African American History Essay Example | Topics and Well Written Essays - 1250 words - 1

African American History - Essay Example The following study text will evaluate King’s role in the Civil Rights Movement with regards to his unique and effective strategies applied in acquiring overwhelming victory against white supremacy. Born in January 1929 as Michael Luther King, King grew up in religious environment and both his father and grandfather were pastors at the Ebenezer Baptist Church in Atlanta. In 1948, he earned a B.A. at the Morehouse College and proceeded to the Crozer Theological Seminary in 1951. In 1955, he earned a doctorate from the Boston University where he also happened to meet his wife Coretta Scott. After his graduation from Boston University, he began his pastoral role as at the Montgomery Avenue Baptist Church. This is where his journey into world history began. Rosa Sparks, a young black woman refused to give up her seat for a white person to sit in a bus and this had sparked controversy all over the United States around 1955. By chance, King’s Montgomery Church was chosen as the meeting venue to host one of the meetings to discuss the matter, and King happened to be there1. The meeting acted to recruit King into his call of advocating for the end to racial discrimination in the United States. Rosa Sparks was thrown into jail and King could not stomach the sense that she had been jailed for failing to give her seat to a white person. Following this, he planned his first public demonstration. In the same year, he mobilized the entire Montgomery [mainly African American] community to boycott the city’s transport service. He demanded equal rights for all. After an unending one year of boycott, a court ruling in Browder V. Gayle put an end to the discrimination on the public bus service and everyone was free to board the buses. This did not end, but sparked a new struggle aimed at eradicating racism all over the United States2. Martin Luther King Jr. was

2-way mixed ANOVA Schizotypy practical report protocol Essay

2-way mixed ANOVA Schizotypy practical report protocol - Essay Example These findings were consistent with the theories put forth that a diagnosis of schizophrenia is made by a high score on deviating from normal emotional indications, as well as the theories that schizophrenics tend to have cognitive deficits with regards to context processing, and not as many cognitive deficits with regards to spatial processing. Schizophrenia is an illness that is characterized by a number of neurocognitive impairments, including impairments in attention, executive functioning, and verbal and non-verbal memory. (Gooding & Braun 261). Failure in logical reasoning is also a hallmark of schizophrenia (Tsanikos 1717), as is emotional disturbance (Yoon et al. 2008). Schizotypal personality disorder (SPD) is often associated with schizophrenia, and some theories state that schizophrenia and SPD share the same genetic liability, with environmental stressors being a leading cause of SPD turning into schizophrenia. (Olin et al. 93). Research has shown that schizophrenics tend to perform poorly on tasks that involve sustained attention. (Rawlings & Goldberg 2001) (Hoff & Kremen 2003). This would affect the participants, as the spatial reasoning portion of the study was timed, therefore it would be predicted that the higher on the schizotypal scale the participant is, the lower he or she would score on the spatial reasoning scale. Research has also established a positive correlation between schizophrenia and schizotypal personality disorder and emotional disturbance. (Yoon et al. 2008). Yoons study of participants who scored high on the Schizotypal Personality Questionnaire (SPQ) found a positive correlation for depression, anxiety and anger, and a negative correlation for mood clarity and mood repair. (Yoon et al. 2008). This is backed up by other research. For instance, Kohler (2003) has shown that schizophrenics have difficulty reading facial

Principles of Economics Essay Example | Topics and Well Written Essays - 1000 words

