Skip to main content

Social Justice and Global Public Health

  • Living reference work entry
  • First Online:
Handbook of Social Sciences and Global Public Health

Abstract

Social injustice, which underpins local and global public health problems, creates conditions that adversely and unequally affect the health of individuals and communities. Public health emergencies (re)illuminate existing social, health, economic, and political inequalities. Vulnerable groups include ethnic and racial minorities, the elderly, people who are socioeconomically disadvantaged, immigrants/refugees, people living in rural/underserved communities, LGBTQI* community, people who are incarcerated, women, and people with certain medical conditions (including mental illness) who are disproportionately and negatively impacted by public health emergencies. Social injustice is a public health issue as it increases rates of disease, disability, injury, and premature death due to lack of access to quality, affordable health while increasing risk factors associated with poorer health outcomes. Embedding social justice within global public health, then, requires a shift away from “biomedical tunnel vision” to address broader socioeconomic and health inequalities. Addressing public health problems without centering on social justice can further exacerbate existing health, social, economic, and political vulnerabilities. This chapter argues that adding a social justice lens to global public health will improve the health of individuals and communities through addressing oppression, injustice, and inequity while centering on justice, equity, participation, and collaborative relationships. Social justice approaches to public health center local and contextually relevant solutions develop approaches that prioritize vulnerable populations, develop healthcare methods and systems that are equity-based, and address sociohistorical legacies and structures, which underpin health inequality.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Amini C, Bianco SD (2016) Poverty, growth, inequality and pro-poor factors: new evidence from macro data. J Dev Areas 50:231–254

    Article  Google Scholar 

  • Ataguba JE, Akazili J, McIntyre D (2011) Socioeconomic-related health inequality in South Africa: evidence from General Household Surveys. Int J Equity Health 10(1):1–10

    Article  Google Scholar 

  • Azetsop SJ (2021) Challenges in global health, culture, and ethics in Africa. In: Ethical challenges in global public health: climate change, pollution, and the health of the poor, pp 119–130. Journal of Moral Theology. https://books.google.co.za/books/about/Ethical_Challenges_in_Global_Public_Heal.html?id=iAOYzgEACAAJ&redir_esc=y

    Google Scholar 

  • Battams S, Matlin SA (2013) Discussing a definition of global health. The Graduate Institute of International and Development Studies

    Google Scholar 

  • Beaglehole R, Bonita R (2008) Global public health: a scorecard. Lancet 372(9654):1988–1996

    Article  Google Scholar 

  • Benfer EA (2015) Health justice: a framework (and call to action) for the elimination of health inequity and social justice. Am UL Rev 65:275

    Google Scholar 

  • Blacksher E (2012) Redistribution and recognition: pursuing social justice in public health. Camb Q Healthc Ethics 21(3):320–331

    Article  Google Scholar 

  • Boardman JD, Alexander KB, Miech RA, MacMillan R, Shanahan MJ (2012) The association between parent’s health and the educational attainment of their children. Soc Sci Med 75(5):932–939

    Article  Google Scholar 

  • Bradshaw D, Nannan N, Groenewald P, Joubert J, Laubscher R, Nojilana B, Norman R, Pieterse D, Schneider M (2005) Provincial mortality in South Africa, 2000-priority-setting for now and a benchmark for the future. S Afr Med J 95(7):496–503

    Google Scholar 

  • Braveman P, Tarimo E (2002) Social inequalities in health within countries: not only an issue for affluent nations. Soc Sci Med 54(11):1621–1635

    Article  Google Scholar 

  • Braveman PA, Cubbin C, Egerter S, Williams DR, Pamuk E (2010) Socioeconomic disparities in health in the United States: what the patterns tell us. Am J Public Health 100(S1):S186–S196

    Article  Google Scholar 

  • Briggs D (2003) Environmental pollution and the global burden of disease. Br Med Bull 68(1):1–24

    Article  CAS  Google Scholar 

  • Brown TM, Cueto M, Fee E (2006) The World Health Organization and the transition from “international” to “global” public health. Am J Public Health 96(1):62–72

    Article  Google Scholar 

  • Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D (2009) The health and health system of South Africa: historical roots of current public health challenges. Lancet 374(9692):817–834

