Even in countries with highly developed health systems, there are profound differences in health between various groups within the population.
For example, in Canada, infant mortality has been declining overall but rates in Canada's poorest neighbourhoods are two-thirds higher than those of the richest neighbourhoods.
Life expectancy at birth is five to 10 years less for First Nations and Inuit peoples than for all Canadians.
Part of the reason for these striking health disparities is inequitable access to health care services. But what underlies these inequities is the compounding effects on health of inadequate housing, poverty, employment barriers, social exclusion and other social determinants.
Many countries have developed comprehensive policies and programs to tackle health inequity. Community-based providers across Canada and around the world are working hard to address health disparities on the ground.
The Wellesley Institute is an active participant in policy and community consultations with a view to shaping health policies that will reduce health inequities.
This page links to innovative policy, research and other resources on health equity from many jurisdictions and begins to set out the kinds of policy changes needed to address health disparities.
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There is widespread recognition that local community driven initiatives play a key role in alleviating health disparities. Determine, the second stage of the EU's Closing the Gap project, has created a detailed report highlighting some innovative bottom-up case studies from around that world that deal with health equity.

