Upload
erika-ami-lane
View
214
Download
0
Embed Size (px)
Citation preview
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20101 |
Urban Health Equity Assessment and Response Tool
– Urban HEART
Urban Health Equity Assessment and Response Tool
– Urban HEART
Megumi Kano, DrPHWHO Centre for Health Development
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20102 |
OverviewOverview
WHO Kobe Centre and its urban health equity agenda
Urban HEART– The tool and its development– Case examples from pilot study sites– Dissemination and scale-up plan for 2010-2011
WHO Campaign Year for Urbanization and Health
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20103 |
WHO Kobe Centre and Urban Health EquityWHO Kobe Centre and Urban Health Equity
WHO lead for initiatives on urban health equity
2005-07 Hub of the Knowledge Network on Urban Settings
2008 Report to the Commission on Social Determinants of Health
2010 Leading the WHO Campaign for Urban Health
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20104 |
Programme AreasProgramme Areas
Urban HEART
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20105 |
What is Urban HEART?What is Urban HEART?
User-friendly guide to identify health inequities and develop an action planUser-friendly guide to identify health inequities and develop an action plan
Assessment componentAssessment component
Response componentResponse component
National government
National government
Target audiencesTarget audiences
Mayors, local authorities
Mayors, local authorities
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20106 |
Why use Urban HEART?Why use Urban HEART?
Urban HEART has primarily been used as a planning tool for decision-makers at national and local levels to:
– Assess and monitor inequities in urban health outcomes
and social determinants
– Identify viable and effective actions to optimize urban
health and reduce inequities
– Determine priorities and plan for resource allocation
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20107 |
Six Steps of Urban HEARTSix Steps of Urban HEART
STEP 1
Build inter-sectoral team
STEP 2
Define local
indicators
STEP 3
Data collection
STEP 4
Data analysis
STEP 5
Identify responses
STEP 6
Prioritizerelevant
responses
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20108 |
Urban HEART Core IndicatorsUrban HEART Core Indicators
Health outcomes
Infant mortality
Diabetes
Tuberculosis
Road traffic injuries
Physical environment & infrastructure
Access to safe water
Access to improved sanitation
Social and human
development
Completion of primary
education
Skilled birth attendance
Fully immunized
children
Prevalence of tobacco smoking
Economics
Unemployment
Governance
Government spending on
health
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 20109 |
Health Equity AssessmentHealth Equity Assessment
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201010 |
Health Equity MonitoringHealth Equity Monitoring
0
10
20
30
40
50
60
70
80
1985 1990 1995 2000 2005 2010 2015
Un
de
r-five
mo
rta
lity
rate
pe
r 1
00
0 li
ve b
irth
s
MDG target 2015
Urban average
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201011 |
Health Equity ResponseExample of tobacco control
Health Equity ResponseExample of tobacco control
Prevalence of tobacco smoking
&
Second-hand smoke
exposure
Prevalence of tobacco smoking
&
Second-hand smoke
exposure
Policy domain: Social and
human development
Policy domain: Social and
human development
Strategy A: Urban planningStrategy A: Urban planning
Strategy B:Primary health careStrategy B:Primary health care
Strategy C:Health equity focusStrategy C:Health equity focus
Strategy D:Local agendaStrategy D:Local agenda
Strategy E: National agendaStrategy E: National agenda
Prioritize an issue based on
AssessmentDesignate tobacco-free areas in the communityDesignate tobacco-free areas in the community
Create a smoke-free cityCreate a smoke-free city
Put tobacco control higher on the national agenda
Put tobacco control higher on the national agenda
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201012 |
Prioritizing ResponsesPrioritizing Responses
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201013 |
Urban HEART Pilot SitesUrban HEART Pilot Sites
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201014 |
Air Quality AssessmentUlaanbaatar, Mongolia
Air Quality AssessmentUlaanbaatar, Mongolia
District200020012002200320042005200620072008
1+ 20%+ 1%N/A- 17%- 36%-12%- 8%- 71%- 29%
2- 7%+ 35%+ 15%+ 27%+ 70%+ 55%+ 75%+ 41% + 58%
3- 58%- 35%N/A- 32%+ 23%+ 26%- 1%- 3%+ 123%
4- 15%- 12%+ 20%+ 27%+ 66%+ 105%+ 79%+ 62%+ 75%
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201015 |
Safe Water and Solid Waste RemovalGuarulhos, Brazil
Safe Water and Solid Waste RemovalGuarulhos, Brazil
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201016 |
Social Gradient in Access to SanitationJakarta, Indonesia
Social Gradient in Access to SanitationJakarta, Indonesia
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201017 |
Dissemination and Scale-upDissemination and Scale-up
Policy Brief, Tool Document and User Manual
Pilot study reports and evaluation
Training workshops in additional countries
Urban HEART website
Urban Health Equity Metrics development
Continuous improvement …
5th International Academic Conference on Environmental and Occupational Medicine Dujiangyan, Chengdu, People’s Republic of China, 7-10 April 201018 |
2010 WHO Campaign
Urbanization and Health2010 WHO Campaign
Urbanization and Health
7 April - World Health Day
Global Report – “Hidden Cities”
15-17 November - Global Forum