TY - JOUR
T1 - Improving household surveys and use of data to address health inequities in three Asian cities: Protocol for the Surveys for Urban Equity (SUE) mixed methods and feasibility study
AU - Elsey, Helen
AU - Poudel, Ak Narayan
AU - Ensor, Tim
AU - Mirzoev, Tolib
AU - Newell, James Nicholas
AU - Hicks, Joseph Paul
AU - Cartwright, Christopher
AU - Wong, David
AU - Tait, Caroline
AU - Baral, Sushil
AU - Bhattarai, Radheshyam
AU - Khanal, Sudeepa
AU - Dhungel, Rajeev
AU - Gajurel, Subash
AU - Manandhar, Shraddha
AU - Mashreky, Saidur
AU - Ferdoush, Junnatul
AU - Huque, Rumana
AU - Ferdous, Tarana
AU - Nasreen, Shammi
AU - Van Minh, Hoang
AU - Duc, Duong Minh
AU - Ngoc, Bao
AU - Thomson, Dana
AU - Wallace, Hilary
PY - 2018/11/25
Y1 - 2018/11/25
N2 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. Introduction As rapid urbanisation transforms the sociodemographic structures within cities, standard survey methods, which have remained unchanged for many years, under-represent the urban poorest. This leads to an overly positive picture of urban health, distorting appropriate allocation of resources between rural and urban and within urban areas. Here, we present a protocol for our study which (i) tests novel methods to improve representation of urban populations in household surveys and measure mental health and injuries, (ii) explores urban poverty and compares measures of poverty and 'slumness' and (iii) works with city authorities to understand, and potentially improve, utilisation of data on urban health for planning more equitable services. Methods and analysis We will conduct household surveys in Kathmandu, Hanoi and Dhaka to test novel methods: (i) gridded population sampling; (ii) enumeration using open-access online maps and (iii) one-stage versus two-stage cluster sampling. We will test reliability of an observational tool to categorise neighbourhoods as slum areas. Within the survey, we will assess the appropriateness of a short set of questions to measure depression and injuries. Questionnaire data will also be used to compare asset-based, consumption-based and income-based measures of poverty. Participatory methods will identify perceptions of wealth in two communities in each city. The analysis will combine quantitative and qualitative findings to recommend appropriate measures of poverty in urban areas. We will conduct qualitative interviews and establish communities of practice with government staff in each city on use of data for planning. Framework approach will be used to analyse qualitative data allowing comparison across city settings. Ethics and dissemination Ethical approvals have been granted by ethics committees from the UK, Nepal, Bangladesh and Vietnam. Findings will be disseminated through conference papers, peer-reviewed open access articles and workshops with policy-makers and survey experts in Kathmandu, Hanoi and Dhaka.
AB - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. Introduction As rapid urbanisation transforms the sociodemographic structures within cities, standard survey methods, which have remained unchanged for many years, under-represent the urban poorest. This leads to an overly positive picture of urban health, distorting appropriate allocation of resources between rural and urban and within urban areas. Here, we present a protocol for our study which (i) tests novel methods to improve representation of urban populations in household surveys and measure mental health and injuries, (ii) explores urban poverty and compares measures of poverty and 'slumness' and (iii) works with city authorities to understand, and potentially improve, utilisation of data on urban health for planning more equitable services. Methods and analysis We will conduct household surveys in Kathmandu, Hanoi and Dhaka to test novel methods: (i) gridded population sampling; (ii) enumeration using open-access online maps and (iii) one-stage versus two-stage cluster sampling. We will test reliability of an observational tool to categorise neighbourhoods as slum areas. Within the survey, we will assess the appropriateness of a short set of questions to measure depression and injuries. Questionnaire data will also be used to compare asset-based, consumption-based and income-based measures of poverty. Participatory methods will identify perceptions of wealth in two communities in each city. The analysis will combine quantitative and qualitative findings to recommend appropriate measures of poverty in urban areas. We will conduct qualitative interviews and establish communities of practice with government staff in each city on use of data for planning. Framework approach will be used to analyse qualitative data allowing comparison across city settings. Ethics and dissemination Ethical approvals have been granted by ethics committees from the UK, Nepal, Bangladesh and Vietnam. Findings will be disseminated through conference papers, peer-reviewed open access articles and workshops with policy-makers and survey experts in Kathmandu, Hanoi and Dhaka.
KW - city planning
KW - depression
KW - household survey methods
KW - injuries
KW - urban slum
U2 - 10.1136/bmjopen-2018-024182
DO - 10.1136/bmjopen-2018-024182
M3 - Article
SN - 2044-6055
VL - 8
JO - BMJ Open
JF - BMJ Open
IS - 11
ER -