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Healthy city projects in developing countries: the first evaluation.

T Harpham1, S Burton, I Blue

  • 1Faculty of Built Environment, South Bank University, London SW8 2JZ, UK. T.Harpham@sbu.ac.uk

Health Promotion International
|May 18, 2001
PubMed
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The evaluation of World Health Organization (WHO) healthy city projects (HCPs) in developing countries found limited municipal health planning and political commitment. However, projects improved environmental awareness and intersectoral collaboration, with capacity building for coordinators.

Area of Science:

  • Public Health
  • Urban Planning
  • International Development

Background:

  • The 'healthy city' concept is relatively new in developing nations.
  • The World Health Organization (WHO) supported healthy city projects (HCPs) in five developing countries between 1995 and 1999.
  • This study presents the first major evaluation of these HCPs in developing countries.

Purpose of the Study:

  • To evaluate the effectiveness and impact of WHO-supported healthy city projects (HCPs) in developing countries.
  • To identify factors influencing stakeholder involvement and project outcomes.
  • To provide recommendations for future healthy city initiatives.

Main Methods:

  • Evaluation of four WHO-supported healthy city projects (HCPs) in developing countries.

Related Experiment Videos

  • Utilized stakeholder analysis, workshops, document analysis, and interviews with 102 managers/implementers and 103 beneficiaries.
  • Assessed municipal health plan development, project activities, stakeholder engagement, and political commitment.

    • Main Results:

    • Municipal health plan development was limited, similar to European HCP evaluations.
    • Key activities included awareness raising and solid waste management; the 'settings' approach was effective in two cities.
    • Stakeholder involvement varied based on project knowledge, location, management, and activity type.
    • Understanding of environment-health links increased, but political commitment and policy influence were limited.
    • Effective intersectoral collaboration was achieved, and project coordinators' capacity was enhanced.
    • Average annual running cost was approximately $132,000 USD per city.

    Conclusions:

    • Healthy city projects in developing countries face challenges with municipal integration and political will.
    • Despite limitations, these projects can foster environmental awareness, intersectoral collaboration, and individual capacity building.
    • The 'settings' approach and targeted activities show promise for future healthy city initiatives.
    • Cost-effectiveness appears comparable to other documented healthy city projects.