Toward effective local government responses to urban health in African cities: engaging with migration and informal settlements in the context of HIV
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Toward effective local government responses to urban health in African cities: engaging with migration and informal settlements in the context of HIV
- 1. Toward effective local government responses to urban health in African cities: engaging with migration and informal settlements in the context of HIV Jo Vearey University of the Witwatersrand [email_address] International Conference on Urban Health Nairobi, Kenya 23rd October 2009
- 5. Freudenberg, Galea and Vlahov, 2005
- 6. WHO Commission on the Social Determinants of Health (2008)
- 7. The WHO Knowledge Network on Urban Settings (2008)
- 10. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs By 2030, 50% or more of the African population will be living in a city
- 12. Source: HDRO staff estimates based on University of Sussex (2007) database
- 16. Henk Van Renterghem, UNAIDS (2009)
- 17. HIV prevalence in adults aged 15 – 49 years by locality type, South Africa, 2005 (HSRC, 2005)
- 21. © Phumzile Nkosi
- 23. Gini coefficient in selected South African cities (Figure adapted from UN-HABITAT, 2008: 72)
- 24. Research question How should local government respond to the urban challenges of migration and informal settlements in the context of high HIV prevalence ? © Ntombifuthi Ngwenya
- 25. Developmental local government MRC, INCA, & dplg, 2007
- 30. This concept map was created using open source software: Cmap Tools v5.03 http:// cmpa.ihmc.us
Editor's Notes
- I argue that these existing frameworks are unable to inform responses to the specific complexities present within a particular urban context. Through the synthesis of the four study findings, an alternative approach to assist local government and other stakeholders in responding to urban health challenges is proposed. The idea of ‘concept mapping’ is suggested as a way to enable local government, and other actors, to engage with the complexities of the urban context in a participatory way . A core set of components have been identified that can be used to guide the creation of city-specific ‘concept maps’, that are able to work towards identifying and addressing the specific urban health needs associated with different areas within a city . A recommitment to intersectoral action, ‘healthy urban governance’ and public health advocacy is considered critical to the effectiveness of such an approach. It is suggested that t he resultant ‘concept map’ will assist local government in responding in a developmental way to the interlinked challenges of migration and informal settlements in a context of high HIV prevalence.