Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
8
1
gregorian
2013
11
1
27
4
online
1
fulltext
en
Response-oriented measuring inequalities in Tehran: second round of Urban Health Equity Assessment and Response Tool (Urban HEART-2), concepts and framework
Epidemiology
Epidemiology
Study Protocol
Study Protocol
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 10pt text-align: justify text-justify: inter-ideograph"><font face="Calibri"><font size="3"><b>Background:</b>
Current evidence consistently confirm inequalities in health status among
socioeconomic groups, gender, ethnicity, geographical area and other social
determinants of health (SDH), which adversely influence health of the
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, and tackling inequitable distribution of resources are highly
recommended by international SDH commissioners in recent years to ‘close the
gaps within a generation’. To measure inequalities in socio-economic
determinants and core health indicators 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).<o:p /></font></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 10pt text-align: justify text-justify: inter-ideograph"><font face="Calibri"><font size="3"><b>Method:</b>
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 targeted either
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.<o:p /></font></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 10pt text-align: justify text-justify: inter-ideograph"><font size="3"><font face="Calibri"><b>Conclusion:</b>
Following the first round of Urban HEART project in 2008, the second round was
conducted to track changes over time, to institutionalize inequality assessment
within the local government, to build up community participation in
‘assessment’ and ‘response’ parts of the project, and to implement appropriate
and evidence-based actions to reduce health inequalities within all
neighborhoods of Tehran.<o:p /></font></font></p><font face="Times New Roman" size="3"> </font>
Health inequality, Urban HEART, Social determinants of health, Community based development.
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248
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-603&slc_lang=en&sid=1
Mohsen
Asadi-Lari
asadilari@iums.ac.ir
20031947532846009019
20031947532846009019
Yes
Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Reza
Vaez-Mahdavi
vaezmahdavi@shahed.ac.ir
20031947532846009020
20031947532846009020
No
Department of Physiology, Shahed University, Tehran, Iran.
Soghrat
Faghihzadeh
faghihz@modares.ac.ir
20031947532846009021
20031947532846009021
No
Medical School, Zanjan University of Medical Sciences, Zanjan, Iran.
Bahman
Cherghian
cheraghian2000@yahoo.com
20031947532846009022
20031947532846009022
No
Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Alireza
Esteghamati
20031947532846009023
20031947532846009023
No
Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ali Asghar
Farshad
fdgir@yahoo.com
20031947532846009024
20031947532846009024
No
Department of Occupational Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mehdi
Golmakani
golmakani@yahoo.com
20031947532846009025
20031947532846009025
No
Department of Health, Municipality of Tehran, Iran.
Ali-Asghar
Haeri-Mehrizi
haeri.stat@gmail.com
20031947532846009026
20031947532846009026
No
Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.
Hossein
Hesari
hessari@mappi.helsinki.fi
20031947532846009027
20031947532846009027
No
Department of Oral Public Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Naser
Kalantari
nkalantari1334@gmail.com
20031947532846009028
20031947532846009028
No
Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad
Kamali
kamali@mkamali.com
20031947532846009029
20031947532846009029
No
Rehabilitation Research Centre, Iran University of Medical Sciences, Tehran, Iran.
Ramin
Kordi
ramin_kordi@tums.ac.ir
20031947532846009030
20031947532846009030
No
Sports Medicine Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Hossein
Malek-Afzali
malekafzali@tums.ac.ir
20031947532846009031
20031947532846009031
No
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Ali
Montazeri
montazeri@acecr.ac.ir
20031947532846009032
20031947532846009032
No
Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.
Maziar
Moradi-Lakeh
mazmoradi@yahoo.com
20031947532846009033
20031947532846009033
No
Department of Community Medicine, Medical School, Iran University of Medical Sciences, Tehran, Iran.