Despite four decades of development planning, at least one third of the urban population of Africa, Asia and Latin America remains poor. Over 600 million live in 'life and health threatening' homes and neighbourhoods because of poor housing and inadequate or no piped water, sanitation and health care. But even as the shortcomings of government and development programmes become more apparent, so do the untapped abilities of low-income groups and their community organizations to develop their own solutions.This book analyses the conditions necessary for successful community initiatives and inclu
For 18 months in 2009–2010, the Rockefeller Foundation provided support to establish the Roundtable on Urban Living Environment Research (RULER). Composed of leading experts in population health measurement from a variety of disciplines, sectors, and continents, RULER met for the purpose of reviewing existing methods of measurement for urban health in the context of recent reports from UN agencies on health inequities in urban settings. The audience for this report was identified as international, national, and local governing bodies; civil society; and donor agencies. The goal of the report was to identify gaps in measurement that must be filled in order to assess and evaluate population health in urban settings, especially in informal settlements (or slums) in low- and middle-income countries. Care must be taken to integrate recommendations with existing platforms (e.g.,Health Metrics Network, the Institute for Health Metrics and Evaluation) that could incorporate, mature, and sustain efforts to address these gaps and promote effective data for healthy urban management. RULER noted that these existing platforms focus primarily on health outcomes and systems, mainly at the national level. Although substantial reviews of health outcomes and health service measures had been conducted elsewhere, such reviews covered these in an aggregate and perhaps misleading way. For example, some spatial aspects of health inequities, such as those pointed to in the 2008 report from the WHO's Commission on the Social Determinants of Health, received limited attention. If RULER were to focus on health inequities in the urban environment, access to disaggregated data was a priority. RULER observed that some urban health metrics were already available, if not always appreciated and utilized in ongoing efforts (e.g., census data with granular data on households, water, and sanitation but with little attention paid to the spatial dimensions of these data). Other less obvious elements had not exploited the gains realized in spatial measurement technology and techniques (e.g., defining geographic and social urban informal settlement boundaries, classification of population based amenities and hazards, and innovative spatial measurement of local governance for health. In summary, the RULER team identified three major areas for enhancing measurement to motivate action for urban health—namely, disaggregation of geographic areas for intra-urban risk assessment and action, measures for both social environment and governance, and measures for a better understanding of the implications of the physical (e.g., climate) and built environment for health. The challenge of addressing these elements in resource-poor settings was acknowledged, as was the intensely political nature of urban health metrics. The RULER team went further to identify existing global health metrics structures that could serve as platforms for more granular metrics specific for urban settings. ; Copyright Information: 2011 The New York Academy of Medicine
For 18 months in 2009–2010, the Rockefeller Foundation provided support to establish the Roundtable on Urban Living Environment Research (RULER). Composed of leading experts in population health measurement from a variety of disciplines, sectors, and continents, RULER met for the purpose of reviewing existing methods of measurement for urban health in the context of recent reports from UN agencies on health inequities in urban settings. The audience for this report was identified as international, national, and local governing bodies; civil society; and donor agencies. The goal of the report was to identify gaps in measurement that must be filled in order to assess and evaluate population health in urban settings, especially in informal settlements (or slums) in low- and middle-income countries. Care must be taken to integrate recommendations with existing platforms (e.g.,Health Metrics Network, the Institute for Health Metrics and Evaluation) that could incorporate, mature, and sustain efforts to address these gaps and promote effective data for healthy urban management. RULER noted that these existing platforms focus primarily on health outcomes and systems, mainly at the national level. Although substantial reviews of health outcomes and health service measures had been conducted elsewhere, such reviews covered these in an aggregate and perhaps misleading way. For example, some spatial aspects of health inequities, such as those pointed to in the 2008 report from the WHO's Commission on the Social Determinants of Health, received limited attention. If RULER were to focus on health inequities in the urban environment, access to disaggregated data was a priority. RULER observed that some urban health metrics were already available, if not always appreciated and utilized in ongoing efforts (e.g., census data with granular data on households, water, and sanitation but with little attention paid to the spatial dimensions of these data). Other less obvious elements had not exploited the gains realized in spatial measurement technology and techniques (e.g., defining geographic and social urban informal settlement boundaries, classification of population based amenities and hazards, and innovative spatial measurement of local governance for health. In summary, the RULER team identified three major areas for enhancing measurement to motivate action for urban health—namely, disaggregation of geographic areas for intra-urban risk assessment and action, measures for both social environment and governance, and measures for a better understanding of the implications of the physical (e.g., climate) and built environment for health. The challenge of addressing these elements in resource-poor settings was acknowledged, as was the intensely political nature of urban health metrics. The RULER team went further to identify existing global health metrics structures that could serve as platforms for more granular metrics specific for urban settings.
