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The persistent urban health  challenges of migration and informal settlements in the context of HIV:  Towards the development of a framework  to guide local level responses in Johannesburg, South Africa   Jo Vearey PhD Student School of Public Health University of the Witwatersrand [email_address]   ARI Symposium University of the Witwatersrand 19 th  November 2008
Overview of presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
World Urbanization Prospects (2005 Revision),  United Nations, Department of Economic and Social Affairs An urban world In 2008, over half of the world’s population is now urban
World Urbanization Prospects (2005 Revision),  United Nations, Department of Economic and Social Affairs
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
Urban health frameworks ,[object Object],[object Object],[object Object],[object Object]
An example of an urban health framework Freudenberg, Galea and Vlahov, 2005 Social determinants of health
Why a revised framework for urban health? ,[object Object],[object Object],[object Object],[object Object],HIV
Developing country urban  environments (1) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Developing country urban  environments (2) Urbanisation Migration Interlinked development challenges Urban health needs HIV Informal settlements
The PhD research question ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Case study: Johannesburg -  complex urban context (City of Johannesburg, 2008) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIV
HIV: increasingly urban and informal ,[object Object],[object Object],[object Object],[object Object],[object Object]
The PhD:  Three interlinked case studies Assessing non-citizen access to ART in inner-city Johannesburg Evaluating a local level developmental approach to HIV in informal settlements Migration, housing, HIV and access to healthcare:  comparing urban formal and informal Revised framework for urban health HIV
Urban migrants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urban informal settlements ,[object Object],[object Object],[object Object],[object Object],[object Object]
© Thuli Zwane ‘… .  They stay in the shacks and they are trying to cope with the situation.’
© Ntombifuthi Ngwenya ‘ This is (a) Squatter Camp and the people are using the public toilets.  They are feeling very bad about that situation.’
© Busisiwe Zondo
© Nathi Makhanya ‘ This woman was pictured fetching some water down the hole.  This is the only source where water is found for the whole settlement…’
Access to services: residents of informal settlements and migrants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Towards a revised framework…. ,[object Object],[object Object],[object Object],[object Object]
Key components of a revised framework ,[object Object],[object Object]

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The persistent urban health challenges of migration and informal settlements in the context of HIV: Towards the development of a framework to guide local level responses in Johannesburg, South Africa

  • 1. The persistent urban health challenges of migration and informal settlements in the context of HIV: Towards the development of a framework to guide local level responses in Johannesburg, South Africa Jo Vearey PhD Student School of Public Health University of the Witwatersrand [email_address] ARI Symposium University of the Witwatersrand 19 th November 2008
  • 2.
  • 3. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs An urban world In 2008, over half of the world’s population is now urban
  • 4. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs
  • 5. 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
  • 6.
  • 7. An example of an urban health framework Freudenberg, Galea and Vlahov, 2005 Social determinants of health
  • 8.
  • 9.
  • 10. Developing country urban environments (2) Urbanisation Migration Interlinked development challenges Urban health needs HIV Informal settlements
  • 11.
  • 12.
  • 13.
  • 14. The PhD: Three interlinked case studies Assessing non-citizen access to ART in inner-city Johannesburg Evaluating a local level developmental approach to HIV in informal settlements Migration, housing, HIV and access to healthcare: comparing urban formal and informal Revised framework for urban health HIV
  • 15.
  • 16.
  • 17. © Thuli Zwane ‘… . They stay in the shacks and they are trying to cope with the situation.’
  • 18. © Ntombifuthi Ngwenya ‘ This is (a) Squatter Camp and the people are using the public toilets. They are feeling very bad about that situation.’
  • 20. © Nathi Makhanya ‘ This woman was pictured fetching some water down the hole. This is the only source where water is found for the whole settlement…’
  • 21.
  • 22.
  • 23.