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

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Presentation on theme: "Developing City Wide Equity Gauges: Rationale and Pitfalls. Pierre Ngom African Population and Health Research Center (APHRC) Population Council, Nairobi."— Presentation transcript:

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: 1.The 1000 Data Sources Trap: data gullibility does not pay. Use a few relevant and comparable data sets. 2.The Mathusalem Trap: avoid old data, unless you have comparable recent ones. 3.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 1.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. 2.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 1.Always plan ahead: Line up the issues you would like to address in a given period. 2.Have a Strategy: Define the means you will rely on to achieve the above goals: workshops, media materials, etc. 3.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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