Health equity in the context of "Structural inequalities"

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👉 Health equity in the context of Structural inequalities

Structural inequality occurs when the fabric of organizations, institutions, governments or social networks contains an embedded cultural, linguistic, economic, religious/belief, physical or identity based bias which provides advantages for some members and marginalizes or produces disadvantages for other members. This can involve, personal agency, freedom of expression, property rights, freedom of association, religious freedom, social status, or unequal access to health care, housing, education, physical, cultural, social, religious or political belief, financial resources or other social opportunities. Structural inequality is believed to be an embedded part of all known cultural groups. The global history of slavery, serfdom, indentured servitude and other forms of coerced cultural or government mandated labour or economic exploitation that marginalizes individuals and the subsequent suppression of human rights (see UDHR) are key factors defining structural inequality.

Structural inequality can be encouraged and maintained in society through structured institutions such as state governments, and other cultural institutions like government run school systems with the goal of maintaining the existing governance/tax structure regardless of wealth, employment opportunities, and social standing of different identity groups by keeping minority students from high academic achievement in high school and college as well as in the workforce of the country. In the attempt to equalize allocation of state funding, policymakers evaluate the elements of disparity to determine an equalization of funding throughout school districts.

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Health equity in the context of Primary health care

Primary health care (PHC) is a whole-of-society approach to effectively organise and strengthen national health systems to bring services for health and wellbeing closer to communities.

Primary health care enables health systems to support a person’s health needs – from health promotion to disease prevention, treatment, rehabilitation, palliative care and more. It is essential health care that is based on scientifically sound and socially acceptable methods and technology. This makes universal health care accessible to all individuals and families in a community. PHC initiatives allow for the full participation of community members in implementation and decision making. Services are provided at a cost that the community and the country can afford at every stage of their development in the spirit of self-reliance and self-determination. In other words, PHC is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy. PHC includes all areas that play a role in health, such as access to health services, environment and lifestyle. Thus, primary healthcare and public health measures, taken together, may be considered as the cornerstones of universal health systems. The World Health Organization, or WHO, elaborates on the goals of PHC as defined by three major categories, "empowering people and communities, multisectoral policy and action; and primary care and essential public health functions as the core of integrated health services." Based on these definitions, PHC cannot only help an individual after being diagnosed with a disease or disorder, but can actively contribute to preventing such issues by understanding the individual as a whole.

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Health equity in the context of National Civic League

The National Civic League is an American nonpartisan, non-profit organization founded in 1894 as the "National Municipal League”; it adopted its new name in 1986. Its mission is to advance civic engagement to create equitable, thriving communities. To upgrade quality and efficiency of government in cities it enlists the business and professional classes, and promotes greater involvement in government. It also sought to create merit-based systems for selecting public officials. The League envisions a country where the full diversity of community members are actively and meaningfully engaged in local governance, including both decision making and implementation of activities to advance the common good. It also promotes professional management of local government through publication of "model charters" for both city and county governments.

The National Civic League applies civic engagement principles through key programs: community assistance, research and publications, and awards and events. Key issue areas include, but are not limited to: racial equity, environmental sustainability, health equity, youth leadership, education, and housing.

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