Objectives -To understand the steps in generating the MATRIX and MONITOR. -To show that the MATRIX and MONITOR can reveal the types of health equity problems.

Objectives

-To understand the steps in generating the MATRIX and MONITOR .

-To show that the MATRIX and MONITOR can reveal the types of health equity problems that are most and least pronounced in a city, and who is

most and least affected .

Objectives for Session

-A basic MATRIX is a colour-coded chart that helps you to see inequities across multiple indicators .

-The MATRIX does not track inequities over time.

-The steps below describe the process to develop a MATRIX for within-city comparisons but you could also produce comparisons between cities, if

you have data for multiple cities .

Urban HEART MATRIX

Producing the MATRIXMATRIX: Displays inequalities across multiple indicators

1) Decide on the reporting year and the units of comparison (usually geographical districts in your city) for your MATRIX

2) Label the data columns (districts/wards) and data rows (health outcomes, environment, etc)

Policy Domain Indicator District A District B District C District D

Health outcomes Infant mortality (per 1000 live births)

Physical infrastructure & environment

Access to safe water (%)

Social & human development

Completion of primary education (%)

Fully immunized children (%)

MATRIX

3 )Add columns for benchmarks and targets

Policy Domain Indicator District A District B District C District D Benchmarks External targets



Access to safe water (%)



Fully immunized children (%)

MATRIX

4) Enter data into the cells

District A District B District C District D City average

National targets


22 19 21 41 26 15


Access to safe water (%) 88 58 89 58 83 100



85 78 89 n.a. 84 85

Fully immunized children (%) 75 70 71 62 65 80

MATRIX5) First, fill in the GREEN cells (indicates performance that is equal to or better than both the internal benchmark and the desired target)


National targets


22 19 21 41 26 15





85 78 89 n.a. 84 85


MATRIX

6) Next, fill in the RED cells (indicates performance that is worse than the internal benchmark)


National targets


22 19 21 41 26 15





85 78 89 n.a. 84 85


MATRIX7) Finally, fill in the YELLOW cells (indicates performance that is equal to or better than the internal benchmark, yet lower than the desired target)Note: Cells with missing data can remain white

8) Check your work again– All cells should be red, yellow or green unless the data are not available


National targets


22 19 21 41 26 15





85 78 89 n.a. 84 85


-You can now develop the MONITOR to track the health equity gap in your city (the gap between best and worst performance) over time and to assess progress against an equity target .

-The steps below describe the process to develop the basic MONITOR for your city. If you have performance data for multiple cities, you can also use the basic MONITOR to track an equity gap between cities in a region

or country .

Urban HEART MONITOR

Producing the MONITOR

• Monitor: Tracks the health equity gap (between best and worst performance) in your city over time and displays progress against and equity target

• 1) Decide on the indicator you want to monitor over time and the years you will analyse

• 2) Decide on your internal benchmark– Should represent a particular year

• 3) Identify a relevant target– Examples: MDG, national target, city target, etc.– Must be a higher standard than the internal benchmark

MONITOR

4) Label your data columns and data rows

Year Worst district performance

Best district performance

City average

Benchmark: City average

1990

Target: National average

2010

1990

1995 2000 2005

MONITOR

5) Enter data into the cells



City average


1990


2010

1990 70% 10% 30%

30%

90% 1995 80% 10% 40% 2000 86% 20% 40% 2005 90% 10% 45%

MONITOR

6) Colour-code the data cells using GREEN (indicates performance that is equal to or better than both the internal benchmark and the desired target)



City average


1990


2010

1990 10% 70% 30%

30%

90% 1995 10% 80% 40% 2000 20% 86% 40% 2005 10% 95% 45%

MONITOR

7) Colour-code the data cells using RED (indicates performance that is worse than the internal benchmark)



City average


1990


2010

1990 10% 70% 30%

30%

90% 1995 10% 80% 40% 2000 20% 86% 40% 2005 10% 95% 45%

MONITOR

8) Colour-code the data cells using YELLOW (indicates performance that is equal to or better than the internal benchmark, yet lower than the desired target)



City average


1990


2010

1990 10% 70% 30%

30%

90% 1995 10% 80% 40% 2000 20% 86% 40% 2005 10% 95% 45%

MONITOR

9) Double-check your work10) Create a basic graph

Make Urban HEART MONITOR Modifications

11)• Enter the year of data for each

observation.

• Assign markers to the data points: – Circles for the average measures– Diamonds for the best-

performing units– Squares for the worst-

performing units.

• Colour-code the markers according to the data table.

• Add lines to indicate the internal benchmark and desired target.

[Note for Facilitator]

-For activity on MATRIX & Monitor, please see “Step 4 Activity” in Training Manual.

Objectives -To understand the steps in generating the MATRIX and MONITOR. -To show that the MATRIX and MONITOR can reveal the types of health equity problems.

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