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Â© Zoltan Balogh. The social determinants of health (SDH) are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems.
192 Dimensions of performance First, social and economic determinants of health fall outside the health system and beyond the scope of health policy and health care. Second, such an action might require restrictions on the ways in which people choose to live their lives (Mooney 1983).