Healthy city

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Rush hour in Copenhagen, where 62% of the population commute by bicycle to their work or study places each day Cyclists at red 2.jpg
Rush hour in Copenhagen, where 62% of the population commute by bicycle to their work or study places each day

Healthy city is a term used in public health and urban design to stress the impact of policy on human health. It is a municipality that continually improves on a physical and a social level until environmental and pathological conditions are reached establishing an acceptable morbidity rate for the population. [1] Its modern form derives from a World Health Organization (WHO) initiative on Healthy Cities and Villages in 1986, but has a history dating back to the mid 19th century. [2] The term was developed in conjunction with the European Union, but rapidly became international as a way of establishing healthy public policy at the local level through health promotion. [3] It emphasises the multi-dimensionality of health as laid out in WHO's constitution and, more recently, the Ottawa Charter for Health Promotion. [4] An alternative term is Healthy Communities, or Municipios saludables in parts of Latin America.

Contents

Approaches

Many jurisdictions which have healthy community programmes and cities can apply to become a WHO-designated "Healthy City". WHO defines the Healthy City as: [5]

"one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential."

Measuring the indices required, establishing standards and determining the impact of each component on health is difficult. In some regions such as Europe, a health impact assessment is a required piece of public policy development. [6] [7]

There are many networks of healthy cities, including in Europe [8] and internationally, such as the Alliance for Healthy Cities. A key feature is ensuring that the social determinants of health are taken into consideration in urban design and urban governance. For example, "urbanization and health" was the theme of the 2010 World Health Day. [9] One tool in developing healthy cities is social entrepreneurship. [10]

See also

Related Research Articles

<span class="mw-page-title-main">City</span> Large permanent human settlement

A city is a human settlement of notable size. It can be defined as a permanent and densely settled place with administratively defined boundaries whose members work primarily on non-agricultural tasks. Cities generally have extensive systems for housing, transportation, sanitation, utilities, land use, production of goods, and communication. Their density facilitates interaction between people, government organisations and businesses, sometimes benefiting different parties in the process, such as improving efficiency of goods and service distribution.

Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity". A variety of definitions have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders.

<span class="mw-page-title-main">Infrastructure</span> Facilities and systems serving society

Infrastructure is the set of facilities and systems that serve a country, city, or other area, and encompasses the services and facilities necessary for its economy, households and firms to function. Infrastructure is composed of public and private physical structures such as roads, railways, bridges, tunnels, water supply, sewers, electrical grids, and telecommunications. In general, infrastructure has been defined as "the physical components of interrelated systems providing commodities and services essential to enable, sustain, or enhance societal living conditions" and maintain the surrounding environment.

Governance is the process of making and enforcing decisions within an organization or society. It is the process of interactions through the laws, social norms, power or language as structured in communication of an organized society over a social system. It is done by the government of a state, by a market, or by a network. It is the process of choosing the right course among the actors involved in a collective problem that leads to the creation, reinforcement, or reproduction of acceptable conduct and social order". In lay terms, it could be described as the political processes that exist in and between formal institutions.

<span class="mw-page-title-main">Population health</span> Health outcomes of a group of individuals

Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It has been described as consisting of three components. These are "health outcomes, patterns of health determinants, and policies and interventions".

Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."

Social innovations are new social practices that aim to meet social needs in a better way than the existing solutions, resulting from - for example - working conditions, education, community development or health. These ideas are created with the goal of extending and strengthening civil society. Social innovation includes the social processes of innovation, such as open source methods and techniques and also the innovations which have a social purpose—like activism, crowdfunding, time-based currency, telehealth, cohousing, virtual volunteering, microcredit, or distance learning. There are many definitions of social innovation, however, they usually include the broad criteria about social objectives, social interaction between actors or actor diversity, social outputs, and innovativeness. Different definitions include different combinations and different number of these criteria. Transformative social innovation not only introduces new approaches to seemingly intractable problems, but is successful in changing the social institutions that created the problem in the first place.

<span class="mw-page-title-main">Social determinants of health</span> Economic and social conditions that influence differences in health status

The social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are the health promoting factors found in one's living and working conditions, rather than individual risk factors that influence the risk for a disease, or vulnerability to disease or injury. The distributions of social determinants are often shaped by public policies that reflect prevailing political ideologies of the area.

<span class="mw-page-title-main">Environmental planning</span>

Environmental planning is the process of facilitating decision making to carry out land development with the consideration given to the natural environment, social, political, economic and governance factors and provides a holistic framework to achieve sustainable outcomes. A major goal of environmental planning is to create sustainable communities, which aim to conserve and protect undeveloped land.

