FRAMEWORK






The below conceptual framework is an adaptation of multiple frameworks and is intended to offer a visual representation of all the factors that impact our community’s health. It highlights the relationships among variables that are based on scientific studies or substantial evidence. The Commission on the Social Determinants of Health, which was formed by the World Health Organization recommends utilizing the following three principles to increase health equity.
  • Improve the conditions of daily life—the circumstances in which people are born, grow, live, work, and age.
  • Tackle the inequitable distribution of power, money, and resources—the structural drivers of those conditions of daily life—globally, nationally, and locally.
  • Measure the problem, evaluate action, expand the knowledge base, develop a workforce that is trained in the social determinants of health, and raise public awareness about the social determinants of health.



Social Determinants of Health Conceptual Framework

Social Determinates of Health - Concept Framework Figure 1
Social Determinants of Health Conceptual Framework. Modified from Solar O & Irwin A., A conceptual framework for action on the social determinants of health. Discussion paper for the Commission on Social Determinants of Health. Geneva. World Health Organization, 2007.




Social Determinants of Health – Three Root Causes
This second model adapts elements of the RWJF Culture of Health Action Framework and the Prevention Institute’s Systems Framework to Achieve an Equitable Culture of Health. The figure applies the culture-of-health lens to the committee’s understanding of the underlying causes and conditions of health inequity in addition to the community-based solutions that promote health equity. This figure is circular reflecting the topic’s complexity, with inputs shown in the outer circle and background—depicting the context of structural inequities, socioeconomic and political drivers, and determinants of health in which health inequities and community-driven solutions exist.

Social Determinates of Health - Three Root Causes

Figure 2
A conceptual model for community-based solutions to promote health equity.

Notes: Multi-sector collaboration can include partners from agriculture, banking/finance, business/industry, economic development, education, health care, housing, human/social services, justice, labor, land use and management, media, public health, transportation, and workforce development, among other sectors.

Sources: Informed by the Robert Wood Johnson Foundation (RWJF) Culture of Health Action Framework and the Prevention Institute’s Systems Framework to Achieve an Equitable Culture of Health.

Citation: “Summary”. National Academies of Sciences, Engineering, and Medicine. 2017. Communities in Action: Pathways to Health Equity. Washington, DC: The National Academies Press. Doi: 10.17226/2462




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