Principles of Economics - Essay Example Q1. You own a local sub shop in a college town. You primarily serve two groups of people: local residents (both students and other local residents) and visitors to your town. Devise a price discrimination strategy that will increase your revenues compared to a single-pricing strategy. A1. Although, there may be a plethora of available price discrimination policies for a variety of different businesses, for a fast food eatery there are a number of simplistic strategies that could be employed to help increase revenues over a single price strategy. Firstly, the sub shop could advertise students to 'show their student card' for a predetermined discount. As for other residents fliers could be distributed to the houses in the community with a 'customer loyalty card attached'. These loyalty cards could also be presented for a predetermined discount. As visitors passing through the town would not have access to these types of identification they would be charged full price. According to Tutor2u (2011) this strategy would accomplish charging a higher price for an identical good (In this case food) for a reason that is not associated with an increase in costs. Q2. Suppose the cable TV industry is currently unregulated. However, due to complaints from consumers that the pric e of cable TV is too high, the legislature is considering placing a price ceiling on cable TV below the current equilibrium price. If the government does make this price ceiling law, diagram and explain the effects with supply and demand analysis. If the cable TV company is worried about disgruntling customers, suppose that the company may introduce a different type of programming that is cheaper for the company to provide yet is equally appealing to customers. Explain what would be the effects of this action. A2- In this example, if the government were to impose a price decrease from Price $(A) to Price $(B) this would naturally drive the demand from its Equilibrium level to a level of Q(B). However, the cable company may not want to provide all of this excess service to new customers (Owing to high costs associated with new cable lines etc) so it is likely that this government imposed decrease in price would be driven from Equilibrium to Q(A) resulting in a shortage of supply. Nat urally, this action would enrage customers. What the company may choose to do is offer a price discrimination strategy wherein they could charge the new government imposed low price for a basic service cable service and continue a higher price strategy for a more premium service. Q3. Consider a perfectly competitive market. Analyze and explain in detail using graphical tools to show what you expect to happen to the number of firms and firm profitability in the short run and long run a) if demand for the product falls and b) if demand for the product rises. A3. As you can see from the above graph, if in a perfectly competitive market the quantity demanded for a product increases the demand curve will shift to the right and the price of a good will increase in the short term (Which would have a positive effect on the profitability of a firm). However, because the market is perfectly competitive more players would enter this market which would effectively drive the price down until its original equilibrium was once again attained. However the opposite could also hold true, insofar as if the demand for a good decreases the price of goods would also decrease (Which would have negative consequences for firms operating in this market). At this point several firms would no longer compete in this market and the quantity of goods supplied would decrease which would drive the price of goods back to its original position. Q4- Discuss why some long-run average cost curves are steeper on the

Maintaining Psychological Contract is Crucial During Downturns Essay

Maintaining Psychological Contract is Crucial During Downturns - Essay Example How employee perceive obligation and to what magnitude it is fulfilled constitute the main ingredient of this psychological contract. It can be divided into subdivisions within the literature that further enumerate its framework. The two types includes transactional and relational contract. Relational psychological contract is mainly driven by socio-emotional exchanges between the employee and the organization. It involves long term undefined performance terms and promotes a mutual sense of understanding. It bonds the two parties with the commitment of promoting collective interest over personal gains. (ODonohue et al 2007). On the other hand transactional psychological contract is comprised of monetizable exchanges and are driven by short term personal interest. Both these type of contract terms blend together to provide with the important adhesive that binds the two parties with a concealed force. According to Burr and Thomas there is another form of contract which is emerging unde r the label of â€Å"ideology-infused† contract. It has a more transpersonal perspective not only transactional and relational but also for something for the society. So it demonstrates what is in it for me, us and the society. So far we were explaining psychological contract from one dimension only involving the employee and the organization. But since recent changes in the trend of hiring workers from different agencies has given rise to another form of psychological contract. This contract has two dimensions. In this setup, workers are employee of the agency hence all the essence of psychological contract perfectly applies among the two parties. The other contract is established between the employee and the client organization where he or she works. (Chambel et al 2009). This dual psychological contract is not discussed much in the literature and it is important to highlights its implication in today’s changing trend of contingent employment. Now technically there

Principles of Economics Essay Example | Topics and Well Written Essays - 1000 words

