REPORT ON THE SOCIAL DETERMINANTS OF HEALTH ... - bvsde

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1. INTRODUCTI<strong>ON</strong>: Background Throughout the world, socially disadvantaged persons have less access to basic health services and the health system as a whole. People living in poverty become ill and die more frequently than those who enjoy a more privileged social status. The problem is especially acute for the most vulnerable groups. The gap has broadened despite the fact that never before has the world had the wealth, knowledge, awareness, and concern for health issues that it has today. 5
Most health problems can be attributed to people’s socioeconomic situation. However, health policies have focused on approaches involving treatment of illnesses, without properly incorporating action on the “causes of the causes,” as for example actions in the social environment. As a result, health problems continue to exist, the gap in health and medical care has widened, and the results from healing-centered intervention have not sufficed and will not permit attainment of the Millennium Development Objectives in health. Paradoxically, there is ample evidence, especially from the developed countries, of possible actions that could reduce the gap, particularly by implementing health policies and services that address the social determinants. The Commission on Social Determinants of Health was established by the World Health Organization (WHO) in 2004 to generate recommendations based on the available evidence on interventions and policies supported by actions on social determinant factors that improve health and diminish health inequities. The Commission is comprised of distinguished leaders, policy planners, scientists, groups of experts, and members of civil society. The Commission works closely with those countries whose political leaders, health officials, civil society groups, and other interested actors have committed to act on the social determinants of health through a process of early implementation of the Commission’s recommendations. These experiences provide examples and learning opportunities for the Commission members as well as the participating countries. For this reason, the WHO, the Pan-American Health Organization (PAHO), and the Summits of the Americas Secretariat of the Organization of American States (OAS) agreed to carry out a consultation process with civil society. The consultation consists of two stages: conducting a survey, and holding a meeting of consultation with civil society organizations. The Summits of the Americas Secretariat therefore disseminated a convocation to the civil society organizations of the region, asking them to complete the Questionnaire for Civil Society Organizations on Social Determinants of Health. This report, which compiles the civil society organizations’ replies to the questionnaire, is presented by the Summits of the Americas Secretariat to the Commission on Social Determinants of Health (CSDH). The Summits of the Americas Secretariat also opened a space on the OAS civil society website (www.civil-society.oas.org) devoted to the initiative in order to ensure the broadest possible dissemination of the convocation, questionnaire, and other pertinent documents. The organizing agencies will host a meeting of consultation with civil society for discussion and exchange of views among the civil society organizations that are actively engaged in social development in the region and are carrying out activities in the area on which the Commission on Social Determinants of Health is focusing, so that they can present recommendations and suggestions to that Commission. The Regional Meeting of Consultation with Civil Society will afford an opportunity to reflect on participation, implementation, and monitoring of topic to be held on April 12-14, 2007 in Brasilia, Brazil on the inter-American health agenda. Methodology The Summits of the Americas Secretariat received seventy (70) questionnaires filled out by civil society organizations in the Americas. They were answered in English, Portuguese, and Spanish. This Secretariat reviewed each of the questionnaire responses received from civil society, entered the qualitative and quantitative information in a database, and assigned each questionnaire an identification number. 6
Page 1 and 2: Organización de los Estados Americ
Page 3 and 4: a. QUESTION 1: Does your entity or
Page 5: Conselho Nacional dos Seringueiros
Page 9 and 10: 2. PRESENTATION OF CIVIL SOCIETY OR
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Page 15 and 16: a. Socially conscious medicine requ
Page 17 and 18: c. Telephone calls, e-mail, letters
Page 19 and 20: d. QUESTION 4: What is your institu
Page 21 and 22: • HIV prevention • Expansion of
Page 23 and 24: j. Cooperation among the civil soci
Page 25 and 26: e. Develop a process for public and
Page 27: e. Strengthen social and civic orga
Page 30 and 31: Tipo de población con la cual act
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Page 34 and 35: ENGLES QUESTIONNAIRE Pan American H
Page 36 and 37: To combat inequalities in health, w
Page 38 and 39: Policies and strategies geared to s
Page 40 and 41: Urbana Camponesa Outras informaç
Page 42 and 43: Favor descrever mais detalhadamente
Page 44 and 45: 4B. CIVIL SOCIETY CONTRIBUTIONS IN
Page 46 and 47: Fundación para la Promoción de la
Page 48 and 49: otros como el derecho a la vivienda
Page 50 and 51: capacitación laboral y mejora de l
Page 52 and 53: uma total ignorância em relação
Page 54 and 55: donde se implementa nuestra interve
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Mutua del campo, por su naturaleza
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8. a) El modelo hegemónico de glob
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Endereço: Rua Aristides da Silveir
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sociedade civil de modo a termos ma
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Dr. JOSÉ ROBERTO GUEDES DE OLIVEIR
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8. a) Para decirlo brevemente: desd
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escasos recursos, por lo que nuestr
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) Un tema importante podría ser el
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Centro Latinoamericano de Estudios
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Endereço: Q E 04, Conjunto E casa
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territoriais e até mesmo os concei
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) Mayor participación en la metodo
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6. N/A 7. Colombia actualmente hace
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Facultad Latinoamericana de Ciencia
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es un derecho Constitucional, sin e
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) Del Paradigma Científico, al Par
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sus demandas prioritarias. Algunos
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5. No conocíamos la creación de e
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oportunos y de calidad entre los di
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1. N/A 2. Los determinantes Sociale
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Fundación para la Promoción de la
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eqüidade de direitos e sendo a sa
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4. Nuestra organización ofrece un
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2. Se conceptúa como el estado de
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se transforma en un hecho negativo.
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Nosotros contribuimos al desarrollo
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azão da Política de Isolamento Co
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Movimento Sem Terra - MST Endereço
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5. Estamos al tanto de la iniciativ
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decisiones en los gobiernos y en el
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pleno ejercicio de derechos humanos
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09 10 11 12 13 14 Estándares del B
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- 30 25 20 15 10 5 13 AGRICULTURA D
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