We focus on four complex health issues more prevalent in urban areas
With the Social Progress Imperative, we've developed the first neighbourhood level, health-focused social progress index of its kind.
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International and National Partnerships Manager Rowena Estwick shares what we’ve learned so far about global urban health inequality, and how we’re taking action.
In 2019 we started a two-year project to build on our understanding of urban health. Whilst the London boroughs of Lambeth and Southwark are our home, they’re similar to so many other places so we also looked at similar cities and neighbourhoods to ours across the world.
We started by identifying those comparable cities with a view to understanding what urban health equity (or lack of) looked like globally. Even in different cultural and political contexts, we wanted to know if there were any commonalities between health and the places people live, work, and hang out that would help deepen our understanding of what drives positive health outcomes for all.
Fast forward to 2021 – we’re in the middle of a pandemic; we’ve had global protests calling on the world to value the lives of Black people; and (at the time of writing) we are in the third UK national lockdown. That’s huge change in such a short space of time, but importantly we are now watching a live example of how health inequalities, especially in urban areas, play out in extreme circumstances.
When the pandemic took hold in 2020, the cities worst affected tracked closely with the cities we identified for our research. This not only presented challenges for engaging with those places, but also pushed our thinking on the purpose of the research itself. With such a heightened focus on health inequalities, structural inequalities, and systemic racism, simply exploring commonalities of health outcomes between cities, while important, seemed limited.
With this in mind, we continued with our research across those cities, but commissioned two additional pieces. One with Urban Institute, a US urban health think tank, to help us convene experts internationally to consolidate what we are learning as the pandemic unfolds. The other with the London School of Economics, to help us develop future scenarios of what London could look like post COVID-19, and in turn what that could mean for other similar cities.
“ Importantly, we are now watching a live example of how health inequalities, especially in urban areas, play out in extreme circumstances. Rowena Estwick International and National Partnerships Manager
Importantly, we are now watching a live example of how health inequalities, especially in urban areas, play out in extreme circumstances.
Together, these reports can help governments, businesses, investors, philanthropists, health care providers, and others who work in and with urban neighbourhoods understand three key things:
“ Shifting the dial for those disproportionally impacted by poor health outcomes starts with acknowledging that these inequalities exist, but that change is possible. Rowena Estwick International and National Partnerships Manager
Shifting the dial for those disproportionally impacted by poor health outcomes starts with acknowledging that these inequalities exist, but that change is possible.
Current world events have heightened the need for the work we and others like us do. The health disparities we find in urban areas around the world are the outcome of wider systemic inequalities, and these inequalities are woven into the fabric of our societies. Shifting the dial for those disproportionally impacted by poor health outcomes starts with acknowledging that these inequalities exist, but that change is possible.
This requires a root and branch approach, centred in collective effort, supported by political will and sustained by leadership – across sectors – taking a long-term view. This pandemic has taught us, more than ever, that we live in a globally connected community; that there is much we can learn and achieve from working together; and that we are only as strong as the most disadvantaged members of our society or the poorest countries in our world.
We will be launching this research and insight at the end of March, and this is just the beginning! We’re keen to work with decision makers, community leaders, businesses, investors, and others – both here in the UK and internationally – to build on these findings and take practical action towards building health equity as a core output of our place.
You can sign up to receive a copy of the reports when they are published but if, like us, you’re keen to start making change now, contact rowena.estwick@urbanhealth.org.uk and let’s see how we can work together.
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