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Choosing indicators to evaluate Healthy Cities projects: a political task?
1Faculty of Nursing and Groupe de recherche et d'intervention en promotion de la santé (GRIPSUL), Université Laval, Québec, Canada G1K 7P4. Michel.Oneill@fsi.ulaval.ca
Health Promotion International
|April 11, 2006
Summary
Evaluating Healthy Cities initiatives requires addressing persistent dilemmas. This study explores key questions to improve evaluation practices and stimulate debate for healthier communities worldwide.
Area of Science:
- Public Health
- Community Health
- Health Promotion
Background:
- Healthy Cities projects, initiated in 1986, face ongoing evaluation challenges.
- A persistent need exists for universally applicable indicators, yet evaluation dilemmas remain.
- Two decades of experience highlight recurring issues in assessing these initiatives.
Purpose of the Study:
- To address key evaluative dilemmas within the Healthy Cities movement.
- To stimulate discussion and debate on effective evaluation strategies.
- To provide insights based on extensive literature review and practical involvement.
Main Methods:
- Analysis of evaluative literature specific to the Healthy Cities movement.
- Synthesis of two decades of reflection and practical experience.
- Framing the discussion around five core evaluation questions.
Main Results:
- Identified persistent dilemmas in evaluating Healthy Cities projects.
- Highlighted the absence of a 'magic' list of universal indicators.
- Addressed critical questions: Why evaluate? What to evaluate? For whom? By whom? How?
Conclusions:
- Evaluation of Healthy Cities initiatives is complex and context-dependent.
- Recommendations are proposed to foster dialogue and improve evaluation.
- Emphasizes the need for ongoing reflection and adaptation in evaluation approaches.