Physical activity in public space: insights from a global community of practice applying photovoice as a tool for digital participatory place analysis

Physical activity in open spaces is a crucial topic of urban health around the globe. As cities and everyday life differ a lot in specific urban contexts, places for physical activity may vary in shape, perception and use by local people. A group of researchers from eight countries in Europe, South America and Asia used the same online-photovoice application to explore places in their cities regarding physical activity in public spaces. Using the same application in eight countries with diverse local participants, we collected a rich basis for a reflection on methodological issues, the usability of the online-photovoice application and determinants of physical activity in public spaces in contrasting cities. The paper aims to provide traceable documentation of a collaborative learning activity with an online-photovoice application. In doing so, results are presented from researchers’ self-reflection as a global community of practice on how the online-photovoice approach can be applied to place analysis for healthy urban development at different places with practitioners, communities, and scientists from diverse backgrounds. The paper contributes to a broader problem understanding of physical activity in public open spaces. As one result, we find that including aspects of safety and conflict in public space is highly relevant

Physical activity in public space: insights from a global community of practice applying photovoice as a tool for digital participatory place analysis

Physical activity in open spaces is a crucial topic of urban health around the globe. As cities and everyday life differ a lot in specific urban contexts, places for physical activity may vary in shape, perception and use by local people. A group of researchers from eight countries in Europe, South America and Asia used the same online-photovoice application to explore places in their cities regarding physical activity in public spaces. Using the same application in eight countries with diverse local participants, we collected a rich basis for a reflection on methodological issues, the usability of the online-photovoice application and determinants of physical activity in public spaces in contrasting cities. The paper aims to provide traceable documentation of a collaborative learning activity with an online-photovoice application. In doing so, results are presented from researchers’ self-reflection as a global community of practice on how the online-photovoice approach can be applied to place analysis for healthy urban development at different places with practitioners, communities, and scientists from diverse backgrounds. The paper contributes to a broader problem understanding of physical activity in public open spaces. As one result, we find that including aspects of safety and conflict in public space is highly relevant

Paving the Pathway for Low Carbon Development: Urban Accessibility based Planning Support for Low Carbon Transport Development in Kathmandu

The concept of ‘low carbon development’ (LCD) emerged from the concerns of developing countries on development policy and climate change rather than climate change alone. As the transport sector in most developing countries is unsustainable, ‘low carbon development in transport’ (LCDT) plans should address approaches to reduce emissions from transport, while maintaining or improving transport, as a catalyser of development. LCDT, as such, may pave a pathway towards LCD. Due to the complexity and uncertainty involved in long-term planning tasks, scenario-based planning support systems (PSS) have been regarded as useful tools for exploring future impacts of any kind of plans and policies. Thus, this paper aims at developing an urban accessibility based PSS for evaluating different scenarios of LCDT plans regarding their potential towards low carbon transport development in Kathmandu Metropolitan City (KMC). This modelling framework combines an accessibility analysis and Activity-Structure-Intensity-Fuel (ASIF) framework in a GIS-based modelling platform. Based on interviews with government officials and documents of the Kathmandu Sustainable Urban Transport (KSUT) project, three plans were identified as qualifying for LCDT plans and were evaluated under high and low population growth scenarios. The evaluation shows that there could be an increase in accessibility along with emissions reduction gains for the current public transport (PT) improvement plan as well as for a plan of expanding the number of trolley buses in the PT vehicle fleet, under assumptions of a low population growth scenario. The trolley bus renewal plan can also lead to emissions reduction, but at the expense of accessibility. However, emissions would still be high against the base year for all the plans in the high population growth scenario. Performing a sensitivity analysis, it was concluded that penetration of trolley bus in the vehicle fleet has a great potential towards LCD. The results show that a shift from private to public transport is necessary in all the LCDT plans to realize a LCD in transport

