Cited by 23Urban and Rural Development ChallengesLatin American Urban StudiesPublic Health and Social Inequalities

The Design of Housing and Shelter Programs: The Social and Environmental Determinants of Inequalities

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Sheuya, Shaaban, Howden-Chapman, Philippa, Patel, Sheela·2007·Journal of Urban Health

Abstract

Both developed and less developed countries are becoming increasingly urbanized. The earlier industrialized countries have developed more infrastructure to support the building of healthy housing, in neighborhoods that are strongly linked to municipal and global health initiatives, but to some degree housing and neighborhood issues vary only in degree between the developing and developed worlds. Overall, a billion people, a third of people living in urban areas, live in slums, where environmental determinants lead to disease. Although communicable diseases predominate in the developing world and have reemerged in the developed world, noncommunicable diseases are also growing disproportionately in the developing world. At a global level, the Millennium Development Goals explicitly focus on an integrated approach to slum upgrading. The per capita cost of slum upgrading is almost twice the cost of providing new affordable housing at the outset. It is argued that to improve health and well-being in the slums we need to have interventions that reduce urban poverty in the broadest sense and improve the deficiencies associated with slums. There is an urgent need to scale up the best-practice interventions. Examples are given of successful local community initiatives that have been set up under national strategies in Tanzania and by Indian women's collectives that are globally linked and have helped develop housing and sanitation improvements. The unit costs for such interventions are within the reach of all the key stakeholders. Global commitment is the only missing link.

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  • Disruptions such as economic changes, environmental events, and political changes often drive people to leave their homes and neighborhoods to crowd together in unhealthy, poorly ventilated temporary homes in precarious settlements, with major impacts on their health and well-being.

    “These disruptions often drive people to leave their homes and neighborhoods to crowd together in unhealthy, poorly ventilated temporary homes in precarious settlements, with major impacts on their health and well-being (152).”

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Research works printed but not linked: 7

  1. [4]Bourdieu P Social Structure of the Economy 2005 Cambridge Polity Press Bourdieu P. Social Structure of the Economy. Cambridge: Polity Press; 2005.
  2. [20]Jacobs DE. Housing and health: challenges and opportunities. In: Proceedings of the Second WHO International Housing and Health Symposium. Vilnius, Lithuania: WHO Europe; 2004.
  3. [32]Ormandy D. Safe as houses? A Review of the Causes of Home Accidents. In: Second WHO International Housing and Health Symposium. Vilnius, Lithuania: WHO Europe; 2004.
  4. [33]Howard M Burridge R Ormandy D The Effects on Human Health of Pest Infestation Houses in Unhealthy Housing: Research, Remedies and Reform 1993 London E & FN Spon 256 282 Howard M. The Effects on Human Health of Pest Infestation. In: Burridge R, Ormandy D, eds. Houses in Unhealthy Housing: Research, Remedies and Reform. London: E & FN Spon; 1993:256–282.
  5. [41]Bonnefoy X. The Policy Relevance of Housing and Health - an International Perspective. In: Proceedings of the Second International Housing and Health Symposium. Vilnius: Lithuania; 2004.
  6. [44]WHO Regional Office for Europe, LARES: Large Analysis and Review of European housing and health Status. 2006, European Centre for Environment and Health, WHO Regional Office for Europe: Bonn.
  7. [53]Howden-Chapman P, et al. Retrofitting houses with insulation to reduce health inequalities: results of a clustered, randomised trial in a community setting. Br Med J., in press. 16061320

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Authors
Sheuya, S., Howden-Chapman, P., & Patel, S.
Affiliations
  • University of Dar es Salaam (TZ)
  • Scholarly Publishing and Academic Resources Coalition (US)
Corresponding author
Sheuya, Shaaban
Venue
Journal of Urban Health
Published
2007-03-27
Volume
84
Issue
S1
Pages
98-108
ISSN
  • 0028-7091 (ISSN-L)
  • 1099-3460
  • 1468-2869
OpenAlex
W1969946995
Cited by
23
References
47
Citations by year
2025: 2 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2016: 1 · 2014: 3 · 2013: 1 · 2012: 2
FWCI
8.31
Type
journal article
Language
en
Open access
Locations
  • Journal of Urban Health (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Health Research Council of New Zealand
Topics
  • Social Sciences › Urban Studies › Urban and Rural Development Challenges
  • Social Sciences › Urban Studies › Latin American Urban Studies
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
slum upgrading, urban poverty, social determinants of health, environmental determinants of health, non-communicable diseases, infectious diseases, Millennium Development Goals, affordable housing, sanitation, community-based intervention, women's collectives, urbanization
MeSH terms
Environmental Health, Health Status, Housing, Humans, India, Poverty Areas, Social Environment, Tanzania, Urbanization, Community Networks

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