東京大学医学系研究科 国際保健政策学 東京大学 The University of Tokyo

Department of Global Health Policy

Graduate School of Medicine, The University of Tokyo

Inequality and inequity in health

健康における不平等と不公平

先進国・途上国と共に、多くのヘルスケアシステムがアクセスにおける不公平と
提供するサービスの質について重大な問題を抱えている。
皆保険制度がある日本や英国のような先進国ですら、不公平の現状が観察され、
社会の最貧層と富裕層の間では医療結果に大きな違いを生み出しうる。
当研究室では先進国・途上国のデータをもとに、ヘルスケアの不公平を特定し、不公平が生まれる家庭、
そのヘルスシステムへの効果、改善のための介入についての理解を深めている。

In both the developed and the developing world, many health systems face significant problems
of inequity in access to or quality of health care.
Even in developed nations with universal coverage, such as Japan or the UK,
inequity can be observed and can produce significant differences in health outcomes
between the poorest and richest members of society.
The department of Global Health Policy works with data from developing and
developed nations to both identify specific health inequities,
and to advance our understanding of how inequality is created,
its health system effects, and the best interventions to ameliorate it.

研究員 Researchers: Stuart Gilmour スチュアート・ギルモー
研究トピック Research Topics: Health system performance assessment

Recent Publications

Amimo F, Lambert B, Magit A, Hashizume M. A review of prospective pathways and impacts of COVID-19 on the accessibility, safety, quality, and affordability of essential medicines and vaccines for universal health coverage in Africa. Global Health 2021;17:42.

Read the Article →

Amimo F, Magit A, Sacarlal A, Shibuya K, Hashizume M. Public health risks of humanitarian crises in Mozambique. J Glob Health 2021;11:03054.

Read the Article →

Nomura S, Sakamoto H, Ishizuka A, Katsuma Y, Akashi H, Miyata H. Ongoing debate on data governance principles for achieving Universal Health Coverage: a proposal to post-G20 Osaka Summit meetings. Glob Health Action. 2020 Dec 31;13(1):1859822.

Read the Article →

Chowdhury MRK, Khan MMH, Khan HTA, Rahman MS, Islam MR, Islam MM, Billah B. Prevalence and risk factors of childhood anemia in Nepal: A multilevel analysis. PLoS One. 2020 Oct 6;15(10):e0239409.

Read the Article →

Rauniyar SK, Rahman MM, Rahman MS, Abe SK, Nomura S, Shibuya K. Inequalities and risk factors analysis in prevalence and management of hypertension in India and Nepal: a national and subnational study. BMC Public Health. 2020 Sep 3;20(1):1341

Rauniyar SK, Munkhbat E, Ueda P , Yoneoka D, Shibuya K, Nomura S. Timeliness of routine vaccination among children and determinants associated with age-appropriate vaccination in Mongolia. Heliyon 2020; 6(9): e04898.

Read the Article →

Leung CY, Huang HL, Rahman MM, Nomura S, Krull Abe S, Saito E, Shibuya K . Cancer incidence attributable to tuberculosis in 2015: global, regional, and national estimates. BMC Cancer. 2020 May 12;20(1):412.

Read the Article →

Lwin KS, Nomura S, Yoneoka D , Ueda P , Abe Krull S, Shibuya K. Associations between parental socioeconomic position and health-seeking behaviour for diarrhoea and acute respiratory infection among under-5 children in Myanmar: a cross-sectional study. BMJ Open. 2020;10:e032039.

Read the Article →

Nakamura H, Amimo F, Yi S, Tuot S, Yoshida T, Tobe M, Nomura S. Implementing a sustainable health insurance system in Cambodia: a study protocol for developing and validating an efficient household income-level assessment model for equitable premium collection. Int J Equity Health. 2020 Jan 31;19(1):172020; 15(1): E0227565.

Read the Article →

Rahman MMa, Zhang C, Swe KT, Rahman MS, Islam MR, Kamrujjaman M, Sultana P, Hassan MZ, Alam MS, Rahman MM. Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis. PLoS ONE. 2020; 15(1): E0227565.

Read the Article →

Islam RM, Rahman MS, Rahman MM, Nomura S, De Silva A, Lanerolle P, Jung J, Rahman MM. Reducing childhood malnutrition in Bangladesh: The importance of addressing socio-economic inequalities. Public Health Nutrition 2020; 23(1): 72-82.

Read the Article →

Khaing HT, Nomura S, Yoneoka D, Ueda P, Shibuya K. Risk factors and regional variations of malnutrition among children under 5 in Myanmar: cross-sectional analyses at national and subnational levels. BMJ Open. 2019;9:e030894.

Read the Article →

Zhang C, Rahman MS, Rahman MM, Yawson AE, , Shibuya K. Trends and projections of universal health coverage indicators in Ghana, 1995-2030: a national and subnational study. PLoS ONE. 2019; 14(5): e0209126.

Read the Article →

Han SM, Rahman MM, Rahman MS, Swe KT, Palmer M, Sakamoto H, Nomura S, Shibuya K. Progress towards universal health coverage in Myanmar: a national and subnational assessment. The Lancet Global Health. 2018; 9: e989-e997.

Read the Article →

Swe KT, Rahman MM, Rahman MS, Saito E, Abe SK, Gilmour S, Shibuya K. Cost and economic burden of illness over 15 years in Nepal: A comparative analysis. PLoS ONE. 2018; 13(4): e0194564.

Read the Article →