Social, cultural and political conditions for advancing health equity: examples from eight country case studies (2011–2021)
2024

Advancing Health Equity: Lessons from Eight Countries

Sample size: 8 publication Evidence: moderate

Author Information

Author(s): Miriam van den Berg, Joanne Flavel, Ashley Schram, Sharon Friel, Hailay Abrha Gesesew, Fran Baum

Primary Institution: Stretton Health Equity, School of Social Sciences, The University of Adelaide

Hypothesis

What are the key country-level contextual conditions that may reduce health inequities, and the obstacles and challenges that prevent progress on health equity?

Conclusion

The study identifies key social, cultural, and political conditions that can facilitate progress in health equity, while also highlighting challenges faced by certain countries.

Supporting Evidence

  • Countries making progress on health equity have demonstrated effective leadership and governance.
  • Social determinants of health play a crucial role in shaping health outcomes.
  • Collaboration between researchers and policymakers is essential for advancing health equity.
  • Countries struggling with health equity often face political instability and governance issues.

Takeaway

Some countries are doing better than others at making sure everyone has a fair chance to be healthy, and this study looks at what helps or hurts those efforts.

Methodology

The study used comparative case study methodology to analyze health equity progress in eight countries over a ten-year period.

Potential Biases

Potential biases may arise from the reliance on available literature and the subjective interpretation of sociopolitical conditions.

Limitations

The study's rapid review approach may not account for all innovations addressing health inequities, and data collection inconsistencies may affect the findings.

Participant Demographics

The study includes case studies from eight countries with varying income levels and health equity progress.

Digital Object Identifier (DOI)

10.1136/bmjgh-2024-015694

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