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Published 17 October 2008, doi:10.1136/bmj.a2144
Cite this as: BMJ 2008;337:a2144
Holding the social and economic causes of health inequities to account
| The first 150 words of the full text of this article appear below. |
Global Health Watch 2, the second of the self claimed alternative world health reports, is published today.1 Like its 2005 predecessor, it is an approachable overview of why health inequities persist and what can be done to reduce them. The strength of this report is that it is a product of several civil society organisations and networks, and its inherent activism is strongly evidence based and carefully reasoned.
The report is divided into major sections on health systems, determinants of health, and accountability, and it includes essays on alternative development and on the politics of resistance to unhealthy policies, politics, and economics. A key argument is that our present approach to development divides the worlds three most important imperatives—to reduce poverty, improve health, and sustain the environment—into unattainable incoherence. For example, poverty reduction in low income countries, which is assumed to improve health, is driven by growth that is
Ronald Labonté, Canada research chair, globalisation/health equity
1 Institute of Population Health and Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada K1N 6N5
rlabonte@uottawa.ca