Principles of Economics - Essay Example Q1. You own a local sub shop in a college town. You primarily serve two groups of people: local residents (both students and other local residents) and visitors to your town. Devise a price discrimination strategy that will increase your revenues compared to a single-pricing strategy. A1. Although, there may be a plethora of available price discrimination policies for a variety of different businesses, for a fast food eatery there are a number of simplistic strategies that could be employed to help increase revenues over a single price strategy. Firstly, the sub shop could advertise students to 'show their student card' for a predetermined discount. As for other residents fliers could be distributed to the houses in the community with a 'customer loyalty card attached'. These loyalty cards could also be presented for a predetermined discount. As visitors passing through the town would not have access to these types of identification they would be charged full price. According to Tutor2u (2011) this strategy would accomplish charging a higher price for an identical good (In this case food) for a reason that is not associated with an increase in costs. Q2. Suppose the cable TV industry is currently unregulated. However, due to complaints from consumers that the pric e of cable TV is too high, the legislature is considering placing a price ceiling on cable TV below the current equilibrium price. If the government does make this price ceiling law, diagram and explain the effects with supply and demand analysis. If the cable TV company is worried about disgruntling customers, suppose that the company may introduce a different type of programming that is cheaper for the company to provide yet is equally appealing to customers. Explain what would be the effects of this action. A2- In this example, if the government were to impose a price decrease from Price $(A) to Price $(B) this would naturally drive the demand from its Equilibrium level to a level of Q(B). However, the cable company may not want to provide all of this excess service to new customers (Owing to high costs associated with new cable lines etc) so it is likely that this government imposed decrease in price would be driven from Equilibrium to Q(A) resulting in a shortage of supply. Nat urally, this action would enrage customers. What the company may choose to do is offer a price discrimination strategy wherein they could charge the new government imposed low price for a basic service cable service and continue a higher price strategy for a more premium service. Q3. Consider a perfectly competitive market. Analyze and explain in detail using graphical tools to show what you expect to happen to the number of firms and firm profitability in the short run and long run a) if demand for the product falls and b) if demand for the product rises. A3. As you can see from the above graph, if in a perfectly competitive market the quantity demanded for a product increases the demand curve will shift to the right and the price of a good will increase in the short term (Which would have a positive effect on the profitability of a firm). However, because the market is perfectly competitive more players would enter this market which would effectively drive the price down until its original equilibrium was once again attained. However the opposite could also hold true, insofar as if the demand for a good decreases the price of goods would also decrease (Which would have negative consequences for firms operating in this market). At this point several firms would no longer compete in this market and the quantity of goods supplied would decrease which would drive the price of goods back to its original position. Q4- Discuss why some long-run average cost curves are steeper on the

Mental Disorder and Mental Health Problems Essay Example for Free

Mental Disorder and Mental Health Problems Essay This unit aims to provide the learner with knowledge of the main forms of mental health problems according to the psychiatric classification system. Learners also consider the strengths and limitations of this model and look at alternative frameworks for understanding mental distress. The focus of the unit is on understanding the different ways in which mental health problems impact on the individual and others in their social network. It also considers the benefits of early intervention in promoting mental health and well-being. Credit Level 3 3 Assessment criteria The learner can: 1.1 Describe the main types of mental ill health according to the psychiatric (DSM/ICD) classification system: mood disorders, personality disorders, anxiety disorders, psychotic disorders, substance-related disorders, eating disorders, cognitive disorders 1.2 Explain the key strengths and limitations of the psychiatric classification system see more:psychiatric (dsm/icd) classification system 1.3 Explain two alternative frameworks for understanding mental distress 1.4 Explain how mental ill health may be indicated through an individual’s emotions, thinking and behaviour 2. Know the impact of mental ill health on individuals and others in their social network 2.1 Explain how individuals experience discrimination due to misinformation, assumptions and stereotypes about mental ill health 2.2 Explain how mental ill health may have an impact on the individual including: a. psychological and emotional b. practical and financial c. the impact of using services d. social exclusion e. positive impacts Learning outcomes The learner will: 1. Know the main forms of mental ill health 2.3 Explain how mental ill health may have an impact on those in the individual’s familial, social or work network including: a. psychological and emotional b. practical and financial c. the impact of using services d. social exclusion e. positive impacts 2.4 Explain the benefits of early intervention in promoting an individual’s mental health and well-being Notes for Guidance In learning outcome 1, assessment criterion 1, learners are asked to describe ‘the main types of mental ill health according to the psychiatric (DSM/ICD) classification system’. Learners should demonstrate knowledge of how types of mental health are categorised by their main signs and symptoms and how the system attempts to draw a line between mental health and mental disorder. Learners do not need to demonstrate detailed knowledge of each form of disorder within each category.

