Table 2 Goals, dimensions, methods and tools for work package B
From: The GREENH-City interventional research protocol on health in all policies
Goals: • Characterize the cities according to the HiAP process of each case: levels of governance implemented (internal, external) and the strategies related to health, policy making processes related to green spaces and urban planning (44,45) (WP B1). • Identify policy action relating to green spaces and intentions in terms of health and reducing health inequities (WP B2) | ||
|---|---|---|
Dimensions analyzed | Methods and tools | |
WP B1 | Combining different frameworks of HiAP and SIH assessment: - identification of the governance tools and the authorities involved - characterization of HiAP strategies [33]: cooperation, damage limitation, win-win situations and health-centered decision making - characterization of intersectoral governance in terms of coordination and sustainability [53] - characterization of the strategies aimed at reducing health inequities by using the Gradient Equity Lens [54] which describes, for every stage policy making, the strategies impacting on health inequities. Here, strategies such as “proportionate universalism”, targeting vulnerable populations [55,56,57,57] or intersectoral strategies will be particularly characterized. | • document collection and review Documents will be collected from municipal websites and during on-site visits. A content analysis based on the dimensions of Gradient Equity Lens tool [58] will be conducted. The modes of governance identified in the documents will be analyzed according to the theoretical framework of Baum and al. [52] and according to coordination and durability dimensions [53]. • semi-structured interviews In each selected city, we will identify municipal staff along with staff from other organizations including from the private sector who deal with health issues. This will be done through the French Healthy Cities Network using snowball sampling. Interviews will explore partnerships and collaboration on health issues, health inequities and green spaces policy and management i.e. accessibility, esthetics, amenities and/or maintenance. All the interviews will be recorded and transcribed. A content analysis [25] will be performed with the software N′ Vivo10 ©. |
WP B2 | We will analyze two major dimensions: policy and implementation relating to establishing new green spaces, spatial planning, redevelopment and use of green spaces with regard to health and reducing health inequities. We will focus on accessibility (distance, number, continuity, safety), esthetics (landscaping, perception) and features (infrastructure...) and will draw on the theoretical model by Roué Le Gall [59]. We will furthermore analyze the mechanisms behind policy action on health inequities. This will enable us to clearly demonstrate the logical model of the policy action. | • a documentation review: urban plans (municipal town planning documents) and green spaces intervention plans will be already collected in work package C. • semi-structured interviews, on-site visits and participatory meetings. The logical model will be built and validated during these meetings. |