The Social Determinants of Health for First Nations

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The Social Determinants of Health for First Nations Communities in Canada
FNHMA Conference 2016 in Vancouver, BC Concurrent Workshop






 The purpose of the presentation:
 Is to highlight the importance and impact of the Social Determinants of Health on the health outcomes of a population
 Have an overview of the SDH Globally and in Canada and especially for the Indigenous populations
 Learn about the SDH strategies at global level and experiences from other countries
 Explain how CAC is building culture sensitive approaches and taking into consideration the social determinants of health in health programming and accreditation processes.

Presentation Outline


 What are the Social Determinants of health globally: concept, framework, statistics
 The Social Determinants of Health in Canada and SDH for First Nations communities
 Global Strategies & International experiences
 How to address and tackle the SDH locally
 Your role as Health Managers
 Canadian Accreditation Council approach in addressing the SDH in communities in the Accreditation process

Equity and the Social Determinants of Health 5 What good does it do to treat people's illnesses
Then send them back to the conditions that made them sick?

Health inequity:


A multidimensional problem

 Geographical disparities in health: differences between different geographical areas.

 Gender inequity in health: systematic differences in health between men and women determined economically, socially or culturally (not biologically or physiologically).

 Ethnic inequalities in health: between different ethnic groups.

 Socioeconomic inequalities in health: based on social, economic, political, cultural, linguistic and others (marginalised groups).

Social determinants of health


 The circumstances in which people are born, grow, work and age and the systems put in place to deal with illness.
 The conditions in which people live and die are, in turn, shaped by political, social and economic forces.

What are the


Social Determinants of Health?

Source: Commission on Social Determinants of Health Final Report, 2008

What are the


social determinants of health?

 “The social determinants of health refer to both specific features and pathways by which societal conditions affect health and that potentially can be altered by informed action.”
 Source: Krieger N. A glossary for social epidemiology. J Epidemiology Community Health 2001; 55:693-700
 Two categories of social determinants:
 structural – fundamental structures of social hierarchy
 intermediate - socially determined conditions in which people are born, grow, live, work and age

Themes underpinning SDH


 Health equity
 The absence of systematic disparities in health (or its social determinants) between more or less advantaged groups, or geographical areas.
 The right to health
 “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” (WHO
Constitution 1946).

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The Social Determinants of Health for First Nations