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Social determinants of health – a foundation to promote human rights
Human rights and health:a practical application
Todd Harper, CEOVictorian Health Promotion Foundation
Australia
Overview The landscape - global focus on human rights
Building on knowledge and activity to inform VicHealth’s policies and approaches
What does this like? Using a WHO Commission on Social Determinants of Health (WHO CSDH) approach to prevent violence against women
Human rights, social & economic determinants and health
International Human Rights frameworks Alma Arta Charter The Ottawa and Bangkok Charters The Millennium Goals The International Mental Health Promotion Charter WHO Commission on Social Determinants of Health (WHO
CSDH)
VicHealth’s approach
Health Inequalities policy Whole of population and sub-population
approaches are adopted to address disparities in health.
Sub-populations given priority attention are those experiencing disadvantage due to social, economic or geographic circumstances.
VicHealth’s Strategic framework adopts the WHO CSDH focus on:
1) Improving daily living conditions;
2) Tackling the inequitable distribution of power, money and resources; and
3) Measure and understand the problem and assess the impact.
Applying a human rights focus using the WHO CSDH approach
Incorporating human rights intoVicHealth’s Strategic Framework 2009-13
International Context
World Health Organisation Commission on Social Determinants of Health: Improve daily living conditions. Tackle the inequitable distribution of power, money and resources. Measure and understand the problem and assess the impact of action.
National and State Priorities for Prevention and Health Promotion
Reducing cancer, diabetes, cardiovascular disease, arthritis and other musculoskeletal conditions, asthma, injury and mental health problems including stress, anxiety and depression.
Objectives of VicHealth (as mandated by the Tobacco Act 1987)
To fund activity related to the promotion of good health, safety or the prevention of disease
To increase awareness of programs for promoting good health in the community through the sponsorship of sports, the arts and popular culture
To encourage healthy lifestyles in the community and support activities involving participation in healthy pursuits
To fund research and development activities in support of these activities
Environmental Context
Vision & Mission
StrategicObjectives
Health Promotion Actions
What does this like in action?
Preventing violence against women
1. Measure & understand the problem & assess the impact: Burden of Disease – leading cause of illness, injury
among women 15 - 45 years of age Economic Research – indicating large economic
burden, but large gains for prevention Community Attitude Surveys eg views on gender equity
Health Burden of Intimate Partner Violence
Compared with other risk factors, intimate partner violence is the top ranking cause of preventable disease and premature death among women aged 15-44
Intimate partner violence
Compared with other risk factors:
What does this like in action?
Preventing violence against women
2. Tackle the inequitable distribution of power, money & resources: Interventions in male dominated sports, and with local governments, schools and the media.
Sports
Community Health
Local Government
Schools
Workplaces
LOGICAL FRAMEWORK
ORGANISATION WIDE
EFFECTIVE DELIVERY
RELEVANT AND INCLUSIVE
EVALUATION
WHOLE of SCHOOL
APPROACH
ORGANISATIONALLY LED
ASPIRATION for RESPECTFUL WORKPLACE
ENVIRONMENT
FROM ELITE to
GRASSROOTS CLUB
ENVIRONMENTS
PROGRAM
FRAMEWORK:
RELATIONSHIP
BETWEEN
GENDER and
POWER
GENDER
EQUITY POLICY
to PROMOTE
WOMEN’S
REPRESENTATION
CODES of
CONDUCT
PROMOTE
GENDER EQUAL,
RESPECTFUL,
INCLUSIVE
STANDARDS
EFFECTIVE CURRICULUM
FOCUS on SKILLS
BUILDING
STAFF TRAINING on RESPECTFUL WORKPLACE BEHAVIOUR
MENTORING to FAST TRACK WOMEN’S PARTICIPATION
RELEVANT, INCLUSIVE,
and CULTURALLY SUPPORTIVE
PRACTICE
VAW POLICY
EMPLOYEE
ASSISTANCE
PROGRAM
FUNDING TIED
to PROGRAM
IMPLEMENTATION
TEST for IMPACT
TEST for IMPACT
TEST for IMPACT
Complementary strategies
What does this like in action?
Preventing violence against women
Improve daily living conditions: Reduce violence and consequently increase productivity,
family functioning, and participation Tracking women’s experiences of lack of respect, and
perceptions of safety
Todd Harper
www.vichealth.vic.gov.au