世界卫生组织城市治理促进健康和福祉倡议

Promoting good urban governance incities to improve the health and well-being “Creating sustainable, resilient andinclusive cities and preventing futurehealth emergencies means that we The World Health Organization (WHO) considers urbangovernance to be critical to advancing the Sustainable Development Goals (SDGs) and achieving health for all.1Building on the foundations of the WHO 13thGeneralProgramme of Work 2019–2025 (GPW13), the 14thGeneralProgramme of Work 2025–20292(GPW14) recognizes the - Dr Tedros Adhanom Ghebreyesus, Director-General,World Health Organization The Initiative also draws on the WHO Geneva Charter forWell-being,4which describes the foundation for enabling allgenerations to thrive on a healthy planet through a focus on The Initiative supports local governments to achieve theirhealth and well-being goals through: In 2020, WHO, with the support of the Swiss Agency forCooperation and Development, launched theInitiative on 1.institutional and policy frameworks for participatoryand multisectoral urban governance for health and Grounded in the Healthy Cities approach, the goal ofthe Initiative is to strengthen and develop participatory,multisectoral and multi-level urban governance by 2028 to:ensure people’s health and well-being is central in decision- 2.capabilities building, operational research and 3.governance and social innovations to promoteparticipatory approaches and co-designing ofinterventions between the local government and WHO Healthy Citiesis a well-known example of a successful health promotion approach to the health and well-being ofindividuals and their communities in urban settings. Initiated in 1986, the Healthy Cities movement has the goal of placinghealth high on the political and social agendas of cities by promoting health, equity and sustainable development through How urban governance contributes to healthier and more equitable cities The world continues to urbanize rapidly and inequitably.By 2050, nearly 70% of the global population will reside incities, with swift urban growth occurring in low- and middle-income countries5. Cities are critically positioned to respondto demographic, epidemiological and climate shifts and the In this Initiative, urban governance for health and well-being refers to thefocused processes of interaction andsubsequent decision-making to generate collectivesolutions to enhance health and well-being through Cities impact health and well-being in a multitude of ways,through dynamic interactions between people and the policy,physical, social, cultural and economic environments in whichthey live, work and play. The COVID-19 pandemic exposedthe vulnerabilities of cities’ governance and public health Strengthening urban governance for health and well-being iscrucial for cities to better anticipate public health challengesand promote health, well-being and equity. By adoptinghealth promotion approaches and an equity lens in theirurban governance, cities are more likely to effectively addressthe complex challenges of the 21stcentury and contributeto achieving the SDGs. With its major focus on transforming To promote social cohesion, build trust with citizens,harness their unique insights, skills and networks, promotetransparency, and hold government institutions accountable,it is crucial to engage communities in participatory governance Because non-health sectors also significantly influence healthand well-being, it is essential to systematically involve a rangeof sectors – across all levels – in urban decision-making and The decisions of actors with varying interests, priorities andlevels of influence indirectly shape urban environments and How the Initiative is promoting good urban governance The Initiative on Urban Governance for Health and Well-being works directly with cities, mayors, local and nationalgovernments, urban community representatives, civil society organizations and international academic partners in six cities:Khulna (Bangladesh), Bogota (Colombia), Douala (Cameroon), Mexico City (Mexico), Pasig City, Metro Manila7(Philippines) and The Initiative is also strengthening Regional Healthy Cities Networks8and advocacy efforts to place health and well-being high on During Phase 1 (2020–2024),following a rapid situation analysis, cities identified arange of priority issues of concern. These included: 1) informal settlements; 2) basic public services; and 3) social cohesion in cities. Mayors of the six citieshave committed to tackling these priorities by enhancing participatory urban governance for health and well-being, as well To achieve its goal, the Initiative focused on five strategic actions for transforming governance: 1. Leadership:Re-orienting institutions of governance through the leadership of mayors to increasecommunity participation and effectiveness, and securing political commitment such as through the WHO 2. Institutionalization:Integrating mechanisms at an institutional level to promote polic