Search Results (43)

The National Adaptation Plan of Bangladesh identifies eleven climate-stressed zones, placing nearly 100 million people at high risk of climate-related hazards. Vulnerable groups such as the poor, floating populations, daily laborers, and slum dwellers are particularly affected. However, there is a lack of data on climate-sensitive diseases and related hospital visits in these areas. This study explored the prevalence of such diseases using the Delphi method through focus group discussions with 493 healthcare professionals from 153 hospitals in 156 upazilas across 21 districts and ten zones. Participants were selected by district Civil Surgeons. Key climate-sensitive diseases identified included malnutrition, diarrhea, pneumonia, respiratory infections, typhoid, skin diseases, hypertension, cholera, mental health disorders, hepatitis, heat stroke, and dengue. Seasonal surges in hospital visits were noted, influenced by factors like extreme heat, air pollution, floods, water contamination, poor sanitation, salinity, and disease vectors. Some diseases were zone-specific, while others were widespread. Regions with fewer hospital visits often had higher disease burdens, indicating under-reporting or lack of access. The findings highlight the need for area-specific adaptation strategies and updates to the Health National Adaptation Plan. Strengthening resilience through targeted investment and preventive measures is crucial to reducing health risks from climate change. Full article

In this study, the aim was to comparatively examine the perception of risk for developing severe illness or complications due to COVID-19 among the general population and socially vulnerable populations in Brazil, focusing on uncovering the associated factors that disproportionately impacted people experiencing homelessness and slum dwellers. This study is part of the project “Social Thermometer—COVID-19 in Brazil”, which employed a hybrid approach, combining a national online survey with field research in state capitals and the Federal District. Data collection took place from August 2020 to October 2023, and the data were analyzed using descriptive statistics and logistic regression. A total of 5094 participants were included in this study, with 2363 from the general population and 2731 from the socially vulnerable population. Among the general population, the majority of participants were women, white individuals, those with higher incomes, formal employment, and higher education levels. Concerning the vulnerable population, most were men, Black individuals, those with lower incomes, unemployment, and lower education levels. It was observed that 87% of the general population perceived a risk of severe COVID-19, compared to 74% of the vulnerable population. Slum dwellers who received emergency aid (OR_a = 1.39; 95% CI: 1.02–1.91), adhered to mask-wearing practices (OR_a = 1.93; 95% CI: 1.39–2.66), used COVID-19-related medications (ORa = 2.13; 95% CI: 1.31–3. 64), and those with pre-existing conditions, such as high blood pressure (OR_a = 1.86; 95% CI: 1.20–2.98), demonstrated a heightened perception of risk for severe COVID-19 complications. Among the homeless population, individuals who wore masks (OR_a = 1.67; 95% CI: 1.26–2.20 and had been vaccinated (OR_a = 1.44; 95% CI: 1.04–1.98) were also more likely to perceive a high risk. In conclusion, in this study, significant disparities are revealed in the perception of COVID-19 risk between the general and socially vulnerable populations in Brazil. Factors such as receiving emergency aid, adherence to mask-wearing, use of COVID-19-related medications, and pre-existing health conditions were associated with increased risk perception. Despite facing greater socioeconomic challenges, vulnerable groups, particularly those experiencing homelessness and slum dwellers, showed a lower perception of the risk for severe COVID-19 complications. Full article

Data4HumanRights’ training materials have been developed as open-source and tailored to limited-resource settings, where community data collectors often live and work. Access to training on data collection, analysis, and visualisation to support the advocacy of vulnerable groups is essential, particularly in the context of increasing human rights challenges such as land rights, adequate housing, conflicts, and climate justice. This paper provides an overview of how the training materials were co-developed with community data collectors in Nigeria and Kenya, offering insights into the fundamental principles (i.e., inclusiveness, adaptive, limited resources, and being gender- and incentive-sensitive) and the structure of the open-access training materials. The development process resulted in 28 modules, each designed to be delivered in a face-to-face format in less than one day by a local trainer. To maximize adaptivity, the training modules can be mixed and matched (e.g., as individual modules or a learning path of several modules around a specific training need). The individual modules cover a range of methods and tools that are useful to human rights work and community advocacy, e.g., documenting evictions, performing rapid needs assessments after acute crises, community profiling, and monitoring community development indicators. The training materials contain instructions for the training facilitator(s) and all necessary training materials. To ensure inclusivity, the training covers both basic and advanced topics, with most modules designed to address basic needs that can be followed using a mobile phone, thereby avoiding the need for computers or printed handouts. The training results in Nigeria and Kenya showcase applications, including mapping waste problems and addressing forced evictions. Trained community groups produced maps of waste piles to prioritize community actions, such as finding space for urban agriculture, and conducted rapid needs assessments during a massive eviction. This approach helps reduce power imbalances and empowers community groups to effectively manage and utilise their own data. Full article

