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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Rights, knowledge, and governance for improved health equity in urban settings
Journal of Urban Health, Volume 88, No. 5, Year 2011
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Description
All three of the interacting aspects of daily urban life (physical environment, social conditions, and the added pressure of climate change) that affect health inequities are nested within the concept of urban governance, which has the task of understanding and managing the interactions among these different factors so that all three can be improved together and coherently. Governance is defined as: "the process of collective decision making and processes by which decisions are implemented or not implemented": it is concerned with the distribution, exercise, and consequences of power. Although there appears to be general agreement that the quality of governance is important for development, much less agreement appears to exist on what the concept really implies and how it should be used. Our review of the literature confirmed significant variation in meaning as well as in the practice of urban governance arrangements. The review found that the linkage between governance practices and health equity is under-researched and/or has been neglected. Reconnecting the fields of urban planning, social sciences, and public health are essential "not only for improving local governance, but also for understanding and addressing global political change" for enhanced urban health equity. Social mobilization, empowering governance, and improved knowledge for sustainable and equitable development in urban settings is urgently needed. A set of strategic research questions are suggested. © 2011 The New York Academy of Medicine.
Authors & Co-Authors
Barten, Françoise
Netherlands, Nijmegen
Radboud Universiteit
Akerman, Marco
Brazil, Santo Andre
Centro Universitário Fmabc
Becker, Daniel
Brazil, Rio de Janeiro
Centro de Promoção da Saúde
Friel, Sharon
United Kingdom, London
University College London
Australia, Canberra
The Australian National University
Hancock, Trevor
Canada, Victoria
University of Victoria
Mwatsama, Modi K.
United Kingdom, London
National Heart Forum
Rice, Marilyn E.
United States, Washington
Who Regional Office for the Americas
Sheuya, Shaaban A.
Tanzania, Dar es Salaam
Ardhi University
Stern, Ruth
Netherlands, Nijmegen
Radboud Universiteit
United Kingdom
University of Barten
South Africa, Bellville
University of the Western Cape
Statistics
Citations: 33
Authors: 9
Affiliations: 11
Identifiers
Doi:
10.1007/s11524-011-9608-z
e-ISSN:
14682869
Research Areas
Environmental
Health System And Policy
Study Design
Phenomenological Study