This document discusses social determinants of health and health inequities in Haryana, India. It notes that while some parts of Haryana have progressed, other areas are still suffering. The World Health Organization recognizes that conditions like access to resources and wealth influence people's health. A WHO commission recommended improving living conditions, addressing inequitable distributions of power/money, and monitoring impacts of actions. Reducing social determinants is key to reducing unfair health differences within and between countries.

1. SOME HARYANA HEALTH INDICATORS

2. TWO FACES OF HARYANA
• SHINING HARYANA
• HEALTH OF WHICH
• SURGERY OF WHICH
• SUFFERING HARYANA
• HARYANA????????
• HARYANA ???????

3. SOCIAL DTERMINANTS OF HEALTH
• The social determinants of
health are the conditions in
which people are
born, grow, live, work and
age, including the health
system.
• http://www.who.int/social_de

4. •These circumstances
are shaped by the
distribution of
money, power and
resources at
global, national and

5. • Responding to increasing concern about
these persisting and widening
inequities, WHO established the
Commission on Social Determinants of
Health (CSDH) in 2005 to provide advice
on how to reduce them. The
Commission's final report was launched
in August 2008, and contained three
overarching recommendations:

6. RECOMMENDATIONS OF
COMMISSION
• 1. Improve daily living conditions
• 2. Tackle the inequitable
distribution of power, money, and
resources
• 3. Measure and understand the
problem and assess the impact of
action

7. •The Rio Political
Declaration of 2011
confirmed Member State
commitment to take action
to address the social
determinants of health in
five areas:

8. FIVE AREAS
• Adopt improved governance for
health and development
• Promote participation in policy-
making and implementation
• Further reorient the health sector
towards promoting health and
reducing health inequities

9. FIVE POINTS
•Strengthen global
governance and
collaboration
•Monitor progress and
increase accountability

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14. • The social determinants of
health are mostly responsible
for health inequities - the
unfair and avoidable
differences in health status
seen within and between
countries.

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16. 10 YEARS EARLIER
• PLEASE REFER
MY CASE TO
HIGHER
CENTRE—
• APOLLO
NOW
• KEEP HIM HERE
• WE CANNOT
AFFORD
• APOLLO OR ANY
OTHER PRIVATE
HOSPITAL
EXPENDITURE

17. HIGH TECH RAPID PROGRESS
POOR CANNOT AFFORD
ONLY CLASS I GOVT SERVANT OR
RICH CAN AFFORD

18. COMMERCIALISATION OF SURGERY
RESEARCH IS NOT FOR POOR
RESEARCH IS FOR
MAXIMISATION OF PROFIT

19. COMPARISION OF PRICES OF DRUGS
MRP ACTUAL PURCHASE