The central government issues some regulations, but each of the autonomous regions develops policies in different ways. The most common mechanism for addressing social determinants of health inequalities is to develop strategic plans.

Policy responses

Regions are the most active in implementing comprehensive policies to tackle health inequalities. Three regions (the Basque Country, Navarra and Madrid) have published their Regional Health Plans, where each has a chapter on tackling health inequalities, including relevant targets. For example, in Basque country, targets were set to reduce the social inequalities in mortality resulting from cardiovascular and circulatory system diseases. Most interventions implemented by the administration or the NGOs in Basque still focus on the excluded populations rather that on population at wide, which constitutes an obstacle for conducting intervention research.

An overview of regional policy responses addressing health inequalities can be found in our Policy Database.


Good practices

An overview of local and regional projects and initiatives that are currently taking place or that have successfully been finalized, and that are addressing health inequality issues, can be found in our Project Database.

Key actors

Please find below an overview of key actors in Spain working on health inequality issues:

Are you aware of any other key actors that should be added to this list? 
Please let us know!


Key resources

Please find below a short overview of key documents and resources (produced at regional level) addressing health inequality issues in Spain. More publications can be found in our Publications Database.


Are you aware of any other key resources that should be added to this list?
Please let us know!

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