SOPHIE	
  Project	
  
Project	
  coordinator:	
  Carme	
  Borrell	
  
Project	
  manager:	
  Davide	
  Malmusi	
  
Agència...
Objec/ve	
  
SOPHIE	
  (acronym	
  for	
  Structural	
  Policies	
  for	
  Health	
  
InequaliBes	
  EvaluaBon)	
  aims	
 ...
Conceptual	
  framework	
  
Work	
  Packages	
  
	
  
	
  
	
  	
  
	
  
	
  
	
  
Specific	
  objec/ves	
  
1.	
  To	
  generate	
  new	
  evidence	
  on	
  how	
  structural	
  policies	
  impact	
  	
  t...
Examples	
  of	
  methods	
  
Realist	
  reviews	
  
Unemployment	
  benefits	
  systems.	
  
	
  
Realist	
  evaluaBon	
  ...
Realist	
  approach	
  to	
  evalua/on	
  
and	
  review	
  of	
  evidence	
  
TradiBonal	
  evaluaBon	
  methods	
  test	...
Examples	
  of	
  methods	
  
Realist	
  reviews	
  
Unemployment	
  benefits	
  systems.	
  
	
  
Realist	
  evaluaBon	
  ...
Concept	
  Mapping	
  
• To	
  engage	
  stakeholders	
  and	
  communiBes	
  early	
  in	
  	
  	
  	
  	
  	
  	
  	
  
...
Concept	
  Mapping	
  
Example	
  –	
  Urban	
  renewal	
  in	
  Barcelona	
  
	
  
Cluster Layer
Layer Value
1 2.99 to 3....
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
Cleaning and repair o...
Examples	
  of	
  methods	
  
Realist	
  reviews	
  
Unemployment	
  benefits	
  systems.	
  
	
  
Realist	
  evaluaBon	
  ...
Policy	
  evalua/on	
  case	
  studies	
  
Examples	
  
Differences	
  with	
  other	
  FP7	
  projects	
  
Some	
  themes	
  
Macroeconomic	
  (monetary	
  and	
  fiscal)	
  polic...
Expected	
  /meline	
  for	
  results	
  
Project	
  duraBon:	
  Nov-­‐11	
  to	
  Oct-­‐15	
  
	
  
Deliverables	
  
Jan-...
 
	
  
sophie-­‐project.eu	
  
	
  
@sophieproject	
  
	
  
info@sophie-­‐project.eu	
  
dmalmusi@aspb.cat	
  
Thank	
  yo...
Presentation SOPHIE project
Presentation SOPHIE project
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Presentation SOPHIE project

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Evaluating the Impact of Structural Policies on Health Inequalities and their Social Determinants, and Fostering Change (SOPHIE)

Health inequalities are unfair and avoidable differences in health between population groups defined socially, economically, demographically or geographically. They are strongly affected by the circumstances in which people are born, grow, live, work and age, and by the policies influencing these circumstances.

SOPHIE aims to generate new evidence on the impact of structural policies on health inequalities, and to develop innovative methodologies for the evaluation of these policies in Europe. Particular attention will be put in increasing the involvement of affected stakeholders (civil society and deprived population groups) in the identification, design and evaluation of policies to tackle health inequalities.

This project is coordinated by Agència de Salut Pública de Barcelona and funded from the European Community's Seventh Framework Programme (FP7/2007-2013, call Health-2011) under grant agreement n° 278173.

Prsented at the Meeting of the Expert Group on Social Determinants and Health Inequalities. Luxembourg, 21-22 January 2013

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Presentation SOPHIE project

  1. 1. SOPHIE  Project   Project  coordinator:  Carme  Borrell   Project  manager:  Davide  Malmusi   Agència  de  Salut  Pública  de  Barcelona  
  2. 2. 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.          
  3. 3. Conceptual  framework  
  4. 4. Work  Packages                
  5. 5. 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.  
  6. 6. 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          
  7. 7. 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  
  8. 8. 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          
  9. 9. 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.  
  10. 10. Concept  Mapping   Example  –  Urban  renewal  in  Barcelona     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 Decrease of economic activity Abandoned areas Sense of insecurity Accessibility by car Cleaning and repair of streets Neighbourhood relations Reform of buildings and plazas Public events and spaces Community and senior centers Immigrants Neighbourhood Police relations POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS Senior Center Group – Casc Antic Youth Center Group – Casc Antic 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 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 Decrease of economic activity Abandoned areas Sense of insecurity Accessibility by car Cleaning and repair of streets Neighbourhood relations Reform of buildings and plazas Public events and spaces Community and senior centers Immigrants Neighbourhood Police relations POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS Senior Center Group – Casc Antic Youth Center Group – Casc Antic Mehdipanah  et  al.,  under  review  
  11. 11. 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 Cleaning and repair of streets Reform of buildings and plazas Community and senior centers 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 Neighbourhood image Sense of insecurity Immigrants Neighbourhood relations Police relations Resources,activities and courses Public space POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS Employment Decrease in economic activity Transportation Vandalism and sense of insecurity Youth Center Group – Casc Antic Community Center Group – Roquetes POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS 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 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 Cleaning and repair of streets Reform of buildings and plazas Community and senior centers 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 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 Neighbourhood image Sense of insecurity Immigrants Neighbourhood relations Police relations Resources,activities and courses Public space POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS Employment Decrease in economic activity Transportation Vandalism and sense of insecurity Youth Center Group – Casc Antic Community Center Group – Roquetes POPULATION & SOCIAL CHANGE URBAN RENEWAL PROJECTS Concept  Mapping   Example  –  Urban  renewal  in  Barcelona   Mehdipanah  et  al.,  under  review  
  12. 12. 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          
  13. 13. Policy  evalua/on  case  studies   Examples  
  14. 14. 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      
  15. 15. 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          
  16. 16.     sophie-­‐project.eu     @sophieproject     info@sophie-­‐project.eu   dmalmusi@aspb.cat   Thank  you!     Grazie!     Gràcies!  

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