Baseline Healthy Cities Indicators: questionnaire

WHO REGIONAL OFFICE FOR EUROPE SCHERFIGSVEJ 8 DK-2100 COPENHAGEN Ø DENMARK TEL.: +45 39 17 17 17 TELEFAX: +45 39 17 18 18 TELEX: 12000 E-MAIL: POSTMASTER@WHO.DK WEB SITE: HTTP://WWW.WHO.DK BASELINE HEALTHY CITIES INDICATORS: QUESTIONNAIRE 1998 Document number: WHO/EURO:1998-8429-48201-71579 © World Health Organization 1998 All rights in this document are reserved by the WHO Regional Office for Europe. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language (but not for sale or for use in conjunction with commercial purposes) provided that full acknowledgement is given to the source. For the use of the WHO emblem, permission must be sought from the WHO Regional Office. Any translation should include the words: The translator of this document is responsible for the accuracy of the translation. The Regional Office would appreciate receiving three copies of any translation. Any views expressed by named authors are solely the responsibility of those authors. Introduction During the first phase of the Healthy Cities project, a set of 53 indicators was produced by a working group on Indicators to assist cities in gathering appropriate data to describe health in their cities. These indicators were formally adopted by the project cities participating in the Healthy Cities project in 1990. Developing appropriate indicators to describe the determinants of health in the cities of different countries is a challenging task. Traditionally, ‘negative’ indicators of health, like mortality, are used to describe health, as they are relatively easy to define and quantify. However, to obtain a comprehensive view of health in the cities it is important to collect information on other ‘qualitative’ indicators like social support. The Healthy Cities Indicators covering areas of heath, health services, environmental and socio-economic conditions took the first step in a process of trying to build a set of indicators that could provide a comprehensive picture of health in a city. Between 1992-1994 data was collected from 47 cities on the 53 indicators. This data was then analysed by a multidisciplinary team of experts1. The analysis provided important insights in the way indicators are understood by different countries, the extent and availability of data, the reliability and validity of the information provided and the appropriateness of the indicators for international comparisons. Armed with this knowledge, a technical group, set up by the Healthy City Project Office set out to adapt and modify these indicators and develop a second set of indicators to describe health in the cities. Indicators that provided robust, reliable and appropriate data were included in the new set unchanged, some were slightly modified to coincide with standard international indicators. Some indicators were excluded, as the information they provided was not reliable or appropriate. The wording of some of the indicators was changed in order to define them more clearly. The result was a more concise set of 32 indicators. The development of urban indicators to describe health is an important and complex task. The indicators presented here reflect the lessons learnt from the preliminary efforts in developing such indicators and is another step in the task of building a set of valid and reliable indicators that will provide a comprehensive view of health in cities. Dr Premila Webster & Prof Mark McCarthy WHO Healthy Cities Technical Working Group on Health and Indicators 1) Webster, P. et al., Healthy Cities Indicators: analysis of data from cities across Europe. Copenhagen, WHO 1996. Collin, J-F. et al., Healthy-City Guide Note for the Healthy-Cities Indicators, Copenhagen, WHO, 1992. Contents A Health indicators A1 Mortality: all causes ......................................................................................A1.1, A1.2 A2 Cause of death ..............................................................................................A2.1, A2.2 A3 Low Birth weight ..........................................................................................A3.1, A3.2 B Health service indicators B1 Existence of a city health education programme ..........................................B1.1, B1.2 B2 Percentage of children fully immunized........................................................B2.1, B2.2 B3 Number of inhabitants per practising primary health care practitioner ........B3.1, B3.2 B4 Number of inhabitants per nurse ...................................................................B4.1, B4.2 B5 Percentage of population covered by health insurance .................................B5.1, B5.2 B6 Availability of primary health care services in foreign languages ................B6.1, B6.2 B7 Number of health related questions examined by the city council every year B7.1, B7.2 C Environmental indicators C1 Atmospheric pollution ..................................................................................C1.1, C1.2 C2 Water quality ................................................................................................C2.1, C2.2 C3 Percentage of water pollutants removed from total sewage produced .........C3.1, C3.2 C4 Household waste collection quality index .....................................................C4.1, C4.2 C5 Household waste treatment quality index .....................................................C5.1, C5.2 C6 Relative surface area of green speces in the city ..........................................C6.1, C6.2 C7 Public access to green space .........................................................................C7.1, C7.2 C8 Derelict industrial sites .................................................................................C8.1, C8.2 C9 Sport and leisure ...........................................................................................C9.1, C9.2 C10 Pedestrian streets ....................................................................................C10.1, C10.2 