Reducing Inequalities in Healthcare

Reducing Inequalities in Healthcare Background Equity in health and reducing inequalities are considered as the main goals of all health systems (1) which is the absence of systematic disparities in health or in the social determinants of health between social groups with different levels of social advantage(2). Health inequalities are structural and systematic differences in health status between and within social groups in society. There is a difference between the inequality and inequity in health so that inequity is regarded as avoidable inequalities (3). The term health inequity has been recognized as a root cause affecting health and is closely related to social determinants of health (SDH)† including place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status, and social capital requirements. Inequity in health is more important than other inequities because the health is the first prerequisite to achieve other capacities(4,5). Studies, for example, show that the richer individuals are healthier than the poorer ones(6). However inequalities do exist in health care (notably in access to care), they should not be considered as the principal cause of inequity in health status(7). In response to growing concern over the continuation and expansion of these inequalities, the World Health Organization Commission on Social Determinants of Health was established and made recommendations to develop and systematically monitor the equity in health and social determinants of health at the local, national and international levels. They may lead to design appropriate interventions and facilitate evidence-informed policy-making process(8). Monitoring health inequalities through producing appropriate evidence can promote accountability and continuously improve equity-oriented health plans including moving toward universal health coverage(9). Given the importance of the issue, various countries have initiated the development of such surveillance systems(10). Health equity surveillance systems include the analysis of groups in terms of socio-economic status, age, gender, race, ethnicity, residence and other key factors determining socio-economic advantages or disadvantages (11) The above list of factors identified may not include the underlying causal factors and pathways of health inequality from the developing countries perspective. As there are differences from country to country, addressing health inequalities may need country-specific indicators. Identifying causal factors at country level is essential for prioritizing policy interventions (12). The accurate selection of appropriate indicators can affect the proper and reliable measurement of inequality rate. General important considerations for selection the indicators include the cost of data collection, data quality issues, availability of data for monitoring at proper time intervals, cultural appropriateness, sensitivity to the policy interventions and the required technical capacity for the analysis(13, 14). Some countries use the World Health Organization health equity indicators. In Iran, the basis for development of health equity indicators was the Urban HEART (urban health equity assessment and response tool) indicators. Urban HEART, developed by WHO, is a simple tool and guide to identify health inequity in urban areas which was tested in some countries including Tehran (Iran)(15,16). In this regard, In Iran the responsibility of the development of health equity indicators was delegated to the Ministry of Health and Medical Education. To develop these indicators, several expert meetings were held and 52 indicators were determined using the Urban HEART and after several refinements. Some of these indicators are international and some other are based on the local circumstances of Iran. The indicators have been determined in five domains including health (20 indicators), human and social development (17 indicators), economic development (4 indicators), physical environment and infrastructures (7 indicators) and governance (4 indicators). In addition, appropriate practical classification variables to calculate were determined for each indicator. Data associated with 12 indicators will be collected using survey studies while data related to 40 other indicators will be gathered through the routine data recording system(14). To ensure the enforcement of the health equity indicators, they were announced to the relevant organizations after its approval. In order to plan for reducing inequalities, stakeholders should have sufficient knowledge and awareness of the issue of the equity in health and its indicators and reach a consensus about the system for monitoring these factors. It is necessary to clarify challenges and consequently relevant scientific and practical solutions can be applied using the international, national and local evidence. Objectives Given the importance of awareness of the health equity indicators and its implementation challenges and lack of study in this area in the country, this study aimed to investigate stakeholders perspective on equity in health and its 52 indicators in Iran. The results of the study can help policy makers to better understand the issue in order to effectively plan and implement the health equity indicators. Materials and Methods In this qualitative study, data were gathered through semi-structured interviews and the review and analysis of relevant documents including meetings minutes, working plans and working progress reports. The interviews were conducted using a topic guide developed according to a literature review and expert opinion. It was pilot tested using interviews with three policy makers and executives and based on their comments it was revised and finalized. The participants were given the information sheet and consent form prior to the interviews. After research ethics committee approval, interviews conducted in-person on a one-to-one basis after consent was provided by the research director and two trained colleagues. All interviews were recorded and later transcribed verbatim. A framework analytical approach was used for data analysis. Participants were selected using purposive sampling method and were policy makers involved in developing the indicators and executives responsible for implementing and calculating the indicators. A total of 23 individuals were invited, 8 of