Response-oriented measuring inequalities in Tehran: second round of UrbanHealth Equity Assessment and Response Tool (Urban HEART-2), concepts and framework.
Year: 2013
Type: article
Abstract: BACKGROUND: Current evidence consistently confirm inequalities in health status among socioeconomic none, gender,ethnicity, geographical area and other social determinants of health (SDH), which adversely influence health ofthe population. SDH refer to a wide range of factors not limited to social component, but also involve economic, cultural,educational, political or environmental problems. Measuring inequalities, improving daily living conditions, andtackling inequitable distribution of resources are highly recommended by international SDH commissioners in recentyears to 'close the gaps within a generation'. To measure inequalities in socio-economic determinants and core healthindicators in Tehran, the second round of Urban Health Equity Assessment and Response Tool (Urban HEART-2)was conducted in November 2011, within the main framework of WHO Centre for Health Development (Kobe Centre). METHOD: For 'assessment' part of the project, 65 indicators in six policy domains namely 'physical and infrastructure','human and social', 'economic', 'governance', 'health and nutrition', and also 'cultural' domain were targetedeither through a population based survey or using routine system. Survey was conducted in a multistage random sampling,disaggregated to 22 districts and 368 neighborhoods of Tehran, where data of almost 35000 households(118000 individuals) were collected. For 'response' part of the project, widespread community based development(CBD) projects were organized in all 368 neighborhoods, which are being undertaken throughout 2013. CONCLUSION: Following the first round of Urban HEART project in 2008, the second round was conducted to trackchanges over time, to institutionalize inequality assessment within the local government, to build up community participationin 'assessment' and 'response' parts of the project, and to implement appropriate and evidence-based actionsto reduce health inequalities within all neighborhoods of Tehran.
Source: Europe PMC (PubMed Central)
Authors: Mohsen Asadi-Lari, Mohammad Reza Vaez-Mahdavi, Soghrat Faghihzadeh, Bahman Cherghian, Alireza Esteghamati, Ali Asghar Farshad, Mehdi Golmakani, Ali-Asghar Haeri-Mehrizi, Hossein Hesari, Naser Kalantari, Mohammad Kamali, Ramin Kordi, Hossein Malek-Afzali, Ali Montazeri, Maziar Moradi-Lakeh, Abbas Motevallian, Ahmad Noorbala, Hossein Raghfar, Emran Razzaghi
Institutions: Iran University of Medical Sciences, Shahed University, Zanjan University of Medical Sciences, Tehran University of Medical Sciences, Ministry of Health and Medical Education, Academic Center for Education, Culture and Research, Iranian Institute for Health Sciences Research, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Alzahra University
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2239839770