Achieving Health Equity through Place Based Interventions. Establishing partnerships with local authorities and community members: Heart Healthy Hoods study, the case of Madrid
1) The document discusses the Heart Healthy Hoods (HHH) study, which aims to study the impact of social and physical environments on cardiovascular health.
2) The HHH study is being conducted in Madrid, Spain and involves collecting data on tobacco, alcohol, food, and physical activity environments from over 3.2 million residents across 128 neighborhoods.
3) The study has established partnerships with local authorities and conducted a participatory photovoice project with residents to understand social and environmental influences on residents' diets in low-income neighborhoods.
El Heart Healthy Hoods (HHH) es un proyecto de investigación que estudia como se relaciona el entorno urbano físico y social con la salud de la población
Laos long-term study on zoonotic parasitic diseases in livestock: Approaches ...ILRI
Presentation by Vannaphone Putthana, Panomsak Promburom, Fred Unger, Malavan Chittavong, Fongsamoud Suthammavong and Oudom Phonekhampheng at the 4th Food Safety and Zoonoses Symposium for Asia Pacific and 2nd Regional EcoHealth Symposium, Chiang Mai, Thailand, 3-5 August 2015.
Building institutional research capacity for integrated approaches: An exampl...ILRI
Presentation by Hung Nguyen-Viet at a seminar at the Faculty of Sciences and Techniques, University of Franche-Comté, Besançon, France, 14 September 2015.
Risk assessment as a tool to improve water quality and the role of institutio...ILRI
Presentation by Kyana Young, Joan B. Rose, John Fawell, Rosina Girones Llop, Hung Nguyen-Viet and Maureen Taylor at the 2015 UN-Water Annual International Zaragoza Conference, Zaragoza, Spain,15-17 January 2015.
As proposed by the Declarations of the Alma Ata and challenged by the Millennium
Development Goals, action by players and stakeholders of diverse specialties and
backgrounds is required to achieve health for all. This assembled expert panel
drawn from different backgrounds will enrich the discussion with their own experiences.
Cp 2 Perkembangan teknologi pendidikan mulai dari masa awal 1Hari Sugiarto
2. Mengemukakan rasional berkembangnya teknologi pendidikan sebagai disiplin keilmuan//, 2 Perkembangan teknologi pendidikan mulai dari masa awal// Materi 1
El Heart Healthy Hoods (HHH) es un proyecto de investigación que estudia como se relaciona el entorno urbano físico y social con la salud de la población
Laos long-term study on zoonotic parasitic diseases in livestock: Approaches ...ILRI
Presentation by Vannaphone Putthana, Panomsak Promburom, Fred Unger, Malavan Chittavong, Fongsamoud Suthammavong and Oudom Phonekhampheng at the 4th Food Safety and Zoonoses Symposium for Asia Pacific and 2nd Regional EcoHealth Symposium, Chiang Mai, Thailand, 3-5 August 2015.
Building institutional research capacity for integrated approaches: An exampl...ILRI
Presentation by Hung Nguyen-Viet at a seminar at the Faculty of Sciences and Techniques, University of Franche-Comté, Besançon, France, 14 September 2015.
Risk assessment as a tool to improve water quality and the role of institutio...ILRI
Presentation by Kyana Young, Joan B. Rose, John Fawell, Rosina Girones Llop, Hung Nguyen-Viet and Maureen Taylor at the 2015 UN-Water Annual International Zaragoza Conference, Zaragoza, Spain,15-17 January 2015.
As proposed by the Declarations of the Alma Ata and challenged by the Millennium
Development Goals, action by players and stakeholders of diverse specialties and
backgrounds is required to achieve health for all. This assembled expert panel
drawn from different backgrounds will enrich the discussion with their own experiences.
