|Title||How are equity and equality aspects applied and communicated in Nordic health policy documents?|
|Keywords||Equity, equality, health policy documents, Nordic countries|
To explore how the terms equity and equality were named and applied in various texts and health documents, and the political measures applied and communicated for addressing and reducing inequity/social inequalities in health in Denmark, Finland, Norway and Sweden.
Nordic documents concerning public health, with special focus on steering documents and action programmes were collected and analysed by Nordic authors. Data included 1) translations of the terms ‘equity’ and ‘equality’ in approved dictionaries; 2) translations of the Ottawa Charter, if available; 3) material from websites of ministries and authorities responsible for public health issues in the four countries, with primary focus on steering documents and action programmes from 2001-2011. The documents were analysed by document analysis and focused on
• How the terms ‘equity’ and ‘equality’ were expressed and understood in the selected documents
• How the political measures for addressing and reducing inequity/social inequalities in health were communicated, with special focus on the social gradient and vulnerable groups
• The policies applied for addressing inequity aspects, with special focus on upstream and downstream measures
The terms ‘equity’ and ‘equality’ were translated in a precise and accurate way in the dictionaries of all four countries, while ‘equity’ was translated incorrectly in the three versions of the Ottawa Charter identified. The public documents focused on inequalities in health but the strategies for addressing them varied among the countries. Some emphasised autonomy and individual choice; some focused more on vulnerable groups than on the social gradient; and some emphasised downstream more than upstream measures.
All Nordic countries have been labelled ‘social democratic’ welfare states. Still, this study shows that even though both equity and equality aspects were applied and communicated in public health documents, it was quite different to which extent these aspects were concretely prioritised.
|Last name||First name||Organization||Country|
|Povlsen||Lene||Nordic School of Public Health NHV||SE||lene.povlsen [ätt] nhv.se|
|Eklund||Leena||University West||SE||leena.eklund [ätt] hv.se|
|Regber||Susann||Nordic School of Public Health NHV||SE||susann.regber [ätt] nhv.se|
|Sandstig||Gabriella||University of Gothenburg||SE||Gabriella.Sandstig( [ätt] )jmg.gu.se|
|Fosse||Elisabeth||Bergen University||NO||elisabeth.fosse [ätt] psyhp.uib.no|