Actions to address CDoH at the local authority level
Actions to address CDoH at the local authority level

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Gender equity-focused employment policies and legislation

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+/- (Mixed effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of identified policies: Paid maternity leave; paid parental/family leave; dual earner policies.

What we know: Paid maternal and parental leave policies had mixed effects on maternal health, reflecting intersectional population characteristics, extent of existing gender inequalities and design of policy (e.g., length of leave) (Naik et al., 2019; Clark et al., 2022). A ‘dual-earner policy model' - commonly associated with the Nordic welfare model - however, was more suggestive of positive maternal outcomes and perceived as a potential action for tackling issues of gender inequity in employment (Naik et al., 2019).

Welfare to work programmes

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+/- (Mixed effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of identified actions in programmes: providing financial incentives, training and/or childcare subsidies.

What we know: There is limited evidence that welfare to work programmes impact health, with mixed effects found for government level implementation of welfare to work programmes involving financial incentives, training and childcare subsidies at the government level (Naik et al., 2019).

Financial incentives to employers to employ disabled or chronically ill people (e.g., wage subsidies)

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+/- (Mixed effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mixed effects have been recorded for offering employers financial incentives (e.g., wage subsidies) to employ disabled or chronically ill people, with a need to strike a balance between providing additional employment opportunities without creating a segregated form of employment (Clayton et al., 2012).

Active labour market programmes

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
+/-0* (Suggestive but inconclusive)
References:
Scopes:
Global, Europe, UK

Details:

Definition: Active labour market programmes typically are government-based interventions the help unemployed persons find work.

What we know: Limited but suggestive evidence pointed to active labour market programmes as a potential approach for mitigating the impact of unemployment on suicide (Naik et al., 2019).

Incentives to the employment of older workers

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Financial
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Other (Italy)

Details:

What we know: A review from Barbabella et al., (2022) reported on locally-implemented policy approaches in Italy aiming to improve the employment of older workers. While data on efficacy was not reported, these initiatives included financially incentivising employment of older workers, involving older people in social farming projects, investing in intergenerational training programmes, enabling community service hours (particularly in green, culture and care sectors) to help older workers reach minimum pension requirements.

Examples of implementation: A programme in the Autonomous Province of Trento (Italy) helps older workers (53+ for men and 49+ for women), who have been dismissed or unemployed, to reach minimum pension requirements through participation in community service activities. These activities are commonly located within green, culture and care sectors (Barbabella et al., 2022).

Inclusive employment policies targeting working carers  

Area of Interest:
Labour and Working Conditions
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Labour and employment practices
Mechanism:
Physical environment
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Other (Italy)

Details:

What we know: A review from Barbabella et al., (2022) reported on locally-implemented policy approaches in Italy aiming to improve the employment of those with caring responsibilities While data on efficacy was not reported, these initiatives included policies to promote flexible working hours for carers and recognising care competences developed by treating them as credits toward professional qualifications such as nurse assistants.

Examples of implementation: A programme in the Autonomous Province of Bolzano promotes certification for employers that can be audited against their company policy for work-life conciliation.

Technological solutions to reduce emissions in agricultural sector and livestock production 

Area of Interest:
Fossil Fuels
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Supply chain and waste practices
Mechanism:
Physical environment
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mitigations strategies within the agricultural sector that involve a combination of technological improvements and reduced livestock production (by 30%) are estimated to lead to a 50% reduction in greenhouse gas emissions by 2030 if adopted in the UK and São Paulo (Brazil). Co-benefits for health were also noted with estimated reductions of nutrition-related disease by 15% in the UK and 16% in São Paulo (see Friel et al., 2009 in Gao et al., 2018).

Countermessaging approaches against climate change denial

Area of Interest:
Fossil Fuels
Lancet Model:
Level:  Level 4: Environments
Drivers:  Norms
Practices:  Scientific practices, Reputational management practices, Marketing practices
Mechanism:
Socio-cultural
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mendy et al., (2024) suggests there are two forms of mis/disinformation around climate change - i) promoting denialism around the existence of climate change, its anthropogenic (human) causes and impacts on planetary health, and ii) promoting denialism around the necessity to act and respond to climate change. To counter the first form, value-based message framing is key, with utilisation of empathic messaging, free-market / economic-based frames and localised impacts known to increase beliefs and acceptance of climate change (Mendy et al., 2024). In contrast, informative and persuasive-based message frames were less effective for changing beliefs around climate change (Mendy et al., 2024). Other effective strategies for improving beliefs in climate change and climate science include messaging approaches that emphasise participants trust in other fields of science (i.e., cognitive consistency), encouraging participants to focus on the flawed logic in climate misinformation and presenting visualisation of hazards (Mendy et al., 2024).

Countermessaging approaches against denials around the necessity of responding to climate change

Area of Interest:
Fossil Fuels
Lancet Model:
Level:  Level 4: Environments
Drivers:  Norms
Practices:  Scientific practices, Reputational management practices, Marketing practices
Mechanism:
Socio-cultural
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mendy et al., (2024) suggests there are two forms of mis/disinformation around climate change - i) promoting denialism around the existence of climate change, its anthropogenic (human) causes and impacts on planetary health, and ii) promoting denialism around the necessity to act and respond to climate change. To counter the second form, strategic countermessaging that targets the sources and transmitters of the climate mis/disinformation is essential. Mendy et al., (2024) report that the use of trusted elite cues can drive support for climate mitigation policy and action, referencing studies that have found supportive climate messaging by conservative politicians and military persons can increase support for policy action by conservatives students.

Enforcing enhanced vehicle inspection and maintenance (I/M) programs targeting diesel-fuelled vehicles and motorcycles 

Area of Interest:
Fossil Fuels
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Marketing practices
Mechanism:
Physical environment
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Greenhouse gas mitigation strategies can lead to significant and potentially cost-effective public health co-benefits (Gao et al., 2018). The use of enhanced vehicle inspection and maintenance (I/M) programs in Bangkok (Thailand) was estimated to enable reductions in greenhouse gas emissions by 0.4MT CO2 per person per year and 913 fewer deaths in 2015 by a 25% reduction in PM emissions compared to business as usual scenarios (see Li and Crawford-Brown, 2011 in Gao et al., 2018).