The Experience of Implementing Urban HEART Barcelona: a Tool for Action

Urban Health Equity Assessment and Response Tool (HEART) is a tool developed by the World Health Organization whose objective is to provide evidence on urban health inequalities so as to help to decide the best interventions aimed to promote urban health equity. The aim of this paper is to describe...

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Autores: Novoa, AM, Perez, G, Espelt, A, Echave, C, de Olalla, PG, Calvo, MJ, Pasarin, M, Diez, E, Borrell, C, Cormenzana, B, Cortes, I, Gomez, J, Pallares, M, Rodriguez-Sanz, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p3335
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=3335
https://europepmc.org/articles/pmc6181815
Access Level:acceso abierto
Palabra clave:Urban health
Social determinants of health
Public health surveillance
Health status indicators
Health policy
Health inequalities
Small-area analysis
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spelling The Experience of Implementing Urban HEART Barcelona: a Tool for ActionNovoa, AMPerez, GEspelt, AEchave, Cde Olalla, PGCalvo, MJPasarin, MDiez, EBorrell, CCormenzana, BCortes, IGomez, JPallares, MRodriguez-Sanz, MUrban healthSocial determinants of healthPublic health surveillanceHealth status indicatorsHealth policyHealth inequalitiesSmall-area analysisUrban Health Equity Assessment and Response Tool (HEART) is a tool developed by the World Health Organization whose objective is to provide evidence on urban health inequalities so as to help to decide the best interventions aimed to promote urban health equity. The aim of this paper is to describe the experience of implementing Urban HEART in Barcelona city, both the adaptation of Urban HEART to the city of Barcelona, its use as a means of identifying and monitoring health inequalities among city neighbourhoods, and the difficulties and barriers encountered throughout the process. Although ASPB public health technicians participated in the Urban HEART Advisory Group, had large experience in health inequalities analysis and research and showed interest in implementing the tool, it was not until 2015, when the city council was governed by a new left-wing party for which reducing health inequalities was a priority that Urban HEART could be used. A provisional matrix was developed, including both health and health determinant indicators, which allowed to show how some neighbourhoods in the city systematically fare worse for most of the indicators while others systematically fare better. It also allowed to identify 18 neighbourhoods-those which fared worse in most indicators-which were considered a priority for intervention, which entered the Health in the Barcelona Neighbourhoods programme and the Neighbourhoods Plan. This provisional version was reviewed and improved by the Urban HEART Barcelona Working Group. Technicians with experience in public health and/or in indicator and database management were asked to indicate suitability and relevance from a list of potential indicators. The definitive Urban HEART Barcelona version included 15 indicators from the five Urban HEART domains and improved the previous version in several requirements. Several barriers were encountered, such as having to estimate indicators in scarcely populated areas or finding adequate indicators for the physical context domain. In conclusion, the Urban HEART tool allowed to identify urban inequalities in the city of Barcelona and to include health inequalities in the public debate. It also allowed to reinforce the community health programme Health in the Barcelona Neighbourhoods as well as other city programmes aimed at reducing health inequalities. A strong political will is essential to place health inequalities in the political agenda and implement policies to tackle them.SPRINGER2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=3335https://europepmc.org/articles/pmc6181815JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINEISSN: 10993460ISSNe: 14682869reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p33352026-06-14T12:41:47Z
dc.title.none.fl_str_mv The Experience of Implementing Urban HEART Barcelona: a Tool for Action
title The Experience of Implementing Urban HEART Barcelona: a Tool for Action
spellingShingle The Experience of Implementing Urban HEART Barcelona: a Tool for Action
Novoa, AM
Urban health
Social determinants of health
Public health surveillance
Health status indicators
Health policy
Health inequalities
Small-area analysis
title_short The Experience of Implementing Urban HEART Barcelona: a Tool for Action
title_full The Experience of Implementing Urban HEART Barcelona: a Tool for Action
title_fullStr The Experience of Implementing Urban HEART Barcelona: a Tool for Action
title_full_unstemmed The Experience of Implementing Urban HEART Barcelona: a Tool for Action
title_sort The Experience of Implementing Urban HEART Barcelona: a Tool for Action
dc.creator.none.fl_str_mv Novoa, AM
Perez, G
Espelt, A
Echave, C
de Olalla, PG
Calvo, MJ
Pasarin, M
Diez, E
Borrell, C
Cormenzana, B
Cortes, I
Gomez, J
Pallares, M
Rodriguez-Sanz, M
author Novoa, AM
author_facet Novoa, AM
Perez, G
Espelt, A
Echave, C
de Olalla, PG
Calvo, MJ
Pasarin, M
Diez, E
Borrell, C
Cormenzana, B
Cortes, I
Gomez, J
Pallares, M
Rodriguez-Sanz, M
author_role author
author2 Perez, G
Espelt, A
Echave, C
de Olalla, PG
Calvo, MJ
Pasarin, M
Diez, E
Borrell, C
Cormenzana, B
Cortes, I
Gomez, J
Pallares, M
Rodriguez-Sanz, M
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Urban health
Social determinants of health
Public health surveillance
Health status indicators
Health policy
Health inequalities
Small-area analysis
topic Urban health
Social determinants of health
Public health surveillance
Health status indicators
Health policy
Health inequalities
Small-area analysis
description Urban Health Equity Assessment and Response Tool (HEART) is a tool developed by the World Health Organization whose objective is to provide evidence on urban health inequalities so as to help to decide the best interventions aimed to promote urban health equity. The aim of this paper is to describe the experience of implementing Urban HEART in Barcelona city, both the adaptation of Urban HEART to the city of Barcelona, its use as a means of identifying and monitoring health inequalities among city neighbourhoods, and the difficulties and barriers encountered throughout the process. Although ASPB public health technicians participated in the Urban HEART Advisory Group, had large experience in health inequalities analysis and research and showed interest in implementing the tool, it was not until 2015, when the city council was governed by a new left-wing party for which reducing health inequalities was a priority that Urban HEART could be used. A provisional matrix was developed, including both health and health determinant indicators, which allowed to show how some neighbourhoods in the city systematically fare worse for most of the indicators while others systematically fare better. It also allowed to identify 18 neighbourhoods-those which fared worse in most indicators-which were considered a priority for intervention, which entered the Health in the Barcelona Neighbourhoods programme and the Neighbourhoods Plan. This provisional version was reviewed and improved by the Urban HEART Barcelona Working Group. Technicians with experience in public health and/or in indicator and database management were asked to indicate suitability and relevance from a list of potential indicators. The definitive Urban HEART Barcelona version included 15 indicators from the five Urban HEART domains and improved the previous version in several requirements. Several barriers were encountered, such as having to estimate indicators in scarcely populated areas or finding adequate indicators for the physical context domain. In conclusion, the Urban HEART tool allowed to identify urban inequalities in the city of Barcelona and to include health inequalities in the public debate. It also allowed to reinforce the community health programme Health in the Barcelona Neighbourhoods as well as other city programmes aimed at reducing health inequalities. A strong political will is essential to place health inequalities in the political agenda and implement policies to tackle them.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=3335
https://europepmc.org/articles/pmc6181815
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=3335
https://europepmc.org/articles/pmc6181815
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER
publisher.none.fl_str_mv SPRINGER
dc.source.none.fl_str_mv JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE
ISSN: 10993460
ISSNe: 14682869
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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