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Bringing evidence to policy to achieve health-related MDGs for all: justification and design of the EPI-4 project in China, India, Indonesia, and Vietnam

Artikel i vetenskaplig tidskrift
Författare S. Thomsen
N. Ng
X. Biao
Göran Bondjers
H. Kusnanto
N. T. Liem
D. Mavalankar
M. Maqvist
V. Diwan
Publicerad i Global Health Action
Volym 6
Sidor 1-10, Article Number: 19650
ISSN 1654-9880
Publiceringsår 2013
Publicerad vid Institutionen för medicin
Sidor 1-10, Article Number: 19650
Språk en
Länkar dx.doi.org/10.3402/gha.v6i0.19650
Ämnesord equity, Millennium Development Goals, social determinants of health, evidence to policy, network, equity
Ämneskategorier Miljömedicin och yrkesmedicin

Sammanfattning

have shown substantial improvements in many countries. These statistics may be misleading, however, and may divert resources from disadvantaged populations within the same countries that are showing progress. The purpose of this article is to set out the relevance and design of the ‘‘Evidence for Policy and Implementation project (EPI-4)’’. EPI-4 aims to contribute to the reduction of inequities in the achievement of health-related MDGs in China, India, Indonesia and Vietnam through the promotion of researchinformed policymaking. Methods: Using a framework provided by the Commission on the Social Determinants of Health (CSDH), we compare national-level MDG targets and results, as well as their social and structural determinants, in China, India, Indonesia and Vietnam. Results: To understand country-level MDG achievements it is useful to analyze their social and structural determinants. This analysis is not sufficient, however, to understand within-country inequities. Specialized analyses are required for this purpose, as is discussion and debate of the results with policymakers, which is the aim of the EPI-4 project. Conclusion: Reducing health inequities requires sophisticated analyses to identify disadvantaged populations within and between countries, and to determine evidence-based solutions that will make a difference. The EPI-4 project hopes to contribute to this goal.

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