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Journal article
Improving Decision-Making for Population Health in Nonhealth Sectors in Urban Environments: the Example of the Transportation Sector in Three Megacities-the 3-D Commission
Journal of urban health, v 98, pp 60-68
01 Aug 2021
PMID: 34435262
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Noncommunicable diseases (NCDs) represent a significant global public health burden. As more countries experience both epidemiologic transition and increasing urbanization, it is clear that we need approaches to mitigate the growing burden of NCDs. Large and growing urban environments play an important role in shaping risk factors that influence NCDs, pointing to the ineluctable need to engage sectors beyond the health sector in these settings if we are to improve health. By way of one example, the transportation sector plays a critical role in building and sustaining health outcomes in urban environments in general and in megacities in particular. We conducted a qualitative comparative case study design. We compared Bus Rapid Transit (BRT) policies in 3 megacities-Lagos (Africa), Bogota (South America), and Beijing (Asia). We examined the extent to which data on the social determinants of health, equity considerations, and multisectoral approaches were incorporated into local politics and the decision-making processes surrounding BRT. We found that all three megacities paid inadequate attention to health in their agenda-setting, despite having considerable healthy transportation policies in principle. BRT system policies have the opportunity to improve lifestyle choices for NCDs through a focus on safe, affordable, and effective forms of transportation. There are opportunities to improve decision-making for health by involving more available data for health, building on existing infrastructures, building stronger political leadership and commitments, and establishing formal frameworks to improve multisectoral collaborations within megacities. Future research will benefit from addressing the political and bureaucratic processes of using health data when designing public transportation services, the political and social obstacles involved, and the cross-national lessons that can be learned from other megacities.
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Details
- Title
- Improving Decision-Making for Population Health in Nonhealth Sectors in Urban Environments: the Example of the Transportation Sector in Three Megacities-the 3-D Commission
- Creators
- Opeyemi Babajide - Drexel University, Urban Health CollaborativeDiogo Correia Martins - Rockefeller FoundationNason Maani - Rockefeller FoundationSalma M. Abdalla - Rockefeller FoundationEduardo J. Gomez - Rockefeller FoundationMontira J. Pongsiri - Rockefeller FoundationSheila Tlou - Rockefeller FoundationGabriel Matthew Leung - Rockefeller FoundationGeorges C. Benjamin - Rockefeller FoundationEric Goosby - Rockefeller FoundationKatie Dain - Rockefeller FoundationJeanette Vega - Rockefeller FoundationZahra Zeinali - Rockefeller FoundationSandro Galea - Boston UniversityJeffrey Sturchio - Rockefeller FoundationNana A. Y. Twum-Danso - Rockefeller Foundation
- Publication Details
- Journal of urban health, v 98, pp 60-68
- Publisher
- Springer Nature
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000688402100001
- Scopus ID
- 2-s2.0-85113360268
- Other Identifier
- 991021960013804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health