HEALTH CARE IN NEW TOWNS

Discovering the opportunities & threats in developing health care in the new towns in Africa

Diederik AarendonkBased on material of Renske Voorn, trainee at the JvEI

KILAMBA

Kilamba city

Konza technology city Kenya

TATU CITY KENYA

EKO ATLANTIC CITY NIGERIA

KING CITY GHANA

KIGAMBONI NEW CITY TANZANIA

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, KIBERA

MAP,

EXISTS SINCE 2009

HTTP://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)

Build near 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

ABUJA

HEALTH SYSTEM DEVELOPMENT

Opportunities

Building from scratch

Room for experiments

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?