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Politics as an Explanation to the Health Divide in Different Settings: A Comparative Study of England and Ghana

Lookup NU author(s): Dr Michele Castelli

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This is the authors' accepted manuscript of an article that has been published in its final definitive form by Sage Publications Ltd, 2019.

For re-use rights please refer to the publisher's terms and conditions.


Abstract

Informed by the theoretical perspective of the political economy of health and in the context of the recommendations of World Health Organization’s Commission on Social Determinants of Health, this article examines the political explanations of geographical health inequities in 2 extremely different settings: Ghana and England. Based on the “north-south health divide” in the 2 countries, the article finds that, while the drivers of health inequities in both countries are policy driven, historically situated contextual factors (colonialism in the case of Ghana and deindustrialization in the case of England) offer explanations for health inequities in both countries. We conclude by discussing the importance of paying attention to structural factors such as colonialism for understanding contemporary health inequities in formerly colonized countries such as Ghana.


Publication metadata

Author(s): Alhassan JAK, Castelli M

Publication type: Article

Publication status: Published

Journal: International Journal of Health Services

Year: 2019

Volume: 50

Issue: 1

Pages: 110-122

Print publication date: 01/01/2020

Online publication date: 18/09/2019

Acceptance date: 02/08/2019

Date deposited: 10/10/2019

ISSN (print): 0020-7314

ISSN (electronic): 1541-4469

Publisher: Sage Publications Ltd

URL: https://doi.org/10.1177/0020731419876786

DOI: 10.1177/0020731419876786


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