1. Dr Erio Ziglio World Health Organization European Office for Investment for Health and Development COMMISSION ON SOCIAL DETERMINANTS OF HEALTH 4th Meeting of Commissioners Tehran, Iran, 16-20 January 2006 Proposal for a Global Initiative Using Social Determinants for Health

2. FEEDBACK PROPOSAL CONTEXT

3. START March 2005 END May 2008 CDSH activity period

4. Maximizing impact Translate the evidence into know-how for action in both WHO and in countries Review and contribute to best practice Put the reduction of health inequalities at the centre of all health policy decisions.

5. Sometimes its only a matter of a quick fix…

6. …at other times its a more complex matter! Isolated programmes Power structures System rigidity Lack of incentives Territorialism

7. PROPOSAL FEEDBACK Need for systematic support

8. WHO Director-General Dr J.W. Lee The Lancet, vol.365, 19 March 2005 Interventions aimed at reducing disease and saving lives succeed only when they take the social determinants of health adequately into account (…) That knowledge needs to be more fully developed and widely shared so that it can be used.

9. The WHO European Office for Investment for Health and Development Venice, Italy

10. The Social Determinants for Health (SDfH) Initiative is a proposal for a WHO programme to help decision makers to use the evidence on the social determinants of health.

11. THE ACTIVITIES Mapping WHO skills and know-how Consensus Building Workshops Building a critical capability in countries Communication and social marketing strategy

12. Mapping WHO skills and know-how Aims To map knowledge and know-how To give SDfH a central position Method Case studies Programme reviews Focused interviews Impact Identification of training focal points Assessment of assets and gaps

13. Aims To increase awareness and reduce barriers To develop supportive networks Method Case studies Interactive knowledge sharing Impact To strengthen awareness To expand the know-how Consensus Building Workshops

14. Aims To strengthen leadership To support system development To improve human resource capacity Method Strategy Labs Intensive training for future leaders Impact To increase knowledge, skills and know-how Building a critical capability in countries

15. Supporting leaders in taking action Increasing awareness within and outside the health sector Informing national and international media Integrating social determinants into vertical and population specific programmes Communication and social marketing strategy

16. THE SDfH PROGRAMME BENEFICIARIES Those in key positions to promote mainstreaming Those with technical experience who can spearhead practical utilization in countries Those who have not yet had an opportunity to explore the importance of social determinants

19. Different levels of SDfH impact: Doing different things Doing same things better

20. FEEDBACK SDfH a tool to sustain change Need for systematic support