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Practical Approaches Towards Equitable Sustainable Health and Wellbeing  in Smart Cities

Dr Siddharth Agarwal , Director Urban Health Resource Centre

Smart City Mission Strategy-Govt of India:Infrastructure Elements

•Adequate water supply,
•Assured electricity supply,
•Sanitation, including solid waste management,
•Efficient urban mobility and public transport,
•Affordable housing, especially for the poor,
•Robust IT connectivity and digitalization,
•Good governance, especially e-Governance and citizen participation,
•Sustainable environment,
•Safety and security of citizens, particularly women, children and the elderly, and
•Health and education.
•How? Need for Equity focussed practical approaches for achieving the above

Smart City Equity-Sustainability Approach 1 (a):
Spatial City Mapping: Mapping helps inclusion of unlisted slums/ clusters

Smart City Equity-Sustainability Approach: 1(b): Demonstrate uses of Neighborhood Mapping

Slum Women’s groups in slums prepare maps to

a)Ensure that no family is left out from lists used for housing, food subsidy, other entitlements;
b)Track access to health services e.g. Immunization and ANC, delivery, other health and nutrition services,
c)Help identifying and providing services/linkage to recent migrants

Smart City Equity-Sustainability Approach:2

Cluster Teams of Women’s Groups, Indore and Agra

Cluster-level teams of slum women’s groups gives stronger voice and greater negotiation power

Smart City Equity-Sustainability Approach 3:

Gentle Negotiation through Collective Petitions

Written requests to officers of Municipal Authorities, Nutrition Dept, Electricity Dept.

Smart City Equity-Sustainability Approach 4:

Building skills, self-reliance, confidence:Collective Social Needs Savings  and Loans

Utilization of loans from Women’s Groups

Data from collective savings registers of 125 women’s groups in Agra and Indore during April‐13 to March‐14 shows that of the 3327 loans given:

•925 loans (27.8%) for health needs, of which 550 loans served maternal‐child health needs, and 375 loans served other health needs
•531 loans (15.96%) helped overcome challenges that interrupt r lead to drop-out in  children’s education
•524 loans (15.74%) helped start/expand livelihoods
•424 loans (12.74%) helped store grains at harvest time, a measure to address food insecurity during low (or no) wage-earning times
•221 loans (6.64%) supported girl marriages
•302 loans (9.07%) enabled repaying money‐lender debts
•190 loans (5.71%) were used for grocery/kitchen expenses

•210 loans (6.31%) enabled house improvements, including toilet construction

Smart City Equity-Sustainability Approach 5:
Gender empowerment enhances caring capacity of woman and family

•Slum women’s groups gradually contribute to a positive gender equation at family and society level
•Women’s enhanced access to resources and greater capacity to take timely care of themselves, children, and the family helps the family and community
•Rallies against alcohol vending, gambling joints

Smart City Equity-Sustainability Approach: 6

Youth-children groups emerging as ‘Force Gen-next’

With continual mentoring, motivation Youth-children groups in slums are not only improve their own lives but will also contribute to their societies in tangible ways.

Smart City Equity-Sustainability Approach 7:
Regular Outreach Health Services by Government and Private Providers: Women’s Health Groups, Urban Accredited Social Health Activists Improve Services, Dengue Prevention, Healthy Behaviours

Smart City Equity-Sustainability Approach 8: Inter-sectoral-Coordination for Bringing Multi-sectoral Efficiencies for Improved Health and Well-being

Smart City Equity-Sustainability Approach 9:
Increasing Access to Proof of Address and Picture ID

Outcomes: Improvement in Smart City Strategy components

During 2013-2014: 120,000 slum population benefited (Agra + Indore) from cleaning of drains

During 2013-2014: 10,000 slum population benefited (Agra + Indore) from electricity connections

During 2013-2014: 60,800 slum population benefited (Agra + Indore) from roads paved

During Apr. 13- Mar. 14: 80,000  slum  population in Agra and Indore slums benefitted from  improved water supply