Urban Health in Johannesburg: Migration, Exclusion and Inequality
Vearey, J. (2017). Urban Health in Johannesburg: Migration, Exclusion and Inequality. Urban Forum. Doi:10.1007/s12132-017-9306-3. [Open access: https://link.springer.com/article/10.1007/s12132-017-9306-3]
Abstract:
Compared to their rural counterparts, cities are assumed to be spaces of improved access to livelihood opportunities and basic services—including healthcare, of better health outcomes, and of an extended life expectancy. At an aggregate level, this is often true but disaggregation of urban health indicators and outcomes within cities uncovers hidden intra-urban inequalities that clearly demonstrate that access to the urban benefit is unevenly distributed—in unjust, inequitable ways. Cities of the global south—including Johannesburg—are associated with unplanned and unmanaged urban growth; poor urban governance (which is predominantly reactive rather than proactive); migration and mobility; and the resultant pressure on access to adequate services, including water, sanitation, housing, and healthcare. As a result, urban poor groups—including internal and cross-border migrants—who reside on the periphery of city welfare systems struggle to access the benefits of urban living. This leads to a large (majority) city population who fails to access the positive social determinants of urban health and, as a result, faces an urban health penalty (Freudenberg et al. 2005). Authorities responsible for cities in the global south are faced with increasingly complex, interlinked urban health challenges that affect different urban residents in different ways and require appropriate, localised, multi-sectoral, and multi-level responses (Vearey 2011).
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