Policies and Regulations

Evidence-based strategies that involve universal, targeted, proportionate universalism, and ‘targeted within universal’ approaches. Strategies speak specifically to a policy, regulation, regulatory framework, or regulation of standards or practices that could be implemented or improved. This includes provision of funding as well as budget allocations.

How to Navigate this Page

Select policy targets and evidence-based strategies that are priorities and achievable within your setting and sector. Align with your mandate, capacity, jurisdictional boundaries, and scope of practice.

Strategies marked with ☔ are important for populations-at-risk.

Entry Point for Action:
Reflects the organization’s or government unit’s sector scope and mandate

Policy Target:
Relates to the initiative’s focus 

Evidence-based Strategies:
Concrete actions to guide initiatives’ design, delivery, and evaluation

SAMPLE INDICATORS

  • Adherence of financial institutions to government unit regulations
  • Adherence of financial institutions to internal controls defined by government unit policy
  • Levels of financial mismanagement, abuse, and/or fraud at the individual level
  • Digital accessibility in banking (e.g., for people with limited internet access or who are experiencing disabilities)
  • Geographic distribution of banking outlets (e.g., stratified by neighbourhoods)
  • Affordability of banking services
  • Trends in costs of financial transactions
  • Individual’s perceived ability to meet unique financial needs (e.g., stratified by age)
  • Individual’s perceived ability to meet short-term financial goals (e.g., among disadvantaged groups)
  • Individual’s perceived ability to meet mid- and long-term financial goals (e.g., among disadvantaged groups)

SAMPLE INDICATORS

  • Percentage of homeowners or renters paying more than 30% of their pre-tax income on housing (e.g., utilities, property taxes, and mortgage payments)
  • Household stress (using a threshold such as housing costs are more than 30% of disposable (or gross) household income and households are in the bottom 40% of the income distribution (e.g., stratified by homeowners, public renters, and private renters))
  • Extreme household stress (using a threshold such as housing costs are more than 50% of disposable (or gross) household income and households are in the bottom 40% of the income distribution (e.g., stratified by homeowners, public renters, and private renters))

SAMPLE INDICATORS

  • Homeownership rates
  • Rentership rates
  • Percentage of people changing status from tenants to homeowners
  • Rental vacancy rates
  • Trends in house prices by neighbourhood

SAMPLE INDICATORS

  • Availability of public funding to support affordable housing development projects in high-, middle-, and low-income neighbourhoods 
  • Supply shortage of affordable housing units
  • Variety of affordable housing options (e.g., duplexes and laneway homes) in high-, middle-, and low-income neighbourhoods
  • Revisions on single-family dwelling zoning laws

SAMPLE INDICATORS

  • Adherence to safe, affordable, and accessible housing regulations (e.g., local government units, housing authorities, and housing development organizations)
  • Number/percentage of regulated housing authorities and developers following the internal controls defined by government unit policy
  • Number/percentage of affordable housing options in diverse and desirable neighbourhoods (e.g., centrally or conveniently located)
  • Population density

SAMPLE INDICATORS

  • Average length of single shelter stay (e.g., for children, youth, and adults)
  • Percentage of shelter users with more than one shelter stay per year
  • Occupancy rate in emergency and temporary shelters
  • Homelessness levels
  • Costs associated with re-housing a homeless person
  • Number of households on waiting lists for government subsidized housing
  • Social housing waiting lists for people experiencing disabilities
  • Number of people placed in longer-term housing
  • Availability of affordable home-buying schemes, such as shared ownership programs
  • Individual’s perception of the ease of application process for affordable homebuying programs, such as shared ownership programs

SAMPLE INDICATORS

  • Number/percentage of inclusive, affordable housing options for people experiencing disabilities
  • Number/percentage of municipal governments that have addressed age discrimination against children in tenancy rules
  • Number/percentage of families with children who report securing affordable, inclusive housing in multi-unit dwellings
  • Availability of non-discrimination laws protecting people who receive rental subsidies and income supports

