Activities

1st International Conference on the Social Determinants of Health

2018 ended with an important event for medicusmundi and our partner organisations in Mozambique. The event’s theme was the Right to Health and the defence of a quality public health system that prioritises primary health care and has a focus on the social determinants of health.

Social Determinants of Health

On the 5, 6 and 7 December we held the 1st International Conference on the Social Determinants of Health in Maputo city, Mozambique.

Why did the conference focus on the Social Determinants of Health (SDH)?

It focused on the SDH because they are the conditions in which people live, age and work and have a critical impact on our health. Our health is determined by income level, housing, transport, working conditions (or lack of employment), education, gender inequality, the environment, social integration and participation – as well as access to health services and their quality – all of which cause unjust and avoidable inequalities around how we fall ill and die. In medicusmundi we speak of # LaPeorEpidemia, or the worst health epidemic, referring to inequality and poverty rather than any illness.

In fact, in every country in the world we can find health inequities caused by the SDH. Mozambique is no exception. Many of the country’s most important health problems are influenced by these determinants – an estimated 80% of which are, in fact, outside the health system. The unequal distribution of health problems is neither a ‘random’ nor a ‘natural’ phenomenon, nor is it simply the result of unhealthy personal behaviour. Quite the opposite – it is, above all, the result of a combination of the economic and social policies embedded in a specific region or country.

To date, health research in Mozambique has been almost exclusively biomedical. However, we understand the country is facing challenges that go beyond this narrow focus and believe we cannot improve individual and collective health without better understanding the determinants that affect it.

 

 

 

Papers:

 

Paper 1: Piera Flogiatt - Inequitable access to antenatal services in rural primary health care facilities in northern Mozambique. Download

Paper 2: Boaventura Cau - Urbanização e disparidades sociogeográficas de sobrevivência na infância em Moçambique.

Download

Paper 3: GREDS - Inequalities in the access to and quality of health care in Mozambique: evidence from the household budget survey.

Download

Paper 4: IESE - Dinâmicas da descentralização no sector da saúde em Moçambique: alcance e implicações

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Paper 5: Caroline Rose - Taxing the ill: How user fees are blocking universal health coverage

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Paper 6: Yolanda Manuel - Venda Informal de Medicamentos na Cidade de Maputo: Causas e Consequências para a Saúde Pública.

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Paper 7: Sonil Joanguete - Avaliação preliminar de um sistema de transporte de emergência comunitário na zona norte de Moçambique.

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Paper 8: Elisabeth Streat - Assessment of the adequacy, impact, cost and process of digital health system strengthening (upSCALE) in Mozambique.

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Paper 9: CIP - Agenda de Pesquisa da ALIANÇA

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Paper 10: Denis Bukenya - Civil Society and its role in monitoring the implementation of comprehensive health policies that guarantee the Right to Health.

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Paper 11: Vasco Coelho - A Sáude enquanto espaço de governação participativa em Moçambique.

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Paper 12: Melanie Alperstein - Community Health Workers acting on the social and environmental determinants of health.

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Paper 13: Ana Claudia - Juntos pelo Acesso aos Medicamentos - community involvement in monitoring access to medicines Tete, Mozambique.

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Paper 14: Linda Shuro - Tackling health inequalities by addressing social determinants of health: The role of civil society.

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Paper 15: Leslie London - Health system governance from below? Exploring progress towards Health for All through the implementation of health committees.

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Paper 16: Sandrin Martin - Testing a Community Dialogue approach to enhance community participation in Neglected Tropical Diseases prevention and control in Mozambique health system strengthening (upSCALE) in Mozambique.

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Paper 17: José Dias - Desafio da articulação entre os cidadãos e os Comités de Saúde como órgãos de representação da comunidade.

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Paper 18: Peter Appel - Introduction of mercury-free gold extraction for small-scale miners in the Cabo Delgado region in Mozambique.

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Paper 19: Mussa Manuel - Direitos ambientais e culturais em Moçambique: Mineração e pedreiras artesanais em Cabo Delgado - um estudo descritivo e transversal.

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Paper 20: Margrethe Smidth- Socio-economic, health and environment management status among artisan small-scale gold miners in Mubende and Namayingo in Uganda. Download

 

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