EXECUTIVE SUMMARY – Extract
Locational disadvantage refers to environments that are characterised by geographical concentrations of disadvantage. Locationally disadvantaged communities typically have limited access to services and facilities, poor employment, training and educational opportunities and poor physical and social infrastructures. The Centre for Health Equity Training, Research and Evaluation (CHETRE) works as a part of South Western Sydney Local Health District (SWSLHD) to address health and health equity in places of locational disadvantage through working with partners and communities to create knowledge and solutions.
Place-based interventions are one approach that SWSLHD currently participates in to develop health in areas of locational disadvantage. Place-based interventions are “a collaborative means to address complex socioeconomic issues through interventions defined at a specific geographic scale” (Cantin, 2010). A review in 2007 by CHETRE found that while many place-based interventions had been implemented to address health issues in areas of disadvantage, a knowledge gap existed as to the effectiveness of these interventions due to difficulties with evaluation (Larsen, 2007). The results that were available showed a range of outcomes that indicated links between the intervention and health outcome changes (Larsen, 2007).
This report aims to update the previous work in line with CHETRE’s recently developed program logic for the locational disadvantage program. This report discusses place-based interventions that utilise mechanisms for building capacity of the community and individuals, supporting services, and fostering coalitions and networks. It aims to describe the place-based interventions currently being implemented to improve health or the social determinants of health (equity) and explain what benefits or outcomes can be observed from place-based interventions and for which populations. The report also describes how variations in program context and mechanisms influence the process and outcomes of place-based intervention.
SOURCE: Crimeen, A., Bernstein, M., Zapart, S., Haigh, F., (2017) Place-based Interventions : A Realist Informed Literature Review, Centre for Health Equity Training, Research and Evaluation (CHETRE), South Western Sydney Local Health District and UNSW Australia: Liverpool.
Produced by the librarians at the Brotherhood of St Laurence in Melbourne, Australia