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pubmed:abstractText |
An analysis of health status and determinants is presented as a basis for health for all renewal and in order to provide a model linking the health for all vision with strategy and action. Equity and gender, at the core of health for all, directly concern health status and the distribution of health determinants. The role of the various transitions (demographic, epidemiological, health risk and technological) is described, the need to strengthen the link between data and decision-making for health is explained, and the range of health determinants--macroeconomic, demographic/nutritional, environmental, tobacco and alcohol and their implications for policy--is outlined.
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pubmed:otherAbstract |
PIP: Responding to efforts to renew the "health for all" vision and link it with strategy and action, this article explores the relationship between health status and proximal and distal determinants (macroeconomics, environment, sociodemographics, and education). Next, the pivotal relationship of equity and gender to health status and determinants is considered, and the challenges posed by transitions in health, demographics, epidemiology, health risk, and technology are reviewed. After noting the necessity to strengthen the links between health data and decision-making, the article summarizes current knowledge about global health status for 1990-2020. Following a brief explanation of the need to adopt a lifespan approach to health, the next section describes some key proximal and distal health determinants and their relationship to health status and illustrates this relationship with a model that traces the pathway connecting health status, determinants, and interventions. Finally, the article reviews the importance of sectoral health determinants and ways to enhance health decision-making and considers 1) the implications of the change in the distribution, intensity, and nature of the global burden of disease and injury; 2) the relationship between poverty, equity, and health status; 3) the importance of sectoral health determinants; and 4) the role of governments, the health sector, international organizations, and the World Health Organization.
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