WHO European Office for Investment for Health and Development, Venice, Italy.
Eur J Public Health. 2020 Mar 1;30(Suppl_1):i24-i27. doi: 10.1093/eurpub/ckaa033.
2019 has been a milestone year for catalyzing changes to improve health equity in the WHO European Region through concomitant progress in the sustainable development goal (SDG) targets. The WHO European Health Equity Status Report Initiative (HESRi) has captured and analyzed the relationships between inequities in health and the conditions that are essential for all to be able to live healthy and prosperous lives. The five essential conditions map directly onto a number of SDG targets, with a much broader span than SDG3 on health. They are: (i) Universal access to good-quality, affordable health services; (ii) Basic income security and social protection; (iii) Safe and decent living conditions; (iv) Inclusive social and human capital building opportunities; and (v) Decent and non-discriminatory employment and working conditions. There is certainly room for improvement in the way ahead, particularly in the availability of fine-grained and disaggregated data, and in the quality of monitoring and analysis of policy options that this would allow. However, the work of the HESRi shows that by harnessing such data it is possible to show what actions policymakers can take in the present to ensure that no one is left behind. This equity framing allows to measure whether the progress on SDGs benefits all, including those who need them most.
2019 年是一个重要的里程碑,通过在可持续发展目标(SDG)指标方面取得同步进展,促进了改善世卫组织欧洲区域健康公平的变革。世卫组织欧洲健康公平状况报告倡议(HESRi)已经捕捉并分析了健康方面的不平等状况与所有人生存和繁荣所需的基本条件之间的关系。这五个基本条件直接映射到一些 SDG 目标上,涵盖的范围比卫生方面的 SDG3 要广泛得多。它们是:(i) 普及优质、负担得起的卫生服务;(ii) 基本收入保障和社会保护;(iii) 安全和体面的生活条件;(iv) 包容性的社会和人力资本建设机会;以及 (v) 体面和非歧视性的就业和工作条件。在前进的道路上,肯定还有改进的空间,特别是在提供更精细和分类的数据方面,以及在监测和分析政策选择方面的质量方面,这将允许这样做。然而,HESRi 的工作表明,通过利用这些数据,有可能展示政策制定者目前可以采取哪些行动来确保没有人掉队。这种公平框架使我们能够衡量 SDG 的进展是否使所有人受益,包括那些最需要的人。