University of Otago, Wellington, New Zealand.
Health Educ Behav. 2020 Dec;47(6):825-835. doi: 10.1177/1090198120917095.
A robust evidence base is needed to develop sustainable cross-party solutions for public housing to promote well-being. The provision of public housing is politically contentious in New Zealand, as in many liberal democracies. Depending on the government, policies oscillate between encouraging sales of public housing stock and reducing investment and maintenance, and large-scale investment, provision, and regeneration of public housing.
We aimed to develop frameworks to evaluate the impact of public housing regeneration on tenant well-being at the apartment, complex, and community levels, and to inform future policies.
Based on a systems approach and theory of change models, we developed a mixed methods quasi-experimental before-and-after outcomes evaluation frameworks, with control groups, for three public housing sites. This evaluation design had flexibility to accommodate real-world complexities, inherent in evaluating large-scale public health interventions, while maintaining scientific rigor to realize the full effects of interventions.
Three evaluation frameworks for housing were developed. The evaluation at the apartment level confirmed proof of concept and viability of the framework and approach. This also showed that minor draught-stopping measures had a relatively big impact on indoor temperature and thermal comfort, which subsequently informed healthy housing standards. The complex and community-level evaluations are ongoing due to longer regeneration timeframes.
Public housing is one of central government's larger social sector interventions, with Kāinga Ora - Homes and Communities the largest Crown entity. Evaluating public housing policies is important to develop an evidence base to inform best practice, rational, decision-making policy for the public as well as the private sector.
需要有强大的证据基础来制定可持续的政党间解决方案,以促进公共住房的福祉。在新西兰,与许多自由民主国家一样,公共住房的提供在政治上存在争议。政府政策根据情况在鼓励出售公共住房存量与减少投资和维护以及大规模投资、提供和重建公共住房之间摇摆不定。
我们旨在制定框架,以评估公共住房重建对公寓、综合大楼和社区层面租户福祉的影响,并为未来的政策提供信息。
基于系统方法和变革理论模型,我们为三个公共住房地点开发了一个具有对照组的混合方法准实验前后结果评估框架。这种评估设计具有灵活性,可以适应大规模公共卫生干预评估中的现实复杂性,同时保持科学严谨性,以实现干预的全部效果。
制定了三个住房评估框架。公寓层面的评估证实了框架和方法的概念验证和可行性。这也表明,轻微的防风措施对室内温度和热舒适度有相对较大的影响,随后为健康住房标准提供了信息。由于重建时间框架较长,综合大楼和社区层面的评估仍在进行中。
公共住房是中央政府较大的社会部门干预措施之一,Kāinga Ora - Homes and Communities 是最大的皇家实体。评估公共住房政策对于为最佳实践、理性决策提供证据基础非常重要,这不仅对公共部门,对私营部门也同样重要。