Achieving Health Equity on a Global Scale through a Community-Based, Public Health Framework for Action
Version of Record online: 29 SEP 2010
© 2010 American Society of Law, Medicine & Ethics, Inc.
The Journal of Law, Medicine & Ethics
Volume 38, Issue 3, pages 486–489, Fall 2010
How to Cite
Anderko, L. (2010), Achieving Health Equity on a Global Scale through a Community-Based, Public Health Framework for Action. The Journal of Law, Medicine & Ethics, 38: 486–489. doi: 10.1111/j.1748-720X.2010.00507.x
- Issue online: 29 SEP 2010
- Version of Record online: 29 SEP 2010
Despite good intentions and decades of discussion addressing the need for transformative changes globally to reduce poverty and improve health equity, little progress has been made. A fundamental shift in framing the current conversation is critical to achieve “health for all,” moving away from the traditional approaches that use the more narrowly focused medical model, which is intent on treating and curing disease. A public health framework for action is needed, which recognizes and confronts the complex, and often-times difficult-to-achieve social determinants of health. A restructuring of global health policy development and implementation will be ineffective unless key areas are addressed including primary education and the environment, in addition to economic considerations. A public health framework that embraces a community-based participatory approach would provide a comprehensive platform for identifying critical components that impact health, and for developing effective strategies for change. A participatory approach would encourage dialogue and problem-solving for region-specific issues among those most affected by the broader health and social justice issues, with those who create policy.