Good for Regeneration, Good for Health

Good for Regeneration, Good for Health

Using an HIA approach to develop indicators for regeneration

Erica Ison on behalf of Belfast Local Support Group

Building Healthy Communities


Aim of Project

To use an HIA approach to develop a set of indicators appropriate for monitoring the effects of regeneration

Additional aim once indicators agreed

To develop a set of checklists based on the indicators for the prospective assessment of regeneration proposals


Context for work on regeneration in Belfast

Some of the most deprived communities in Northern Ireland live in Belfast

30 years of conflict and violence, known as “The Troubles”, has had a cumulative and damaging effect on people’s health and well-being, both mentally and physically

Since the start of the Peace Process, an important focus of the city is regeneration, especially in terms of economic development

The 5 Area Partnerships in Belfast have been developing a Strategic Regeneration Framework (SRF) since 2008


The problem with regeneration

Although regeneration and environmental improvement can be beneficial to people’s health and well-being, it can have unintended harmful effects, especially for vulnerable groups:

GentrificationDisplacment

If displacement does not occur, there can still be prolems if new residents and existing residents do not integrate, exacerbating social exclusion and isolation, reducing social cohesion

Presentazione BHC – Pag. 4 /18


The problem with existing indicators when using HIA

Some routinely collected data and the associated indicators are not fit for purpose, measuring effects not of interest when using HIA to investigate the impacts of a proposal

Indicators available do not necessarily reflect important determinants of health to reduce health inequalities and health inequities



MethodHealth impact analysis of the East Belfast SRF, including community consultation, to identify:* determinants of health affected by regeneration;* determinants of health affected with different types of regeneration proposal

Triangulation of the results with a desk-top analysis of the other 4 SRFs for Belfast.

Review of various indicator sets relating to health, regeneration and sustainable development



MethodSteering Group agreed a priority set of determinants of health

Using the determinants of health prioritised as important to regeneration, the next step was to identify appropriate indicators that would show an effect on the determinant of health

The ground rule was not to work from a basis of what indicators were already available but what would show whether a regeneration proposal was having an effect on the determinant



MethodFor each determinant of health, several indicators were indentified:* existing indicators;* new indicators

Indicators were selected by Local Support Group and Indicators Working Group

A framework was developed to house the indicators



Indicator Framework

Four main domains:* Economic* Social* Environmental* Access

Community and Neighbourhood Domain – representing a baseline profile



Special Features of Framework

* A “Headline Indicator” for each of the main domains* A “Twin Indicator” to show the effect on people experiencing inequalities or inequities who are in vulnerable groups* Key indicators for the Community & Neighbourhood domain* Area-specific indicators – the choice of each Area Partnership



Economic Domain

Headline IndicatorGross value added per capita

matches to “Creation of wealth” as a determinant of health

Twin inequalities indicatorComparison of the average top 20% of after-tax incomes and the average bottom 20% of after-tax incomes



Indicators document

Introduction, including a description of the frameworkPart 1: Introduction to each domain: list of the indicators in each domain, an introduction to each “headline” indicator, a description of the “twin” indicator, and guidance on how to interpret the “headline indicator in relation to other indicators in the setPart 2: Instructions on how to select the indicators to use depending on the contents of the proposal that is being monitored and evaluated



Other resources* A set of checklists based on the indicator sets for prospective assessment of regeneration proposals: a universal checklist based on 4 headline and 4 twin indicators, 4 checklists based on the domain indicators, and a checklist based on the Community and Neighbourhood indicators to help developers identify the existing vulnerabilities in a community that need to be taken into account in the proposal; case-studies* A Training Programme on how to use the checklists and indicator set* A Training the Trainers course



Ongoing and future work

Working with Northern Ireland Statistics and Research Agency (NISRA) to collect and analyse data for some of the “new” indicators

A interactive tool based on the checklists

Building capacity in the Area Partnerships and in other key organisations in Belfast

Using this approach in other subject areas as part of Health in All Policies, e.g. Housing, and planning children’s services



Organisations involvedBelfast City Council (Project Manager: Adele Keys)Belfast Healthy Cities (Chair of the LSG: Joan Devlin)Belfast Health and Social Care TrustHealth Protection Agency Northern IrelandNorthern Ireland Housing ExecutivePlanning Service, DoEEast Belfast PartnershipGreater Shankill Partnership North Belfast PartnershipSouth Belfast PartnershipWest Belfast Partnership

Expert Adviser: Erica IsonPresentazione BHC – Pag. 15 /18

Documents

Good for Regeneration, Good for Health