Regina Celia Fiorati1, Ricardo A Arcêncio2, Javier Segura Del Pozo3, Milagros Ramasco-Gutiérrez4, Pilar Serrano-Gallardo5. 1. School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil. 2. School of Nursing of Ribeirão Preto, University of São Paulo, São Paulo, Brazil. 3. Madrid Salud, Ayuntamiento de Madrid, Madrid, Spain. 4. Consejería de Sanidad, Comunidad de Madrid, Spain. 5. Departmental Section of Nursing, Department of Surgery, School of Medicine, Autonomous University of Madrid; Instituto Interuniversitario "Investigación Avanzada sobre Evaluación de la Ciencia y la Universidad" (INAECU); Instituto de Investigación Sanitaria Puerta de Hierro Majadahonda (IDIPHIM), Madrid, Spain. Electronic address: pilar.serrano@uam.es.
Abstract
OBJECTIVE: To determine the impact that intersectoral policies and social participation, implemented worldwide, have had on the modification of the social determinants for health and on the reduction of social health inequities. METHOD: A scoping review of the literature published in the period 2005-2015 was performed. The literature search was conducted on PubMed and Scielo databases. Two researchers reviewed each document. Data were analysed according to the intersectoral action and social participation variables and according to the theoretical frameworks of the Social Determinants Model of the Commission on Social Determinants of Health (CSDH) and the theoretical constructs of Social Capital (SC) and Life Course (LC). RESULTS: Out of 45 documents likely to be selected for final review, all of them based on title and abstract, 20 documents were eventually picked out and analysed; most them (n = 8) were conducted in all Latin America and Latin America's countries. Twelve documents reported intersectoral action associated with social participation in partnership with different institutions. Regarding theoretical frameworks, most of studies (n = 8) used CSDH and SC. In relation to health outcomes, the studies showed mainly: increased access to health and education, follow-up of pregnant women, increasing in prenatal examinations, reduction in malnutrition/child mortality, reduction in extreme poverty/hunger; reduction in epidemics/tuberculosis, control of alcohol/drug consumption, promotion of health/mental as well as basic sanitation improvements. CONCLUSIONS: Intersectoral and social participation experiences studied yielded positive outcomes regarding health status and quality of life in the communities in which such experiences were implemented.
OBJECTIVE: To determine the impact that intersectoral policies and social participation, implemented worldwide, have had on the modification of the social determinants for health and on the reduction of social health inequities. METHOD: A scoping review of the literature published in the period 2005-2015 was performed. The literature search was conducted on PubMed and Scielo databases. Two researchers reviewed each document. Data were analysed according to the intersectoral action and social participation variables and according to the theoretical frameworks of the Social Determinants Model of the Commission on Social Determinants of Health (CSDH) and the theoretical constructs of Social Capital (SC) and Life Course (LC). RESULTS: Out of 45 documents likely to be selected for final review, all of them based on title and abstract, 20 documents were eventually picked out and analysed; most them (n = 8) were conducted in all Latin America and Latin America's countries. Twelve documents reported intersectoral action associated with social participation in partnership with different institutions. Regarding theoretical frameworks, most of studies (n = 8) used CSDH and SC. In relation to health outcomes, the studies showed mainly: increased access to health and education, follow-up of pregnant women, increasing in prenatal examinations, reduction in malnutrition/child mortality, reduction in extreme poverty/hunger; reduction in epidemics/tuberculosis, control of alcohol/drug consumption, promotion of health/mental as well as basic sanitation improvements. CONCLUSIONS: Intersectoral and social participation experiences studied yielded positive outcomes regarding health status and quality of life in the communities in which such experiences were implemented.
Keywords:
Desigualdades sociales; Determinantes sociales de la salud; Intersectorality; Intersectorialidad; Participación social; Policies; Políticas; Social determinants of health; Social inequities; Social participation
Authors: Larissa Barros de Souza; Francisca Bruna Arruda Aragão; José Henrique da Silva Cunha; Regina Célia Fiorati Journal: Rev Lat Am Enfermagem Date: 2021-06-28