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Revisiting Social Determinants of Health in the Era of COVID 19

Author Affiliations

  • 1Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India

Int. Res. J. Social Sci., Volume 11, Issue (2), Pages 32-39, April,14 (2022)

Abstract

Health inequalities is a complex concept marked with relative health disadvantages experienced by one section of population over the relative health advantages experienced by other section of the population. Over the few decades there is seen an improvement in health status in most of the countries. But within the context of existing and rising inequalities in health. The World Health Organization (WHO) Commission of Social Determinants of Health (CSDH), 2008 reinvigorated the issue of health inequalities and its structural causes within global public health context. But it was not until COVID19 pandemic that health inequalities became the center of public health discussions again. The social determinants of health (SDH) concept and discourse flows from debates of inequalities in health and in health status. The purpose of this paper is to discuss the concepts of SDH within which agenda of CSDH is recommended. The paper explains the intrinsic values on which the concept of SDH is build, the meaning of SDH, and historical and political context which resulted in formulation and publication of CSDH 2008 report. The paper end with analysis on similarities and differences between primary health care and social determinants of health approaches. The CSDH report is considered as revival of the Alma Atta declaration, 1978 primary health care (PHC) approach.

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