whom refused to take part in the study for various work-related reasons or the lack of willingness to participate. There were five policy makers and 10 executives. Among the executives, two were governors of major cities. Interviews continued until data saturation was reached and no new code was found. The focus of the policy makers’ interview questions was primarily on the process of indicators development and participation and interaction of various sectors in this process the developing indicators as well as steps of indicators development process. Executives answered questions mainly regarding their perception of the health equity and related indicators’ calculation and implementation processes. The member check strategy was used and the comments were incorporated in the final analysis. It helped to ensure that the findings were congruent with participants perceptions, beliefs and opinions. All the stages in the study were recorded to make it possible to track of each stage and clarify the procedures. Discussion The equity and equity in health are not only the issue of international interest but also have been considered in Iran development plans. Furthermore, committee on social determinants of health in the final report from the World Health Organization (2008) titled closing the gap in a generation emphasized on national and global health equity surveillance systems for routine monitoring of health inequity(8). The issue of stewardship in health equity is a matter of great importance. Health system need to lead by taking a stewardship role in supporting a cross-government approach that focuses on the social determinants of health and performing as catalysts to all society. The Health in All Policies programs of the European Unionand South Australia promote inter-sectoral collaborations to health equity (17). The establishment of a common language for health sector and other agencies is considered as an important challenge in its leadership. Gopalan et al. suggested that a lack of awareness among stakeholders restricted the inter-sectoral convergence on combating health inequities(18). In Iran, the Ministry of Health is the steward of health equity goals and it is suggested that a secretariat or an independent office be established for health equity. According to the definitions of equity concepts provided by the stakeholders, the difference between viewpoints is obvious and their perceptions on the main concepts of equity in health are different from each other. This study showed that many executives and some policy makers disagreed on key concepts of equity in health and the executives had insufficient information about the concept of equity in health as desired by the policy makers. In general, many executives considered the equity in health mainly as fair access to and distribution of health system resources. Also, Low study showed that access to health services alone is not sufficient to achieve equity in health(19). However city governors and medical science universities are executives responsible for implementing the indicators in the region, they lack sufficient attitudes and awareness towards the issue of equity in health. It seems that orientation programs by the Ministry of Health should be more comprehensive and with an aim of emphasizing a higher priority of the issue for executives. The establishment of these indicators requires capacity building, training and shifting the attitudes of the executives implementing this program. So training and improving the awareness of the key actors are main effective steps for the establishment of health equity indicators. Training and improving the awareness of executives are facilitated by providing regulatory requirements helping the decision-making. Beheshtian et al suggested that the Consensus-Oriented Decision-Making (COMD) model for more intersectoral collaboration and consensus among other areas can be used in Iran (14). After the development of the indicators and in the establishment step, interaction between politicians, policy makers and regulatory authorities is essential in order to establish these indicators. There are some challenges regarding the calculation of the health equity indicators in the country. However 40 out of 52 health equity Indicators are collected through routine system, investigation and survey are needed for remaining 12 indicators. The routine system itself needs to be reformed and improved including hardware and software improvements. Furthermore, the preparation and participation of organizations to change their statistics and reporting systems are also required. Therefore, gaining a wide intra and intersectoral participation is needed to collect data for the indicators and change statistical forms. This participation should be established at levels of policy makers and high authority officials. In addition to the above mentioned issues, creating the infrastructure for electronic data recording and defining access level may help to the establishment of the indicators. The establishment of indicators requires financing, training and empowerment of organizations employees, legal requirements, and finally a clear action plan. A report from the Pan American Health Network on the development of health equity indicators in Canada also cited the similar challenges such as the need for financial resources, being time consuming as well as limitation of sources of information (20). As the establishment of the indicators is in its the primary steps, so the executives responsible for implementing the indicators have not had the possibility for complete and necessary adaptation to ministry of health instructions and gaining more support for the executives, training them as well as laying the proper groundwork for calculation these indicators are obviously necessary. It is debatable whether these indicators show the extent of the health equity in the country. Many policymakers stated that the World Health Organization and international indicators provided the basis for the country indicators but some changes were made in them according to cultural and social conditions of the country. In this regard, an important point mentioned by the policy makers is that as these indicators had not previously been identified, so the development of them can be considered as a positive step and they will be revised in the future according to feedbacks