C11 Cycling in city .........................................................................................C11.1, C11.2 C12 Public transport .......................................................................................C12.1, C12.2 C13 Public transport network cover ...............................................................C13.1, C13.2 C14 Living space ............................................................................................C14.1, C14.2 D Socio economic indicators D1 Percentage of population living in substandard accommodation .................D1.1, D1.2 D2 Estimated number of homeless people .........................................................D2.1, D2.2 D3 Unemployment rate .......................................................................................D3.1, D3.2 D4 Percentage of people earning less than the mean per capita income ............D4.1, D4.2 D5 Percentage of child care places for pre-school children ...............................D5.1, D5.2 D6 Percentage of all live births to mothers > 20; 20-34; 35+ ............................D6.1, D6.2 D7 Abortion rate in relation to total number of live births ................................D7.1, D7.2 D8 Percentage of disabled persons employed ....................................................D8.1, D8.2 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES A1 Mortality: all causes NAME OF INDICATOR A1: Mortality : all causes DEFINITION Annual mortality rate : all causes, according to age group METHOD OF CALCULATION Number of deaths in each age group ___________________________________ x 100,000 Average population in the same age group * If different, please state UNIT OF MEASUREMENT Rate per 100,000 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION A1.1 *All ages_____________________ rate per age group <1 ___________________ 1-14 ______________________ 15-19 ___________________ 20-24 _______________________ 25-29 ___________________ 30-34 _______________________ 35-39 ___________________ 40-44 _______________________ 45-49 ___________________ 50-54 _______________________ 55-59 ___________________ 60-64 _______________________ 65-69 ___________________ 70-74 _______________________ 75-79 ___________________ 80-84 _______________________ 85 and more ____________________________ A1 Mortality: all causes FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS A1.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES A2 Cause of Death NAME OF INDICATOR A2: Cause of Death DEFINITION Annual mortality rate per cause of death studied Code refers to international classification of illness, 9th edition (ICD-9) METHOD OF CALCULATION No. of annual deaths per case studied according. to ICD code _______________________________________________ x 100,000 Average Population Example - Disease related to 1 = No. of deaths per year from disease related. to 1 (ICD 390-459) * If different, please state UNIT OF MEASUREMENT Rate per 100,000 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION A2.1 Cause of death: Rate - disease related to circulation (390-459) _________ - ischaemic cardiopathies (410-414) _________ - vascular cerebral diseases (430-438) _________ - respiratory diseases (460-519) _________ - cancer of buccal cavity, pharynx and larynx (140-149) _________ - lung and bronchial cancer (160-165) _________ - cervical cancer (180) _________ - breast cancer (174) _________ - trauma and intoxication _________ - toad accidents (E810-E819 et E826-E829) _________ - suicide (E950-E959) _________ - AIDS _________ A2 Cause of death FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS A2.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES A3 Low birth weight NAME OF INDICATOR A3: Low birth weight DEFINITION Percentage of children weighing 2.5 kg or less than 2.5 kg at birth METHOD OF CALCULATION Number of children weighing 2.5 kg or less at birth _________________________________________ Number of live births * If different, please state UNIT OF MEASUREMENT Rate per 100,000 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION A3.1 A3 Low birth weight FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS A3.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B1 Existence of a city health education programme NAME OF INDICATOR B1: Existence of a city health education programme DEFINITION Health education programmes are made up of one or several projects which aim to improve knowledge, assistance and services to individuals for developing and maintaining a healthy way of life. Indicate programmes which have been fully or partly financed or assisted by the city in the following areas: 1. tobacco 2. alcohol 3. nutrition 4. drugs 5. accidents 6. other METHOD OF CALCULATION For each topic answer YES if a health education programme exists and specify the number of projects included in the programme and the topics concerned, e.g. leisure, smoking, diet, sexuality, drugs, alcohol, driving, medicine, safety in the home etc. Please also describe the population target groups e.g. youth, elderly. Answer NO if there is no such programme * If different, please state UNIT OF MEASUREMENT Number of projects Level of funding as a percentage of budget relative to the city * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B1.1 B1 Existence of a city health education programme FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B1.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B2 Percentage of children fully immunized NAME OF INDICATOR B2: Percentage of children fully immunized (having received all compulsory vaccinations) DEFINITION 1. Indicate the type of vaccine cover given by the age of six for each compulsory vaccination. The list of compulsory vaccinations may be different in each country. Each city should give information on the rules in force in the country; e.g. infections and illnesses for which the public health authorities usually demand a compulsory vaccination: measles, polio, tetanus, rubella, diphtheria. 