Cp 2 Perkembangan teknologi pendidikan mulai dari masa awal 1Hari Sugiarto
2. Mengemukakan rasional berkembangnya teknologi pendidikan sebagai disiplin keilmuan//, 2 Perkembangan teknologi pendidikan mulai dari masa awal// Materi 1
Similar to Achieving Health Equity through Place Based Interventions. Establishing partnerships with local authorities and community members: Heart Healthy Hoods study, the case of Madrid
Presentation by Jo Ward, North West Social Prescribing Network Co-Chair: Social Prescribing Network and creative health agenda at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Strengthening research. development and innovation cooperation between jordan...SRTD _ II
CONTENTS OF THE PRESENTATION:
- A short introduction of myself and my work in the Spanish company INNOVATEC
- My experience in participating in framework programmes (FP7 & H2020), and some ideas on international cooperation activities.
- Advises and ideas to help Jordanian researchers to enhance and strengthen their cooperation with European counterparts, based on my experience and know-how of European programmes and international R&D collaboration.
RRI Tools SEE hub meeting, Lisbon, April 24, 2015.
Similar to Achieving Health Equity through Place Based Interventions. Establishing partnerships with local authorities and community members: Heart Healthy Hoods study, the case of Madrid (20)
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Achieving Health Equity through Place Based Interventions. Establishing partnerships with local authorities and community members: Heart Healthy Hoods study, the case of Madrid
1. Manuel Franco MD, PhD
University of Alcala, Madrid, Spain
Achieving health equity through
place-based interventions
Establishing partnerships with local
authorities and community members:
Heart Healthy Hoods study,
the case of Madrid
2. http://hhhproject.eu
Egalitarian cities, healthier cities
healthier residents
Life expectancy in high income
neighborhood: 85 years
Life expectancy in low income
neighborhood: 66 years
Baltimore life expectancy gap
by neighbohoods: 18 years
3. http://hhhproject.eu
Egalitarian cities, healthier cities
healthier residents
Life expectancy in high income
neighborhood: 85 years
Life expectancy in low income
neighborhood: 78 years
Madrid life expectancy gap
by neighbohoods: 7 years
4. Social and Physical Urban
Environment and CV Health:
The Much Needed
Population Approach
Manuel Franco MD, PhD
For the HHH investigators
6. ERC Starting Grants
FUNDING 1.5 million € for 5 years
OBJECTIVE To encourage independent careers of excellent
investigators providing enough support in the critical
moment (starting to develop their own team).
ELEGIBILITY PI must have a PhD degree in the last 2 to 7 years.
Available to non-EU researchers.
REQUISITES At least one relevant publication without his/her
thesis advisor
At least 50% effort
PROFILE High potential, project with potential social
Impact in Europe.
7. Presenter’s Name
Date
Physical
Environment
Social
Environment
SOCIAL
EPIDEMIOLOGY
Studies social determinants of disease
Methodologies from Social Sciences and Public Health
Focus on population preventive approach
Addresses growing social inequalities in health
First cause of death in Europe (47% of all deaths in 2010)
Increasing prevalence (50 mill. patients in 2009 in Europe)
Rising social and economic costs (196 billion € in 2009)
Traditional medical preventive approaches are individual
Cardiovascular
Health
9. http://hhhproject.eu
To study the impact of the
social and physical environment in terms of
tobacco, alcohol, food and physical activity
on residents cardiovascular health
Heart Healthy Hoods
Overall Objectives
10. http://hhhproject.eu
1. To include a qualitative approach to understand
the context and meanings of the urban
environment in relation to cardiovascular health
1. To develop measurements to characterize the
social and physical urban environments in a
systematic and accurate fashion
Heart Healthy Hoods
Secondary Objectives
11. http://hhhproject.eu
3. To compare the relation between the urban
environment and cardiovascular health in the
United States with this relation in Europe
(ICUH Julia Diez, Sunday 15:15 CS 8.5)