Eviction could hold a different meaning if a home’s immediate surroundings contribute to its residents’ livelihood, especially for informal laborers. This paper explores the notion of the fragility of a home within an expanded space—the space on which a home stands and its surroundings when turned into a contested area. It specifically looks at the slum of Yamuna Pushta in Delhi, which was demolished in 2004. The act uprooted thousands of low-income families who were blamed for polluting the river. The demolition was fueled by new urban visions and planning strategies, political and capitalist ambitions, projections of national pride, and an event-driven approach camouflaged under an environmentalist concern attempting to “clean” the river. Using the photographic works of artist, curator, and activist Ravi Agarwal as a case study, this paper argues the presence of a counternarrative in the works, challenging the projected environmentalist discourse around the river, the slum dwellers. This study further states the dual marginalization of the Pushta residents and the Yamuna by critiquing the economic format of majoritarianism through the growing normalcy and agreeability of the slum demolitions by the urban non-poor disguised as the “greater good”. Full article

Urban flooding is a frequent disaster during the monsoon period (June–October), hindering the daily lives of city dwellers, especially slum dwellers in Dhaka, Bangladesh. This study assessed the impact of urban flooding on the lives of Baganbari slum dwellers in Dhaka, Bangladesh using Moser analytical tools to explore how urban flooding affects individuals of different genders. Participatory and survey methods involving 50 slum dwellers (25 men, 25 women) were carried out to collect feedback and comments. Additionally, focus group discussions (FGDs) and semi-structured and key informant interviews (KII) were also conducted to express gender-related discrimination (e.g., men vs. women). Women are usually involved in “double day” roles (100% in reproductive and 72% in productive roles) while 92% of men are found to have no contribution in those roles. Moreover, women’s participation in community roles is significantly affected during urban flooding (almost 100%) as it imposes a compulsion for them to stay home and carry out their reproductive work. Thus, women encounter numerous challenges in meeting their practical and strategic needs, including ensuring food supplies, managing diseases and menstrual health, upholding sanitation, restricted movement, education obstacles, and more. The result shows that women in the Baganbari slum are found to have only 35% access and 6% control over resources, benefits, health facilities, and decision-making power during urban flooding. The significant decline in the access and control profile of women during urban flooding aggregates their difficulties and drives them into vulnerable positions in their own households. Full article

There have been increasing calls in gentrification studies to examine the geography of gentrification in slums, as little is known about the patterns and processes of slum gentrification, especially in sub-Saharan African cities where slums house over 50% of the urban population. This study explored the spatiotemporal changes in slums in Lagos, Nigeria, between 1984 and 20 on the pattern and drivers of gentrification. Data were collected from 42 slums in Lagos through remote sensing (1984–2020) and a field survey (2020–2021). The study integrated geospatial analysis with quantitative and qualitative analysis to investigate the patterns and drivers of gentrification in Lagos slums. The findings show that between 1984 and 2020, all the sampled slums had undergone gentrification processes, apart from those that were completely cleared. However, many slums continue to have deprived areas as they continue to gentrify. Almost all the slum communities have experienced slum clearance in the past. Additionally, the current and new housing developments in the study have favored middle- to high-income groups, which has led to the displacement of previous slum residents. The study identified slum clearance, fires and floodings, the presence of palaces in the community, the proportion of deprived areas in 1984, government interest in the slum, and the size of the church as drivers of slum gentrification processes in Lagos. Finally, the findings show that the vulnerability of slum dwellers increases with slum gentrification. Therefore, this study recommended developing policies and programs, such as sustainable relocation and low-cost housing, to mitigate the negative consequences of slum gentrification, especially in cities with significant shares of low-income groups. Full article

During the recent founding of Saudi Arabia in 1932, there was no interest in the urban and architectural heritage that Jeddah possesses. As a result, historic Jeddah was exposed to many problems similar to many historical Middle Eastern cities. For example, the historic city wall and many heritage buildings were demolished. With the economic recovery during the 1970s, the original dwellers abandoned the city altogether. They were soon replaced by a class of ex-patriate workers who would inhabit the area, and the city’s distinct heritage fell into neglect. At the beginning of the 1980s, attempts to preserve that area began with the expert Robert Matthew, who studied the remaining historical buildings and proposed strategies for preservation that were based on three main directions: restoration, replacement, or new construction. The issuance of “Saudi’s 2030 vision” included programs to develop Saudi cities, including Jeddah. This program includes the removal of unplanned and slum areas around historic Jeddah without developing a clear master plan for what will replace them. In addition, it includes the complete expropriation of historic Jeddah, without announcing a specific plan for what the area will be used for. Therefore, this study seeks to review current preservation strategies, with the aim of reaching results related to the challenges facing the area; demonstrating the effectiveness of the preservation strategies used; and deducing what could contribute in the future to the development, preservation, and optimal exploitation of the area, without losing its value as a result of the modernization processes currently taking place. Full article

