• Korean Journal of Health Education and Promotion
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• v.28 no.3
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• pp.99-111
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• 2011

Objectives: This study aims at evaluating performance of the Healthy Cities in Korea during the period of 2008-2010. Furthermore, it will explore future direction for qualitative growth of the Healthy Cities in Korea. Methods: A survey has been conducted annually with current healthy cities; 46 in 2009, 56 in 2010 and 60 in 2011. Survey instrument consists of 13 questions to evaluate general status, implementation system and sub-programs, and the result of the survey was analyzed by using PASW Statistic 18.0 focusing on categorizing healthy cities and looking at sub-programs trends. Results: In 2010, there are 60 Healthy Cities in Korea, whose number grows continuously. The most noticeable characteristic is that administrative bodies in urban area strongly promote the Healthy Cities Project, while the projects are usually associated with other health promotion projects rather than independently carried out. Also, their sub-programs are concentrated on 'healthy-setting' and 'healthy lifestyle programs'. Conclusions: To improve the quality of the Healthy Cities in Korea, a number of requirements should be met. The most urgent requirement is sector-wide comprehensive policy fostering Healthy Cities development strategy. Moreover, it is expected that over-arching theme should be set up under the framework of National Healthy Cities Network.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.3
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• pp.501-512
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• 1999

The aim of this study was to utilize the 20 steps in the three phases from the book, 'Twenty steps for developing a Healthy Cities Project $2^{nd}$ Ed., 1995, WHO/EURO' to survey Healthy Cities to identify the similarities and differences by implementation rates and perceived significances among Healthy Cities worldwide. For this study, a self-administered questionnaire was developed based on the book. The questionnaires were delivered by air-mail and e-mail to 213 Healthy City coordinators or directors in 43 nations from Jan 13 to Feb 10, 1999. The responses were gathered up until March 31 from 40 Healthy Cities in 17 nations, mostly in the USA and in the European regions. The main results are as follows; Overall the perceived significances were higher for healthy cities with higher implementation rates and there were significant differences for 'set-up office', 'plans strategy', 'increase health awareness', 'mobilize intersectoral action', and 'secure healthy public policy'. 1. According to national health system, the implementation rate, perceived significance and implementation ability of the 20 steps were higher in the healthy cities with a comprehensive-type health system as compared to those with an entreprenetrial & permissive health system. Overall there were significant differences in the steps 'mobilize intersectoral action', and 'secure healthy public policy'. steps which were predominant in the healthy cities with a comprehensive-type health system. There was no concordance in the ranks of implementation rate and perceived significant score. 2. According to the length of implementation time, the perceived significance and implementation ability were higher in healthy cities with more than 6 years compared to those with less than 6 years, although implementation rate was the same. Overall there was a significant difference in 'secure healthy public policy' the step which was predominant in the healthy cities with more than 6 years of implementation. 3. According to population covered by the Healthy City Project, the implementation rate and implementation ability were higher in healthy cities with more than a population of 100 thousand. There was no significant difference in perceived significance, but there were differences in the following, 'find finances', 'set-up office'. 'mobilize intersectoral action' in the implementation rate and implementation ability. These three steps were predominant in the healthy cities with a population of more than 100 thousand. 4. The population covered by the Healthy City Project was the only effective factor influencing the total implementation ability of each healthy city, and it was higher for those cities with a population of more than 100 thousand. In Conclusion, the implementation rate, the perceived significance and the implementation ability were higher in cities with a comprehensive -type health system, with more than 6 years of healthy city experience and with a population of more than 100 thousand. To increase the reliability and the validity of the questionnaire and the results of this study arising from lack of sufficient data, repeated study needs to be considered with a more refined questionnaire delivered to more healthy cities worldwide.

• Korean Journal of Health Education and Promotion
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• v.29 no.4
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• pp.67-81
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• 2012

Objectives: This article examines the diversity of healthy cities evaluation in practice and discusses the major conflicting issues in evaluating healthy cities to offer implications to academics and cities for application in their field. Methods: The author discusses issues on major topics that arose from a review of literature on selected articles from peer-reviewed journals, books and gray literature. The recently developed Korean Healthy Cities evaluation framework is used as a main source of reference. Results: Evaluating healthy cities is in itself a political process and requires multiple methodologies and diverse sources of data. Details of the evaluation process depend on the purposes and goals predetermined by the stakeholders. The Korean Healthy Cities evaluation framework applies these principles and suggests a participatory approach to evaluation, selection of indicators that provide evidence on the process of change and to use mixed evaluation methods. The involvement of stakeholders in the evaluation process can also be a useful tool to further strengthen partnerships and strategies for healthy cities. Conclusion: Cities need to engage more in evaluation activities and develop necessary skills and capacity to produce utility-driven evidence.

