29 recommendations to combat social inequalities in health. The Norwegian Council on Social Inequalities in Health

Arntzen, Annett; Bøe, Tormod; Dahl, Espen; Drange, Nina; Eikemo, Terje Andreas; Elstad, Jon Ivar; Fosse, Elisabeth; Krokstad, Steinar; Syse, Astri; Sletten, Mira Aaboen; Strand, Bjørn Heine

doi:10.1177/1403494819851364

Cited by 32 publications

(28 citation statements)

References 29 publications

(22 reference statements)

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“…Yet, although the comprehensive framework offered by the SDoH approach has proved very useful for analysis and policy recommendations, there have been fewer examples of actual policy changes following the recommendations made. Still, there are ongoing discussions around how to take further steps in order to develop the SDoH approach as well as the policy recommendations that can be derived from it (see, for example, [3, 4, 5]).…”

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confidence: 99%

Next steps in the development of the social determinants of health approach: the need for a new narrative

Lundberg

2020

Scand J Public Health

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During the past 15–20 years the Social Determinants of Health (SDoH) framework has become the main approach to understand health inequalities. With this model a range of factors important for health and inequalities in health over the life-course have been connected into a larger framework. Despite its usefulness and popularity within the field, and wide use in influential reviews, the SDoH framework has not been easy to communicate to stakeholders in other sectors, and we cannot as yet see much of substantial societal change as a result of it. In this Commentary I try to discuss possible reasons behind our difficulties to communicate the SDoH perspective. Some of these reasons relate to how we frame and present the different parts of the framework, others are more linked to common beliefs and practices that I think we should rethink. In both cases, I believe that we would benefit from a more general discussion around these fundamental issues, both in order to communicate our important insights but also to better understand our own key study objective, namely how health inequalities are generated, sustained and potentially reduced.

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confidence: 99%

Next steps in the development of the social determinants of health approach: the need for a new narrative

Lundberg

2020

Scand J Public Health

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“…Barriers to accessing healthcare-including the lack of cultural competence of healthcare professionals-are some significant factors that cause inequities in healthcare [21]. Social determinants of health could refer to social and economic factors within the broader determinants of health [22], or the experiences of historical trauma, discrimination, and racism, which may affect certain groups of people within a population to influence health and be responsible for healthcare inequities [23][24][25][26]. Addressing social determinants of health can improve health and reduce disparities in health and healthcare [22].…”

Section: Competing Interests: No Authors Have Competing Interestmentioning

confidence: 99%

Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting

et al. 2020

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Introduction Millions of women and girls have been exposed to female genital cutting (FGC). The practice of FGC extends beyond countries in Africa and Asia in which it is traditionally practiced. Women living with FGC in Norway have been reported to be in need of healthcare, but there is evidence of suboptimal use of healthcare services among this group, and we lack the women's perspective about this problem. This study aims to explore the experiences and perceptions hindering access and use of the Norwegian healthcare system among sub-Saharan African (SSA) immigrant women exposed to FGC. Method This qualitative research was conducted using purposive and snowball sampling to recruit thirteen SSA immigrant women in Norway previously exposed to FGC. Interviews were conducted from October 2017 to July 2018. The Interpretative Phenomenological Analysis method was used. Results The findings indicate that women experience barriers both in reaching out to the healthcare system and within the healthcare system. Barriers prior to contact with the healthcare system include lack of information, husband and family influence on healthcare, and avoiding disclosing health problems. Barriers within the healthcare system include care providers with insufficient knowledge and poor attitudes of care providers. Conclusion This study reveals multiple barriers to healthcare access that co-exist and overlap. This indicates that SSA immigrant women are 'left behind' in being able to access and use the

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“…Interventions in early childhood are cost-effective with higher rates of return than most other investments [12], and are supported by the United Nations Sustainable Development Goals position paper [13]. The Norwegian Council on Social Inequalities in Health also supports identification and mapping of difficult childhood circumstances and early interventions [14].…”

Section: Introductionmentioning

confidence: 99%

Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability

Westergren

Mølland

Haraldstad

et al. 2021

BMC Health Serv Res

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Background An increased and/or stable proportion of the child and adolescent population reports symptoms of impaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reported outcome measures need to be implemented in child and school health services for decision support and identification of children at risk. We aimed to (a) qualitatively examine adjustments of active implementation from the pilot implementation of the Norwegian ‘Starting Right’ health service innovation including an online child health assessment tool and practical routines, and (b) measure practitioners´ adoption and parental acceptability. Methods We used a mixed-methods design to qualitatively examine adjustments from working notes and meeting memoranda, and quantitatively assess adoption and acceptability from user rates provided by the systems log. Twenty-one child and school health nurses (CSHNs) from two child health centers participated in the implementation pilot of online health assessments in children aged 2-, 4- and 6-year. We used a deductive and narrative analysis approach using Fixsen et al.´s core implementation components to code and sort adjustments. Results Core implementation components were adjusted throughout the pilot implementation. Researchers´ increased their availability in reciprocity with staff evaluation to integrate active implementation adjustments. We launched a project for improved data systems integration. The overall CSHNs adoption rate was satisfactory and higher in center A, where a medical secretary supported the nurses through the entire pilot phase, than in center B (96 vs. 55 %). Parental acceptability rate was overall high (77 %) with increased rates among parents of 6-year-old children (98 %) compared with younger ones (78–85 %), and in cases where both parents received the questionnaires. Conclusions The ‘Starting Right’ health service innovation implementation was actively adjusted by integration of core implementation components mainly based on staff evaluation. The CSHNs adopted the innovation which was also acceptable to parents.

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29 recommendations to combat social inequalities in health. The Norwegian Council on Social Inequalities in Health

Cited by 32 publications

References 29 publications

Next steps in the development of the social determinants of health approach: the need for a new narrative

Next steps in the development of the social determinants of health approach: the need for a new narrative

Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting

Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability

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