WHO Urban Health Initiative in Accra, Ghana


Book Description

Ambient and household air pollution are a major cause of death and disease globally. This public health threat is being increased due to the rapid urbanization process and environmental degradation that characterizes the 21st century and that have a higher impact in developing countries. The World Health Organization (WHO) Urban Health Initiative (UHI) is implemented as a response to the World Health Assembly (WHA) Resolution 68.8 from May 2015, which requests WHO to build health sector capacity to work with other sectors, support countries to identify effective policy measures, track progress, and continue to update the evidence for health impacts of air pollution. WHO conducted a pilot project in the city of Accra (Ghana) to address air pollution and related health effects in cities in Low- and Middle-Income Countries (LMICs). The Initiative provides a health-based implementation framework to reduce deaths and diseases associated with air pollutants, and realize climate and other health benefits (e.g., less injuries and safe physical activity). Particular attention has been given to assessing the impacts of policies in sectors responsible for air pollution, specifically household energy, land-use, waste and transport activities. This report includes discussions on the main results and impacts of the pilot project conducted in Accra. And it provides guidance and available tools that can be adapted to similar initiatives around the world to assess the health impacts of air pollution, promote policies to reduce air pollution and plan healthier environments.




Tracking urban health policies


Book Description




Generating and working with evidence for urban health


Book Description

Effective action on urban health requires that decision-makers have a clear picture of the state of health and well-being of their constituents. Critical to this is the generation of data and its translation into robust evidence that can help analyse problems, prioritise actions, guide investment, and monitor and evaluate. The brief is part of a series of four policy briefs that collectively support the implementation of strategic approach to urban health.







Integrated Transport


Book Description

Travel is an essential part of everyday life and today most journeys are multimodal. It is the total travel experience that counts and integrated transport must reduce the inconvenience of transfers between modes. Most research and many publications on transport policy advocate sustainable transport, but the priority given to integration has been negligible. Yet integration is one of the most important means to advance sustainable transport and sustainability more generally. While integrated transport systems are seen to be an ideal, there is a failure to make the transition from policy to practice. The authors argue that the achievement of sustainable transport is still a dream, as an integrated transport policy is a prerequisite for a sustainable transport system. It is only when the two concepts of sustainability and integration operate in the same direction and in a positive way that real progress can be made. In this book, transportation experts from across the world have addressed the questions about what is integration, why is it so important and why is it so hard to achieve? The book provides an in-depth analysis of these issues and it aims to provide a better understanding of the subject, about what should be strived for, about what is realistic to expect, and about how to move forward towards a more integrated provision of transport infrastructure, services and management.







Scaling Urban Environmental Challenges


Book Description

'Think globally, act locally? emphasizes the importance of scale in dealing with environmental challenges, but not how to factor it in. This major new book focuses on the spatial dimensions of urban environmental burdens, showing how important it is to take these into account when pursuing environmental justice and good governance - whether in the context of the sanitary risks of slum living, the pollution of uncontrolled industrialization and motorization, or the enormous ecological footprints of affluent urban lifestyles. Written by leading experts in the fields of urban development and environmental planning, the book reviews the urban environmental shifts that have shaped today's challenges, and examines conditions and problems in the urban centres of low-, middle- and high-income countries. Case studies address such economically diverse cities as Accra, New Delhi, Mexico City and Manchester, while thematic chapters explore issues including water, sanitation and transportation. The book concludes by exploring and analysing different scales of governance. The editors argue that we should not rely solely on local governance to address local burdens like poor sanitation, nor depend only on global governance for global challenges such as greenhouse gas emissions, but that scale is crucial in both understanding the problems and devising successful responses. Published with UNU-IAS and IIED.




Economic costs of air pollution in Accra, Ghana


Book Description

Economic impact assessments play an essential role in supporting countries achieve their goals towards controlling air pollution and climate actions. The main objectives of this study were to assess the economic costs of selected diseases and road traffic injuries (RTI) to the public health sector, patients and their families in the metropolitan region of Accra, Ghana. The results shown that, although, all patients had some type of health care insurance, not all hospital costs were covered by this type of assistance. Patients and their families also faced high indirect costs, mainly related to the loss of income due to the illnesses. When we look at the distribution of indirect costs amongst those patients who work in the informal sector, costs were even more substantial for some categories of patients. Although air pollution affects everyone, the poor seem to suffer the most. About 45% of our sample were considered to be in the first and second quintiles of socioeconomic status (the poorest and poor), and the direct medical costs alone could represent double their annual earnings. In our sample, patients also refer to loans and selling their assets in order to cover hospital costs.







State of the World 2007


Book Description

'The environmentalist's bible,' Times Higher Education Supplement. 'Essential reading,' The Good Book Guide In this 24th edition of State of the World, long established as the most authoritative and accessible annual guide to our progress towards a sustainable future, continues to provide the studies that pay particular attention to cities. In 2007, world population will tip from mostly rural to mostly urban. Already, some 1 billion individuals, one in every three urbanites, live in 'slums', some 90% of which are found in Africa, Asia, and Latin America. Published annually in 28 languages, State of the World is relied upon by national governments, UN agencies, development workers and law-makers for its authoritative and up-to-the-minute analysis and information. It is essential for anyone concerned with building a positive, global future. Featuring case studies of cities from Melbourne to Malmö to Timbuktu. This year's edition covers: an urbanizing world; providing clean water and sanitation; farming the cities; greening urban transportation; energizing cities; natural disaster risk in cities; charting a new course for urban public health; strengthening local economies; and, fighting poverty and environmental injustice in cities.