"One in seven of the world's population live in poverty in urban areas, and the vast majority of these live in the Global South -- mostly in overcrowded informal settlements with inadequate water, sanitation, health care and schools provision. This book explains how and why the scale and depth of urban poverty is so frequently under-estimated by governments and international agencies worldwide. The authors also consider whether economic growth does in fact reduce poverty, exploring the paradox of successful economies that show little evidence of decreasing poverty. Many official figures on urban poverty, including those based on the US $1 per day poverty line, present a very misleading picture of urban poverty's scale. These common errors in definition and measurement by governments and international agencies lead to poor understanding of urban poverty and inadequate policy provision. This is compounded by the lack of voice and influence that low income groups have in these official spheres. This book explores many different aspects of urban poverty including the associated health burden, inadequate food intake, inadequate incomes, assets and livelihood security, poor living and working conditions and the absence of any rule of law. Urban Poverty in the Global South: Scale and Nature fills the gap for a much needed systematic overview of the historical and contemporary state of urban poverty in the Global South. This comprehensive and detailed book is a unique resource for students and lecturers in development studies, urban development, development geography, social policy, urban planning and design, and poverty reduction."--Publisher's website
With the rapid growth in urban poverty in Africa, Asia and Latin America, most cities now have 30 to 60 per cent of their population living in shanty towns. The civil and political rights of these people are either ignored or constantly contravened. They face multiple deprivations, including hunger, long hours working for inadequate incomes; illness, injury and premature deaths that arise from dangerous living conditions and inadequate water supplies, sanitation and healthcare. Many face the constant threat of eviction and other forms of violence. None of these problems can be addressed withou
This volume brings together, for the first time, a wide-ranging and detailed body of information identifying and assessing risk, vulnerability and adaptation to climate change in urban centres in low- and middle-income countries. Framed by an overview of the main possibilities and constraints for adaptation, the contributors examine the implications of climate change for cities in Africa, Asia and Latin America, and propose innovative agendas for adaptation. The book should be of interest to policy makers, practitioners and academics who face the challenge of addressing climate change vulnerab
This volume brings together, for the first time, a wide-ranging and detailed body of information identifying and assessing risk, vulnerability and adaptation to climate change in urban centres in low- and middle-income countries. Framed by an overview of the main possibilities and constraints for adaptation, the contributors examine the implications of climate change for cities in Africa, Asia and Latin America, and propose innovative agendas for adaptation. The book should be of interest to policy makers, practitioners and academics who face the challenge of addressing climate change vulnerability and adaptation in urban centres throughout the global South.
'A valuable contribution to our collective knowledge about governance, poverty and the environment' Frances Seymour, World Resources Institute 'Detailed and realistic documentation of contemporary development and governance relationships and trends' Melissa Leach, Institute of Development Studies There are growing signs that development work by governments, aid agencies and non-government organisations ignores the fact that environmental quality matters to the poor. There are also indications that some environmental work is pushing 'people-out' protection methodologies. Yet recently, an extensive range of project, programme and policy level activities has focused attention on the important links between poverty and the environment, and the benefit of entrenching these links in policy-making processes at all levels. The role that politics plays in all of this is of overriding importance. This volume is the first to address the role of politics in environmental issues that matter to the poor through a series of case studies. It describes experiences at regional, national and local levels in low and middle income countries including China, Tanzania, Nigeria, South Africa, Pakistan, Colombia, Peru, India, Saint Lucia and countries in East Africa. Ultimately the book demonstrates how understanding the national and local political context is crucial for addressing poverty-environment issues such as environmental health, access to natural resources for livelihoods and security, and coping with environmental disasters. The editors advocate ways in which political processes can be used to make positive changes - from the perspectives of both poverty reduction and the environment.