SAMPLE INDICATORS

  • Availability of funding for social housing projects
  • Availability/supply of social housing units relative to population needs
  • Average waiting time of applications for a social housing program to be fulfilled

SAMPLE INDICATORS

  • Availability of affordable housing units for disadvantaged groups
  • Diversity of affordable housing units (e.g., multiplexes, high-rise condominiums) for disadvantaged groups

SAMPLE INDICATORS

  • Number/percentage of minimum wage workers
  • Remuneration trends among low-wage workers (e.g., those working in agricultural sector, cleaning services, or hospitality industry)
  • Nominal values of minimum wage(s)
  • Number/percentage of people working in precarious, unsafe work conditions (e.g., disadvantaged groups)
  • Availability of mechanisms to denounce abusive, exploitative work conditions
  • Easy access to mechanisms to denounce abusive, exploitative work conditions
  • Number of enforcement actions over time
  • Number of regular on-site inspections
  • Availability of anonymous surveys for workers about working conditions
  • Availability of anonymized data sharing mechanisms to provide evidence supporting employment stability actions

SAMPLE INDICATORS

  • Ratio of private sector workers who are members of a union to that of the public sector
  • Level of transparency of public sector compensation packages
  • Trends of non-wage benefits (e.g., coverage) in the private sector
  • Inequalities in non-wage benefits between public and private sector workers

SAMPLE INDICATORS

In countries with universal government-funded health systems:

  • Eligible people’s (e.g., citizens) levels of satisfaction with the quality of health care services
  • People’s perceived level of difficulty in accessing health care services (e.g., eligibility for services)
  • Number/percentage of governments with regulatory and financial policy tools for essential services
  • Number/percentage of people ineligible for the universal health care system (e.g., noncitizen residents) who report having access to high-quality health services at low cost
  • Perceived ability to meet health-related costs among people ineligible for the universal health care system, stratified by socioeconomic status
  • Trends of out-of-pocket expenditures on health among people ineligible for the universal health care system
  • Number/percentage of people ineligible for the universal health care system reporting fear of the financial costs associated with health care use
  • Inequalities between eligible and ineligible groups regarding health status, use of health care services, and health-related debts

In countries with (non)universal public and/or private insurance systems:

  • Number/percentage of government units with effective regulatory controls ensuring actions from for-profit and not-for-profit organizations are aligned with the public interest and health goals, particularly regarding quality, costs, and access to health services
  • Number of countries with regulation of private sector and good regulatory capacity ensuring strict management and financial protection in the health care sector
  • Average of household expenditure on health care expenses, stratified by socioeconomic status
  • Individual perceived financial hardship associated with use of private health care services
  • Health inequalities between patients of the private health care sector and patients of the public health care sector
  • Financial health inequalities between patients of the private health care sector and patients of the public health care sector
  • Number/percentage of Emergency Department visits, stratified by socioeconomic status
  • Number/percentage of preventable pediatric hospitalization per year, stratified by socioeconomic status
  • Average cost of an admitted emergency visit

SAMPLE INDICATORS

  • Number of high-quality, public non-profit (no-cost or affordable) nursing care and assisted living care facilities relative to population and geographic distribution
  • Individual’s perception of access to high-quality, public non-profit (no-cost or affordable) nursing care and assisted living care facilities
  • Number of high-quality, public non-profit (no-cost or affordable) home- and community-based services relative to population and geographic distribution
  • Availability/supply of long-term care facilities relative to local needs
  • Number of home- and community-based services, stratified by area of residence
  • Number/percentage of people assisted by home- and community-based services
  • Number/percentage of participants who feel home- and community-based services enable  them to remain in their communities and live meaningful and full lives
  • Number of high-quality and affordable long-term care options for seniors and people experiencing disabilities, stratified by area of residence
  • Length of wait times and waiting lists for long-term care home placements
  • Socioeconomic inequality in long-term care use
  • Caregiving burden (e.g., among women)
  • Gender gaps in labour force participation (e.g., stratified by occupation categories)
  • Gender gap in income
  • Quality of life levels among people in need of long-term care and their families/caregivers

