Abstract
The messages of the SDH Commission report are not necessarily novel but they have an additional significance in the current climate of health, which witnesses the failure of the Alma Ata declaration of achieving ‘Health for All’ with increasing evidence on persistent inequities in different parts of the world. The significance of the report also lies in the fact that it provides an apt forum for a dialogue among disciplines (roughly between social science disciplines including humanities and conventional health sciences) and different stakeholders including academics, practitioners and civil society advocacy groups. It signals the ‘coming together’ of a diverse set of actors/perspectives/methodologies that are, more importantly, liberating the study of health from a narrow lens of biomedicine in the common pursuit of striving towards health equity. The spirit of dialogue is hence critical as several concerns relating to conceptualization (the unpacking of the ‘social’) and operationalization (identifying actions on the social determinants and developing indicators for monitoring inequalities) emanate from such a conversational space among the different actors and disciplines involved. In the spirit of such a conversation, this chapter talks about what the ‘social’ in social determinants of health entails and its implications in terms of research and actions. It argues that social determinants of health needs to be seen as a methodological lens than rediscovering a new set of factors or causes leading to inequity.
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Notes
- 1.
The social composition of the nine knowledge networks makes it a truly multidisciplinary exercise drawing on disciplines as well as professional backgrounds (academics, researchers, activists and practitioners). The very identification of the knowledge networks including early childhood, gender equity, health systems, social exclusion, urban settings, and employment conditions, demonstrate the inclusive understanding of health.
- 2.
IDRC, Canada has begun a Closing the Gap initiative based in the Sree Chitra Tirunal Institute of Medical Science and Technology (SCTIMST), Thiruvanthapuram in order to strengthen the capacity for undertaking health equity research in India. See for details https://www.idrc.ca/en/project/closing-gaps-health-equity-research-initiative-india.
- 3.
The film ‘Enough of this silence’ (2005), based on research in Koppal district, projects such actions.
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Mishra, A. (2017). Putting the ‘Social’ Back in: Social Determinants of Health as a Methodological Lens. In: Nambiar, D., Muralidharan, A. (eds) The Social Determinants of Health in India. Springer, Singapore. https://doi.org/10.1007/978-981-10-5999-5_2
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