4. To evaluate naturally occurring changes (natural
experiments) such as public policy interventions
occurring during the time of the study modifying the
urban environment
Heart Healthy Hoods
Secondary Objectives
12. http://hhhproject.eu
To provide scientific evidence to the general
population, researchers and policy makers to
intervene at the population level to prevent the
first cause of death in Europe
HHH overarching objective:
Policy and research implications
13. http://hhhproject.eu
Mejorar la ciudad
Mejorar nuestra salud
21 Districts
128 Neighborhoods
2412 Census Units
3,2 Mill. Residents
Access to the
Integrated Primary
Care Health System
Database
1,4 million residents
40-75 ys. old
16. http://hhhproject.eu
Gilles-Corti et al. Journal of Public Health Policy 2015 Vol. 36, 2, 231–243
Translating urban health research
into policy and practice
DISSEMINATION STRATEGY
DISSEMINATION STRATEGY
NON-POLICY-RELEVANT Research
RESEARCH METHODSRESEARCH QUESTION
POLICY-RELEVANT Research
RESEARCH METHODS
POLICY RELEVANT
RESEARCH QUESTION
Giles-Corti et al
17. http://hhhproject.euUntil relatively recently, few active living researchers from the health
DISSEMINATION STRATEGY
DISSEMINATION STRATEGYRESEARCH METHODSRESEARCH QUESTION
ADVOCACY POLICY
POLICY-RELEVANT Research
RESEARCH METHODS
POLICY RELEVANT
RESEARCH QUESTION
Figure 1: Processes, partners, and strategies that differentiate non-policy-relevant and policy-
relevant research.Gilles-Corti et al. Journal of Public Health Policy 2015 Vol. 36, 2, 231–243
Translating urban health research
into policy and practice
18. http://hhhproject.eu
Establishing partnerships with local authorities:
Primary Health Care Research Unit Madrid State Gov.
• For conducting the HHH cohort study
• For analyzing Electronic Health Records
Public Health Research Unit Madrid State Gov.
• For analyzing SES Madrid data
• For analyzing Madrid Health surveillance data
Heart Healthy Hoods
19. Manuel Franco MD, PhD
University of Alcala, Madrid, Spain
Achieving health equity through
place-based interventions
Establishing partnerships with
community members: Photovoice
project in Villaverde, Madrid
20. http://hhhproject.eu
Main objective
To conduct a participatory photovoice project
with residents of a low-income urban area to
understand environmental and social
characteristics of the local food environment
influencing residents diets.
21. http://hhhproject.eu
Setting Two neighborhoods of a
low-income area in Madrid (Spain).
Participants
- 24 residents (31-72 years old).
- A group of women and another
one of men per neighborhood.
Procedure
- A total of 163 pictures of their
local food environment
- Groups met at least for 5 sessions
two months
Photovoice Food Environment:
Methods
23. http://hhhproject.eu
31 final themes of the four
groups were finally merged
into 5 main themes:
o Eating in moderation
o Cultural diversity
o Food retailers
o Socialization
o Economic crisis and poverty
Photovoice Food Environment:
Results
30. http://hhhproject.eu
Disseminating results and
reaching policy makers
Citizen Science Meeting Photography exhibit
• Residents participated in dissemination strategies raising
awareness and promoting social action: Photobook, Video,
Scietific and cultural meetings, Media collaboration
• Participants generated 11 policy recommendations
Editor's Notes
Achieving health equity through place-based interventions
Populations living in socially disadvantaged areas often defined as low socio-economic status, high social exclusion, poor physical environments, and increasing crime rates, tend to have poorer physical and mental health outcomes. Therefore, place-based interventions can offer different solutions to address the health inequities faced by these populations through positive impacts on various social determinants of health.
In this session, four international researchers have joined to describe the different perspectives involved to achieve health equity through place-based interventions.
Dr. Hortensia Amaro will provide an introduction to place-based interventions and their impacts on health while discussing the importance of moving upstream when developing interventions in order to address health equity.
