Challenging Inequities in Health, was conceived as a response to the following: 1. Concerns about widening “health gaps” both between and within countries; 2. A disproportionate research focus on inequalities in health in the “North” to the relative neglect of the “South”; and 3. Inadequate analytic tools and pragmatic policies to redress health inequities. Through a collective effort of researchers and practitioners called the Global Health Equity Initiative (GHEI), a set of in-depth country studies and conceptual analyses on health equity ...

The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in ...

Southeast Asia is a region of enormous social, economic, and political diversity, both across and within countries, shaped by its history, geography, and position as a major crossroad of trade and the movement of goods and services. These factors have not only contributed to the disparate health status of the region's diverse populations, but also to the diverse nature of its health systems, which are at varying stages of evolution. Rapid but inequitable socioeconomic development, coupled with differing rates of demographic and epidemiological ...

Complexity defines health. Now, more than ever, in the age of globalization, is this so. The Commission on Social Determinants of Health (CSDH) was set up by the World Health Organization (WHO) to get to the heart of this complexity. They were tasked with summarizing the evidence on how the structure of societies, through myriad social interactions, norms and institutions, are affecting population health, and what governments and public health can do about it. To guide the Commission in its mammoth task, the WHO Secretariat conducted a review ...

This volume is a compilation of the papers presented at the High-Level Workshop on the Evolving Nature of ASEAN’s Economic Cooperation: Original Vision and Current Practice, containing the authors’ personal reflections on ASEAN’s journey toward economic integration. The papers review the historical evolution of ASEAN’s economic agenda, capture its achievements, examine the challenges that have surfaced in the last decade, and recommend a way forward. The papers in this volume emphasize that, while there have been notable successes, the remaining ...

Poverty reduction is a central feature of the international development agenda and contemporary poverty reduction strategies increasingly focus on “targeting the poor”, yet poverty and inequality remain intractable foes. Combating Poverty and Inequality argues that this is because many current approaches to reducing poverty and inequality fail to consider key institutional, policy and political dimensions that may be both causes of poverty and inequality, and obstacles to their reduction. Moreover, when a substantial proportion of a country’s ...

An astute bureaucratic pundit named Rufus Miles once observed that ‘where you stand depends on where you sit’ (Miles 1978). This ‘Miles Law’ deserves to be kept centrally in mind when considering not only traditional bureaucratic behaviour, but also health equity; for one's judgment about what's ‘best’ in the health equity area is unavoidably shaped by his/her institutional experience, background and interests.Rather than challenge such an unfortunately well-established reality, better for an author to admit at the outset just where (s)he has ...

Well-being is not just a question of the wealth or pleasure that a person has; it is a question of how people manage to live their lives and the ability they have to do certain things that are important to them. This was the argument put forward by Professor Amartya Sen in 1979. In his seminal Tanner Lecture – ‘Equality of What?’, Sen unites economics and philosophy to explore how a person’s well-being might best be measured. It was the first in a series of writings in which he developed his capability approach. This focuses on the actual capability ...