By 2050, urban populations in Africa will increase to 62%. The World Health Organization (WHO) and UN-Habitat in their 2010 report ‘Hidden Cities’ note that this growth in the urban population constitutes one of the most important global health issues of the 21st century. In 2016-2018, Training and Research Support Centre (TARSC) in the Regional Network for Equity in Health in East and Southern Africa (EQUINET) explored the social distribution of health in urban areas and the opportunities for and practices promoting urban health and well-being. It focused on youth 15-24 years of age as an important group for both current and future well-being. The paper synthesises and reports evidence from a programme of work that unfolded iteratively over two years. The work involved desk reviews of published literature and analysis of data from international databases for east and southern African countries, and international evidence on practices supporting urban well-being in areas prioritised by urban youth. The findings were subject to cycles of participatory review and validation by young people from diverse urban settings and socio-economic groups in Harare and Lusaka. These methods were applied with an intention to draw on different disciplines, concepts and variables from different sectors and on the lived experience and perceptions of the youth directly affected by different urban conditions. Separate publications produced in the project give more detail on particular methods, and findings and are cited in this paper. A series of dissemination and dialogue activities have been carried out with youth, local authority and policy actors, supported by shorter briefs and technical reports.
Equity in health, PAR work, Health equity in economic and trade policies, Poverty and health, Public-private mix, Governance and participation in health, Monitoring equity and research to policy
Title of publication EQUINET Diss 117: Pathways to urban health equity: Report of multi-method research in east and southern Africa
Date of publication
EQUINET Discussion paper 117, TARSC, Working with Harare and Lusaka youth, Civic Forum on Human Development and Lusaka District Health Office, EQUINET, Harare
urban, health, wellbeing, indicators, participation, east and southern Africa
East and southern Africa region
Equinet Publication Type