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Figure III.1.4: Globalization and <strong>the</strong> social determinants of health<br />

Source: Developed by Schrecker and Labonte, (2006) based on Diderichsen et al. (2001) and refined by<br />

Solar & Irwin (2005) for <strong>the</strong> WHO Commission on Social Determinants of Health<br />

De Vogli and Birbeck (2005) affirm that <strong>the</strong>re are five pathways from globalization to<br />

health, with a focus on women and children in Sub-Saharan Africa: (i) currency<br />

devaluations, (ii) privatization, (iii) financial and trade liberalization, (iv) health related<br />

charges and (v) education related charges. The two first pathways lead, respectively, to<br />

increase in <strong>the</strong> prices of food and shelter and would ultimately lead women to migrate to<br />

<strong>the</strong> cities where <strong>the</strong>y become, along with <strong>the</strong>ir baby boys, more vulnerable to sexual<br />

abuse and HIV infection. The last two pathways, especially in poor countries, discourage<br />

access to health services and education and <strong>the</strong>refore increase <strong>the</strong>ir chances of being<br />

infected.<br />

! *&)!

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