• Health Policy and Management
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• v.16 no.2
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• pp.1-20
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• 2006

The purpose of this study was to assess healthy city level of the selected cities of Korea, Japan, and England using healthy city index. Based on WHO health city profile, this study proposed 5 index domains comprised with human biology, life style, shelthe & socioeconomic data, environmental & infrastructural data, and public health policy and services. We identified 6 cities (Changwon, Wonju, Seoul, Ichikawa, Fukuroi and Brighton). The human biology level of Korean cities was better than that of Ichikawa, Fukuroi, and Brighton city except Wonju. But the shelter & socioeconomic index level of the foreign cities was better than that of Korean cities. In the environmental & infrastructural idex, even though Changwon city showed the highest level among healthy cities in this study, other Korean cities had lower level compared to the foreign cities. In the public health policy and services index level, except Wonju, Korean cities had lower level than that of all foreign cities. In comparing a summative evaluation index of all proposed index, Ichikawa and Fukuroi had the highest level of city health but Seoul city had the lowest healthy level. Changwon and Wonju had higher level of city health compare to that of Brighton and Seoul. To promote the level of city health, those findings could contribute to healthy city planning process in terms of identifying any weakness and strength of the cities selected in this study.

• Korean Journal of Health Education and Promotion
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• v.24 no.2
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• pp.123-134
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• 2007

Since 1996, the Health Promotion Programme spearheaded by the Korean Central Government has been actively developing and recently, the Healthy City Project led by the local autonomous entities have also been actively promoted. Healthy City is one in which the health and well-being of the citizens are given the utmost importance in the decision-making of the city. While the Health Promotion Programme focuses on changing the "health behavior" of the people, the Healthy City Project, a policy to improve the existing inequality of public health services, deals with more essential health factors and requires political support as well as a new organization. The Healthy City paradigm based on the New Public Health started in England and ever since the Healthy City Model Project spearheaded by the EURO WHO began in 1986, the Alliance for Healthy Cities centered in the West Pacific region supported by the WHO in Oct 2003 was inaugurated. 19 Korean cities are full members of the Alliance for Healthy Cities and 2 laboratories are associate members. The Ministry of Health and Welfare has held the Healthy City Forum consisting of related officials, experts and representatives of civic bodies on 6 occasions since Dec 2005. The need for adequate administrative and financial support from the Central Government to the local autonomous entities governing the Healthy Cities was raised. It is hoped that this Healthy City Project will bring about the improved health conditions of the people as well as promote the equality of the public health services.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.159-166
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• 2014

Purpose: In spite of many Healthy Cities projects in Korea, there are few research about healthy urban planning. So we tried to use available recent models to a Healthy Cities project in a medium sized city in Gyeongnam province. Methods: Using mainly European Healthy Urban Planning Model and opinion leader survey, SWOT analysis, forum and discussion have been done to a city. Secondary city health indicator obtained from Ministry of Statistics. Results: There are strong need to develop health industry, green traffic and healthy living from survey using Healthy Cities policy direction of Korean Health Promotion Fund. Among the Healthy Urban Planning objectives, improvements of physical environments, prevention of accidents and crime, improvements of healthy esthetics rated highly. Although environmental pollution was problem local government push forward to the pilot healthy urban project as active healthy water-front development. Considering secondary healthy city indicators, change of external forces and internal capacity final task for healthy urban planning for Yangsan city were development of riverside physical education park and active living and anti-ageing environments etc. Conclusions: Comprehensive assessment and plan was possible through MAPP Model using European Healthy Urban Planning objectives to draw the direction of future urban planning for Healthy Cities Projects. Further research and formal introduction would be needed.

• Korean Journal of Health Education and Promotion
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• v.30 no.2
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• pp.93-103
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• 2013

Objectives: This study was to compare two healthy cities, Liverpool in England and Wonju in Korea, which evaluated healthy city projects and to reorient evaluation strategy which fits into Korean Healthy cities. Methods: Comparatives analysis was used by reviewing documents, healthy city plan and evaluation report, of two cities. Results: Healthy city projects in two cities, fifteen programs were identical items among twenty-seven but there were differences in seven items for Liverpool and five items for Wonju. In Liverpool evaluation was done by a stakeholder group called Liverpool Local Involvement Network(LINK), while in Wonju by Yonsei Healthy City Research Center. The evaluation tool was two types; quantitative and qualitative analysis. Liverpool mostly used qualitative and added quantitative, vice versa in Wonju. Conclusions: Evaluation plan for Healthy city projects need to be made in the first phase of the projects, instead of in the end. Moreover, it is important to include stakeholder in conducting qualitative analysis for unquantifiable evidence of effectiveness, as well as quantitative analysis.

