1. Power walk
Copyright(creative commons license): RLCD at

2. Was empowerment an obstacle for your character?
…a process that helps people gain and/or strengthen control of their lives
…about putting power in the hands of women and men of all groups
Copyright: Amir Esmann at

3. World Health Organization
27 April, 2017
Did gender matter?
Copyright (creative commons license): Samnang Danou at [image modified]

4. Gender matters because…
Biological differences are not enough to explain different disease patterns.
Due to gender norms, roles and relations, there are differences between different groups of men and women in:
exposure to risk factors
household-level investment in nutrition, care and education
access to and use of services
their experiences in care settings
social impact of ill-health
Many differences in health can be mitigated or prevented altogether.

5. How did your access to or control over resources affect your ability to move forward?
UHC and health equity cannot be achieved without action on social determinants of health and coherent recognition of health across other sectors.
Copyright (creative commons license): : Amir Esmann at

6. Social determinants of health
Bringing together different sectors is not easy. However, there are examples and guidance from WHO. The first concept is known as “Health in All Policies” which was the basis for discussion at the 8th Global Health Promotion Conference in Helsinki in June Countries such as Finland have emphasized and used this approach that has translated into using many legal, economic, and health strategies to reduce cardiovascular disease, for example.
Action on the social and environmental determinants of NCD represents a field for urgent application of the principles of health in all policies and an opportunity for revitalising health promotion.
It also represents a core part of the UHC agenda.
Social determinants of health

7. Poverty as a social determinant
The vicious circle :
Ill health leads to poverty
Poverty leads to ill health
The virtuous circle :
Good health is linked to higher income and welfare
Higher income is linked to good health

8. Health in All Policies
An approach to public policies across sectors that:
systematically takes into account the health implications of decisions
seeks synergies across sectors
avoids harmful health impacts to improve population health and health equity
Copyright:
Bringing together different sectors is not easy. However, there are examples and guidance from WHO. The first concept is known as “Health in All Policies” which was the basis for discussion at the 8th Global Health Promotion Conference in Helsinki in June Countries such as Finland have emphasized and used this approach that has translated into using many legal, economic, and health strategies to reduce cardiovascular disease, for example.
Action on the social and environmental determinants of NCD represents a field for urgent application of the principles of health in all policies and an opportunity for revitalising health promotion.
It also represents a core part of the UHC agenda.

9. ROLE PLAY
Copyright(creative commons license)

10. Role Playing – Inter-sectoral work
Break into pairs
Each pair takes a role play scenario (one play person 1 and other will play person 2)
5 minutes to prepare (read scenario, information related to your role only)
Consider how you will approach the meeting you are about to have with your partner
Each pair has 10 minutes to ‘role play’ their meeting

11. Role Playing – guiding questions
What do you want to get out of the meeting?
What do you think they will want from you?
What can you offer or ask for?
How will you introduce yourself?
Who else could be invited to future meetings?

12. SDH sectoral briefings

13. Patterns of interaction between health and other sectors
Brazil
N Zealand
England
Sri Lanka
Wales
Malaysia
N Ireland
Quebec
Scotland
Sth Australia
Sweden
Cuba
Finland Thailand
Iran
Norway
Informative
Cooperation
Coordination
Coherence
Integration

14. Broad or issue-specific intersectoral action?
broad strategies; integrating a systematic consideration of health into other sectors’ policy processes.
issue-centred strategies; integrating a specific health concern into other sectors’ policies, e.g.
Both can be used

15. HiAP into action: Establish the need and priorities for HiAP
Assess and engage other sectors
Foster common understanding between sectors
Identify supportive structures and processes
Enhance community participation
Ensure monitoring, evaluation, reporting and accountability
1. Create a policy framework and an approach to health that are conducive to intersectoral action.
2. Emphasize shared values, interests, and objectives among partners and potential partners.
3. Ensure political support; build on positive factors in the policy environment.
4. Engage key partners at the very beginning; be inclusive.
5. Ensure appropriate horizontal linking across sectors as well as vertical linking of levels within sectors.
6. Invest in the alliance-building process by working towards consensus at the planning stage.
7. Focus on concrete objectives and visible results.
8. Ensure that leadership, accountability, and rewards are shared among partners.
9. Build stable teams of people who work well together, with appropriate support systems.
10. Develop practical models, tools, and mechanisms to support the implementation of intersectoral action.
11. Ensure public participation; educate the public and raise awareness about health determinants and intersectoral action.

16. Urban HEART: Urban Health Equity Matrix
POLICY DOMAIN
INDICATORS
NEIGHBOURHOODS #1 #2 #3 #4 #5 #6
PHYSICAL
ENVIRONMENT &
INFRASTRUCTURE
Access to safe water
Access to improved sanitation
SOCIAL & HUMAN
DEVELOPMENT
Prevalence of tobacco smoking
Completion of primary education
Skilled birth attendance
ECONOMICS
Poverty
Unemployment
GOVERNANCE
Government spending on health
Voter participation