    Article  Google Scholar 

  • Coreil J, Dyer K (2017) Social science contributions to public health: overview. In: International encyclopedia of public health, pp 599–611. https://doi.org/10.1016/B978-0-12-803678-5.00419-7

    Chapter  Google Scholar 

  • Curtis SE, Oven KJ (2012) Geographies of health and climate change. Prog Hum Geogr 36(5):654–666

    Article  Google Scholar 

  • CSDH (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. World Health Organisation, Geneva

    Google Scholar 

  • DeBruin D, Liaschenko J, Marshall MF (2012) Social justice in pandemic preparedness. Am J Public Health 102(4):586–591

    Article  Google Scholar 

  • Derreth RT, Jones VC, Levin MB (2021) Preparing public health professionals to address social injustices through critical service-learning. Pedagogy Health Promot 7(4):354–357. https://doi.org/10.1177/23733799211007183

    Article  Google Scholar 

  • Dhakal RP (2019) Contribution of Social Science Disciplines to make Public Health Interdisciplinary. Online International Interdisciplinary Research Journal. 9:11–20

    Google Scholar 

  • Doorslaer EV, Koolman X (2004) Explaining the differences in income‐related health inequalities across European countries. Health Econ 13(7):609–628

    Google Scholar 

  • Drummond MF, Sculpher MJ, Claxton K, Stoddart GL, Torrance GW (2015) Methods for the economic evaluation of health care programmes. Oxford University Press

    Google Scholar 

  • Dukhanin V, Searle A, Zwerling A, Dowdy DW, Taylor HA, Merritt MW (2018) Integrating social justice concerns into economic evaluation for healthcare and public health: a systematic review. Soc Sci Med 198:27–35. https://doi.org/10.1016/j.socscimed.2017.12.012

    Article  Google Scholar 

  • Ewing R-MG, Reid S, Morris-Paxton AA (2020) Primary healthcare services in the rural Eastern Cape, South Africa: evaluating a service-support project. Afr J Prim Health Care Fam Med 12(1):1–7

    Google Scholar 

  • Ford CL, Airhihenbuwa CO (2010) Critical race theory, race equity, and public health: toward antiracism praxis. Am J Public Health 100(S1):S30–S35

    Google Scholar 

  • Foster KE (2005) Clinics, communities, and cost recovery: primary health care and neoliberalism in postapartheid South Africa. Cult Dyn 17(3):239–266

    Article  Google Scholar 

  • Freire P (2020) Pedagody of the Oppressed (3rd Edition). New York, NY: Routledge

    Google Scholar 

  • Gaede B, Versteeg M (2011) The state of the right to health in rural South Africa. S Afr Health Rev 2011(1):99–106

    Google Scholar 

  • Gostin LO, Powers M (2006) What does social justice require for the public’s health? public health ethics and policy imperatives. Health Affairs 25(4):1053–1060

    Google Scholar 

  • Gray DM, Anyane-Yeboa A, Balzora S, Issaka RB, May FP (2020) COVID-19 and the other pandemic: populations made vulnerable by systemic inequity. Nat Rev Gastroenterol Hepatol 17(9):520–522

    Article  Google Scholar 

  • Gordon T, Booysen F, Mbonigaba J (2020) Socio-economic inequalities in the multiple dimensions of access to healthcare: the case of South Africa. BMC Public Health 20(1):1–13

    Article  Google Scholar 

  • Greenhalgh T (2018) What have the social sciences ever done for equity in health policy and health systems? Int J Equity Health 17(1):124. https://doi.org/10.1186/s12939-018-0842-9

    Article  Google Scholar 

  • Groenewald P, Bradshaw D, Daniels J, Matzopoulos R, Bourne D, Blease D, Zinyakatira N, Naledi T (2008) Cause of death and premature mortality in Cape Town, 2001–2006. South African Medical Research Council, Cape Town

    Google Scholar 

  • Grzybowski S, Stoll K, Kornelsen J (2011) Distance matters: a population-based study examining access to maternity services for rural women. BMC Health Serv Res 11(1):1–8