Dr. Julie Clark provides an urban planning perspective by discussing the use of mixed-methods to study placed-based interventions like urban regeneration and mega-events in Glasgow, and their health impacts across neighborhoods.
Dr. Manuel Franco will discuss the importance of establishing partnerships and working with community members when designing interventions. He draws on a photovoice project used to better understand the food environment of a low-income area of Madrid in order to help develop interventions and policies to address the scarce food outlets in these areas.
Dr. Roshanak Mehdipanah will conclude the session by discussing some of the theories associated with place-based interventions and their impacts on health equity. This will include a closer look at the mechanisms involved and the concept of ‘place-bound’ populations described by the frequency or degree of interaction an individual has with their neighborhood.
el logo arriba y abajo queda repetido. Propongo quitar la chapa y centrar el título
Preguntas al publico !!
Madrid es una ciudad de barrios, cual es tu barrio? Qué caracteristicas tiene tu barrio que se relacionen con tu salud?
Te propongo cambiar le orden de las diapos 6 y 7 --> introducir primero CV health y social epidemiology para despues presentar la 7 para ver como se relacionan una con la otra. La 7 sirve para introducir el marco conceptual...la 6 más bien como justificaicón del estudio
Hacer un poco más pequeña la imagen para dejar márgenes
Repasar animacion! Porque al final sale el titulo de la diapo...valorar si el tñitulo sale desde el principio
porque el segundo punto en cursiva? uniformizar el fomrato (letra/tamañao de las diapos) --> las diapos de objetivos tienen letra diferente
creo que le segundo objetivo más que un objetivo en si podría ponerse com un apartado al final de Public Health // POlicy implication of the study
using a qualitative approach
whats that? titulo...
Achieving health equity through place-based interventions
Populations living in socially disadvantaged areas often defined as low socio-economic status, high social exclusion, poor physical environments, and increasing crime rates, tend to have poorer physical and mental health outcomes. Therefore, place-based interventions can offer different solutions to address the health inequities faced by these populations through positive impacts on various social determinants of health.
In this session, four international researchers have joined to describe the different perspectives involved to achieve health equity through place-based interventions.
Dr. Hortensia Amaro will provide an introduction to place-based interventions and their impacts on health while discussing the importance of moving upstream when developing interventions in order to address health equity.
Dr. Julie Clark provides an urban planning perspective by discussing the use of mixed-methods to study placed-based interventions like urban regeneration and mega-events in Glasgow, and their health impacts across neighborhoods.
Dr. Manuel Franco will discuss the importance of establishing partnerships and working with community members when designing interventions. He draws on a photovoice project used to better understand the food environment of a low-income area of Madrid in order to help develop interventions and policies to address the scarce food outlets in these areas.
Dr. Roshanak Mehdipanah will conclude the session by discussing some of the theories associated with place-based interventions and their impacts on health equity. This will include a closer look at the mechanisms involved and the concept of ‘place-bound’ populations described by the frequency or degree of interaction an individual has with their neighborhood.
Importancia del equeño comercio vs supermarkets: Beterr in quality, more fresh and a much better customer service
Supermarkets offer greater variety but characterized by fraudulent and unhealthy marketing
Local food retailers should be supported not just by local adminstrators but by local residents
Manuel, si quieres modificar esta imagen, la tienes en la siguiente diapo que está oculta.
Lo importante que yo diría aquí:
En base a los resultados obtenidos en el Photovoice se han generado unas recomendaciones (etapa 4) y actualmente estamos trabajando en la etapa 5 y 6 con la idea de que se llegue a una etapa 7, que ya depende de los políticos.
Los participantes (community) han estado involucrados en el proceso de manera activa desde etapas tempranas.
Los políticos no serán “únicamente” informados con nuestro proyecto, si no que se les ha involucrado de manera activa en la difusión (Ayuntamiento, expo, fotolibro)