Author/Authors :
Asadi-Lari، Mohsen نويسنده Oncopathology Research Centre, Tehran University of Medical Sciences, Tehran, Iran , , Vaez Mahdavi، Mohammad Reza نويسنده , , Faghihzadeh، Soghrat نويسنده , , Cheraghian، Bahman نويسنده , , Esteghamati، Alireza نويسنده Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences , , Farshad، Ali Asghar نويسنده Iran University of Medical Sciences , , Golmakani، Mohammad Mehdi نويسنده Department of Health, Tehran Municipality’s General
Department of Health, Tehran, IR Iran , , Mehrizi، Ali-Asghar Haer نويسنده 8. Health Education and Promotion Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR , , Kalantari، Naser نويسنده Department of Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran Kalantari, Naser , Kamali، Mohammad نويسنده Epidemiology Department, Royan institute , , Kordi، Ramin نويسنده , , Afzali، Hossein Malek نويسنده Tehran University of Medical Sciences , , Montazeri، Ali نويسنده Professor, Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR , , Moradi-Lakeh، Maziar نويسنده , , Motevallian، Abbas نويسنده Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran , , Noorbala، Ahmad-Ali نويسنده , , Raghfar، Hossein نويسنده Alzahra University , , Razzaghi، Emran Mohammad نويسنده Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran , , Hesari، Hossein نويسنده Tehran University of Medical Sciences ,
Abstract :
Background: 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 As-sessment 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 infra-structure’, ‘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 mul-tistage 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 communi-ty 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 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.
