Friday, October 14, 2011

[EQ] New Norwegian Public Health Act ? institutionalizing action on Social Determinants of Health in Norway

New Norwegian Public Health Act – institutionalizing action on Social Determinants of Health in Norway 

Available online at

A newly launched Public Health Act in Norway places reducing health inequalities through action on social determinants of health at the heart of Public Health nationally, regionally and locally.

Norwegian Public Health Act

The new Public Health Act will be introduced in Norway from 1 January 2012. The purpose of this Act is to contribute to societal development that promotes public health and reduces social inequalities in health. Public health work shall promote the population's health, well-being and good social and environmental conditions, and contribute to the prevention of mental and somatic illnesses, disorders or injuries. 

The Act establishes a new foundation for strengthening systematic public health work in the development of policies and planning for societal development based on regional and local challenges and needs. 

The Act provides a broad basis for the coordination of public health work horizontally across various sectors and actors and vertically between authorities at local, regional and national level. Only by integrating health and its social determinants as an aspect of all social and welfare development through intersectoral action, can good and equitable public health be achieved.


Multiple stakeholders

The municipalities, county authorities and central government authorities are all important actors in the efforts to promote public health and reduce social inequalities in health. This Act shall ensure that municipalities, county authorities and central government health authorities implement measures and coordinate their activities in the area of public health work. 

Promotion of participation and collaboration with stakeholders such as voluntary sector is an important aspect of good public health work. Central government health authorities have a duty to support the public health work of the municipalities among others by making available information and data to monitor public health and health determinants at local level. The Act aims to facilitate long-term, systematic public health work.


Principles of public health

The Act is based on five fundamental principles that shall underpin policies and action to improve population health. The principles are:


Health equity: Health inequities arise from the societal conditions in which people are born, grow, live, work and age – the social determinants of health. Social inequities in health form a pattern of a gradient throughout society. Levelling up the gradient by action on the social determinants of health is a core public health objective. A fair distribution of societal resources is good public health policy.

Health in all policies: Equitable health systems are important to public health, but health inequities arise from societal factors beyond health care. Impact on health must be considered when policies and action are developed and implemented in all sectors. Joined up governance and intersectoral action is key to reduce health inequities.

Sustainable development: Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. Public health work needs to be based on a long term perspective.

Precautionary principle: If an action or policy has a suspected risk of causing harm to the public or to the environment, the absence of scientific consensus that the action or policy is harmful, cannot justify postponed action to prevent such harm.

Participation: Public health work is about transparent, inclusive processes with participation by multiple stakeholders. Promotion of participation of civil society is key to good public health policy development.

Introduction available in English at:

The Act in English available at: 


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