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Urban Health Equity Assessment and Response Tool – Urban HEART

Urban Health Equity Assessment and Response Tool – Urban HEART. Megumi Kano, DrPH WHO Centre for Health Development. Overview. WHO Kobe Centre and its urban health equity agenda Urban HEART The tool and its development Case examples from pilot study sites

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Urban Health Equity Assessment and Response Tool – Urban HEART

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  1. Urban Health Equity Assessment and Response Tool – Urban HEART Megumi Kano, DrPH WHO Centre for Health Development

  2. Overview • 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

  3. WHO 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

  4. Programme Areas Urban HEART

  5. What is Urban HEART? User-friendly guide to identify health inequities and develop an action plan Assessment component Response component Target audiences Mayors, local authorities National government

  6. 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 inequitiesin 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

  7. Six Steps of Urban HEART STEP 3 Data collection STEP 4 Data analysis STEP 5 Identify responses STEP 2 Define local indicators STEP 6 Prioritize relevant responses STEP 1 Build inter-sectoral team

  8. Urban HEART Core Indicators

  9. Health Equity Assessment

  10. Health Equity Monitoring

  11. Health Equity ResponseExample of tobacco control Strategy A: Urban planning Strategy B: Primary health care Prevalence of tobacco smoking & Second-hand smoke exposure Policy domain: Social and human development Strategy C: Health equity focus Strategy D: Local agenda Strategy E: National agenda Prioritize an issue based on Assessment Designate tobacco-free areas in the community Create a smoke-free city Put tobacco control higher on the national agenda

  12. Prioritizing Responses

  13. Urban HEART Pilot Sites

  14. Air Quality AssessmentUlaanbaatar, Mongolia

  15. Safe Water and Solid Waste RemovalGuarulhos, Brazil Access to Safe Water Solid Waste Removal Services Coverage

  16. Social Gradient in Access to SanitationJakarta, Indonesia

  17. Dissemination 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 …

  18. 2010 WHO CampaignUrbanization and Health • 7 April - World Health Day • Global Report – “Hidden Cities” • 15-17 November - Global Forum

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