The feasibility of measuring and monitoring social determinants of health and the relevance for policy and programme – a qualitative assessment of four countries

摘要: Background : Since the publication of reports by Commission on Social Determinants Health (CSDH), many research papers have documented inequities, explaining causal pathways in order to inform policy and programmatic decision-making. At international level, sustainable development goals (SDGs) reflect an attempt bring together these themes complexities involved defining a comprehensive framework. However, date, much less has been done address monitoring challenges, that is, how data generation, analysis use are become routine tasks. Objective To test proposed indicators social determinants health (SDH), gender, equity, human rights with respect their relevance tracking progress universal coverage population (level distribution). Design In explore covering wide range were tested four country case studies (Bangladesh, Brazil, South Africa, Vietnam) for technical feasibility, reliability, validity, communicability usefulness policy-makers. Twelve thematic domains 20 core different aspects rights, SDH through review sources, descriptive analyses, key informant interviews, focus group discussions. domains, domain narratives explained presented policy-makers, managers, media, civil society leaders. Results For most countries, is possible, as some available indicators. qualitative assessment showed validity varied across countries. Producing understandable useful information proved challenging, particularly so translating indicator definitions into meaningful lay managerial narratives, effectively communicating links ways which could improve Conclusions This exercise revealed produce reliable collection, analysis, discourse, it will need be adapted each national context institutionalised systems. require capacities resources this subsequent communication results increased countries both monitoring, including successful implementation SDGs. Keywords: sustainable goals; coverage; equity; rights; gender; intersectoral action (Published: 5 February 2016) Citation:  Glob Action 2016,  9 29002 -  http://dx.doi.org/10.3402/gha.v9.29002 paper part Special Issue:  Monitoring equity . More from issue can found at  www.globalhealthaction.net