Health impact assessment (HIA) is defined as "a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population."

The International Network of Health Promoting Hospitals and Health Services (HPH) is a nonprofit, non-governmental organization that was initiated by the World Health Organization (WHO) in 1988. It is also known simply as HPH, or "Health Promoting Hospitals." HPH is based on the settings approach to health promotion philosophy of the WHO as outlined in the WHO Ottawa Charter for Health Promotion. The organization's main aim is to improve the health gain of hospitals and health services by a bundle of strategies targeting patients, staff, and the community.

The Healthy Development Measurement Tool (HDMT), developed by the San Francisco Department of Public Health, provides an approach for evaluating land-use planning and urban development with regards to the achievement of human health needs. The HDMT provides a set of baseline data on community health metrics for San Francisco and development targets to assess the extent to which urban development projects and plans can improve community health. The HDMT also provides a range of policy and design strategies that can advance health conditions and resources via the development process.

The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries around the world in exchanging information to achieve the goal through a health promotion approach called Healthy Cities. The chair city for the alliance is Ichikawa, Japan.

<span class="mw-page-title-main">EPA Sustainability</span>

The United States Environmental Protection Agency (EPA) was established in July 1970 when the White House and the United States Congress came together due to the public's demand for cleaner natural resources. The purpose of the EPA is to repair the damage done to the environment and to set up new criteria to allow Americans to make a clean environment a reality. The ultimate goal of the EPA is to protect human health and the environment.

Environmental, social, and corporate governance (ESG), also known as environmental, social, governance, is a framework designed to be embedded into an organization's strategy that considers the needs and ways in which to generate value for all organizational stakeholders.

Soil governance refers to the policies, strategies, and the processes of decision-making employed by nation states and local governments regarding the use of soil. Globally, governance of the soil has been limited to an agricultural perspective due to increased food insecurity from the most populated regions on earth. The Global Soil Partnership, GSP, was initiated by the Food and Agriculture Organization (FAO) and its members with the hope to improve governance of the limited soil resources of the planet in order to guarantee healthy and productive soils for a food-secure world, as well as support other essential ecosystem services.

Ilona Kickbusch is a German political scientist best known for her contribution to health promotion and global health. She is adjunct professor at the Graduate Institute of International and Development Studies, Geneva.

Health in All Policies (HiAP) was a term first used in Europe during the Finnish presidency of the European Union (EU), in 2006, with the aim of collaborating across sectors to achieve common goals. It is a strategy to include health considerations in policy making across different sectors that influence health, such as transportation, agriculture, land use, housing, public safety, and education. It reaffirms public health's essential role in addressing policy and structural factors affecting health, as articulated by the Ten Essential Public Health Services, and it has been promoted as an opportunity for the public health sector to engage a broader array of partners.

Strategic environmental assessment (SEA) is a systematic decision support process, aiming to ensure that environmental and possibly other sustainability aspects are considered effectively in policy, plan and program making. In this context, following Fischer (2007) SEA may be seen as:

<span class="mw-page-title-main">Cultural governance</span>

Cultural governance is governance of culture. It includes cultural policy made by governments but extends also to cultural influence exerted by non-state actors and to policies which influence culture indirectly.

References

  1. Caves, R. W. (2004). Encyclopedia of the City. Routledge. p. 336.
  2. Niyi Awofeso. The Healthy Cities approach — reflections on a framework for improving global health. Bull World Health Organ 2003; 81(3).
  3. O'Neill M, Simard P. Choosing indicators to evaluate Healthy Cities projects: a political task? Health Promotion International 2006; 21(2): 145-152.
  4. World Health Organization.Healthy Cities and urban governance. Copenhagen: WHO Europe.
  5. World Health Organization. Health Promotion Glossary 1998.
  6. WHO Europe. Health impact assessment methods and strategies.
  7. Erica Ison. The introduction of health impact assessment in the WHO European Healthy Cities Network. Health Promotion International 2009; 24(Supplement 1):i64-i71.
  8. WHO Europe. WHO European Healthy Cities Network. Archived 2013-05-21 at the Wayback Machine
  9. World Health Organization.World Health Day 2010. Archived 2010-04-07 at the Wayback Machine
  10. Evelyne de Leeuw. Healthy Cities: urban social entrepreneurship for health. Health Promotion International 1999; 14(3): 261-270.

Further reading