    Article  Google Scholar 

  • Gostin LO, Powers M (2006) What does social justice require for the public’s health? public health ethics and policy imperatives. Health Aff 25(4):1053–1060. https://doi.org/10.1377/hlthaff.25.4.1053

  • Gumede DM, Taylor M, Kvalsvig JD (2021) Engaging future healthcare professionals for rural health services in South Africa: students, graduates and managers perceptions. BMC Health Serv Res 21(1):1–15

    Article  Google Scholar 

  • Heywood M (2021) Social justice needs a capable state – so what is civil society doing about it? The Daily Maverick. Available: https://www.dailymaverick.co.za/article/2021-09-07-social-justice-needs-a-capable-state-so-what-is-civil-society-doing-about-it/

    Google Scholar 

  • Huizar MI, Alman R, Arena R, Laddu DR (2022) The path forward: highlighting social justice pearls in public health campaigns and initiatives to deliver equitable healthy living medicine. Prog Cardiovasc Dis 71:51–57. https://doi.org/10.1016/j.pcad.2022.04.003

    Article  Google Scholar 

  • Jacobsen KH, Zeraye HA, Bisesi MS, Gartin M, Malouin R, Waggett CE (2021) Master of public health concentrations in global health in 2020: preparing culturally competent professionals to address health disparities in the context of globalization. Health Promot Pract 22(4):574–584. https://doi.org/10.1177/1524839920913546

    Article  Google Scholar 

  • Krieger N, Birn AE (1998) A vision of social justice as the foundation of public health: commemorating 150 years of the spirit of 1848. Am J Public Health 88(11):1603–1606. https://doi.org/10.2105/AJPH.88.11.1603

    Article  CAS  Google Scholar 

  • Lazar M, Davenport L (2018) Barriers to health care access for low-income families: a review of literature. J Community Health Nurs 35(1):28–37

    Article  Google Scholar 

  • Levy BS, Sidel VW (2013) Social injustice and public health. OUP USA

    Google Scholar 

  • Liamputtong P (ed) (2019) Social determinants of health. Oxford University Press, South Melbourne

    Google Scholar 

  • Liamputtong P (2022) Public health: local and global perspectives, 3rd edn. Cambridge University Press, Port Melbourne

    Book  Google Scholar 

  • Machado S, Goldenberg S (2021) Sharpening our public health lens: advancing im/migrant health equity during COVID-19 and beyond. Int J Equity Health 20(1):1–3

    Article  Google Scholar 

  • Mackie P (2010) Social justice and social responsibility: towards a value-base for global public health. Public Health 124(11):620–625. https://doi.org/10.1016/j.puhe.2010.08.010

    Article  CAS  Google Scholar 

  • Martin K (2021) Challenges confronting global public health. In: Ethical challenges in global public health: climate change, pollution, and the health of the poor, pp 40–52. Journal of Moral Theology. https://books.google.co.za/books/about/Ethical_Challenges_in_Global_Public_Heal.html?id=iAOYzgEACAAJ&redir_esc=y

    Google Scholar 

  • McLaren ZM, Ardington C, Leibbrandt M (2014) Distance decay and persistent health care disparities in South Africa. BMC Health Serv Res 14(1):1–9

    Article  Google Scholar 

  • Melville C (2005) Discrimination and health inequalities experienced by disabled people. Med Educ 39(2):124–126

    Article  Google Scholar 

  • Ntuli M, Chitiga-Mabugu M, Karuaihe S, Alaba F, Tsoanamatsie E, Kwenda P (2016) Gender inequalities in morbidity: A South African investigation. Stud Econ Econom 40(3):39–63

    Article  Google Scholar 

  • Mbali M (2021) Health justice, activism, and the crisis of HIV/AIDS in South Africa. In: Magaziner D (ed) The Oxford handbook of South African history. https://doi.org/10.1093/oxfordhb/9780190921767.013.36

    Chapter  Google Scholar 

  • World Bank (2014) Global monitoring report 2014/2015: ending poverty and sharing prosperity. The World Bank

    Google Scholar 

  • World Health Organisation (2016) World health statistics 2016: monitoring health for the SDGs sustainable development goals. World Health Organization

