SOPHIE Project Project coordinator: Carme Borrell Project manager: Davide Malmusi Agència de Salut Pública de Barcelona Objec/ve SOPHIE (acronym for Structural Policies for Health InequaliBes EvaluaBon) aims to generate new evidence on the impact and effecBveness of structural policies in tackling health inequaliBes and to develop innovaBve methodologies for the evaluaBon of these policies in Europe. We consider structural policies as all those policies with a powerful influence on the structural determinants of health inequaliBes, such as paLerns of social straBficaBon and living and working condiBons. Conceptual framework Work Packages Specific objec/ves 1. To generate new evidence on how structural policies impact the determinants of health inequaliBes by socio-­‐economic posiBon, gender and migraBon status. 2. To develop, refine and apply innovaBve methods for the evaluaBon of European, naBonal and local policies. 3. To increase the involvement of affected stakeholders in the idenBficaBon and evaluaBon of policies to reduce inequaliBes. 4. To disseminate the findings by implemenBng strong knowledge translaBon approaches with affected communiBes, stakeholders and responsible policymakers. Examples of methods Realist reviews Unemployment benefits systems. Realist evaluaBon Service Voucher for domesBc work (Belgium) Mixed methods: Quasi-­‐experiments + Concept Mapping Llei de Barris urban renewal program (Catalonia) Ley de Dependencia public care services for the dependent (Spain) Typology-­‐guided cross-­‐naBonal analyses Gender equity policies ImmigraBon policies Housing policies Realist approach to evalua/on and review of evidence TradiBonal evaluaBon methods test programmes by asking ‘does it work?’ Realist evaluaBon aims at discerning why, how, for whom and in what circumstances a program can impact health. Pawson and Tilley 1997 Examples of methods Realist reviews Unemployment benefits systems. Realist evaluaBon Service Voucher for domesBc work (Belgium) Mixed methods: Quasi-­‐experiments + Concept Mapping Llei de Barris urban renewal program (Catalonia) Ley de Dependencia public care services for the dependent (Spain) Typology-­‐guided cross-­‐naBonal analyses Gender equity policies ImmigraBon policies Housing policies Concept Mapping • To engage stakeholders and communiBes early in the research process • To get informaBon on the lived experience of a policy and its mechanisms (how does it work?) Trochim 1989. Burke et al 2005. Concept Mapping Example – Urban renewal in Barcelona Sense of insecu rity
Senior Center Group – Casc Antic
Neighbourhood
relations
Abandoned areas
Decrease of economic activity
Accessibility by car
Public events and spaces
POPULATION & SOCIAL CHANGE
URBAN RENEWAL PROJECTS
Cleaning and repair of streets
Cluster
Layer
Layer
Value
1
2.99 to 3.22
2
3.22 to 3.44
3
3.44 to 3.67
4
3.67 to 3.89
5
3.89 to 4.12
Youth Center Group – Casc Antic
Reform of buildings
and plazas
Community and sen ior cen ters
Police relations
Mehdipanah et al., under review Immigrants
Neighbourhood
Cleaning and repair of streets
Cluster
Layer
Layer
Value
1
2.99 to 3.22
2
3.22 to 3.44
3
3.44 to 3.67
4
3.67 to 3.89
5
3.89 to 4.12
Reform of buildings
and plazas
Concept Mapping Community and sen ior cen ters
Example – Urban renewal in Barcelona Police relations
Youth Center Group – Casc Antic
Immigrants
Sense of
in security
Neighbourhood
relations
POPULATION & SOCI AL CHANGE
URBAN RENEWAL PROJECTS
Neighbourhood image
Cluster
Layer
Layer
Value
1
2.90 to 3.10
2
3.10 to 3.30
3
3.30 to 3.50
4
3.50 to 3.70
5
3.70 to 3.90
Community Center Group – Roquetes
Mehdipanah et al., under review Decrease in economic activity
Transportation
Public space
Resources , activities
and cours es
Vandalism and sens e of insecurity
POPULATION & SOCI AL CHANGE
URBAN RENEWAL PROJECTS
Employment
Examples of methods Realist reviews Unemployment benefits systems. Realist evaluaBon Service Voucher for domesBc work (Belgium) Mixed methods: Quasi-­‐experiments + Concept Mapping Llei de Barris urban renewal program (Catalonia) Ley de Dependencia public care services for the dependent (Spain) Typology-­‐guided cross-­‐naBonal analyses Gender equity policies ImmigraBon policies Housing policies Policy evalua/on case studies Examples Differences with other FP7 projects Some themes Macroeconomic (monetary and fiscal) policies Built environment and urban regeneraBon Housing (quality, access, cost) Gender equity ImmigraBon policy Some methods And more generally , the realist approach to evaluaBon Beyond socioeconomic inequaliBes: intersecBonality The focus on vulnerable / affected stakeholders Such as groups affected by the policy, local communiBes, European and naBonal themaBc NGOs Expected /meline for results Project duraBon: Nov-­‐11 to Oct-­‐15 Deliverables Jan-­‐14: Reviews Oct-­‐14: Methods of stakeholders’ involvement Jan-­‐15: Cross-­‐country analyses* Apr-­‐15: Case studies of evaluaBon* Oct-­‐15: Final scienBfic report * Some results available in 2013-­‐2014 sophie-­‐project.eu @sophieproject info@sophie-­‐project.eu [email protected] Thank you! Grazie! Gràcies!