2. Percentage of infants who by their first birthday have been immunized against diphtheria/pertussis/tetanus (3 doses), poliomyelitis (3 doses), measles (1 dose) and where required by law, tuberculosis (BCG, 1 dose). 3. Proportion of children immunized against measles before their second birthday, where the country schedule prescribes such immunization. 4. If children are immunized against rubella and haemophilus influenza (in your city) please provide appropriate percentages. METHOD OF CALCULATION Children(specify age group) having received all compulsory vaccinations living in the area _________________________________________________ x 100 Number of children (in the same age group) living in the same area NB The numerator must indicate the number of vaccinated children and not the number of vaccines distributed NB If it is not possible to give direct information, give an estimate based on the most reliable data * If different, please state UNIT OF MEASUREMENT List the compulsory immunization Percentage fully immunized * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B2.1 B2 Percentage of children fully immunized FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B2.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B3 Number of inhabitants per practising primary health care practitioner NAME OF INDICATOR B3: Number of inhabitants per practising primary health care practitioner DEFINITION 1. Doctors who carry out their activity in the field of primary care. Several countries keep a register/list of doctors working in a given area. 2. Nurses who carry out their activity in the field of primary health care. 3. Other primary health care practitioners (specify) METHOD OF CALCULATION Inhabitants living in the area ________________________________________ Number of doctors providing primary health care working in the area (if possible number of full time equivalent practitioners) * If different, please state UNIT OF MEASUREMENT Number * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B3.1 B3 Number of inhabitants per practising primary health care practitioner FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B3.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B4 Number of inhabitants per nurse NAME OF INDICATOR B4: Number of inhabitants per nurse DEFINITION 1. Nurses to be included are those working in the areas(s) concerned, wherever they work (primary health or first aid services either in general or specialist fields e.g. midwifery and paediatrics/mental health/elderly people, etc.; either general or specialised hospitals, clinics, homes for the elderly, reception centres, etc. 2. Midwives working in hospitals 3. Mental health nurses in hospitals METHOD OF CALCULATION Inhabitants living in the area _____________________________________________ Number of full-time equivalent nurses working in the area * If different, please state UNIT OF MEASUREMENT Inhabitants / resource * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B4.1 B4 Number of inhabitants per nurse FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B4.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B5 Percentage of population covered by health insurance NAME OF INDICATOR B5 Percentage of population covered by health insurance DEFINITION Indicate people who have health insurance, if possible, by type (public or private), etc. i.e. 1. % of the population covered by public insurance funds 2. % of population covered by private insurance funds METHOD OF CALCULATION Inhabitants living in the area covered by health insurance (complete or partial coverage) ________________________________________________ x 100 Number of inhabitants living in the area * If different, please state UNIT OF MEASUREMENT Percentage Please also describe the insurance system(s) * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B5.1 B5 Percentage of population covered by health insurance FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B5.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B6 Availability of primary health care services in foreign languages NAME OF INDICATOR B6: Availability of primary health care services in foreign languages DEFINITION Indicate the availability of primary health care services where ethnic minority languages which are significantly representative in the city are spoken, or interpreters in the languages are available. If interpreters are available indicate: 1. if they are employed by the service specifically for interpreting 2. the availability of the interpreters all health carers i.e. available any times or only at specific times and services METHOD OF CALCULATION Description of significant language groups and types of primary care services offered in the languages * If different, please state UNIT OF MEASUREMENT Percentage (description services where a foreign language is either spoken or facilitates for interpretation available) (Number of services) * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B6.1 B6 Availability of primary health care services in foreign languages FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B6.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES B7 Number of health related questions examined by the city council every year NAME OF INDICATOR B7: Number of health related questions examined by the city council every year DEFINITION “Health related questions” are those asked directly by the elected representatives of health, social and environmental services/departments. Those questions asked by the elected representatives of other services/departments which gave rise to discussions by the city council on health, social and environmental aspects should also be listed. 