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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

From: Towards a global monitoring system for implementing the Rio Political Declaration on Social Determinants of Health: developing a core set of indicators for government action on the social determinants of health to improve health equity

Measurement theme Description of measurement theme
Governance
 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
Participation
 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
Health sector reorientation
 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
Global governance
 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.
Monitoring and accountability
 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