Feature Article

This paper questions the accuracy and validity of the criticisms made by Ananya Roy regarding the approach to community development of a Mumbai-based NGO, SPARC, and its partner grassroots federations in Mumbai. This includes the suggestion that the focus on sanitation rather than on land tenure is an appeal to middle-class values about cleanliness and that their support for relocating those who lived right next to the railway tracks made them agents of the state.

Well-planned urban green landscapes, including wildscapes and green spaces, have the potential to contribute to climate change adaptation and mitigation. Yet for cities in low-income countries, the value of these urban landscapes in climate change response strategies is often disregarded and remains largely unexploited and unaccounted for. This paper discusses the potential role of urban green landscapes as a “soft engineering” climate change response strategy, and calls for the pursuance of management practices that preserve and promote the use of these urban spaces.

Cities are blamed for the majority of greenhouse gas (GHG) emissions. So too are more affluent, highly urbanized countries. If all production- and consumption-based emissions that result from lifestyle and purchasing habits are included, urban residents and their associated affluence likely account for more than 80 per cent of the world’s GHG emissions. Attribution of GHG emissions should be refined. Apportioning responsibility can be misguided, as recent literature demonstrates that residents of denser city centres can emit half the GHG emissions of their suburban neighbours.

This paper reviews the literature on health in the informal settlements (and “slums”) that now house a substantial proportion of the urban population in Africa, Asia and Latin America. Although this highlights some important gaps in research, available studies do suggest that urban health inequalities usually begin at birth, are reproduced over a lifetime (often reinforced by undernutrition), and may be recreated through vulnerabilities to climate change and a “double burden” of communicable and non-communicable diseases.

“Don’t teach us what is sanitation and hygiene.” This quote from Maqbul, a middle-aged male resident in Modher Bosti, a slum in Dhaka city, summed up the frustration of many people living in urban poverty to ongoing sanitation and hygiene programmes. In the light of their experiences, such programmes provide “inappropriate sanitation”, or demand personal investments in situations of highly insecure tenure, and/or teach “hygiene practices” that relate neither to local beliefs nor to the ground realities of a complex urban poverty.

This paper highlights the role of community prevention in improving overall health and in supporting health equity. By addressing the underlying causes of illness and injury, community prevention efforts can prevent illness and injury before they occur. The paper presents three frameworks that support quality community prevention efforts.

The environmental problems confronting Indian cities today have arisen because millions of people have been forced to live in illegal settlements that lack adequate sanitation and other basic urban services. This is the result of two factors. The first is the legacy of the colonial city characterized by inequitable access to sanitation services, a failure to manage urban growth and the proliferation of slums, and the inadequate funding of urban governments.

About half of the global gas and particle emissions to the atmosphere resulting from the burning of biomass originate from sub-Saharan Africa. There are four principal pathways: wildfires, the use of biomass fuels for energy, burning associated with deforestation and the burning of agricultural residues.

India has the world’s second largest urban population (after China). This paper shows the large disparities within this urban population in healthrelated indicators. It shows the disparities for child and maternal health, provision for health care and housing conditions between the poorest quartile and the rest of the urban population for India and for several of its most populous states.

The purpose of this paper is to illustrate the public health and societal implications of climate change in South East Asia, and create a framework for planning national and regional responses.