SAMPLE INDICATORS

  • Number/percentage of patients/residents and families/caregivers reporting consistency and continuity of care
  • Number/percentage of government units that collect and analyze systematically disaggregated data on health, social, and financial outcomes related to long-term care services
  • Number/percentage of government units that produce periodic data analysis reports with updated and disaggregated findings on health, social, and financial outcomes among recipients of long-term care services
  • Number/percentage of government units that present evidence-based recommendations, defining steps for improvements in long-term care services quality, options, accessibility, and equity
  • Number/percentage of government units that conduct standardized and periodic on-site quality evaluations and health inspections
  • Number/periodicity of health inspections (e.g., stratified by type of facility or service)
  • People’s perceived difficulty in accessing findings from quality assessments of services
  • Patient/resident staffing ratios
  • Number/percentage of long-term care services meeting safety and quality standards
  • Number/percentage of preventable accidents (e.g., falls) and health issues (e.g., urinary tract infections) among patients/residents
  • Number/percentage of facilities and services that are held accountable for poor quality of care (e.g., stratified by type of facility or service)

SAMPLE INDICATORS

  • Financial inequities between users of private, for-profit long-term care services and users of public non-profit (no-cost or affordable) long-term care services
  • Health inequalities between users of private, for-profit long-term care services and users of public non-profit (no-cost or affordable) long-term care services
  • Mortality and hospitalization rates at private, for-profit long-term care facilities
  • Patient/resident staffing ratios at private, for-profit long-term care facilities
  • Trends in dispensing antipsychotic medications at private, for-profit long-term care facilities
  • Average monthly fees for private, for-profit facilities

SAMPLE INDICATORS

  • Proportion of childcare providers supplying affordable, high-quality nonstandard hour care
  • Number/percentage of parents/guardians working nonstandard or unpredictable schedules reporting finding affordable, high-quality childcare services that meet their needs
  • Average number of (un)paid working hours per week, stratified by sex and gender

SAMPLE INDICATORS

  • Availability of licensed, high-quality early childhood care per area (e.g., in low-income areas)
  • Child-staff ratio
  • Trends in early childhood outcomes such as problem-solving, language development, and autonomy (e.g., stratified by socioeconomic status and race/ethnicity)
  • Parents’ perceptions of their children’s early life experiences, such as diet, parental affection, and nurturing environment (e.g., stratified by immigrant status)
  • Number/percentage of children experiencing a cumulative advantage pattern in their first years of life
  • Children’s likelihood to enjoy better employment conditions and income later in life increases (e.g., family income)
  • Upward economic mobility among children from low-income backgrounds
  • Intergenerational mobility across the distribution of income, i.e., probability for the child of being in the same quintile as their parent
  • Intergenerational transmission of occupational status
  • Intergenerational socioeconomic disadvantages (e.g., stratified by socioeconomic status)

SAMPLE INDICATORS

  • Average annual cost of childcare
  • Number/percentage of parents/guardians spending more than 10% of their gross household income on childcare fees
  • Number/percentage of parents/guardians reporting they can choose between having their children attending or not attending childcare programs because of affordability of fees (e.g., per household income level)
  • Parents/guardians’ perceptions about their ability to choose if they want to participate in the workforce, stratified by sex and gender
  • Access to a high and consistent standard of childcare (e.g., stratified by socioeconomic status and race/ethnicity)

SAMPLE INDICATORS

  • Cumulative advantage pattern in the lives of disadvantaged children attending schools
  • Children’s chances to enjoy better opportunities to secure well-paid, stable jobs later in life (particularly those with disadvantaged backgrounds)
  • Children’s chances to experience better financial wellbeing into adulthood (particularly those with disadvantaged backgrounds

