World Health Organization : Year 1990, World Health Organization, Strengthening of Health Service, National Health Planning, No. 90.3: Report of the Interregional Meeting on City Health the Challenge of Social Justice

By World Health Organization

Book Id: WPLBN0000236800
Format Type: PDF eBook
File Size: 1.5 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1990, World Health Organization, Strengthening of Health Service, National Health Planning, No. 90.3: Report of the Interregional Meeting on City Health the Challenge of Social Justice
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Year 1990, World Health Organization, Strengthening of Health Service, National Health Planning, No. 90.3. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
This publicntlon includes the Report and rccommondations of partir:ig+rll..r in rtir Interregional Mceting on Cicy Health (Knrnchi, 27-30 November 1989) and a distilliltiorl 01: thc Working Document and city presentations which were prepared for this Meeting. Sections 7 . 3 and 4 have heen prepared by the WHO Secretariat and selected extracts fro^^^ city presentations have been used as examples to illustrate issues and achievements where tlhcse vrr? identified in the text. In this context, the structure of the report is as follows:

Table of Contents
CONTENTS STRUCTURE OF THE REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SECTION 1: REPORT AND RECOMMENDATIONS OF PARTICIPANTS ......................... 3 1.1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.2 THE SIZE AND SCALE OF CITY GROWTH AND POVERTY . . . . . . . . . . . . . . . . . . . . . . . 3 1.3 INEQUTTY WITHIN THE CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 THE HEALTH SECTOR CANNOT STAND ALONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.5 HETEROGENEITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.6 THE NEED FOR A STRATEGIC RESPONSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.7 DECISION-MAKING PROCESSES AND STRUCTURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1 . 8 ACTION STRATEGY FOR URBAN HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1 . 9 THE ROLE OF CITY GOVERNMENT ....................................... 7 1.10 INTERACTION AT LOCAL POLICY LEVEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1.11 INFORMATION AND COMMUNICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1 . 1 2 REORIENTATION OF MEDICAL EDUCATION AND HEALTH AGENCIES . . . . . . . . . . . . . . 8 1.13 FINANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1.14 NATIONAL AND INTERNATIONAL ACTION ............................. Y SECTION 2: HEALTH OF THE URBAN POOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2 . 1 BACKGROUND AND DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2 . 2 URBAN GROWTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2 . 3 URRAN POVERTY AND HEALTH PROBLEMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 2 . 4 DETERMINANTS OF TBE HEALTH OF THE URBAN POOR . . . . . . . . . . . . . . . . . . . . . . . . 15 2.5 THE SCALE AND NATURE OF THE PROBLEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 SECTION 3: IMPROVING CITY HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3.1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 9 3.2 NEED FOR A BROADLY-BASED RESPONSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3.3 ROLE OF PRIMARY HEALTH CARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3.4 THE IMPORTANCE OF DECISION-MAKING AT CTTY LEVEL . . . . . . . . . . . . . . . . . . . . . 25 3.5 BARRIERS TO ACTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 3 . 6 TOOLS FOR EFFECTIVE DECISION-MAKING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 3.7 GAINING COMMITMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 3.8 A TOTAL CITY HEALTH PLAN OR TACTICAL INCREMENTALISM . . . . . . . . . . . . . . . . . 36 SECTION 4: CONCLUDING REMARKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 4.1 RESUME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 L . 2 THE SCALE OF THE PROBLEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 4.3 THE LOCATION OF R