The Healthy Housing Index was developed as a structured housing inspection instrument for assessing physical housing conditions that may affect occupants’ health and safety. It provides an indication of the “healthiness” and safety of a dwelling, including the likelihood that occupants may experience illness or injury associated with housing conditions. The assessment follows the physical layout of the dwelling and involves a systematic inspection of rooms, building components, external areas and building services. It examines five principal components: 1) structural soundness; 2) adequacy of essential services; 3) warmth and dryness; 4) safety; 5) protection from external and environmental hazards.
The assessment covers issues such as dampness, mould, insulation, heating, ventilation, electrical safety, fire safety, pathways, internal and external stairs, sanitation, drainage and general building maintenance. It can be completed by trained building inspectors or other appropriately trained assessors. It is best used as a supplementary building-condition component alongside a person-centred accessibility or functional assessment.
Health status and risk factors Disability, Functional decline, Fall risk, General use, Respiratory conditions
Age group Children, Adults
Assessor Trained assessors; building inspectors
Sections / items 5 sections
Self-administered No
Multi-component No
Indicators Mould; insulations; moisture; heating; ventilation; electrical safety; fire safety; sanitation; building maintenance; stairs; drainage
Evidence Level 4 - Cross-sectional study
Authors Keall, M., Baker, M., Howden-Chapman, P., Cunningham, M., & Cunningham, C.
Organizations He Kāinga Oranga/Housing and Health Research Programme, Department of Public Health, University of Otago, Wellington, in collaboration with the Building Research Association of New Zealand, with contribution from Massey University.
Publication date 2007
Ingham, T., Keall, M., Jones, B., Aldridge, D. R. T., Dowell, A. C., Davies, C., Crane, J., Draper, J. B., Bailey, L. O., Viggers, H., Stanley, T. V., Leadbitter, P., Latimer, M., & Howden-Chapman, P. (2019). Damp mouldy housing and early childhood hospital admissions for acute respiratory infection: A case control study. Thorax, 74(9), 849-857. https://dx.doi.org/10.1136/thoraxjnl-2018-212979
Keall, M., Baker, M. G., Howden-Chapman, P., Cunningham, M., & Ormandy, D. (2010). Assessing housing quality and its impact on health, safety and sustainability. Journal of Epidemiology and Community Health, 64(9), 765-771. https://dx.doi.org/10.1136/jech.2009.100701