Liwanag Harvy Joy, Howard Natasha
Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
Int J Health Policy Manag. 2025;14:9150. doi: 10.34172/ijhpm.9150. Epub 2025 May 27.
The vision to create "Healthy Societies" is a reiteration of "Health for All" first made in the Declaration of Alma-Ata almost half a century ago. We contend that this long journey is due to "Socio-Political Inertia" that has prevented societies from transforming even in the presence of enabling policies. The analysis of policy documents by Nambiar et al could help set the stage for understanding how best to advance healthy societies, but the aspirations expressed in documents require active engagement and implementation to enable societal change. We first draw inspiration from the convergence of multiple streams in Kingdon's model in exploring how to chart the journey toward healthy societies. We then argue that the vision of healthy societies should be articulated in ways that speak to the different societies that will own it and build coalitions to turn this vision into reality.
创建“健康社会”的愿景重申了近半个世纪前在《阿拉木图宣言》中首次提出的“全民健康”理念。我们认为，这段漫长的历程是由于“社会政治惰性”所致，这种惰性使得社会即便在有扶持政策的情况下也无法实现转变。南比亚尔等人对政策文件的分析有助于为理解如何以最佳方式推动健康社会的发展奠定基础，但文件中表达的愿望需要积极参与和实施才能促成社会变革。我们首先从金登模型中多股力量的交汇中汲取灵感，探索如何规划迈向健康社会的征程。然后我们认为，应以能够与将拥有这一愿景的不同社会产生共鸣的方式来阐明健康社会的愿景，并建立联盟将这一愿景变为现实。
