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Rationale - what it means and why it is an important measure
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Health care costs are linked to social, economic and environmental conditions in a city. Improving the health of people as well as of the environment is necessary for sustainable economic growth, and is a precondition for reducing poverty.
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How it is compiled, what data are needed
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The percentage of a city’s budget allocated to health care.
This indicator should be measured annually.
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Measurements and units
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City budget allocated to health care (%)
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Possible temporal and spatial format
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graphs, pie charts, trend charts
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Reference to methodology resources
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SEPA, 2000. Environmental Indicators in Community Planning: A Presentation of the Literature.
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Objective
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To improve health conditions.
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Targets, benchmarks, reference values
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No specific targets.
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References to examples of application
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WHO, Healthy cities around the world: http://www.who.int/hpr/cities/regional/index.html
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Other comments / background
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In most developing countries, health is directly affected by negative changes in their environments, such as soil erosion, drought, floods and pollution. The health sector administration is, in many cases, still oriented towards the curative rather than the preventive, as well as less concerned with the effects of new environmental dangers. There are some sectors where there are strong and obvious links between health and environment, such as population issues, water supply and sanitation, environmental pollution and natural resources/food security.
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