from universities and other organizations. Braveman in his study argued that data utilization to develop interventions is far more important than data collection itself(2). The results of this study are in consistent with those of current study, because many policy makers argued that the establishment of these indicators can be helpful if appropriate interventions are developed based on information they provide. It is, therefore, necessary to specify solutions for using the indicators in decision making. Policy making for reducing inequity in health is too difficult because it is an intersectoral policy making requiring various areas and organizations involvement and this, in turn, demands the specification of common goals, integrated accountability and increased organizational responsibilities (14). Overall, the results of the study showed the inadequate awareness of stakeholders on equity in health, lack of proper infrastructure and insufficient support from stakeholders are the important challenges regarding the establishment of the indicators; these findings are consistent with those of a study by Gopalan et al(18). Limited access to some policy makers and executives was a limitation. A small number of the governors and executives were interviewed while there were more policy makers and stakeholders participating in the development of the indicators. Conclusion: As the establishment of the indicators is in its the primary steps, so the executives responsible for implementing the indicators have not had the possibility for complete and necessary adaptation to ministry of health instructions and gaining more support for the executives, training them as well as laying the proper groundwork for calculation these indicators are obviously necessary. The development of the indicators requires a shared understanding among policy makers and executives. As the attention has been focused recently on the issue, in addition to knowledge improvement, proper solutions with intersectional collaboration approach in order to tackle challenges should be considered. References: 1. Murray CJ, Frenk JA. Framework for assessing the performance of health systems. Bull World Health Organ 2000; 78(6):717-31. 2. Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health 2003; 517:254-8. 3. Whitehead M. Whitehead M. The concepts and principles of equity and health. Int J Health Serv 1992;22(3):429-45. 4. Marmot, M. Achieving health equity: from root causes to fair outcomes. The Lancet 2007;370(9593): 1153-63. 5. ONeill J, Tabish H, Welch V, Petticrew M, Pottie K, Clarke M, et al. Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health.J Clin Epidemiol 2014;67(1):56-64. 6. Exworthy M, Blane D, Marmot M. Tackling health inequalities in the United Kingdom: the progress and pitfalls of policy. Health Serv Res 2003; 38(6 Pt 2): 1905–22. 7. Davidson R, Kitzinger J, Hunt K. The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities. Soc Sci Med 2006; 62(9):2171-82. 8. Commission on Social Determinants of Health. Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Geneva: World Health Organization, 2008 .Available at: http://whqlibdoc.who.int/publications/2008/9789241563703_eng.pdf 9. Hosseinpoor AR, Victora CG, Bergen N, Barros AJ, Boerma, T. Towards universal health coverage: the role of within-country wealth-related inequality in 28 countries in sub-Saharan Africa. Bull World Health Organ 2011; 89(12): 881-889. 10. Cristina C, Caroline C. Can we build on existing information systems to monitor health inequities and the social determinants of health in the EU? Brussels: Euro Health Net, 2010. 11. Kelly PM, A. Bonnefoy J, Butt J, Bergman V. The social determinants of health: developing an evidence base for political action. Geneva: World Health Organization, 2007. 12. Eshetu, EB, Woldesenbet SA. Are there particular social determinants of health for the world’s poorest countries?.Afr Health Sci. Mar 2011; 11(1): 108–115 13. Wirth M, Delamonica E, Sacks E, Balk D, Storeygard A, Minujin A. Monitoring health equity in the MDGs: a practical guide. Center for International Earth Science Information Network, 2006. 14. Beheshtian M, Manesh AO, Bonakdar SH, Afzali HM, Larijani B, Hosseini L, et al. Intersectoral Collaboration to Develop Health Equity Indicators in Iran. . Iran J Public Health 2013;42(1):31-5. 15. Asadi-Lari M, Vaez-Mahdavi MR, Faghihzadeh S, Montazeri A, Farshad AA, Kalantari N, et al. The application of urban health equity assessment and response tool (Urban HEART) in Tehran; concepts and framework Med J Islam Repub Iran 2010;24(3):175-85. 16. Asadi-Lari M, Vaez-Mahdavi MR, Faghihzadeh S, Cherghian B, Esteghamati A, Farshad A. Response-oriented measuring inequalities in Tehran: second round of Urban Health Equity Assessment and Response Tool (Urban HEART-2), concepts and framework. Med J Islam Repub Iran 2013;27(4): 236-48. 17. Baum F.E, Bà ©gin M, Houweling T.A, Taylor S. Changes not for the fainthearted: reorienting health care systems toward health equity through action on the social determinants of health. Am J Public Health. 2009; 99(11): 1967–74. 18. Gopalan SS, Mohanty S, Das A. Challenges and opportunities for policy decisions to address health equity in developing health systems: case study of the policy processes in the Indian state of Orissa. Int J Equity Health 2011; 10(1):55. 19. Low A, Ithindi T, Low A. A step too far? Making health equity interventions in Namibia more sufficient. Int J Equity Health 2003; 2(1):5. 20. Pan-Canadian Public Health Network. Indicators of Health Inequalities. Pan-Canadian Public Health Network. Pan-Canadian Public Health Network. [cited 2014 Sep 24]; Available from: URL: http://www.phn-rsp.ca/pubs/ihi-idps/pdf/Indicators-of-Health-Inequalities-Report-PHPEG-Feb-2010-EN.pdf Acknowledgements The authors would thank people who participated in this study and Iran University of Medical Sciences for financial support. Financial Disclosure There is not any conflict of interests. Funding/Support This work was supported by Iran University of Medical sciences [IUMS/SHMIS-15748]. Authors’ Contributions Ravaghi and Oliyaee Manesh jointly designed the study. Arabloo and Goshtaei collected the data. Ravaghi, Goshtaei and Oliyaee Manesh contributed to data analysis and interpretation of the results. Arabloo, Goshtaei and Abolhassani prepared the manuscript. All authors read and approved the final manuscript.