Urban Policies and Health in Developing Countries: The Case of Maputo (Mozambique) and Cochabamba (Bolivia)
DOI:
https://doi.org/10.17140/PHOJ-1-106Keywords:
Urban; Transport; Development; Health impact assessment.Abstract
Urban planning and related policies can contribute to improvement in health. Recent epidemiological and quantitative Health Impact Assessment (HIA) studies in Europe and North America suggest that a change from passive (car) to active transportation (cycling, walking) and public transport in daily life could improve health. HIA studies are still largely lacking in low and middle-income countries. We conducted a scoping study to evaluate the availability of data to conduct quantitative HIA in two cities from two low-income countries. We collected information through interviews with different local agents, from the National Institute of Statis-tics and by conducting field work to identify the built environment and mobility characteristics in the respective cities. Conducting a quantitative HIA in Maputo (Mozambique) is currently not possible, mainly because there is no appropriate data on mortality, road traffic accidents and physical activity of the general population. However, in Cochabamba (Bolivia) it might be pos-sible when the mobility plan will be available (currently under development), in which data on traffic flows, mobility surveys and transport modal shares will become available. The current paper describes two examples of the opportunities and difficulties to conduct quantitative HIA in low- and middle-income countries, highlighting the limited availability of data (quantita-tively and qualitatively) on transport and urban planning and health outcomes.
References
Rutt C, Dannenberg AL, Kochtitzky C. Using policy and built environment interventions to improve public health. J Public Health Manag Pract. 2008; 14(3): 221-223. doi: 10.1097/01. PHH.0000316479.19394.84
de Nazelle A, Nieuwenhuijsen MJ, Antó JM. Improving health through policies that promote active travel: a review of evidence to support integrated health impact assessment. Envi-Positive effects Reduction of air and noise pollution; reduction of road traffic injuries (if it is well regulated and the quality of the service is good); increase of physical activity levels. Increase of physical activity levels; reduction of air and noise pollution. ron Int. 2011; 37(4): 766-777. doi: 10.1016/j.envint.2011.02.003
Rojas-Rueda D, de Nazelle A, Teixidó O, Nieuwenhuijsen MJ. Replacing car trips by increasing bike and public transport in the greater Barcelona metropolitan area: a health impact as-sessment study. Environ Int. 2012; 49: 100-109. doi: 10.1016/j. envint.2012.08.009
Rojas-Rueda D, de Nazelle A, Teixidó O, Nieuwenhuijsen MJ. Health impact assessment of increasing public transport and cycling use in Barcelona: a morbidity and burden of dis-ease approach. Prev Med (Baltim). 2013; 57(5): 573-579. doi: 10.1016/j.ypmed.2013.07.021
Mueller N, Rojas-Rueda D, Cole-Hunter T, et al. Health impact assessment of active transportation: A systematic re-view. Prev Med (Baltim). 2015; 76, 103-114. doi: 10.1016/j. ypmed.2015.04.010
World Health Organization. Health economic assessment tools (HEAT) for walking and for cycling. Economic assessment of transport infrastructure and policies. http://www.euro.who. int/__data/assets/pdf_file/0010/256168/ECONOMIC-ASSESS-MENT-OF-TRANSPORT-INFRASTRUCTURE-AND-POLI-CIES.pdf. Published 2011. Updated 2014. Accessed January 21, 2016.
Kemm J, ed. Health Impact Assessment: Past Achievement, Current Understanding, and Future Progress. Oxford, UK: Ox-ford University Press; 2012.
Woodcock J, Edwards P, Tonne C. Public health benefits of strategies to reduce greenhouse-gas emissions: urban land trans-port. Lancet (London, England). 2009; 374(9705): 1930-1943. doi: 10.1016/S0140-6736(09)61714-1
United Nations, Department of Economic and Social Affairs, Population Devision. World Urbanization Prospects: The 2014 Revision, Highlights. http://esa.un.org/unpd/wup/highlights/ wup2014-highlights.pdf. Published 2014. Accessed January 21, 2016.
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance prog-ress, pitfalls, and prospects. Lancet. 2012; 380(9838): 247-257. doi: 10.1016/S0140-6736(12)60646-1
World Health Organization. Global status report on road safety 2013: Supporting a decade of action. http://www.who. int/violence_injury_prevention/road_safety_status/2013/report/ cover_and_front.pdf. Published 2013. Accessed January 21, 2016.
Japan International Cooperation Agency. Comprehensive urban transport master plan for the greater Maputo: Final re-port. Executive summary. http://open_jicareport.jica.go.jp/ pdf/12152609.pdf. Published 2014. Accessed January 21, 2016.
Melo V de P. Urbanismo português na cidade de Maputo: passado, presente e future [In portugese]. urbe Rev Bras Gestão Urbana. 2013; 5(1): 71-88. doi: 10.7213/urbe.7786
Banco Interamericano de Desarrollo, Nordie Development Fund, Alarcón A. Plan de Acción del Área Metropolitana de Co-chabamba [In spanish]. Cochabamba: 2013.
Gobierno Autónomo Municipal de Cochabamba - Dirección de protección a la Madre Tierra Informes técnicos Red Moni-CA Cochabamba [In spanish]. http://www.cochabamba.gob.bo/ Madretierra/publicaciones. Accessed January 21, 2016.
Rojas-Rueda D, Turner MC. Commentary: Diesel, Cars, and Public Health. Epidemiology. 2016; 27(2): 159-162. doi: 10.1097/EDE.0000000000000427
Baker NV. Sustainable Environmental Design in Archi-tecture. Impacts on Health. In: Rassia ST, Pardalos PM, eds. Springer Optimization and Its Applications. Vol. 54. New York, NY, USA: Springer Science+Business Media; 2012.
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