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Intersectoral action for health equity: a rapid systematic review
Sume Ndumbe-Eyoh1, Hannah Moffatt
1National Collaborating Centre for Determinants of Health, P,O,Box 5000, Antigonish NS B2G 2 W5, Canada. seyoh@stfx.ca.
Intersectoral action shows limited effects on social determinants of health and health equity. More rigorous evaluations are needed to understand the true impact of this public health practice.
Area of Science:
- Public Health
- Health Equity Research
- Intersectoral Collaboration
Background:
- Improving health equity necessitates action on social determinants of health.
- Addressing social determinants of health requires collaboration beyond the health sector.
- Limited data exists on the impact of intersectoral action on health equity.
Purpose of the Study:
- To review the existing literature on the impact of intersectoral action on social determinants of health and health equity.
Main Methods:
- A comprehensive literature search was conducted across 6 databases from 2001-2011.
- Screening of titles, abstracts, and full-text articles was performed by two independent reviewers.
- Quality assessment and data synthesis were conducted for 17 included articles.
Main Results:
- Included studies showed mixed effects of intersectoral action on social determinants of health.
- Partnership interventions had limited and mixed impacts on health outcomes.
- Downstream interventions moderately improved service availability and use for marginalized communities.
Conclusions:
- Evidence on intersectoral action's impact on health equity is scarce.
- Current studies suggest moderate to no effect on social determinants of health.
- Rigorous evaluations are crucial to build a stronger evidence base for intersectoral action in public health.
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