RT Journal Article SR Electronic T1 An ecological framework for improving child and adolescent health JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 299 OP 301 DO 10.1136/archdischild-2019-317518 VO 105 IS 3 A1 Chris Bem A1 Neil Small YR 2020 UL http://adc.bmj.com/content/105/3/299.abstract AB The rise in non-communicable disease as a principal cause of premature mortality and a continuing failure to address health inequalities requires a critical examination of prevailing paradigms in health. In this paper, we offer ecology as an alternative way to view health need and as a guide to action to enhance human health and model a healthy economy. After describing the shortcomings of the prevailing biophysical approach to health, we describe an ecological approach to health that brings to the forefront social and environmental determinants and empowers health workers together with their communities to achieve a health-affirming society and economy.Data sharing not applicable as no datasets generated and/or analysed for this study.