SAMPLE INDICATORS

  • Inequalities in high-quality education across school districts
  • School funding per school district
  • Number/percentage of well-qualified staff working in schools (e.g., in low-income neighbourhoods)
  • Educator turnover (e.g., stratified by neighbourhood income)
  • Retention rates (e.g., stratified by neighbourhood income)
  • Resources (e.g., computers, books) available in schools located in higher- and lower-income neighbourhoods

SAMPLE INDICATORS

  • Number/percentage of regulated post-secondary education and training institutions complying with the regulation
  • Levels of student loan debts
  • Post-secondary education/training completion rates (e.g., stratified by socioeconomic status or race/ethnicity)
  • Number/percentage of students feeling financially stressed due to the costs of their education (e.g., stratified by household income)
  • Number/percentage of students considering dropping out of post-secondary institutions for financial reasons
  • Drop-out rates (e.g., stratified by socioeconomic status and race/ethnicity)

SAMPLE INDICATORS

  • Trends of traffic jams
  • Trends of pedestrian, cyclist, and traffic accidents and fatalities
  • Number/percentage of bus stops, distributed by neighbourhood
  • Air pollution rates, relative to higher- and lower-income neighbourhoods
  • Noise pollution rates, relative to higher- and lower-income neighbourhoods
  • Transportation network connectivity and density

SAMPLE INDICATORS

  • Percentage of household income spent on transportation, by transportation type (e.g., private vehicle, active transit, or public transit use)
  • Self-reported commuting time, by transportation type
  • Public transit ridership rates
  • Number/percentage of eligible low-income people with subsidized monthly public transit passes
  • Perceptions of public transit accessibility among people experiencing disabilities

SAMPLE INDICATORS

  • Ratio of targeted policies and programs to universal policies and programs
  • Acceptance levels of taxation to support publicly funded policies and programs
  • Number/percentage of taxpayers agreeing with taxes being used to support public provision of services (e.g., stratified by household income)

SAMPLE INDICATORS

  • Number of policies and programs referring to inclusion as part of their mission and/or goals
  • Proportion of policies and programs outlining plans to address the structural causes of financial strain and poor financial wellbeing
  • Proportion of policies and programs focused on redressing concentrations of power and resources

SAMPLE INDICATORS

  • Number/percentage of people receiving income from social welfare programs (e.g., stratified by total household income categories)
  • Poverty levels (e.g., stratified by total household income categories)
  • Trends in socioeconomic inequalities

SAMPLE INDICATORS

  • Changes in the number/percentage of recipients living below poverty line
  • Percentage point decreases in poverty for program recipients
  • Social welfare earnings (e.g., among the most disadvantaged groups)
  • Share of people receiving more than half of their income from social welfare programs (e.g., stratified by total household income categories)

SAMPLE INDICATORS

  • Taxes paid by ultra-wealthy people
  • Trends in government spending, particularly in social protection

SAMPLE INDICATORS

  • Number of grant programs relative to population needs
  • Total amount of government funding per year

SAMPLE INDICATORS

  • Number/percentage of financial capability programs using key performance indicators to measure success (e.g., change in participants’ self-rated or measured financial capability) that go beyond funder priorities (e.g., participation rates) and consider multiple aspects of people’s lives
  • Number/percentage of financial capability programs that address the social and structural determinants of people’s financial circumstances

SAMPLE INDICATORS

  • Number/percentage of eligible people who report needing support to navigate the application process (e.g., in-person assistance)
  • Availability of one-stop-shop websites to access social services
  • Number/percentage of eligible people who agree with the statement that the application process (in-person, online, or via telephone) is straightforward and fast
  • Take-up of social welfare programs relative to need
  • Number/percentage of eligible people who report receiving assistance for filing their taxes

SAMPLE INDICATORS

  • Applicants’ perceptions of (in)consistent eligibility criteria across government sectors
  • Rates of appeals and reconsideration requests for benefit approval