Incidental Intraoperative Diagnosis of Term Conjoined Twins: A Case Series

Conjoined twins (Siamese twins) represent the rarest form of twin pregnancy. Reported here are two rare cases of conjoined term twins presented to the department of Obstetrics and Gynaecology within 3 months. The first case, 32 years of gravida 6 parity 5 referred from periphery after full trial of labour following multi-organ dysfunction and term intrauterine dead twins. Intraoperatively it was dead conjoined thoraco-omphalopagus females. The patient died after 3 days following multiorgan dysfunction syndrome and disseminated intravascular coagulation. The second case, 22 years gravida 2 parity 1 also referred from periphery in second stage of labour with diagnosis of 39 weeks intrauterine dead twins with obstructed labour, delivered by caesarean with intraoperative conjoined dead females of thoracophagus type. Twins are high-risk pregnancy. This rare diagnosis with complications could have been prevented by regular antenatal checkups, ultrasonography performed by radiologists and early referral antenatally in labour along with multidisciplinary approach

Measuring Environmental Justice in Real Time: A Pilot Study Using Digital Participatory Method in the Global South, Nepal

Individuals’ perceived fairness or justice beliefs are related to health in numerous ways. However, environment justice research to date has given little attention to perceived fairness of environmental exposures as experienced by individuals. This study explored the feasibility of a bottom-up digital participatory (via mobile phones) approach using ecological momentary assessment (EMA) to capture individuals’ subjective experience of environmental exposures and the subjective evaluation of fairness by those affected in the context of Nepal. In total, 22 individuals participated in the study for 28 days. The results show high rates of study retention and adherence. Individuals’ justice perception was found to vary within and between individuals, but also substantially depending on the types of environmental exposures. Nevertheless, the study indicates that uncertainties are inevitable as study design and timing may conflict participants’ daily lives and priorities. The method allows us to consider multiple geographic contexts of individuals’ everyday lives beyond residential environment. This pilot study proved the possibility to assess perceptions of environmental justice issues and demonstrated the necessary steps to using digital participatory method for assessing subjective perception of fairness of individuals

Environmental Health Related Socio-Spatial Inequalities: Identifying “Hotspots” of Environmental Burdens and Social Vulnerability

Differential exposure to multiple environmental burdens and benefits and their distribution across a population with varying vulnerability can contribute heavily to health inequalities. Particularly relevant are areas with high cumulative burdens and high social vulnerability termed as “hotspots”. This paper develops an index-based approach to assess these multiple burdens and benefits in combination with vulnerability factors at detailed intra-urban level. The method is applied to the city of Dortmund, Germany. Using non-spatial and spatial methods we assessed inequalities and identified “hotspot” areas in the city. We found modest inequalities burdening higher vulnerable groups in Dortmund (CI = −0.020 at p < 0.05). At the detailed intra-urban level, however, inequalities showed strong geographical patterns. Large numbers of “hotspots” exist in the northern part of the city compared to the southern part. A holistic assessment, particularly at a detailed local level, considering both environmental burdens and benefits and their distribution across the population with the different vulnerability, is essential to inform environmental justice debates and to mobilize local stakeholders. Locating “hotspot” areas at this detailed spatial level can serve as a basis to develop interventions that target vulnerable groups to ensure a health conducive equal environment

Interactive Cumulative Burden Assessment: Engaging Stakeholders in an Adaptive, Participatory and Transdisciplinary Approach

Cumulative burden assessment (CuBA) has the potential to inform planning and decision-making on health disparities related to multiple environmental burdens. However, scholars have raised concerns about the social complexity to be dealt with while conducting CuBA, suggesting that it should be addressed in an adaptive, participatory and transdisciplinary (APT) approach. APT calls for deliberation among stakeholders by engaging them in a process of social learning and knowledge co-production. We propose an interactive stakeholder-based approach that facilitates a science-based stakeholder dialogue as an interface for combining different knowledge domains and engendering social learning in CuBA processes. Our approach allows participants to interact with each other using a flexible and auditable CuBA model implemented within a shared workspace. In two workshops we explored the usefulness and practicality of the approach. Results show that stakeholders were enabled to deliberate on cumulative burdens collaboratively, to learn about the technical uncertainties and social challenges associated with CuBA, and to co-produce knowledge in a realm of both technical and societal challenges. The paper identifies potential benefits relevant for responding to social complexity in the CuBA and further recommends exploration of how our approach can enable or constraint social learning and knowledge co-production in CuBA processes under various institutional, social and political contexts