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Addressing global health challenges: a comprehensive framework for determinants of health.

Abstract World Health Organization’s (WHO) Healthy Cities Programme (HCP), initiated in 1984, addresses the global health challenges arising from urbanization and globalization within its six regions. In 2021, the Government… Click to show full abstract

Abstract World Health Organization’s (WHO) Healthy Cities Programme (HCP), initiated in 1984, addresses the global health challenges arising from urbanization and globalization within its six regions. In 2021, the Government of India (GOI) recommended to develop 500 Health Cities by 2030, aligning with WHO’s HCP. The programme emphasizes addressing social, political, environmental and economic health determinants for policy interventions, guided by existing models of determinants of health (MoDH). However, these models exhibit gaps in capturing determinants in an evolving globalized world. This research conducts content analysis of the proceedings of ten WHO-led Global (GCHP) and international conferences on health promotion (ICHP) to identify the existing and emerging determinants. The integrative literature review of MoDH revealed limitations in addressing emerging legal, technological, and commercial determinants, and spatial scales, thereby informing the development of an updated framework for determinants of health for effective decision-making amidst dynamic global health landscapes.

Keywords: health challenges; determinants health; global health; framework determinants; health

Journal Title: International journal of injury control and safety promotion
Year Published: 2025

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