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Developing City Wide Equity Gauges: Rationale and Pitfalls.

Developing City Wide Equity Gauges: Rationale and Pitfalls. Pierre Ngom African Population and Health Research Center (APHRC) Population Council, Nairobi. The World is becoming increasingly urban. Good News, BUT……. In SS-Africa, Cities are not Engines for Growth.

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Developing City Wide Equity Gauges: Rationale and Pitfalls.

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  1. Developing City Wide Equity Gauges:Rationale and Pitfalls. Pierre Ngom African Population and Health Research Center (APHRC) Population Council, Nairobi

  2. The World is becoming increasingly urban

  3. Good News, BUT……..

  4. In SS-Africa, Cities are not Engines for Growth • Between 1970 and 1995, African urban population grew by 4.7% per year, while GDP dropped by 0.7% per year • Industrialization did not accompany the African urban boom SOURCE: WORLD DEVELOPMENT REPORT 1999/2000

  5. Poverty is sky-rocketing in urban areas:THE CASE OF KENYA

  6. Mortality is higher among the urban poor

  7. The urban poor have less access to health services

  8. City-wide Health Equity Gauges to: • Measure inequalities in health status and health care between the urban poor and other urban residents. Comparison with other national sub-populations (eg., rural areas) may be useful • Raise awareness about above inequalities in order to inform and influence policy

  9. Methodological Pitfalls to Avoid: • The 1000 Data Sources Trap: data gullibility does not pay. Use a few relevant and comparable data sets. • The Mathusalem Trap: avoid old data, unless you have comparable recent ones. • The Einstein Trap: do not be over-sophisticated. Choose indicators that you can easily interpret to policy-makers and program implementers.

  10. Partnering is important • Team up with partners who are concerned with health equity issues and who have been dealing with it.Avoid partners who will not listen, and who have no influence. • Do not put the cart before the horse:involve all key partners of the city-wide equity gauge from start.

  11. Have a Clear Work Plan • Always plan ahead:Line up the issues you would like to address in a given period. • Have a Strategy: Define the means you will rely on to achieve the above goals: workshops, media materials, etc. • Be transparent:Clearly define the role of each partner, share all documents related to the project with all partners.

  12. Thank you

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