1. Number of meetings organized by the city’s elected representatives dealing with matters related to health 2. Health related questions raised by the city’s elected representatives (a) directly with departments of health/social services and environment. (b) at the assembly of elected members which have resulted in a discussion or debate METHOD OF CALCULATION Specify the number for 1and for 2 subdivided into the two categories * If different, please state UNIT OF MEASUREMENT Number of events * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION B7.1 B7 Number of health related questions examined by the city council every year FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS B7.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C1 Atmospheric pollution NAME OF INDICATOR C1: Atmospheric pollution DEFINITION This indicator should allow the air quality in cities to be assessed. Each of the following atmospheric pollutants should be evaluated independently: NO2, CO, O3, SO2, Dust, Black smoke, Lead Indicate: 1. Number of monitoring stations 2. Annual mean for each pollutant METHOD OF CALCULATION Percentages should be given as follows: For SO2, Dust and Lead: Number of days per year above the limit divided by the total number of days per year when validated measurements were taken. For NO2, CO and O3: Number of hours per year above the limit divided by the total number of hours per year when validated measurements were taken (The air quality standards fixed by the W.H.O. are given in the appendix) If possible also include: 1. No. of hours per year in which the average hourly concentration of suspended particulate matter or SO2 exceeds 250/mg/m3 at air quality monitoring stations 2. No. of hours per year in which the average hourly concentration of ozone exceeds 200/ng/m3 at air quality monitoring stations * If different, please state UNIT OF MEASUREMENT The result will be given in percentage per year for each of the above mentioned pollutants * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C1.1 C1 Atmospheric pollution FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C1.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C2 Water quality NAME OF INDICATOR C2: Water quality DEFINITION Percentage of measurements exceeding the recommended WHO guidelines METHOD OF CALCULATION The rate at which the WHO guidelines are exceeded should be given for each of the parameters. The rate is represented by: Number of measurements exceeding the WHO guidelines ______________________________________________ Total number of measurements carried out * If different, please state UNIT OF MEASUREMENT The result will give the total number of measurements and the percentage of measurements exceeding the recommended guidelines * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C2.1 C2 Water quality FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C2.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C3 Percentage of water pollutants removed from total sewage produced NAME OF INDICATOR C3: Percentage of water pollutants removed from total sewage produced DEFINITION This indicator aims to show the quality of water purification before disposal Please also provide information on : (1) details of waste water treatment (2) testing requirements METHOD OF CALCULATION Calculate the level of water pollutants removed for all effluents discharged. Level of link-up to network x Purification station efficiency level x Unit network or waste water overflow level x 100. * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C3.1 C3 Percentage of water pollutants removed from total sewage produced FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C3.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C4 Household wate collection quality index NAME OF INDICATOR C4: Household waste collection quality index DEFINITION This indicator should show the quality of the collection in relation to the types of collecting systems used. If possible also include details on: 1. quantity and composition of waste collected 2. proportion of waste materials recycled 3. proportion of waste not collected or illegally dumped METHOD OF CALCULATION The result will be given as a single figure or several figures according to the system(s) used: Categories are as follows: 0 : loose 1 : in plastic bags 2 : in a sealed container 3 : voluntary selective collection 4 : home selective collection * If different, please state UNIT OF MEASUREMENT Percentage for each category e.g. (1) 40% - (2) 60% * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C4.1 C4 Household waste collection quality index FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C4.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C5 Household waste treatment quality index NAME OF INDICATOR C5: Household waste treatment quality index DEFINITION This index should give the type and percentage of treatment used for household waste by cities. e.g. Rough landfill _____________________ X 100 Total waste treatment METHOD OF CALCULATION Using the indicators below, choose those which correspond to the treatment of waste presently used in your city 0 : rough landfill 1 : sanitary landfill 2 : incineration without heat recovery 3 : incineration with heat recovery 4 : composting 5 : sorting centre, recycling * If different, please state UNIT OF MEASUREMENT Percentage for each category e.g. (0) 20% - (2) 80% * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C5.1 C5 Household waste treatment quality index FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C5.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C6 Relative surface area of green spaces in the city NAME OF INDICATOR C6: Relative surface area of green spaces in the city DEFINITION This indicator gives an idea of vegetation in the city and is based on the percentage of the surface area of green spaces relative to the surface area of the city. Please categorise under following headings 1. public park 2. private domestic gardens used for food rowing 3. unmanaged areas that may be wild vegetation or wild life havens METHOD OF CALCULATION Total surface area of green spaces in the city _____________________________________ Total surface area of the city * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C6.1 C6 Relative surface area of green spaces in the city FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C6.