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This document forms part of the preparatory activities for the United Nations Conference on Environment and Development to be held in mid-1992, the specific aim being to provide sound based and guidance for the discussions at the Regional Preparatory Meeting for that Conference to be held by ECLAC in Mexico City in March 1991.
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.
The International Conference on Population and Development in Cairo in 1994 represented a remarkable watershed. Not only did it produce an unprecedented degree of agreement among the 179 countries and thousands of non-governmental organizations taking part, it also created a wide-ranging Programme of Action which for the first time offers real chances of progress, by putting population policies at the heart of the struggle for social development. This book recounts what actually happened in Cairo and how it was achieved. The early chapters look in some detail at the preparations for Cairo, in the context of over three decades of attempts to integrate population, development and environmental issues. Focusing on the key controversial questions, including abortion, contraception and adolescent sex, it examines the ways in which attempts were made to reconcile opposing positions. Setting the discussion in a much wider context, it argues that Cairo witnessed a 'quantum leap' in the way the population issue is seen, and the need to give them control over their own lives, - central to the discussion about population, resources and development. The Programme of Action which emerged from the conference, particularly the parts dealing with gender issues (included here in appendices), is the most forward-looking ever adopted. As a whole the Programme is probably one of the most important social documents of our time. This book captures both the drama and the detail of its creation. Stanley Johnson edited The Population Problem (1974) and is the author of World Population and the United Nations (1987) and World Population Turning the Tide (1994), as well as numerous other books, including eight novels. Originally published in 1995