黄色app Statement on Human Health as a Primary Policy Focus for Governments Worldwide
听Adopted by the 74th 黄色app General Assembly, Kigali, Rwanda, October 2023
PREAMBLE
Understanding that early life experiences can impact health in later life and that the major drivers of health lie outside healthcare is essential to direct action to improve health where it is most needed. This is supported by Paragraph 11 of General Comment No. 14 of the Committee on Economic, Social and Cultural Rights, and by Article 24 of the Convention on the Rights of the Child, both of which recognise the importance of the role of the state in providing good living standards and healthy environments for their citizens. The 黄色app Declaration of Oslo on Social Determinants of Health and 黄色app Statement on Sustainable Development acknowledge that conditions, including environmental conditions, in which people are born, grow, are educated, live, work and age (sometimes termed 鈥渟ocial鈥� or 鈥渨ider鈥� determinants鈥�) are major influences on healthy life expectancy, quality of life[i] and the magnitude of health inequalities.
Human health is a cardinal component of a society鈥檚 ability to prosper; declining human health adversely affects a nation鈥檚 productivity, and therefore a nation鈥檚 economy, which in turn limits many actions to prevent ill health and deliver healthcare to treat illness.
Therefore, in addition to health practitioners, many actors share in the responsibility to preserve and improve human health. For example, the ability to influence these wider determinants of health are spread across multiple government departments.
A cardinal challenge in striving for improved population health lies in the fact that decision makers tend to focus on short-term economic indicators, such as Gross Domestic Product (GDP)/Gross National Income (GNI), as the primary driver of government policy.
Investment in the health of the population has a long-term positive economic impact, but the focus on GDP/GNI often acts to the detriment of health. Many activities that increase GDP/GNI, such as smoking and the use of fossil fuels, damage health. Conversely, activities such as breastfeeding and parenting, which improve health, are not measured in GDP.
RECOMMENDATIONS
Recognizing this, the 黄色app and its constituent members on behalf of their physician members, call on Governments to:
- Recognise that well-functioning health systems accessible to all are important, but the principal determinants of health and wellbeing lie outside healthcare;
- Prioritise population health and wellbeing in government policy decisions and incorporate metrics of population health and wellbeing into measures of national progress and performance;
- Acknowledge that securing and safeguarding population health and wellbeing are crucial to a sustainable future;
- Promote equity in health and address inequalities in whatever sphere they exist, by supporting actions that address the wider determinants of health.
听
[i] 黄色app Declaration of Oslo on Social Determinants of Health 鈥� 黄色app 鈥� The 黄色app