Prepared by: Victoria Zakrajšek 
Date of last change: March 2023

Purpose and justification of the indicator

Newer approaches to community health care are blurring the lines between sectors that provide health-related services. We think of health more and more in terms of strengthening health, and less in terms of treating diseases. Health care no longer concerns only health care services, but also social care, education, spatial and environmental planning services and other municipal organizations. In recent years, it has been increasingly recognized that in addition to physical and ecological factors, social characteristics of the environment - infrastructural arrangement, acceptance or. residents' connection, safety and the possibility of citizens' participation in decision-making and community action to improve their home environment. From the perspective of resident health, a supportive community is one that is safe, attractive, affordable, environmentally and economically sustainable, and socially connected and inclusive. Residents of municipalities are certainly the most important and reliable source of information about how orderly and successful their local community is. where they see an opportunity for improvements in the environment, as they use infrastructure facilities in their activities and in their daily lives and are therefore the first to know when changes are needed. Some citizens or groups have information from the field, others have a lot of theoretical knowledge, and still others can be crucial in the actual implementation of new measures.
Involving citizens in decision-making processes in the municipality not only brings changes for the better, but also helps to facilitate the introduction of innovations, at the same time increases citizens' trust in the work of the municipality, brings new views and knowledge to the process, raises awareness, encourages discussions and monitors the work of those responsible. By monitoring and evaluating the process of citizen involvement, we can check whether the municipality is achieving the set goals, we can respond in time to possible deviations and adjust consultation methods, or we can obtain valuable data that will be useful in making decisions and consultations in the future. The transition to more sustainable social and individual behavior requires holistic approaches at the national and local level, where the input of both decision-makers and community residents is crucial.

Definition of indicator

The indicator "Participation in community decisions" shows the proportion of people aged 18-74 who answered in the survey that they think they can participate in community decisions and help change things for the better in their locality.

Unit of measure

Calculation of the indicator

The indicator "Participation in community decisions" shows the ratio of the number of people who answered the question "Do you think you can participate in community decisions and help change things for the better in your place?" in the "Health-related behavioral style" survey. YES, and the number of all persons who answered the questionnaire, multiplied by 100.
Participation in community decisions
<math xmlns="http://www.w3.org/1998/Math/MathML"><mfrac><mrow><mi>N</mi><mi>u</mi><mi>m</mi><mi>b</mi><mi>e</mi><mi>r</mi><mo>&#160;</mo><mi>o</mi><mi>f</mi><mo>&#160;</mo><mi>p</mi><mi>e</mi><mi>o</mi><mi>p</mi><mi>l</mi><mi>e</mi><mo>&#160;</mo><mi>w</mi><mi>h</mi><mi>o</mi><mo>&#160;</mo><mi>f</mi><mi>e</mi><mi>e</mi><mi>l</mi><mo>&#160;</mo><mi>t</mi><mi>h</mi><mi>e</mi><mi>y</mi><mo>&#160;</mo><mi>c</mi><mi>a</mi><mi>n</mi><mo>&#160;</mo><mi>p</mi><mi>a</mi><mi>r</mi><mi>t</mi><mi>i</mi><mi>c</mi><mi>i</mi><mi>p</mi><mi>a</mi><mi>t</mi><mi>e</mi><mo>&#160;</mo><mi>i</mi><mi>n</mi><mo>&#160;</mo><mi>c</mi><mi>o</mi><mi>m</mi><mi>m</mi><mi>u</mi><mi>n</mi><mi>i</mi><mi>t</mi><mi>y</mi><mo>&#160;</mo><mi>d</mi><mi>e</mi><mi>c</mi><mi>i</mi><mi>s</mi><mi>i</mi><mi>o</mi><mi>n</mi><mi>s</mi></mrow><mrow><mi>T</mi><mi>h</mi><mi>e</mi><mo>&#160;</mo><mi>n</mi><mi>u</mi><mi>m</mi><mi>b</mi><mi>e</mi><mi>r</mi><mo>&#160;</mo><mi>o</mi><mi>f</mi><mo>&#160;</mo><mi>a</mi><mi>l</mi><mi>l</mi><mo>&#160;</mo><mi>p</mi><mi>e</mi><mi>r</mi><mi>s</mi><mi>o</mi><mi>n</mi><mi>s</mi><mo>&#160;</mo><mi>w</mi><mi>h</mi><mi>o</mi><mo>&#160;</mo><mi>r</mi><mi>e</mi><mi>s</mi><mi>p</mi><mi>o</mi><mi>n</mi><mi>d</mi><mi>e</mi><mi>d</mi><mo>&#160;</mo><mi>t</mi><mi>o</mi><mo>&#160;</mo><mi>t</mi><mi>h</mi><mi>e</mi><mo>&#160;</mo><mi>s</mi><mi>u</mi><mi>r</mi><mi>v</mi><mi>e</mi><mi>y</mi><mo>&#160;</mo><mi>q</mi><mi>u</mi><mi>e</mi><mi>s</mi><mi>t</mi><mi>i</mi><mi>o</mi><mi>n</mi><mi>n</mi><mi>a</mi><mi>i</mi><mi>r</mi><mi>e</mi></mrow></mfrac><mo>&#215;</mo><mn>100</mn></math>
The indicator for the municipality is calculated on the basis of a model that takes into account the prevalence of participation in community decisions (including YES responses) at the level of the administrative unit and demographic data of the municipality.

