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India reiterated its commitment to enhance Social Determinants of Health during the G20 Joint Finance-Health Task Force High-Level Meeting held at the 79th session of UN General Assembly.

Social Determinants of Health (SDH)

  • SDH are non-medical factors that influence health outcomes. 
    • They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.
    • These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems.
  • Examples of SDH: Education, income and social protection, unemployment and job insecurity, working conditions, food insecurity, housing, early childhood development, social inclusion, etc.
  • WHO Commission on SDH aims to achieve three guiding targets by 2040: 
    • Halving life expectancy gap between countries and social groups, 
    • Halving adult mortality rates in all countries, and 
    • Achieve 90-95% reductions in child and maternal mortality.

Role of SDH in Health Outcomes

  • Numerous studies suggest that SDH accounts for between 30-55% of health outcomes
  • Influences health inequities - unfair and avoidable differences in health status seen within and between countries.
  • In countries at all levels of income, health and illness follow a social gradient: the lower the socioeconomic position, the worse the health.

India’s approach for SDH

  • The whole-of-government and One Health approach.
  • India is emphasizing on exploring potential of debt-for-health swaps, a mechanism that could ease financial strain while investing in health equity. 
  • India called for G20 member nations to adopt a unified approach toward data collection and analysis to enhance health systems globally.
  • India’s flagship programmes like Ayushman Bharat, Swatch Bharat Mission, Jal Jeevan Mission, and Pradhan Mantri Awas Yojana etc. 
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