A perspective on urban health systems and research for equitable healthcare in Africa

Abstract

Urbanisation in Africa poses complex challenges for health due to ill-informed planning and governance, worsening gaps in the built environment and the quadruple burden of disease.⇒ Achieving equitable urban (health) benefits requires a framework for understanding how urban health systems are conceptualised, planned and governed.⇒ Five approaches and frameworks for analysing or implementing urban health strategies in sub-Saharan Africa were identified, but there is limited evidence on their use and effectiveness for informing equitable urban health systems.⇒ Participatory research and theory building can inform contextual adaptation of frameworks which are effective in other settings, contributing to closing gaps in differential outcomes.

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