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Improving the health and welfare of people who live in slums

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Lilford, Richard, Oyebode, Oyinlola, Satterthwaite, David, Melendez-Torres, G. J., Chen, Y-F.‏‎, Mberu, Blessing, Watson, Samuel I., Ndugwa, Robert, Sartori, Jo, Caiaffa, Waleska, Haregu, Tilahun, Capon, Anthony, Saith, Ruhi and Ezeh, Alex (2017) Improving the health and welfare of people who live in slums. The Lancet, 389 (10068). pp. 559-570. doi:10.1016/S0140-6736(16)31848-7

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Official URL: http://dx.doi.org/10.1016/S0140-6736(16)31848-7

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Abstract

In the first paper in this Series we assessed theoretical and empirical evidence and concluded that the health of people living in slums is a function not only of poverty but of intimately shared physical and social environments. In this paper we extend the theory of so-called neighbourhood effects. Slums offer high returns on investment because beneficial effects are shared across many people in densely populated neighbourhoods. Neighbourhood effects also help explain how and why the benefits of interventions vary between slum and non-slum spaces and between slums. We build on this spatial concept of slums to argue that, in all low-income and-middle-income countries, census tracts should henceforth be designated slum or non-slum both to inform local policy and as the basis for research surveys that build on censuses. We argue that slum health should be promoted as a topic of enquiry alongside poverty and health.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET)
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Slums -- Health aspects , Developing countries -- Health aspects
Journal or Publication Title: The Lancet
Publisher: Lancet Publishing Group
ISSN: 0140-6736
Official Date: 4 February 2017
Dates:
DateEvent
4 February 2017Published
16 October 2016Available
17 September 2016Accepted
Volume: 389
Number: 10068
Page Range: pp. 559-570
DOI: 10.1016/S0140-6736(16)31848-7
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: Collaborations for Leadership in Applied Health Research and Care (CLAHRC), National Institute for Health Research (Great Britain) (NIHR), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), African Population and Health Research Centre (APHRC), Sweden. Styrelsen för internationell utveckling, William & Flora Hewlett Foundation

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