Health Action Zones (HAZ) were one of the earliest and most prominent area-based initiatives launched by the New Labour government in England soon after it came to power in 1997. Written by members of the team undertaking the national evaluation of HAZ, this book examines the initiative’s development and impact from a variety of perspectives. It outlines important features of the social, policy and evaluative environment within which HAZ were established and discusses enduring themes such as building and developing capacity with diverse and unequal partners within complex policy systems. Multidisciplinary in nature, the book provides in-depth analysis of a key policy initiative, offering guidance on how best to design, implement and evaluate future initiatives intended to deal with fundamental social problems.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Provides wide-ranging anaylses and reviews of the UK's experiences of health inequalities research and policy to date, and reflects on the lessons that have been learnt from these experiences, both within the UK and internationally.

Improving health in populations in which health is poor is a complex process. This book argues that the traditional government approach of exhorting individuals to live healthier lifestyles is not enough - action to promote public health needs to take place not just through public agencies, but also by engaging community assets and resources in their broadest sense. The book reports lessons from the experience of planning, establishing and delivering such action by the five-year Sustainable Health Action Research Programme (SHARP) in Wales. It critically examines the experience of SHARP in relation to current literature on policy; community health and health inequalities; and action research. The authors make clear how this regional development has produced opportunities for developing general concepts and theory about community-based policy developments that are relevant across national boundaries and show that complex and sustained community action, and effective local partnership, are fundamental components of the mix of factors required to address health inequalities successfully. The book concludes by indicating the connections between SHARP and earlier traditions of community-based action, and by arguing that we need to be bolder in our approaches to community-based health improvement and more flexible in our understanding of the ways in which knowledge and inform developments in health policy. The book will be of interest to practitioners and activists working in community-based projects; students in community development, health studies and medical sociology; professionals working in health promotion, community nursing and allied areas; and policy makers working at local, regional and national levels.

Since they were established HAZs have been at the forefront of attempts to modernise health services and to reduce health inequalities. As a result there is much to learn from the efforts they have made. But the path that HAZs have taken, and the learning that they have generated, is not a straightforward one.

Contributors come from fourteen different countries and are well-respected researchers in the field Reducing Inequalities in Health: A European Perspective is the first book to analyse the success or otherwise of different health interventions and policies, rather than the socio-economic determinants of health inequalities The book covers key conceptual issues, national experiences, examples of good and bad practice and policy implications