Legal determinants of health: facing global health challenges

The Lancet ◽  
2019 ◽  
Vol 393 (10183) ◽  
pp. 1781-1782
Author(s):  
Selina Lo ◽  
Richard Horton
Author(s):  
Ronald Labonté ◽  
Arne Ruckert

International health, a concern with the high burden of preventable disease in poorer countries, is long-standing. In late nineteenth century sanitary reforms and early twentieth century philanthropic financing to control infectious diseases in the Americas, this concern also foreshadows more contemporary debates over global health financing and the ‘health securitization’ of wealthier nations against diseases spreading from poorer ones. By the late twentieth century, however, there was a shift in discourse from ‘international’ to ‘global’ health underpinned by the growing awareness that there are inherently global reasons for why some countries are wealthier and healthier, while others remain poorer and sicker. Two different frameworks are used to unpack these causal pathways, in which globalization processes are regarded as meta-determinants of health inequities within and between nations. Although researchers argue that globalization processes have been good for health, others are much less sanguine on this claim.


2018 ◽  
Vol 14 (2) ◽  
pp. 175-189 ◽  
Author(s):  
Unni Gopinathan ◽  
Nick Watts ◽  
Alexandre Lefebvre ◽  
Arthur Cheung ◽  
Steven J. Hoffman ◽  
...  

2020 ◽  
Vol 13 (1) ◽  
pp. 4-9
Author(s):  
John Coggon ◽  
Lawrence O Gostin

Abstract This article introduces a special issue on the legal determinants of health, following the publication of the Lancet–O’Neill Institute of Georgetown University Commission’s report on the subject. We contextualize legal determinants as a significant and vital aspect of the social determinants of health, explain the work of the Lancet–O’Neill Commission and outline where consequent research will usefully be directed. We also introduce the papers that follow in the special issue, which together set out in greater detail the work of the Commission and critically engage with different aspects of the report and the application of its findings and recommendations.


2020 ◽  
Author(s):  
Roshit Bothara ◽  
Malama Tafuna'i ◽  
Tim Wilkinson ◽  
Jen Desrosiers ◽  
Susan Jack ◽  
...  

Abstract Background Global health education partnerships should be collaborative and reciprocal to ensure mutual benefit. Utilisation of digital technologies can overcome geographic boundaries and facilitate collaborative global health learning. Global Health Classroom (GHCR) is a collaborative global health learning model involving medical students from different countries learning about each other’s health systems, cultures, and determinants of health via videoconference. Principles of reciprocity and inter-institutional partnership informed the development of GHCR. This study explores learning outcomes and experiences in GHCR between students from New Zealand and Samoa. Methods The study used a mixed methods approach employing post-GHCR questionnaires and semi-structured face-to-face interviews to explore self-reported learning and experiences among medical students in GHCR. The GHCR collaboration studied was between the medical schools at the University of Otago, New Zealand and the National University of Samoa, Samoa.ResultsQuestionnaire response rate was 85% (74/87). Nineteen interviews were conducted among New Zealand and Samoan students. Students reported acquiring the intended learning outcomes relating to patient care, health systems, culture, and determinants of health with regards to their partner country. There was evidence of attitudinal changes including cultural curiosity and humility. Some reported a vision for progress regarding their own health system. Students reported that interacting with their international peers in the virtual classroom made learning about global health real and tangible. Mutual benefit to students from both countries indicated reciprocity.Conclusions The study demonstrates GHCR to be a promising model for collaborative and reciprocal global health learning using a student-led format and employing digital technology to create a virtual classroom. The self-reported learning outcomes align favourably with those recommended in the literature. In view of our positive findings, we present GHCR as an adaptable model for equitable, collaborative global health learning between students in internationally partnered institutions.


2020 ◽  
pp. 152-156 ◽  
Author(s):  
Evelyne de Leeuw

The ‘Ottawa Charter for Health Promotion’ (1986) remains a benchmark for the global health promotion community, but the context for health promotion has changed with increasing recognition of the significance of inequalities in health. Health promotion is a key strategy to deal with the social determinants of health that create these inequities. Attention has shifted from the mere recognition that all public policies may impact on health to active strategies and actions to move health concerns into all policies. Clinicians are key actors in shaping social and cultural priorities and beliefs: they should be committed to the reduction of health inequity, with health promotion as a core commitment and responsibility.


2020 ◽  
Vol 13 (1) ◽  
pp. 9-15
Author(s):  
Jenny C Kaldor ◽  
Lawrence O Gostin ◽  
John T Monahan ◽  
Katie Gottschalk

Abstract The Lancet–O’Neill Institute/Georgetown University Commission on Global Health and Law published its report on the Legal Determinants of Health in 2019. The term ‘legal determinants of health’ draws attention to the power of law to influence upstream social and economic influences on population health. In this article, we introduce the Commission, including its background and rationale, set out its methodology, summarize its key findings and recommendations and reflect on its impact since publication. We also look to the future, making suggestions as to how the global health community can make the best use of the Commission’s momentum in relation to using law and legal tools to advance population health.


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