• Journal of Preventive Medicine and Public Health
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• v.40 no.6
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• pp.439-446
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• 2007

In order to reduce the health inequalities within a society changes need to be made in broad health determinants and their distribution in the population. It has been expected that the Health impact assessment(HIA) and Healthy Cities can provide opportunities and useful means for changing social policy and environment related with the broad health determinants in developed countries. HIA is any combination of procedures or methods by which a proposed 4P(policy, plan, program, project) may be judged as to the effects it may have on the health of a population. Healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential. In Korea, social and academic interest regarding the HIA and Healthy Cities has been growing recently but the need of HIA and Healthy Cities in the perspective of reducing health inequality was not introduced adequately. So we reviewed the basic concepts and methods of the HIA and Healthy Cities, and its possible contribution to reducing health inequalities. We concluded that though the concepts and methods of the HIA and Healthy Cities are relatively new and still in need of improvement, they will be useful in approaching the issue of health inequality in Korea.

• Health Policy and Management
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• v.25 no.4
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• pp.264-276
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• 2015

Background: Healthy cities of Korea have engaged in various activities regarding the Korea Healthy Cities Partnership, and research activities on healthy cities is one of the important area. In the present context, due to the current policy to pursue Sustainable Development Goals locally and globally, it is essential to emphasize the importance of healthy city. Therefore, it is important to identify the research trend related to healthy city. The aim of this study was to find out research trend of healthy city studies from 1990 to 2014 by reviewing published papers and studies systematically. Based on the finding of the study, the necessary implications on future research directions of the healthy city are obtained. Methods: The area of this study is domestic journal (Korea), international journal, thesis, and research report focusing on healthy city from 1990 to 2014. The selection of data was performed using keyword is based on domestic and international database. The analysis criteria were divided into year of publication, type of study, subjects, study methods, and study area. Results: One hundred twenty papers were selected for the analysis. Papers related to the healthy city issue were published 4.8 times in an average in a year during that the period. However, the number of papers published increased dramatically in the recent 4 years. Of total, 28 papers (44.4%) focused on the healthy city policy and urban environmental improvement, 18 papers (28.6%) focused on health promotion, and the remaining were program centered. Most papers (71 out of 120) used quantitative study methods. Of total studies, studies have conducted in Jinju city (9), Wonju city (8), Changwon city (6), and Gangnam-gu (5), respectively, as a study area of healthy city. Conclusion: First, domestic healthy city researches has been gradually increasing every year, over the past 10 years which has heightened interest in healthy cities. Second, the expansion of the various areas of research is required in order to contribute to future sustainable healthy city. Third, in recent years, by taking advantage of a variety of research methods, conducting the qualitative and mixed method research is considered to be a desirable change.

• Korean Journal of Health Education and Promotion
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• v.26 no.2
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• pp.119-133
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• 2009

Objective: The aim of this study was to asses individual, organizational and environmental capacity for members of Healthy Cities Partnership (KHCP) and exploring advanced suggestions for further developing. Methods: Participants were 27. The questionnaire was developed based on Health Promotion Capacity Checklist and it analyze capacity in 3 lelvels including individual, organizational and environmental. Each level is consist of 4 sections, individual: 'Knowledge', 'Skills', 'Commitment' and 'Resources', organizational; 'Commitment', 'Culture', 'Structure' and 'Resources', environment:'Public opinion', 'Political will', 'Supportive organizations' and 'Ideas and other resources'. Each section was assessed in 4 point rating scale and cross analyzed with basic information. Results: The mean score of 3 levels were 2.57. Among the 3 levels, 'Individual' marks 2.78 point which were top and 'Organizational' marks 2.59 and 'Environmental' marks 2.33. There were no significant factors affecting Healthy cities capacity of 'Individual' and 'Organizational' level, but just 'specialization' of 'Environmental' had significance. Conclusion: Above the results, this study suggested that just 'Individual' capacity is above median point and other levels were lower. Further efforts for developing Healthy cities capacity, especially focused on 'Organizational' and 'Environmental' levels, is strongly required.