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C7 Public access to green spaces NAME OF INDICATOR C7: Public access to green spaces DEFINITION This indicator allows the surface area of green spaces per inhabitant to be open to the public Has a land use survey been carried out in the city? If so, please give details of survey with regards to public access to green spaces. METHOD OF CALCULATION Total number of m2 of green spaces with public access ____________________________________________ Number of inhabitants * If different, please state UNIT OF MEASUREMENT * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C7.1 C7 Public access to green spaces FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C7.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C8 Derelict industrial sites NAME OF INDICATOR C8: Derelict industrial sites DEFINITION Percentage of derelict industrial sites compared to the total surface area of the city Derelict industrial sites include sites which were formerly used as factories, etc., but now have been shut down and the area remains unused and undeveloped for any other purpose. METHOD OF CALCULATION Surface area of derelict industrial sites ______________________________________ x 100 Total surface area of the city * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C8.1 C8 Derelict industrial sites FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C8.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C9 Sport and leisure NAME OF INDICATOR C9: Sport and leisure DEFINITION Number of sports facilities per 1000 inhabitants If possible, include details of the age structure and gender of the people who use these facilities METHOD OF CALCULATION Sports facilities include: Sports halls, sports fields, swimming pools, fitness trails, sports tracks, etc. A sports complex is broken down into halls, fields, etc. Total number of sports facilities _______________________________ x 100 Total population * If different, please state UNIT OF MEASUREMENT Number per 1000 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C9.1 C9 Sport and leisure FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C9.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C10 Pedestrian streets NAME OF INDICATOR C10: Pedestrian streets DEFINITION This indicator shows the importance accorded to pedestrian streets. Pedestrian streets are defined as streets entirely used for pedestrians from which all vehicular traffic is banned. METHOD OF CALCULATION Total length of pedestrian streets ____________________________ Surface area of city * If different, please state UNIT OF MEASUREMENT Km/Km2 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C10.1 C10 Pedestrian streets FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C10.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C11 Cycling in city NAME OF INDICATOR C11: Cycling in city DEFINITION This indicator shows the importance accorded to cycle paths Cycle paths are defined as paths in streets marked out to be used exclusively by cycles METHOD OF CALCULATION Total length of paths reserved for cyclists __________________________________ Surface area of city * If different, please state UNIT OF MEASUREMENT Km / Km2 * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C11.1 C11 Cycling in city FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C11.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C12 Public Transport NAME OF INDICATOR C12: Public Transport DEFINITION Number of seats on public transport per 1000 inhabitants (also include standing room) If possible also give details on (1) frequency and reliability of the public transport (2) approximate cost per 10 km travelled on public transport against the cost to travel a similar distance in a private car METHOD OF CALCULATION Average daily number of seats _____________________________ x 100 Total population * If different, please state UNIT OF MEASUREMENT Seats per 1000 people * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C12.1 C12 Public Transport FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C12.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C13 Public transport network cover NAME OF INDICATOR C13: Public transport network cover DEFINITION Number of kilometres served by public transport compared to the total number of kilometres of streets in the city Include information on the proportion of people who use public and those who use private transport. METHOD OF CALCULATION Total number of kilometres served by public transport __________________________________________________ x 100 Total number of kilometres of streets * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C13.1 C13 Public transport network cover FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C13.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES C14 Living space NAME OF INDICATOR C14: Living space DEFINITION Average number of rooms per inhabitant The rooms are counted if they have a distinct purpose or if they are >4m2 (e.g. kitchen, dining room, bedrooms, etc.) bathrooms, laundry rooms, hallways, etc., are not counted as rooms METHOD OF CALCULATION Total number of rooms _____________________ Number of inhabitants * If different, please state UNIT OF MEASUREMENT Number of rooms per inhabitant * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION C14.1 C14 Living space FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS C14.