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Zmanjšati GRADIENT v zdravju-
Uspešno zmanjševanje neenakosti v zdravju med družinami in otroci s pomočjo javno zdravstvenih politik
Neenakosti v zdravju sodijo med najpomembnejše javno zdravstvene izzive v Evropski skupnosti. Kljub temu, še vedno nimamo zadosti znanj o tem kateri ukrepi so uspešni v zmanjševanju stopnje neenakosti v zdravju. Namen projekta GRADIENT (marec 2009-2012) je ravno nagovoriti omenjeni deficit v znanju, obdržati politični interes za področje in razviti operativne strategije za napredek na področju neenakosti v zdravju. Ciljna skupina raziskovalnega projekta so družine in otroci, ker se največji napredek na zmanjševanju stopnje neenakosti v zdravju lahko doseže s pomočjo politik namenjenih otrokom in mladostnikom.
Več informacij o projektu je dostopno na
www.health-gradient.eu
Applying Public Health Policies to Effectively Reduce Health Inequalities amongst Families and Children
Health inequalities are currently regarded as one of the most important public health challenges in the EU. However, we do not have sufficient knowledge of which actions are effective to level up the gradient in health inequalities. The Gradient (March 2009 – 2012) aims to address this knowledge gap, to ensure that political momentum is maintained and that operational strategies can be developed to make progress on this issue. The focus of the research project will be on families and children, since the greatest impact on reducing the health gradient can be achieved through early life policy interventions and by creating equal opportunities during childhood and adolescence.
AIMS AND OBJECTIVES
The Gradient project strives to:
• Develop a consensus-based European Framework to monitor and evaluate public health policies and their impact on the gradients that exists in the social determinants that generate health inequalities.
• Investigate if and why children and families from different socio-economic groups respond and act differently to public health policy interventions
• Identify protective factors for the health of children and young people and their families focusing on social relations and social networks, in order to explore alternative policy options that moderate social inequities in health.
• Analyse and compare the impact of general policies for families and children with the impact of policies targeted at ‘at risk’ families and children.
• Formulate policy recommendations at European, national, regional and local level and to disseminate the findings across the European Union
OUTPUT
YEAR ONE
May 2009 (1) Cooperation agreement for an effective research consortium that operates at a European level and has the ability to further develop the evidence base for public health policies that reduce health inequalities, (2) a communication and dissemination strategy and project web-tool
22-23 June ‘09 Project Steering Group Meeting 1 in Brussels
July ‘09 Glossary of concepts and publicity material
October ‘09 First Evaluation Framework Workshop
January 2010 Review of protective factors for health inequalities (article)
March ’10 (1) a publication on evaluation methodologies related to policy impacts on health inequalities, (2) a review paper on differential impacts of policies among families and children from different socio-economic groups, (3) a literature review on universal and targeted policies.
YEAR TWO
April ‘10 Project Steering Group Meeting 2 in Brussels
May ‘10 Second Evaluation Framework workshop
June ‘10 Report on results of the secondary data analysis related to social capital
July ‘10 Overview of effective health policies aimed at children and families
August ’10 Interim policy recommendations on protective factors
November ‘10 Report on results from document analysis: targeted and universal policies
January 2011 Analysis of differential impact of public health policies between SES groups
March ‘11 Third Evaluation Framework workshop
Project Steering Group Meeting 3 in Brussels
YEAR THREE
May ‘11 Quality Matrix on success factors and barriers for effective impact of policies amongst lower SES groups
June ‘11 Evaluation Framework & best practice template
September ‘11 Report on results from interview study about universal and targeted policies
June –Oct. ‘11 Interim policy recommendations on evaluation methodology, on differential impacts of policies by SES groups, and on universal and targeted policies
December ‘11 Project Steering Group Meeting 4 in Brussels & Book and Final policy recommendations
March ‘12 Several published articles
ORGANISATION AND COORDINATION
This work will be undertaken by a research consortium consisting of 34 members from 12 institutions with expertise in the areas of public policy, public health and health promotion, and child and adolescent health at the local, regional, national, EU and international level. The work will be divided into 6 work packages, making use of 12 work package meetings and coordinated by different work package leaders.
EuroHealthNet will provide the overall coordination and will feed research results into policy making processes at the national and EU level. In addition, a Scientific Advisory Board consisting of four leading experts will help to ensure scientific excellence.
Participant organisation Country
EuroHealthNet (coordinator)
Flemish Institute for Health Promotion and Disease Prevention Belgium (BE)
University of Ghent Belgium (BE)
National Institute of Public Health Czech Republic (CZ)
Int. Health Development Research Centre (University of Brighton) England (UK)
Bundeszentrale für Gesundheitliche Aufklärung Germany (DE)
Research Centre for Health Promotion (University of Bergen) Norway (NO)
Institute of Public Health Murska Sobota Slovenia (SI)
Universidad de la Laguna Spain (ES)
Karolinska Institute Sweden (SE)
NL Institute for Health Promotion and Disease Prevention Netherlands (NL)
Public Health Institute of Iceland Iceland (IS)
For more information please contact: Aagje Ieven, Email: a.ieven@eurohealthnet.eu, Tel: +3222350324
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