Table 4 Measurement themes identified in the Rio Political Declaration on the Social Determinants of Health (SDH) regarding policy sector entry points or special population groups

 Build social protection floors

The extent to which governments provide essential health and economic security to populations in need

 Early childhood development and education

The extent to which governments support healthy development and equitable education for children

 Supporting healthy work or workers

The extent to which governments support healthy workplaces, or occupational health and safety

 Healthy public policy or health in all policies

The extent to which governments consider impacts of policies (both within and outside the healthcare sector) on population health and the healthcare system

 Knowledge transfer (health impact assessment)

The extent to which governments disseminate and otherwise make available results of health impact assessment to all stakeholders

 Role of stakeholders considered

The extent to which governments take into account and consult with all stakeholders, including those in the public and private sectors, as well as those in the community

 Inclusive policy or vulnerable populations targeted

The extent to which governments produce policy that is tailored for vulnerable populations and populations in need

 Intersectoral collaboration

The extent to which divisions in the government work together to produce multi-sectoral policies and programs

 Structural determinants of health

The extent to which governments support the equitable improvement of structural determinants of health

 Public participation

Government that encourages and facilitates public participation in policy development and decision-making

 Inclusive government

Government that encourages and facilitates participation of all stakeholders in policy development and decision-making

 Accountability

Government that acknowledges and responds to public questions and concerns about policy development and decision-making

 Transparency

Government that is clear and open with the public about policy development and decision-making process and outcomes

 Open information

Government that is transparent and forthcoming with information about policy development and decision-making process and outcomes

 Indigenous peoples

Government that encourages and facilitates meaningful participation of indigenous peoples in policy development and decision-making

 Social protection

The extent to which the healthcare sector (and global governance sector) provides essential services to populations in need

 Access to medicine and healthcare

The extent to which healthcare services and medicines are equitably accessible across populations

 Equity in health systems, policies, and programs (or equity measures integrated in policy processes)

The extent to which systems, policies, and programs confer equitable health benefits across all populations

 Health equity impact assessment (or equity impacts of policies)

The extent to which equity in health benefits are measured and reported for systems, policies, and programs in the healthcare sector

 Implement international policy or declaration (with caveat that more than signing of declaration needs to be captured)

Tangible evidence that international policies and declarations are implemented in countries that are signatories.

 Data availability, and routine disaggregation of health data

Availability of high-quality, routinely collected and disaggregated data regarding population health for monitoring progress

 Promotion and investments in research

Financial interest and support for research that measures and monitors SDH

 Evaluation of program impacts and attention to health equity outcomes

Research and evaluation of health and equity impacts of programs and policies