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D1 Percentage of population living in substandard accommodation NAME OF INDICATOR D1: Percentage of population living in substandard accommodation DEFINITION The percentage of population living in substandard housing conditions, that is to say accommodation which does not fulfil the following requirements: . exclusive use of toilet and bath or shower . tap water inside the dwelling METHOD OF CALCULATION Preliminary . number of homes which do not comply with the convert criteria . number of inhabitants in these homes Number of inhabitants living in substandard housing conditions in the area ________________________________________________ x 100 Number of inhabitants in the area * If different, please state UNIT OF MEASUREMENT * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D1.1 D1 Percentage of population living in substandard accommodation FREQUENCY DESIRED 5 Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D1.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D2 Estimated number of homeless people NAME OF INDICATOR D2: Estimated number of homeless people DEFINITION Number of people having no housing (not including people who live in mobile homes) Include both people who are homeless and living in hostels and shelters provided for homeless people and also those homeless and not in any such accommodation but living on the streets. If possible also provide separate figures for each category. METHOD OF CALCULATION Proposal for collecting data Data concerning assistance given to the homeless * If different, please state UNIT OF MEASUREMENT Number of inhabitants * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D2.1 D2 Estimated number of homeless people FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D2.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D3 Unemployment rate NAME OF INDICATOR D3: Unemployment rate DEFINITION Percentage of working population which is unemployed The unemployed comprise all persons (aged 15-64 years) who during the reference period were (1) “without work” i.e. not in paid employment or self employment (2) “currently available for work” i.e. were available for paid employment or self employment during the reference period and “seeking work” i.e. had taken specific steps in a specified recent period to seek paid employment or self employment METHOD OF CALCULATION Preliminary : estimate the working population and the unemployed population Population unemployed ______________________ x 100 Working population * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D3.1 D3 Unemployment rate FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D3.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D4 Percentage of people earning less than the mean per capita income NAME OF INDICATOR D4: Percentage of people earning less than the mean per capita income DEFINITION This threshold varies from country to country (1) % of people earning less than the mean per capita income of the country (2) Proportion of people receiving state and welfare benefits METHOD OF CALCULATION Number of people earning less than the mean per capita. _______________________________________________ x 100 Number of people in the same area * If different, please state UNIT OF MEASUREMENT Percentage Describe the way of assessing the national poverty level * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D4.1 D4 Percentage of people earning less than the mean per capita income FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D4.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D5 Percentage of child care places for pre-school children NAME OF INDICATOR D5: Percentage of child care places for pre-school children DEFINITION Number of child care places available for pre-school children METHOD OF CALCULATION Number of child care places available for pre-school children __________________________________ x 100 Number of pre-school children * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D5.1 D5 Percentage of child care places for pre-school children FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D5.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D6 Percentage of all live births to mothers >20; 20-34, 35+ NAME OF INDICATOR D6: Percentage of all live births to mothers < 20; 20 - 34; 35 + If separate rates are available for the following age groups 0 - 14, 15 - 19, 20 - 24 please include DEFINITION % of all live births to mothers in the specific age bands METHOD OF CALCULATION Number of live births in mothers aged < 20 _______________________________________ x 100 Number of live births * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D6.1 D6 Percentage of all live births to mothers < 20; 20 - 34; 35 + FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D6.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D7 Abortion rate in relation to total number of live births NAME OF INDICATOR D7: Abortion rate in relation to total number of live births DEFINITION Percentage of total number of abortions and miscarriages in relation to total number of live births METHOD OF CALCULATION Number of abortions ___________________ x 100 Number of live births * If different, please state UNIT OF MEASUREMENT . Percentage . Description of local definitions of “abortion” and “miscarriage” * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D7.1 D7 Abortion rate in relation to total number of live births FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D7.2 1 2 3 4 QUESTIONNAIRE INDICATORS - W.H.O. HEALTHY CITIES D8 Percentage of disabled persons employed NAME OF INDICATOR D8: Percentage of disabled persons employed DEFINITION Percentage of disabled persons of working age engaged in regular occupational activities METHOD OF CALCULATION Number of disabled people in employment (18 - 65) ________________________________________________ x 100 Total number of disabled people in the same age range (18-65) * If different, please state UNIT OF MEASUREMENT Percentage * If different, please state VALUE OF THE INDICATOR AND DESCRIPTION D8.1 D8 Percentage of disabled persons employed FREQUENCY DESIRED Yearly ACTUAL FREQUENCY DATE PERIOD OF COLLECTION ORIGIN OF DATA CORRESPONDENT ORGANIZATION OR DEPARTMENT POPULATION CONCERNED A part of the city The city The city and its suburbs Other COMMENTS D8.2 1 2 3 4