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.

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.

This important book makes a significant contribution to the emergent body of public health knowledge by examining debates around the social context of health, including key socio-economic, environmental and cultural factors