Data sources for Slovenia

Health-Related Behavioral Style Survey (CINDI), National Institute of Public Health.

Time availability

Data is collected periodically.
The survey was conducted in 2001, 2004, 2008, 2012, 2016 and 2020.

Men in literature

1. Residents' participation in decision-making at the local level. Ministry of Public Administration, Directorate for Local Self-Government, Non-Governmental Organizations and Political System, Sector for Local Self-Government. Available on 24/02/2023 at https://www.gov.si/teme/sodelovanje-prebivalcev-pri-odlocanju-na-lokalni-ravni/.
2. Guidelines for the inclusion of citizens and other interested groups in decision-making processes in the municipality. Ministry of Public Administration. Ljubljana 2017. Available on 24/02/2023 at https://www.gov.si/assets/ministrstva/MJU/Lokalna-samouprava/Smernice-za-vkljucevanje-obcanov-in-drugih-zainteresiranih-skupin-v-procese-odlocanja- v-municipality-2017.pdf
3. Gjorgjev D, Dimovska M, Morris G, Howie J, Borota Popovska M, Topuzovska Latkovikj M. How Good Is our Place-Implementation of the Place Standard Tool in North Macedonia. Int J Environ Res Public Health. 2019 Dec 27;17(1):194. doi: 10.3390/ijerph17010194. PMID: 31892126; PMCID: PMC6981766.
4. Giles-Corti B, Badland H, Mavoa S, Turrell G, Bull F, Boruff B, Pettit C, Bauman A, Hooper P, Villanueva K, Astell-Burt T, Feng X, Learnihan V, Davey R, Grenfell R. , Thackway S. Reconnecting urban planning with health: a protocol for the development and validation of national liveability indicators associated with noncommunicable disease risk behaviors and health outcomes. Public Health Res Pract. 2014 Nov 28;25(1):e2511405. doi: 10.17061/phrp2511405. PMID: 25828444.
5. How can I participate in decision-making in my local community (forms of direct democracy in local communities). Matevžič G, Divjak T. Legal and information center of non-governmental organizations - PIC. Ljubljana 2008. Available 24/02/2023 at http://pic.si/wp-content/uploads/2014/01/odlocanje-v-svoji-lokalni-skup.pdf

Notes

The survey includes people aged 18-74. The survey does not cover the population residing in the institution at the time of the survey. The answers are based on a subjective assessment of the living environment.

Health risk factors

Prepared by: Metka Zaletel 
Date of last modification: September 2016

Residents and community

Prepared by: Mojca Simončič and Metka Zaletel 
Date of last change: January 2018

Prepared by: Mojca Simončič and Metka Zaletel 
Date of last change: September 2016

Prepared by: Mojca Simončič 
Date of last change: March 2017

Prepared by: Gregor Starc 
Date of last modification: September 2016

Prepared by: Gregor Starc, Kristina Orožen 
Date of last change: September 2016

Prepared by: Tina Lesnik 
Date of last change: March 2021

Prepared by: Andreja Belščak 
Date of last change: September 2016

Prepared by: Mateja Rok Simon and Tina Zupanič 
Date of last change: March 2017

Prepared by: Metka Zaletel 
Date of last modification: March 2019

Prepared by: Victoria Zakrajšek 
Date of last change: March 2021

Prepared by: Martin Ranfl, Jona Bambič 
Date of last change: November 2017

Prepared by: Victoria Zakrajšek, Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Jasmina Staroveški Anderlič 
Date of last change: March 2020

Prepared by: Victoria Zakrajšek 
Date of last change: November 2021

Prepared by: Tatjana Kofol Bric 
Date of last modification: September 2016

Preventive

Prepared by: Victoria Zakrajšek and Sonja Tomšič 
Date of last change: March 2017

Prepared by: Bonia Miljavac 
Date of last change: March 2017

Prepared by: Sonja Tomšič 
Date of last change: November 2019

Prepared by: Sonja Tomšič 
Date of last change: March 2021

Health status

Prepared by: Victoria Zakrajšek 
Date of last change: March 2017

Prepared by: Aleš Korošec 
Date of last change: September 2016

Prepared by: Aleš Korošec
Date of last change: September 2016

Prepared by: Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Aleš Korošec and Sonja Tomšič 
Date of last change: September 2016

Prepared by: Mojca Simončič and Metka Zaletel 
Date of last change: October 2019

Prepared by: Kristina Orožen 
Date of last change: March 2019

Prepared by: Tatjana Kofol Bric, Jona Bambič 
Date of last change: March 2018

Prepared by: Victoria Zakrajšek, Tatjana Kofol Bric 
Date of last change: February 2020

Prepared by: Ema Ahačič 
Date of last change: April 2023

Prepared by: Ema Ahačič 
Date of last change: March 2023

Mortality

Prepared by: Sonja Tomšič, Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Sonja Tomšič 
Date of last change: March 2019

Prepared by: Tina Lesnik 
Date of last change: March 2019

Prepared by: Tina Lesnik 
Date of last change: March 2020