In this sense, policymakers seemed to refer to what was within their mandate, so even if they understood structural determinants were important in addressing health inequalities, the activities they described were focused within their own jurisdiction.
Empowerment, that is the redistribution of unequal power, is central in addressing health determinants, and consequently health outcomes [ 37].
Beyond India, there is also limited research on the experiences of CHW programmes in addressing social determinants of health in developing countries (Lehmann and Sanders 2007).
This study thus sought to describe the role of the Mitanins in addressing social determinants of health in Chhattisgarh State of India.
Efforts comprised of OWs linking patients to support services such as housing, recognising the need to offer support in addressing broader determinants of health and other priorities in their clients' lives.
However, 'interventions will never be simple to do when vested interests stand to lose profits from them' (36), a point recently reaffirmed by the Lancet Commission on Investing in Health that acknowledged the difficulties in addressing societal determinants of health where 'complex and entrenched political obstacles exist', and where effects 'will not be realised for a long period' (54).
Most of those who participated worked as research managers or staff at non-profit agencies in Toronto that were broadly engaged in addressing the social determinants of health.
This study seeks to identify possible explanations for the challenges WHO faces in addressing the broader determinants of health, and the potential opportunities for working across sectors.
This qualitative mixed methods study aims to identify and explain challenges WHO faces in addressing the broader determinants of health, and the potential opportunities for enhancing cross-sectoral collaboration.
Its objectives were to map the scope of the Mitanins' work in Chhattisgarh; describe the processes by which they address social determinants of health, specifically focusing on poor nutrition and violence against women and explore the challenges faced and the facilitating factors in their action in addressing these social determinants of health.
