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Health care in New Towns. Discovering the opportunities & threats in developing health care in the new towns in Africa Diederik Aarendonk Based on material of Renske Voorn , trainee at the JvEI. Kilamba. Kilamba city. Konza technology city Kenya. Tatu City Kenya.
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Health care in New Towns Discovering the opportunities & threats in developing health care in the new towns in Africa Diederik Aarendonk Based on material of RenskeVoorn, trainee at the JvEI
Kilamba Kilambacity
Kigamboninew city Tanzania King city Ghana EkoAtlantic City Nigeria
Urban planning in Africa • High urbanization rates
Nairobi, Kibera • The Kibera Slum of Nairobi houses 1.5 million people (nearly 50% of Nairobi's total population) on less than 5% of Nairobi's landmass. • It is one of the most densely populated places on the planet. • Life expectancy in Kibera is 30 years of age compared to 50 years of age in the rest of Kenya. • Half of all Kiberians are under the age of 15. • 1 out of 5 children in Kibera do not live to see their fifth birthdays.
Nairobi, KiberaMap, existssince 2009http://www.mapkibera.org/
Abuja Nigeria (1976) • Replace Lagos new Capital • California and Planning Research Corporation • Concepts of American neighborhoods • 778,567 inhabitants • The Federal Capital Territory (FCT)
Dodoma Tanzania (1973) • New Capital • Encourage development in rural area • Project Planning Associates, Canadian firm • 215,000 inhabitants
Tema Ghana (1951) • Buildnear the capital Accra • Port • Volta River Project • The Tema Development Corporation • Accra-Tema-Akosombo triangle • 180,000 inhabitants (targeted 250,000)
New tows salvation or damnation • Economic growth • Innovation • Employment • Urban areas: • Better access to services • Better health • Slums • Impoverishing effect • Need for decentralized and democratic government • Inequality • Poverty • Informality
Health system development Opportunities • Building from scratch • Room forexperiments Threats • Megalomania • Building Utopia
Health system barriers • Inverse care • Impoverishing care • Fragmented and fragmenting care • Unsafe care • Misdirected care
How can we make the health system work? How can we learn from New Towns like Abuja, Dodoma and Tema and how could the health care planning process have improved and improve in the future? What aspects/elements should be present when there is planned for health services in New Towns?