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Addressing Inequities in Urban Health: Do Decision-Makers Have the Data They Need? Report from the Urban Health Data Special Session at International Conference on Urban Health Dhaka 2015

机译:解决城市卫生中的不平等问题:决策者是否拥有所需的数据? 2015年达卡城市卫生国际会议城市卫生数据特别会议的报告

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摘要

Rapid and uncontrolled urbanisation across low and middle-income countries is leading to ever expanding numbers of urban poor, defined here as slum dwellers and the homeless. It is estimated that 828 million people are currently living in slum conditions. If governments, donors and NGOs are to respond to these growing inequities they need data that adequately represents the needs of the urban poorest as well as others across the socio-economic spectrum.We report on the findings of a special session held at the International Conference on Urban Health, Dhaka 2015. We present an overview of the need for data on urban health for planning and allocating resources to address urban inequities. Such data needs to provide information on differences between urban and rural areas nationally, between and within urban communities. We discuss the limitations of data most commonly available to national and municipality level government, donor and NGO staff. In particular we assess, with reference to the WHO’s Urban HEART tool, the challenges in the design of household surveys in understanding urban health inequities.We then present two novel approaches aimed at improving the information on the health of the urban poorest. The first uses gridded population sampling techniques within the design and implementation of household surveys and the second adapts Urban HEART into a participatory approach which enables slum residents to assess indicators whilst simultaneously planning the response. We argue that if progress is to be made towards inclusive, safe, resilient and sustainable cities, as articulated in Sustainable Development Goal 11, then understanding urban health inequities is a vital pre-requisite to an effective response by governments, donors, NGOs and communities.
机译:低收入和中等收入国家迅速而不受控制的城市化进程导致城市贫民人数不断增加,这里定义为贫民窟居民和无家可归者。据估计,目前有8.28亿人生活在贫民窟中。如果政府,捐助者和非政府组织要应对这些日益严重的不平等现象,他们需要的数据应能充分代表城市中最贫穷的人以及整个社会经济领域的其他人的需求。我们报告国际会议特别会议的结果关于城市卫生,2015年,达卡。我们概述了城市卫生数据在规划和分配资源以解决城市不平等方面的需求。这些数据需要提供有关全国城市和农村地区之间,城市社区之间和城市内部差异的信息。我们讨论了国家和市级政府,捐助者和非政府组织工作人员最常使用的数据的局限性。特别是,我们参考了WHO的Urban HEART工具,评估了在理解城市健康不平等方面进行家庭调查的挑战。然后,我们提出了两种新颖的方法,旨在改善有关城市最贫困人群健康的信息。第一种在家庭调查的设计和实施中使用网格化的人口抽样技术,第二种使Urban HEART适应参与性方法,使贫民窟居民能够评估指标,同时计划应对方案。我们认为,如果要如可持续发展目标11所述在包容性,安全性,抗灾性和可持续性城市方面取得进展,那么了解城市卫生不平等现象是政府,捐助者,非政府组织和社区作出有效反应的重要先决条件。

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