THE IRISH DEPRIVATION MEASURES Applications and Outlook Trutz Haase Revision, June 2012 KEY AREAS OF APPLICATION Local Area Initiatives Health Education Environment National Development Programme Statistical Methods LOCAL COMMUNITY DEVELOPMENT PROGRAMME Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives Family Resource Centres County Development Plans Health Education Environment National Development Programme Statistical Methods http://maps.pobal.ie/#/map • • • Originally designation of most disadvantaged areas under the PESP 2008 cohesion (amalgamation of LDSIP with LEADER) and alignment with LA boundaries Now emphasis on delivering actions to most disadvantaged communities within each LA RAPID Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives Family Resource Centres County Development Plans Health Education Environment National Development Programme Statistical Methods • • • Originally designated on basis of ED-level deprivation scores Then combination of EDs and EAs Now designation using new SAs RAPID Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives Family Resource Centres County Development Plans Health Education Environment National Development Programme Statistical Methods • Designation at below 1 STD (deprivation score below -10 = disadvantaged) CHILDCARE INITIATIVES Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives Family Resource Centres County Development Plans Health Education Environment National Development Programme Statistical Methods • • Mapping out of almost 4,400 childcare initiatives across the country Targeting of childcare supports towards most disadvantaged communities FAMILY RESOURCE CENTRES Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives • • • 107 Family Resource Centres (FRCs) throughout Ireland Supported through Family Support Agency Aimed at supporting disadvantaged communities 102 100 103 97 105 104 101 98 99 91 107 92 106 83 Family Resource Centres 94 93 81 90 96 95 82 89 84 85 87 County Development Plans 30 88 31 32 86 29 80 37 33 78 36 Health 79 3 4 16 13 1059 78611 15 14 19 21 35 75 34 Education 77 42 22 76 28 45 Environment 46 2 27 44 National Development Programme 43 1 66 40 24 72 70 60 25 71 69 63 Statistical Methods 68 54 62 39 61 41 55 73 64 59 48 58 52 56 57 51 53 50 47 49 38 COUNTY DEVELOPMENT PLANS Local Area Initiatives Local Community Development Programme RAPID Childcare Initiatives Family Resource Centres County Development Plans Health Education Environment National Development Programme Statistical Methods • • • Only 10 years ago, most county development plans where exclusively dealing with the built environment Now designated chapters on population in most county development plans Generally making explicit reference to Irish deprivation measures LOCAL AREA INITIATIVES IN COMPARISON, 1991-2006 Local Area Initiatives Local Community Development Programme Population Share 2006 .0 LEADER 2008 Gaeltacht 2008 LDSIP 2006 RAPID Childcare Initiatives RAPID 2005 RAPID 2008 Rural Renewal Family Resource Centres County Development Plans Health Education Environment Town Renewal Urban Renewal LES CLAR LDTF YPFSF Any ABP Ireland Deciles 1 Deciles 2 National Development Programme Deciles 3 Statistical Methods Deciles 5 Deciles 4 Deciles 6 Deciles 7 Deciles 8 Deciles 9 Deciles 10 20.0 40.0 60.0 80.0 100.0 Relative Index Score, 1991 -20.0-15.0-10.0 -5.0 .0 5.0 10.0 15.0 20.0 15 Year Change in Absolute Index Score -5.0 .0 5.0 10.0 15.0 20.0 HSE FACT FILE Local Area Initiatives Health HSE Fact File Epidemiological studies Health Inequalities Primary Health Care Teams Education Environment National Development Programme Statistical Methods http://www.hse.ie/eng/staff/Resources/FactFile/Health_Status_Reports/Louth_Health_Status_Report/Deprivation/ EPIDEMIOLOGICAL STUDIES Local Area Initiatives Health HSE Fact File Epidemiological studies Mortality Differentials Health Inequalities Primary Health Care Teams Education Environment National Development Programme Statistical Methods http://www.cso.ie/en/media/csoie/census/documents/Mortality_Differentials_in_Ireland.pdf EPIDEMIOLOGICAL STUDIES Local Area Initiatives Health HSE Fact File High blood pressure Angina, heart attack Epidemiological studies Stroke Health Inequalities Diabetes Primary Health Care Teams Education Environment National Development Programme Statistical Methods http://www.publichealth.ie/sites/default/files/documents/files/Making%20Chronic%20Conditions.pdf HEALTH INEQUALITIES Local Area Initiatives Health Epidemiological studies Health Inequalities Primary Health Care Teams Education Environment National Development Programme Statistical Methods PRIMARY HEALTH CARE TEAMS Local Area Initiatives Health Epidemiological studies Health Inequalities Primary Health Care Teams Education Environment National Development Programme Statistical Methods http://www.hrb.ie/publications/hrb-publication/publications//511// HIGHER EDUCATION ACCESS ROUTES Local Area Initiatives Health Education Higher Education Access Routes Educational Disadvantage Growing-up in Ireland Environment National Development Programme