| In Malta the concept of health inequalities is well known and understood at the political level, but is rarely directly mentioned. A national integrated plan that explicitly aims to tackle health inequalities does not exist, perhaps as a result of the small population and a limited degree of health or social inequalities. The latter can be seen as a consequence of effective governmental measures to ensure equal access to health care services for all, and tailored programmes for those with specific needs (e.g. the national cancer plan, strategy for non-communicable diseases and the national sexual health policy). National level cross-governmental action is not very well structured or systematic, even though there is certain awareness among politicians of the social determinants of health approach. This could be linked to the fact that monitoring and evaluation processes are not taking place on a systematic basis. Furthermore, it is necessary to improve the analysis of data to enable identification and highlighting of existing gaps, which need to be addressed. An overview of policy responses addressing health inequalities in can be found in our Policy Database. |