Struggles to remain in Kigali’s “unplanned” settlements: the case of Bannyahe

Examining the precarious status of informal settlements in Kigali at a time of large-scale planning-induced expropriation, this article considers urban contestation in the context of the city’s changing spatial-legal regime. We analyse the case of one informal settlement’s expropriation and relocation – the settlement of Bannyahe – and the contestation that has ensued as resident property owners take the District of Gasabo to court. Through interviews with settlement residents, we follow the fates of these displaced urban citizens and consider their struggles to remain in their homes. Finally, we suggest that such contestation over legal procedural regularity and negotiation over property valuation at the neighbourhood level forms the limit of overt opposition to the city’s masterplan. Terming these limits to contestation “silent boundaries” that circumscribe contestation for property owners in the Bannyahe settlement, we offer perspectives on contestation and compromise amidst urban socio-spatial reordering in the “new Kigali”

Slum Sanitation and the Social Determinants of Women’s Health in Nairobi, Kenya

Inadequate urban sanitation disproportionately impacts the social determinants of women’s health in informal settlements or slums. The impacts on women’s health include infectious and chronic illnesses, violence, food contamination and malnutrition, economic and educational attainment, and indignity. We used household survey data to report on self-rated health and sociodemographic, housing, and infrastructure conditions in the Mathare informal settlement in Nairobi, Kenya. We combined quantitative survey and mapping data with qualitative focus group information to better understand the relationships between environmental sanitation and the social determinants of women and girls’ health in the Mathare slum. We find that an average of eighty-five households in Mathare share one toilet, only 15% of households have access to a private toilet, and the average distance to a public toilet is over 52 meters. Eighty-three percent of households without a private toilet report poor health. Mathare women report violence (68%), respiratory illness/cough (46%), diabetes (33%), and diarrhea (30%) as the most frequent physical burdens. Inadequate, unsafe, and unhygienic sanitation results in multiple and overlapping health, economic, and social impacts that disproportionately impact women and girls living in urban informal settlements

Combining community-based research and local knowledge to confront asthma and subsistence-fishing hazards in Greenpoint/Williamsburg, Brooklyn, New York.

Activists in the environmental justice movement are challenging expert-driven scientific research by taking the research process into their own hands and speaking for themselves by defining, analyzing, and prescribing solutions for the environmental health hazards confronting communities of the poor and people of color. I highlight the work of El Puente and The Watchperson Project--two community-based organizations in the Greenpoint/Williamsburg neighborhood in Brooklyn, New York, that have engaged in community-based participatory research (CBPR) to address asthma and risks from subsistence-fish diets. The CBPR process aims to engage community members as equal partners alongside scientists in problem definition, information collection, and data analysis--all geared toward locally relevant action for social change. In the first case I highlight how El Puente has organized residents to conduct a series of asthma health surveys and tapped into local knowledge of the Latino population to understand potential asthma triggers and to devise culturally relevant health interventions. In a second case I follow The Watchperson Project and their work surveying subsistence anglers and note how the community-gathered information contributed key data inputs for the U.S. Environmental Protection Agency Cumulative Exposure Project in the neighborhood. In each case I review the processes each organization used to conduct CBPR, some of their findings, and the local knowledge they gathered, all of which were crucial for understanding and addressing local environmental health issues. I conclude with some observations about the benefits and limits of CBPR for helping scientists and communities pursue environmental justice

A community-engaged infection prevention and control approach to Ebola.

The real missing link in Ebola control efforts to date may lie in the failure to apply core principles of health promotion: the early, active and sustained engagement of affected communities, their trusted leaders, networks and lay knowledge, to help inform what local control teams do, and how they may better do it, in partnership with communities. The predominant focus on viral transmission has inadvertently stigmatized and created fear-driven responses among affected individuals, families and communities. While rigorous adherence to standard infection prevention and control (IPC) precautions and safety standards for Ebola is critical, we may be more successful if we validate and combine local community knowledge and experiences with that of IPC medical teams. In an environment of trust, community partners can help us learn of modest adjustments that would not compromise safety but could improve community understanding of, and responses to, disease control protocol, so that it better reflects their 'community protocol' (local customs, beliefs, knowledge and practices) and concerns. Drawing on the experience of local experts in several African nations and of community-engaged health promotion leaders in the USA, Canada and WHO, we present an eight step model, from entering communities with cultural humility, though reciprocal learning and trust, multi-method communication, development of the joint protocol, to assessing progress and outcomes and building for sustainability. Using examples of changes that are culturally relevant yet maintain safety, we illustrate how often minor adjustments can help prevent and treat the most serious emerging infectious disease since HIV/AIDS

Meeting the challenge of risk-sensitive and resilient urban development in sub-Saharan Africa: Directions for future research and practice.

