2. Objectives -To understand the steps in generating the MATRIX and MONITOR. -To show that the MATRIX and MONITOR can reveal the types of health equity problems that are most and least pronounced in a city, and who is most and least affected. Objectives for Session

3. -A basic MATRIX is a colour-coded chart that helps you to see inequities across multiple indicators. -The MATRIX does not track inequities over time. -The steps below describe the process to develop a MATRIX for within-city comparisons but you could also produce comparisons between cities, if you have data for multiple cities. Urban HEART MATRIX

4. Producing the MATRIX MATRIX: Displays inequalities across multiple indicators 1) Decide on the reporting year and the units of comparison (usually geographical districts in your city) for your MATRIX 2) Label the data columns (districts/wards) and data rows (health outcomes, environment, etc)

5. MATRIX 3) Add columns for benchmarks and targets

6. MATRIX 4) Enter data into the cells

7. MATRIX 5) First, fill in the GREEN cells (indicates performance that is equal to or better than both the internal benchmark and the desired target)

8. MATRIX 6) Next, fill in the RED cells (indicates performance that is worse than the internal benchmark)

9. MATRIX 7) Finally, fill in the YELLOW cells (indicates performance that is equal to or better than the internal benchmark, yet lower than the desired target) Note: Cells with missing data can remain white 8) Check your work again – All cells should be red, yellow or green unless the data are not available

10. -You can now develop the MONITOR to track the health equity gap in your city (the gap between best and worst performance) over time and to assess progress against an equity target. -The steps below describe the process to develop the basic MONITOR for your city. If you have performance data for multiple cities, you can also use the basic MONITOR to track an equity gap between cities in a region or country. Urban HEART MONITOR

11. Producing the MONITOR Monitor: Tracks the health equity gap (between best and worst performance) in your city over time and displays progress against and equity target 1) Decide on the indicator you want to monitor over time and the years you will analyse 2) Decide on your internal benchmark – Should represent a particular year 3) Identify a relevant target – Examples: MDG, national target, city target, etc. – Must be a higher standard than the internal benchmark

12. MONITOR 4) Label your data columns and data rows

13. MONITOR 5) Enter data into the cells

14. MONITOR 6) Colour-code the data cells using GREEN (indicates performance that is equal to or better than both the internal benchmark and the desired target)

15. MONITOR 7) Colour-code the data cells using RED (indicates performance that is worse than the internal benchmark)

16. MONITOR 8) Colour-code the data cells using YELLOW (indicates performance that is equal to or better than the internal benchmark, yet lower than the desired target)

17. MONITOR 9) Double-check your work 10) Create a basic graph

18. Make Urban HEART MONITOR Modifications 11) Enter the year of data for each observation. Assign markers to the data points: – Circles for the average measures – Diamonds for the best- performing units – Squares for the worst- performing units. Colour-code the markers according to the data table. Add lines to indicate the internal benchmark and desired target.

19. [Note for Facilitator] -For activity on MATRIX & Monitor, please see “Step 4 Activity” in Training Manual.