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Social contexts and children's health outcomes: Researching across the boundaries

While significant progress has been made on several fronts in child health research in recent years, research findings have not always been readily translated to better policies and programs for creating healthy conditions for children. Child health policies and research have not always aligned in a manner that would inform each other to the benefit of children. In this paper it is argued that child health research and interventions need to proceed from an explicit recognition of the fundamental causes of poor child health, namely parents’ socioeconomic status and the social context in which children live. A conceptual framework is presented that organizes the key domains of child health determinants and the possible causal pathways that link these domains to produce health outcomes. This framework assisted the development of a multi-method research program specifically linking community members, program developers and policy-makers in the research process. It also helped to identify methodological issues inherent in a comprehensive approach to child health research, which is commented on drawing from illustrative examples from the authors’ research program. The article concludes with some observations on the authors’ experience in engaging policy and civil society constituents in order to better align research, policy and intervention programs.