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3 Frameworks for Addressing the Social Determinants of Health
Pages 53-68

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From page 53...
... Finally, two frameworks involve measuring aspects of health workforce development (health workers in underserved areas and social accountability of health professional schools) that are often overlooked in evaluations.
From page 54...
... This is accomplished through direct community engagement that builds trust, provides services that ameliorate the impact of disparities, and mobilizes communities to influence policy on the social determinants of health as noted in the three center circles adjacent to the box. The far left circles describe the conditions in which the community sector functions: the top circle depicts the policies, economics, and social systems that give rise to FIGURE 3-1  The Danaher framework.
From page 55...
... . Stakeholders included • rural community development corporations, • regional health authorities, • Community Futures Partners of Manitoba, H ealth Safety Population & Security Social Supports E conomics S oc ial E c onomic Community E nvironment Processes E ducation R ecreation E nvironment H eritage Community Arts I nfrastructure B eing B elonging B ecoming ©Rural Development Institute, Brandon University.
From page 56...
... The structural determinants comprise the societal, economic, and political context in which a person is born and lives, which dictates one's socioeconomic position. One's socioeconomic position then sets the stage for the intermediary determinants (material circumstances, psychosocial circumstances, behavioral and/or biological factors, and the health system itself)
From page 57...
... Bridging the structural and intermediary determinants are concepts of social cohesion and social capital. The commissioners who developed the framework acknowledged that the inclusion of these concepts risked depoliticizing approaches to public health and the social determinants of health.
From page 58...
... Bay Area Regional Health Inequities Initiative is a group of local health departments in the San Francisco Bay Area dedicated to addressing health inequities. The initiative developed a health equity framework that depicts the link between health and social inequalities (see Figure 3-5)
From page 59...
... 59 SOURCE: BARHII, 2015. Reprinted with permission from the Bay Area Regional Health Inequities Initiative.
From page 60...
... developed a framework for service learning in dental education that could be applied to all health professions. Its focus is on planning, implementing, and evaluating service learning.
From page 61...
... In total, the framework encompasses ten essential components that are explained in Box 3-1. Interprofessional education is key for helping health professionals learn to work with other professions and sectors.
From page 62...
...   4.  Service learning objectives: "Faculty and community partners should jointly formulate learning and service objectives to describe what service they will be providing and how this experience connects with their learning" (p.
From page 63...
... The outer ring identifies key partners with which to collaborate to achieve the Extension's goals: an engaged university system, health professionals, the education sector, the private sector, the public sector, engaged communities, community organizations, and clinical and community preventive services (ECOP Task Force, 2014)
From page 64...
... These contextual factors are rarely considered in evaluations of country-led initiatives to attract and retain qualified health workers in underserved areas. Huicho and colleagues (2010)
From page 65...
... . Finally, THEnet created a comprehensive framework to aid schools in examining and learning how to improve health outcomes and health systems performance.
From page 66...
... . BARHII (Bay Area Regional Health Inequities Initiative)
From page 67...
... 2012. National Prevention Council Action Plan: Implementing the national prevention strategy.


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