Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”
Stretton Health Equity, Stretton Institute, University of Adelaide, Adelaide, SA, Australia
Abstract
Nambiar and colleagues in this journal identify the main conceptual frameworks offered by public health on how to build healthy societies, drawn from key documents published over a span of 50 years. In their analysis they point to strengths and limitations of these frameworks and offer suggestions for their improvement. In this commentary, I argue that both the frameworks on offer and Nambiar and colleagues’ critique are missing important perspectives on well-being itself, on the role of the democratic State, and on the “community arena” and the “policy arena” as two related but distinct arenas for political and social change toward healthy societies.
Buse K, Bestman A, Srivastava S, Marten R, Yangchen S, Nambiar D. What are healthy societies? A thematic analysis of relevant conceptual frameworks. Int J Health Policy Manag. 2023;12:7450. doi:34172/ijhpm.2023.7450
Nambiar D, Bestman A, Srivastava S, Marten R, Yangchen S, Buse K. How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks. Int J Health Policy Manag. 2023;12:7451. doi:34172/ijhpm.2023.7451
Fisher M. A theory of public wellbeing. BMC Publ Health. 2019;19(1):1283. doi: 1186/s12889-019-7626-z
Fisher M. Moving social policy from mental illness to public wellbeing. J Soc Policy. 2021;51(3):1-15. doi:1017/S0047279421000866
Fisher M. Multi-sectoral action to promote psychological wellbeing: Theorising the role of place-based policy. Health Promot J Austr. 2023; 34(3):644-50. doi:1002/hpja.754
Fisher M. How to Create Societies for Human Wellbeing: Through Public Policy and Social Change. Bristol, UK: Policy Press; 2024.
Fisher M, Baum F. The social determinants of mental health: Implications for research and health promotion. Aust NZ J Psychiatry. 2010;44:1057-1063. doi:3109/00048674.2010.509311
Fisher M, Baum F, MacDougall C, Newman L, McDermott D. To what extent do Australian health policy documents address social determinants of health and health equity? J Soc Policy. 2016;45(3):545-564. doi:1017/S0047279415000756
Wheeler C. The Public Interest: We Know It’s Important, But Do We Know What It Means. Canberra: Australian Institute of Administrative Law; 2006.
World Health Organization. Declaration of Alma-Ata. Alma-Ata. USSR: International Conference on Primary Health Care, World Health Organization; 1978.
World Health Organization. First International Conference on Health Promotion - Ottawa Charter for Health Promotion (editor); November 21, 1986; Ottowa, Canada.
Singh-Manoux A, Marmot M. Role of socialization in explaining social inequalities in health. Soc Sci Med. 2005;60:2129-33. doi:1016/j.socscimed.2004.08.070
Solar O, Irwin A. A Conceptual Framework for Action on the Social Determinants of Health. Geneva: World Health Organization; 2010.
Giles-Corti B, Vernez-Moudon A, Reis R, et al. City planning and population health: A global challenge. Lancet. 2016;388(10062):2912-24. doi:1016/ S0140-6736(16)30066-6
UCL Institute of Health Equity. What Are Marmot Places? London: University College London; 2024.
Articles in Press, Corrected Proof Available Online from 18 May 2025
Fisher, M. (2025). Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”. International Journal of Health Policy and Management, (), -.
MLA
Fisher, M. . "Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”", International Journal of Health Policy and Management, , , 2025, -.
HARVARD
Fisher, M. (2025). 'Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”', International Journal of Health Policy and Management, (), pp. -.
CHICAGO
M. Fisher, "Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”," International Journal of Health Policy and Management, (2025): -,
VANCOUVER
Fisher, M. Critical Reflections on Public Health, Policy and Social Change Toward Healthy Societies; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks”. International Journal of Health Policy and Management, 2025; (): -.