Early childhood development: Well established evidence illustrates that opportunities provided to young children are crucial in shaping lifelong health and development status. 2. Globalisation: How globalisation’s dynamics and processes affect health outcomes: trade liberalisation, integration of production of 3. Health systems: Innovative approaches that effectively incorporate action on social determinants of health. 4. Measurement and evidence: The development of methodologies and tools for measuring the causes, pathways and health outcomes of policy interventions. 5. Urbanisation: Broad policy interventions related to healthy urbanisation, including close examination of slum upgrading. 6. Employment conditions: Measures to clarify how different types of jobs and the threat of unemployment affect workers’ health. 7. Social exclusion: The relational processes that lead to the exclusion of particular groups of people from engaging fully in community and social life. 8. Priority public health conditions: Factors in the design and implementation of programs that increase access to health care for socially and economically disadvantaged groups. 9. Women and gender equity: Mechanisms, processes and actions that can be to reduce gender-based inequities in health by examining different 7 8 As defined by World Health Organisation (http://www.who.int) WHO (2000) Social Determinants of Health: The Solid Facts; WHO Commission on Social Determinants of Health (2008) Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health 16
Municipal-early-years-plan-framework.docx