SAMPLE INDICATORS

  • Number/percentage of people who are not afraid that life changes would compromise their eligibility for the program
  • Number/percentage of people who feel the transition to other benefits (when needed) is smooth
  • Level of agreement with the statement that meaningful information about benefits is readily available

SAMPLE INDICATORS

  • Number/percentage of social welfare recipients transitioning out of supportive social welfare
  • Number/percentage of former social welfare recipients reapplying to the benefits
  • Food insecurity
  • Number/percentage of social welfare recipients finding sustainable, appropriate, and fairly paid jobs

SAMPLE INDICATORS

  • Number/percentage of initiatives referring to data and statistics as part of the rationale for their scope and requirements
  • Number/percentage of initiatives that discuss effectiveness relative to welfare conditionality

SAMPLE INDICATORS

  • Status of social welfare benefits relative to claw backs
  • Trends in social welfare earnings relative to changes in recipients’ employment and life circumstances

SAMPLE INDICATORS

  • Levels of fear, stress, and tension among social welfare recipients
  • Average amount of time and cost expended by recipients to meet the requirements
  • Perceived burden of the program among recipients

SAMPLE INDICATORS

  • People’s ability to transition to the workforce (e.g., before and after the removal of restrictions and requirements)

SAMPLE INDICATORS

  • Number/percentage of benefits revoked for failure to meet social welfare conditions
  • Poverty levels among beneficiaries’ dependents (e.g., children of unemployed parents/guardians)
  • Percentage of beneficiaries’ children who experience a drop in poverty rates
  • Staff perceptions of the effect of the cessation of obligations on recipients (e.g., stratified by program type)

SAMPLE INDICATORS

  • Number/percentage of initiatives with an understanding that economic success goes beyond personal wealth and includes health and wellbeing
  • Number/percentage of initiatives using wellbeing measures, such as self-reported life satisfaction, quality of life, trust in government, and community engagement

SAMPLE INDICATORS

  • Number/percentage of initiatives defining improvements in individual financial circumstances as a top priority
  • Overall wellbeing rates at the population level

SAMPLE INDICATORS

  • Effectiveness of public spending with respect to overall wellbeing outcomes

SAMPLE INDICATORS

  • Overall wellbeing levels
  • Trends of incidence and/or prevalence of health and wellbeing outcomes

SAMPLE INDICATORS

  • Trends in socioeconomic gaps
  • Trends in health inequities
  • Trends in beneficiaries’ financial wellbeing relative to initiative’s budgetary issues

SAMPLE INDICATORS

  • Number/percentage of recipients lifted out of poverty
  • Median household income of beneficiaries
  • Beneficiaries’ perceptions of benefits adjusted to a livable wage
  • Overall wellbeing and financial wellbeing levels among beneficiaries (e.g., before and after recalibration of benefits)
  • Poverty gaps between beneficiaries and non-beneficiaries (who are financially better off)
  • Health gaps between beneficiaries and non-beneficiaries (who are financially better off)
  • Household food insecurity
  • Effects of increased monetary support on demand for programs

SAMPLE INDICATORS

  • Income volatility
  • Individual sense of financial control
  • Individual’s perception of ability to pay bills on time
  • Individual’s perception of the effect/impact of cash benefits
  • Recipients’ perceptions about their ability to manage their own money, cover their regular and unexpected expenses, and make purchases with choice and dignity

SAMPLE INDICATORS

  • Availability of reports presenting analysis weighing the costs of investments and potential returns or value to society (e.g., tax base growth)
  • Number/percentage of initiatives using long-term or cost-effectiveness evidence to guide decisions about budget allocation, particularly when considering expenditure reduction
  • Stakeholders’ perceptions on the clarity and sufficiency of information provided in the initiatives’ cost-effectiveness reports to make independent and critical evaluations viable
  • Stakeholders’ perceptions on data transparency (e.g., within organizations and governments)

