Frameworks for Addressing Commercial Determinants of Health

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Two frameworks are introduced to address the Commercial Determinants of Health, emphasizing the need to prioritize public interest over profits. The frameworks focus on actions such as funding prevention, regulating products and environments, and developing strategies to rebalance key drivers affecting health outcomes. Acknowledgements for contributors and resources are highlighted, providing valuable insights and guidance for tackling health inequalities caused by commercial influences.


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  1. Commercial Determinants of Health: possibilities for action Introduce two frameworks to help consider actions to address the Commercial Determinants of Health Acknowledgements: Acknowledgements for this slide-set specifically: Anna Gilmore, Sharon Friel, forthcoming work from University of Bath, Aalaa Jawad & Emily Reed, ASH, OHA, AHA. These materials were developed as a set by: Anna Brook with Katherine K rner, May van Schalkwyk & Mark Petticrew With contributions from our action research partners including: Amy Barnes, Samuel Bostock, Emma Gibson, Susan Hampshaw, Tim Howells, Greg Stenson, Caroline Temperton, Maddy Ardern, Megan Doran, Stefanie Gissing, Matt Greensmith, Jo James, Edward O Malley, Katie Powell, Emily Reed and Vicky Smyth. We acknowledge and appreciate the evidence developed by the many dedicated researchers whose work is cited and used throughout, the experience, tools, frameworks and case studies shared by practitioners and advocates, and the helpful feedback from our action research participants which also helped to shape these materials. This document is part of CDoH Essentials (2024) Brook et al

  2. Prioritising public interest over profits We need to re-balance the system so that Political Governments regulate Financial Scientific Improved health & reduced inequalities In Reputation management Commercial entities operate public interest Labour & employment Marketing Underlying drivers are rebalanced Supply chain & waste Determinants of health are rebalanced Simplified version of image from Gilmore et al 2023 see appendix for rebalanced version: https://www.thelancet.com/journals/lancet/article/PIIS0140- 6736(23)00013-2/fulltext with additional concepts from Friel et al 2023: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00011-9/fulltext This document is part of CDoH Essentials (2024) Brook et al

  3. Framework for action 1. Fund prevention 2. Strategy 3. Protect health policy 4. Advertising 5. Regulate products & environments 6. Communication 7. Price 8. Treatment Framework adapted from Jawad & Reed, ASH, OHA, AHA: https://ash.org.uk/resources/view/holding-us-back-tobacco-alcohol-and-unhealthy-food-and-drink This document is part of CDoH Essentials (2024) Brook et al

  4. Possibilities for strategy development Political Financial Scientific Reputation management Labour & employment Marketing Supply chain & waste Simplified version of image from Gilmore et al 2023: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00013-2/fulltext with additional concepts from Friel et al 2023: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00011-9/fulltext And linked to and informed by further work on solutions by University of Bath (forthcoming) This document is part of CDoH Essentials (2024) Brook et al

  5. Commercial Determinants of Health: possibilities for action With many thanks to Anna Gilmore Sharon Friel University of Bath (forthcoming work on solutions Aalaa Jawad & Emily Reed, ASH, OHA, AHA. These materials were developed as a set by: Anna Brook with Katherine K rner, May van Schalkwyk & Mark Petticrew With contributions from our action research partners including: Amy Barnes, Samuel Bostock, Emma Gibson, Susan Hampshaw, Tim Howells, Greg Stenson, Caroline Temperton, Maddy Ardern, Megan Doran, Stefanie Gissing, Matt Greensmith, Jo James, Edward O Malley, Katie Powell, Emily Reed and Vicky Smyth. We acknowledge and appreciate the evidence developed by the many dedicated researchers whose work is cited and used throughout, the experience, tools, frameworks and case studies shared by practitioners and advocates, and the helpful feedback from our action research participants which also helped to shape these materials. This document is part of CDoH Essentials (2024) Brook et al

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