    Google Scholar 

  • Padilla CM, Kihal-Talantikit W, Perez S, Deguen S (2016) Use of geographic indicators of healthcare, environment and socioeconomic factors to characterize environmental health disparities. Environ Health 15(1):1–11

    Article  Google Scholar 

  • Pang T (2011) Developing medicines in line with global public health needs: the role of the World Health Organization. Camb Q Healthc Ethics 20(2):290–297. https://doi.org/10.1017/S0963180110000940

    Article  Google Scholar 

  • Parker L, Dickinson HO, Morton-Jones T (2000) Proximity to maternity services and stillbirth risk. Arch Dis Child Fetal Neonatal Ed 82(2):F167–F168

    Article  CAS  Google Scholar 

  • Philpott S (2013) Social justice, public health ethics, and the use of HIV pre-exposure prophylaxis. Am J Prev Med 44(1):S137–S140. https://doi.org/10.1016/j.amepre.2012.09.029

    Article  Google Scholar 

  • Raghupathi V, Raghupathi W (2020) The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Arch Public Health 78(1):1–18

    Article  Google Scholar 

  • Reisch M (2014) Routledge international handbook of social justice. Routledge

    Book  Google Scholar 

  • Ricketts TC, Sheps CG (2002) Geography and disparity in health. Guidance for the National Healthcare Disparities Report. Institute of Medicine (US) Committee on Guidance for Designing a National Healthcare Disparities Report. National Academies Press (US), Washington, DC

    Google Scholar 

  • Rispel L, Nieuwoudt S (2012) Mainstreaming the social determinants of health in South Africa: rhetoric or reality? S Afr Health Rev 2012(1):89–101

    Google Scholar 

  • Sauerborn E, Eisenhut K, Ganguli-Mitra A, Wild V (2022) Digitally supported public health interventions through the lens of structural injustice: the case of mobile apps responding to violence against women and girls. Bioethics 36(1):71–76. https://doi.org/10.1111/bioe.12965

    Article  Google Scholar 

  • Simbayi L, Zuma K, Zungu N, Moyo S, Marinda E, Jooste S, Mabaso M, Ramlagan S, North A, Van Zyl J (2019) South African national HIV prevalence, incidence, behaviour and communication survey, 2017: towards achieving the UNAIDS 90-90-90 targets. HSRC Press, Cape Town

    Google Scholar 

  • Sundin J (2019) Public health is politics. Interchange 50(2):129–136. https://doi.org/10.1007/s10780-019-09367-z

    Article  Google Scholar 

  • Thomas JC, Sage M, Dillenberg J, Guillory VJ (2002) A code of ethics for public health. Am J Public Health 92(7):1057–1059

    Article  Google Scholar 

  • Vicini A (2021) Global public health and the promotion of the common good. In: Ethical challenges in global public health: climate change, pollution, and the health of the poor, pp 1–14. Journal of Moral Theology. https://books.google.co.za/books/about/Ethical_Challenges_in_Global_Public_Heal.html?id=iAOYzgEACAAJ&redir_esc=y

    Google Scholar 

  • Wallack L (2019) Building a social justice narrative for public health. Health Educ Behav 46(6):901–904. https://doi.org/10.1177/1090198119867123

    Article  Google Scholar 

  • Watts MH, Michel KH, Breslin J, Tobin-Tyler E (2021) Equitable enforcement of pandemic-related public health laws: strategies for achieving racial and health justice. Am J Public Health 111(3):395–397. https://doi.org/10.2105/AJPH.2020.306112

    Article  Google Scholar 

  • Wilkinson P, Smith KR, Joffe M, Haines A (2007) A global perspective on energy: health effects and injustices. Lancet 370(9591):965–978

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah Day .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Maja, L., Day, S., Hasan, M. (2023). Social Justice and Global Public Health. In: Liamputtong, P. (eds) Handbook of Social Sciences and Global Public Health. Springer, Cham. https://doi.org/10.1007/978-3-030-96778-9_31-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-96778-9_31-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-96778-9

  • Online ISBN: 978-3-030-96778-9

  • eBook Packages: Springer Reference Social SciencesReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences

Publish with us

Policies and ethics