Social Determinants of Minority Health Rosanna Barrett, DrPH, MPH Director, Office of Minority Health & Health Equity April 29, 2016
Social Determinants of Health The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. Source: WHO: www.who.int/social_determinants/sdh_definition/en/
Health Disparity ≠ Health Equity
Root Cause Analysis of Minority Health Question 1: Where do health differences among racial and ethnic groups originate, if we trace them back to their deepest roots? Answer 1: Health inequities flow from the systematically unequal distribution of power, privilege, and resources among racial and ethnic groups in society.
Privilege Grid Simulation
Equality Versus Equity Goal: Achieving Health Equity : We can’t get to “equality” when we have not solved historic deficits among the people we serve – we can start by ensuring that all persons have access to services that meets their needs “equity” .
Contributing Factors Conceptual Framework: Social Determinants of Health Source: Adapted from WHO
Life Course Perspective: Infant Mortality Adopted from : Lu MC, Halfon, N. Maternal Child Health J: 2003,7:13-30
Root Cause Analysis: Actions & Solutions In light of the answers to the first two questions, where and how should public health and other sectors intervene to reduce health inequities? Partnership Network for Change: Health & Human Services Healthcare Education Transportation Housing & Development Employers Public and Private Organizations Community-Based Organizations Community Leaders & Members Others Diagram Source: Richmond Health Equity Partnership (RHEP)
Root Cause Analysis: Actions & Solutions “Health in All Policy” to improve outcomes Source: Healthy People 2020 Adapted from NACCHO
Contact Information Telephone : 512-380-4318 Fax : 512-380-4350 Email: CEDD@hhsc.state.tx.us Webpage : http://www.hhsc.state.tx.us/hhsc_projects/cedd/ Requesting Technical Assistance : http://www.hhsc.state.tx.us/hhsc_projects/cedd/training.shtml Thank you!!
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