SAMPLE INDICATORS

  • Availability of opportunities for promotion and career advancement (e.g., stratified by sex, gender, sexual orientation, and race/ethnicity)
  • Accommodation of breastfeeding employees’ requirements in workplaces
  • Number/percentage of terminations of employment for failure to perform due to age or disability (i.e., where no legal protections exist)

SAMPLE INDICATORS

  • Number/percentage of existing programs and benefits that expand their target audiences, including population groups with need who were not previously targeted
  • Availability of new supports and benefits for target groups with high, complex needs
  • Access to income supports (e.g., among workers in precarious employment and working age people out of the labour force)
  • Income security (e.g., among workers in precarious employment and working age people out of the labour force)
  • Self-reported high/low variability of income

SAMPLE INDICATORS

  • Number/percentage of low-income people who enroll in free or low-cost education and training courses
  • Trends in the highest level of education achieved by adults
  • Availability of varied reliable, affordable financial services and products (e.g., to low-income people)
  • Availability of cash assistance
  • Perceived ability to provide for oneself and one’s family
  • Perceived ability to cover basic needs and enjoy economic stability (e.g., among low-income individuals and families)
  • Number/percentage of people who report having money left over after meeting basic needs

SAMPLE INDICATORS

  • Number/percentage of government units with a clear mandate of overseeing and supporting the development of equitable, safe, secure, and desirable neighbourhoods.

SAMPLE INDICATORS

  • Funding equity among services and programs per jurisdiction
  • Inequalities in terms of diversity of services and amenities among neighbourhoods
  • Perceived neighbourhood safety
  • Levels of self-reported satisfaction with the quality of local services
  • Levels of self-reported satisfaction with the amenities located in the housing area
  • Perceived level of social connectedness (social capital, social cohesion) within neighbourhoods

SAMPLE INDICATORS

  • Trends in representation of people of colour (e.g., Indigenous, Latino and Black groups) in the criminal justice system
  • Availability of mechanisms and channels to denounce racial biases in policing
  • Perceived level of difficult in access and report racially motivated incidents
  • Levels of trust in the police in disadvantaged neighbourhoods
  • Crime rates in low socioeconomic status neighbourhoods
  • Levels of overall wellbeing (e.g., stratified by neighbourhood-level income)
  • Public trust
  • Level of public support for the anti-discrimination regulation

SAMPLE INDCATORS

  • Number/percentage of initiatives integrating policies, programs, and services to best respond to a particular need (e.g., unemployment) through co-location, or using a shared, single application process, etc.
  • Number/percentage of initiatives with memorandums or declarations that set out the main responsibilities of the staff members involved in the collaborative work
  • Number/percentage of recipients who feel the program has provided support in the areas they most needed

SAMPLE INDICATORS

  • Number/percentage of people feeling not afraid of applying for the programs and services because of potential life changes
  • Number/percentage of applications relative to need (i.e., level of unmet needs decrease)

SAMPLE INDICATORS

  • Ratio of recipients to people who meet program eligibility criteria
  • Annual recipiency rates
  • Number/percentage of people who report feeling encouraged to register in the programs and services
  • Number/percentage of people with multiple, complex needs who have their benefits granted

SAMPLE INDICATORS

  • Perceptions of staff about the extensiveness and onerousness of the assessment process
  • Trends of administrative costs for assessing if recipients are still meeting the administrative requirements and demands
  • Trends in time associated with periodic assessments of recipients
  • Number/percentage of applicants and recipients who report that the assessment process is cumbersome or onerous

SAMPLE INDICATORS

  • Beneficiaries’ perceptions of the effect of removing obligations
  • Individual’s satisfaction with the support they received to find their way into workforce
  • Rates of temporary suspension of benefits for failure to comply with program requirements
  • Monetary fluctuations in social assistance payments to an individual while in the program

Centre for Healthy Communities
School of Public Health
University of Alberta

healthy.communities@ualberta.ca

3-035 Dianne and Irving Kipnes Health
Research Academy
11405 – 87 Avenue
Edmonton, AB Canada T6G 1C9

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