Date & time
Due to the fact that complexities of the social, political, economic and environmental factors that influence health and inequities in health and that most of these determinants lie outside of the exclusive jurisdiction of the health sector, “health equity” inherently need “Intersectoralism”. Despite number of worldwide initiatives for such actions, many of them fall to the usual challenges of “silos”.
While various studies have dealt with the issue from political perspective and urged more political attention, this study defines this as a governance challenge and investigates the endogenous processes that hamper the operationalization of health equity, through the lens of sociological neo-institutionalism.
It might be that health equity as an issue is trapped in the rationalized myth of intersectoralism, and decoupling is the most adequate response from the actors. The most common sensual expression that “cooperation and collaboration is virtue” may entail organizational costs of making sense of it.
But the central government policy makers may not be the ones actually paying for the price of decoupling. In the rigid hierarchical system of central-local governance system, local actors are leveraging what they can build on (social capital) to make up for the decoupled budget for their inherently integrated nature of work regarding health equity of the population.
Through understanding the data gathered from the question, “How can Health Equity be operationalized at multi-level governance, across multiple sectors?” I would like to propose smarter way of governing intersectoralism for the goal of health equity.
About the speaker
Sora Lee was previously at Korean Development Institute School of Public Policy and an affiliated scholar at Korean Women’s Institute at Ewha Womans University. Her thesis topic is “Smart governance for inter-sectoral action for health of the elderly