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Acting on the social determinants of health: health promotion needs to get more political
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As we enter the final months of the first decade of the 21st century, the World Health Organization's Commission on Social Determinants of Health (CSDH, 2008
) prompts us to ask the question, ‘What is the political future of health promotion?’ On the one hand, we can take heart from the evidence of health promotion effectiveness (McQueen and Jones, 2007)—but on the other we witness the uneven progress towards the Millennium Development Goals (United Nations, 2008) and the fragmented implementation of the WHO Framework Convention on Tobacco Control (Jategaonkar, 2007). Faced with these conflicting results and the challenges ahead, it is important to consider what nurtures effective health promotion and what inhibits it.
Looking at the evidence of what works in health promotion, we often see passionate individuals and communities working hard to ensure that health is a priority and that wellbeing is strengthened at every opportunity.
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