Statistical Methods http://www.accesscollege.ie/hear/indicators-area.php EDUCATIONAL DISADVANTAGE Local Area Initiatives Health Education Higher Education Access Routes Educational Disadvantage The Department for Education (UK) calculates the level of school deprivation from the numbers of children living in families in each Lower Super Output Area (LSOA) who receive tax credits. However, as below figures show, not taking into account the selective nature of school intakes may lead to misleading specification. Growing-up in Ireland Environment National Development Programme Statistical Methods http://www.significancemagazine.org/details/webexclusive/1311633/School-funding-and-deprivation.html GROWING-UP IN IRELAND Local Area Initiatives Health Significant Influences on Child and Parental Well-being Pratschke, Haase and McKeown, 2011 Education Higher Education Access Routes Educational Disadvantage Growing-up in Ireland Environment National Development Programme Statistical Methods http://trutzhaase.eu/wp/wp-content/uploads/R-2011-Well-being-and-the-Family-System.ppt ENVIRONMENTAL IMPACT ASSESSMENT Local Area Initiatives Health Education Is particulate air pollution associated with health and health inequalities in New Zealand? Richardsona, Pearcea and Kinghamb, 2011 Environment Environmental Impact Assessment National Transport Planning National Development Programme Statistical Methods “We found a clear socioeconomic gradient in respiratory disease mortality (Fig. 2). At each level of PM10 exposure, risk of respiratory disease mortality increased with increasing socioeconomic deprivation, after control for relevant individual- and area-level covariates. We found significant inequality, with the most deprived CAUs having over 1.7 times the risk of respiratory disease mortality than the most affluent areas.” NATIONAL TRANSPORT PLANNING Local Area Initiatives Health Education Environment Environmental Impact Assessment National Transport Planning National Development Programme Statistical Methods Waterford – Rosslare Europort Route Business Case for Withdrawal of Rail Services July 2010 GATEWAY DEVELOPMENT INDEX Local Area Initiatives Health Education Environment National Development Programme Gateway Development Index Statistical Methods RESOURCE ALLOCATION MODELS Local Area Initiatives Health Education Environment National Development Programme Statistical Methods Resource Allocation Models Sampling Methodologies for Household Surveys Small Area Estimation The 2009 Resource Allocation Model introduced a new formula to take account of the extension of the programme which, after the conclusion of the cohesion process, now covers all 32 Local Authority Areas. Given the new unified structures and additional constraints arising from the tighter budgetary situation since the coming to an end of the economic boom, it is now felt that the allocations made under the LCDP should take into account other allocations made to the same areas, specifically those under the LEADER and Local Employment Services (LES) programmes. Haase, T. Technical Note on the 2011 RAM for the LCDP, Pobal, 2011 “A central problem in the health service generally and children’s services in particular is the lack of a Resource Allocation Model (RAM). Having a RAM is important, for it determines what human and financial resources should be allocated and where according to objective criteria designed to meet measured need.” Harvey, B. A Way Forward for Delivering Children’s Services, Barnardos, March 2011 “The question posed by the study was: „Given the national spend on the health services, and existing allocation between services, how should the budget for each service be divided between PCCC areas in order to support access to services in rough proportion to the need for these services in each area?' The current system does not allocate resources in a way that addresses this question. Staines, A. et al. Towards the development of a Resource Allocation Model for Primary, Continuing and Community Care in the Health Services, HRB, 2010 SAMPLING METHODOLOGIES FOR HOUSEHOLD SURVEYS Local Area Initiatives Comparison of Sampling Designs Health Education Model Sample Design Environment Relative Standard Error Mean Square Error E UE LLI E UE LLI 3 3 3 3 3 ED ED 95% Confidence Interval E UE LLI 3 3 ED National Development Programme Statistical Methods S8 – 2SCS 1,300x4 3 Resource Allocation Models S9 – 2SSCS N4A8 1,300x4 3 S10 – 2SSCS N3A5D5 1,300x4 2 2 S11 – 2SSCS N3D10 1,300x4 1 1 M8 – 2SCS 1,300x20 M9 – 2SSCS N4A8 1,300x20 3 M10 – 2SSCS N3A5D5 1,300x20 2 M11 – 2SSCS N3D10 1,300x20 1 Sampling Methodologies for Household Surveys 2 1 3 2 1 2 2 2 1 1 1 3 3 2 1 2 2 2 1 1 3 1 1 2 3 3 Small Area Estimation 3 3 3 3 3 1 1 2 2 1 2 1 1 3 3 3 3 1 1 2 2 1 1 2 2 2 1 1 2 2 1 Haase, T. and Pratschke, J. Optimising the Sampling Methodology for CSO Household Surveys, CSO, 2012 SMALL AREA ESTIMATION Local Area Initiatives Health Education Environment National Development Programme Statistical Methods Resource Allocation Models Sampling Methodologies for Household Surveys Small Area Estimation