At the heart of the papers in this Special Issue is the call for research and practice to move to understand and act on the direct and indirect interlinkages between urban development and risk accumulation processes; a broader conception of risk on a continuum from everyday to extreme events and a critical view of urban risk governance as a project that implicates multiple formal and informal actors at difference scales. Out of this focus emerges a research frontier that demands sustained, detailed studies of the links between multi-faceted and multi-scalar development processes and risk but also the re-thinking of scale and jurisdiction as ordering concepts; a stronger understanding of the linkages between environmental/public health risks and small and extreme disasters, and relative changes in manifestations of these forms of risk and in their social differentiation; and better theorisation of governance innovations. For practice, the issue stresses the over-riding need to move beyond a narrow focus on hazard or disaster events and the immediate actors involved to engage a much wider set of actors in integrated planning processes; to develop data to enable holistic policy-making and to build on the emergence of demand-led planning to re-frame the practices of risk-sensitive and resilient urban development

Housing Conditions in Palestinian Refugee Camps, Jordan

This paper evaluates the quality of housing in a Palestinian refugee camp in Jordan. More than two million registered refugees live in Jordan, most of whom living in thirteen refugee camps established in the late 1960s following the Arab-Israeli conflict of 1967. Many of these camps are characterized by poor living conditions and associated health, social and environmental problems. However, there is scant empirical evidence regarding the quality of the housing in these camps. This paper addresses this gap by reporting on the findings of a questionnaire survey of 382 household units in Baqa’a Camp, the largest of the camps. The quantitative survey was triangulated by a series of extensive fieldwork visits to the area. Findings reveal that the housing in the camp is generally substandard. Poor structure and maintenance are key problems and this paper identifies and discusses various challenges, political and practical, that stand in the way of housing improvements. The paper concludes by suggesting that new models of ownership and responsibility need to be forged between the stakeholders in order to break the current stalemate of inaction

Engaging with community researchers for exposure science: lessons learned from a pesticide biomonitoring study

A major challenge in biomonitoring studies with members of the general public is ensuring their continued involvement throughout the necessary length of the research. The paper presents evidence on the use of community researchers, recruited from local study areas, as a mechanism for ensuring effective recruitment and retention of farmer and resident participants for a pesticides biomonitoring study. The evidence presented suggests that community researchers' abilities to build and sustain trusting relationships with participants enhanced the rigour of the study as a result of their on-the-ground responsiveness and flexibility resulting in data collection beyond targets expected

The importance of green spaces to public health: a multi-continental analysis

As green spaces are a common feature of liveable cities, a detailed understanding of the benefits provided by these areas is essential. Although green spaces are regarded as a major contribution to the human well‐being in urbanized areas, current research has largely focused on the cities in developed countries and their global importance in terms of public health benefits remains unclear. In this study, we performed a multiple linear regression using 34 cities in different regions across the globe to investigate the relationship between green spaces and public health. Our analysis suggested that for richer cities, green spaces were associated with better public health; whereas a greater area of green spaces was associated with reduced public health in the poorest cities. In contrast to previous studies, which typically found positive relationships between green spaces and health benefits, we demonstrate that health benefits of green spaces could be context dependent.Southampton University’s Institute for Life Sciences Fellowship (project code 511206105) Marie Curie International Incoming Fellowship (PIIF-GA-2011-303221) Isaac Newton Trust (15.23(s)) The Grantham Foundation for the Protection of the Environment The Kenneth Miller Trus

COVID-19 reveals the systemic nature of urban health globally

Statement by the scientific committee* of the International Science Council’s Programme on Urban Health and Wellbeing, on critical elements of urban health action in response to the epidemic