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Utility-driven evidence for healthy cities: problems with evidence generation and application.

Evelyne de Leeuw1, Thomas Skovgaard

  • 1Department of Health Promotion Research, Faculty of Health Sciences, University of Southern Denmark, Niels Bohrs Vej 9-10, Esbjerg DK-6700, Denmark. evelyne.deleeuw@deakin.edu.au

Social Science & Medicine (1982)
|June 23, 2005
PubMed
Summary

The World Health Organization

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Area of Science:

  • Public Health
  • Health Promotion
  • Healthy Public Policy

Background:

  • The Healthy Cities Movement, initiated by the World Health Organization (WHO) in the 1980s, focuses on community health.
  • The project's effectiveness is increasingly scrutinized in an evidence-driven era.

Purpose of the Study:

  • To explore the nature of evidence concerning the WHO Healthy Cities project.
  • To review existing evidence on the accomplishments of Healthy Cities initiatives.
  • To assess the sufficiency of evidence for various Healthy Cities' performances.

Main Methods:

  • Documentary research on the Healthy Cities Movement and its outcomes.
  • Focus on the European Healthy Cities Project (E-HCP) as a primary reference.
  • Analysis of evidence related to community health, health promotion, and public policy.

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Main Results:

  • There is fair evidence indicating that the Healthy Cities project is effective.
  • Challenges exist in communicating evidence and evaluating project outcomes.
  • Tensions arise between the original intent and current operations of the movement.

Conclusions:

  • Healthy Cities initiatives demonstrate effectiveness, supported by fair evidence.
  • Future efforts require enhanced evidence-based evaluations.
  • Addressing challenges in evidence communication and methodological tools is crucial for continued development.