Book contents
- Frontmatter
- Contents
- List of contributors
- Acknowledgements
- 1 Human biological approaches to the study of Third World urbanism
- 2 Social and cultural influences in the risk of cardiovascular disease in urban Brazil
- 3 The urban disadvantage in the developing world and the physical and mental growth of children
- 4 Differences in endocrine status associated with urban-rural patterns of growth and maturation in Bundi (Gende-speaking) adolescents of Papua New Guinea
- 5 Nutritionally vulnerable households in the urban slum economy: a case study from Khulna, Bangladesh
- 6 Urban-rural differences in growth and diarrhoeal morbidity of Filipino infants
- 7 Child health and growth in urban South Africa
- 8 From countryside to town in Morocco: ecology, culture and public health
- 9 Urban-rural population research: a town like Alice
- 10 Selection for rural-to-urban migrants in Guatemala
- 11 Health and nutrition in Mixtec Indians: factors influencing the decision to migrate to urban centres
- 12 Urban health and ecology in Bunia, N.E. Zaire, with special reference to the physical development of children
- 13 Food for thought: meeting a basic need for low-income urban residents
- 14 Immunological parameters in northeast Arnhem Land Aborigines: consequences of changing settlement patterns and lifestyles
- 15 Amerindians and the price of modernisation
- 16 Sex ratio determinants in Indian populations: studies at national, state and district levels
- 17 Polarisation and depolarisation in Africa
- 18 Urbanisation in the Third World: health policy implications
- Index
18 - Urbanisation in the Third World: health policy implications
Published online by Cambridge University Press: 26 December 2009
- Frontmatter
- Contents
- List of contributors
- Acknowledgements
- 1 Human biological approaches to the study of Third World urbanism
- 2 Social and cultural influences in the risk of cardiovascular disease in urban Brazil
- 3 The urban disadvantage in the developing world and the physical and mental growth of children
- 4 Differences in endocrine status associated with urban-rural patterns of growth and maturation in Bundi (Gende-speaking) adolescents of Papua New Guinea
- 5 Nutritionally vulnerable households in the urban slum economy: a case study from Khulna, Bangladesh
- 6 Urban-rural differences in growth and diarrhoeal morbidity of Filipino infants
- 7 Child health and growth in urban South Africa
- 8 From countryside to town in Morocco: ecology, culture and public health
- 9 Urban-rural population research: a town like Alice
- 10 Selection for rural-to-urban migrants in Guatemala
- 11 Health and nutrition in Mixtec Indians: factors influencing the decision to migrate to urban centres
- 12 Urban health and ecology in Bunia, N.E. Zaire, with special reference to the physical development of children
- 13 Food for thought: meeting a basic need for low-income urban residents
- 14 Immunological parameters in northeast Arnhem Land Aborigines: consequences of changing settlement patterns and lifestyles
- 15 Amerindians and the price of modernisation
- 16 Sex ratio determinants in Indian populations: studies at national, state and district levels
- 17 Polarisation and depolarisation in Africa
- 18 Urbanisation in the Third World: health policy implications
- Index
Summary
Introduction
Urbanisation, the rapid growth of the urban poor and the health problems of these populations in the Third World have received increasing attention during the past five years. The objective of this paper is to raise some of the issues that need to be considered in urban health policy development. The paper uses a particular conceptual framework to analyse health policy development, that is, the three-stage model of
problem identification;
policy formulation;
policy implementation.
It is argued that in terms of urban health policy the ‘problem’ has, to a large extent, already been identified and that it is difficult to justify more research in this area alone. Various trends can be identified in the way urban health policy is being formulated, and two examples are provided. A number of constraints in policy implementation are discussed, and future research needs are identified.
Problem identification
Two parallel movements, which have recognised the needs of the urban poor in developing countries, have emerged in two distinct sectors at different times during the late 1970s and the 1980s. The first was in the housing or urban development sector; the second was the health sector. The second movement reflected the first: policy developments in urban health for the poor in the late 1980s are closely linked with an earlier policy development in the housing sector, namely slum upgrading or slum improvement.
- Type
- Chapter
- Information
- Urban Ecology and Health in the Third World , pp. 274 - 282Publisher: Cambridge University PressPrint publication year: 1993
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