Spain has grown economically due to the recent boosts in the industrial sector, the agricultural sector, construction and services. Those who carry out agricultural tasks are mainly undocumented immigrants living in marginal neighborhoods. Objectives: to know the perception of undocumented Moroccan migrants living in marginal neighborhoods regarding access to the Public Health System. Methods: A qualitative method with a phenomenological approach was used to get closer to the experience of the participants in the study. In this work, 24 semi-structured interviews were conducted following a guide with a set of open questions to facilitate an in-depth discussion of the topics of interest. The participants were given an informed consent form, which guaranteed anonymity and confidentiality regarding the information obtained. For this, codes were used to identify them. The data were stored, managed, classified, and organized with the ATLAS-ti 9 software. Results: access and use of health services by the immigrants in the study was difficult due to communication problems related to language and culture, the discriminatory attitude and lack of cultural competence of health personnel, and the location of the neighborhoods (which were marginal far from urban centers), as well as the lack of transportation to health centers. Conclusions: it is an ethical imperative of the Health System to offer greater attention to the population in situations of extreme vulnerability, implement intercultural mediators and train health professionals in cultural competence. Full article

Dietary supplementation with a gut microbiota-directed complementary food (MDCF-2) significantly improved weight gain and repaired gut microbiota, as reported in a recent randomized controlled trial on Bangladeshi children with moderate acute malnutrition (MAM). Environmental enteric dysfunction (EED) is a small bowel disorder, and recent evidence shows that it is linked to growth failure in children. Therefore, we intended to investigate whether supplementation with MDCF-2 has any role in modifying gut health by changing the levels of biomarkers of EED and gut inflammation in children with MAM. We randomly assigned 124 children aged 12–18 months to one of two intervention diets, either MDCF-2 or ready-to-use supplementary food (RUSF). Approximately 50 g of the diet was administered in two feeding sessions daily for 12 weeks. Stool and plasma biomarkers were assessed to evaluate intestinal health. Results showed that the average change in citrulline concentration (µmol/L) significantly increased among children who consumed MDCF-2 compared to those who consumed RUSF (mean difference-in-differences: 123.10; 95% CI: 3.60, 242.61; p = 0.044). The research findings demonstrated that MDCF-2 might have a beneficial effect on improving the gastrointestinal health of malnourished children. Full article

The COVID-19 pandemic has affected Bangladesh’s economic and social well-being in many ways. Slum dwellers, including day laborers, rickshaw pullers, CNG (Compressed Natural Gas) drivers, housemaids, hawkers, and street vendors, were the worst victims of this pandemic. Besides the voluntary organizations, the City Corporation (urban local government), instructed by the central government, took the initiative to distribute necessary food as well as financial assistance to the city dwellers to survive during the lockdown. The objective of this study is to identify the satisfaction level of slum dwellers with the assistance received from the City Corporation and obtain an idea of whether these supports were enough for them to maintain their livelihood. This is a mixed method research consisting of both qualitative and quantitative approaches. Researchers conducted a field survey in Sylhet City Corporation, in the northeastern part of Bangladesh, and collected primary data from one hundred and fifty-five respondents through a structured questionnaire along with an interview (semi-structured) schedule. Samples were selected by applying a multistage sampling technique. Researchers analyzed quantitative data using SPSS software and qualitative data using the thematic analysis method. Study findings reveal that nepotism, patron–client relation, corruption, unequal treatment, management flaws, low level of community engagement, political consideration, and lack of monitoring were the major issues in providing effective service delivery to slum dwellers during COVID-19. Citizen participation, well coordination, proper monitoring, impersonality, and good governance are indispensable for dealing with any crisis. Full article

The objective was to explore the patterns of contribution from vitamin D metabolites (D₂ and D₃) to total vitamin D concentrations in Indian families. This cross-sectional study was carried out in slum-dwelling families residing in Pune city. Data on demography, socio-economic status, sunlight exposure, anthropometry, and biochemical parameters (serum 25OHD₂, 25OHD₃) via the liquid chromatography–tandem mass spectrometry method were collected. The results are presented for 437 participants (5 to 80 years). One-third were vitamin-D-deficient. Intake of foods containing vitamin D₂ or D₃ was rarely reported. Irrespective of gender, age, and vitamin D status, the contribution of D₃ to total 25OHD concentrations far exceeded that of D₂ (p < 0.05). The contribution of D₂ ranged from 8% to 33% while that of D₃ to 25OHD concentrations ranged from 67% to 92%. 25OHD₃ is a major contributor to overall vitamin D concentrations, and the contribution of 25OHD₂ was found to be negligible. This implies that sunlight and not diet is currently the major source of vitamin D. Considering that lifestyle and cultural practices may lead to insufficient sunlight exposure for large sections of the society, especially women, dietary contribution to vitamin D concentrations through fortification may play an important role in improving the vitamin D status of Indians. Full article

Vaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes toward COVID-19 vaccination through time among urban slum dwellers in Dhaka, Bangladesh. In-depth telephone interviews were conducted between October 2020 and January 2021 with 36 adults (25 females and 11 males) living in three urban slums of Dhaka City, Bangladesh. Follow-up interviews were undertaken in April and August 2021 to capture any shift in the participants’ perceptions. Our findings show that for many there was an initial fear and confusion regarding the COVID-19 vaccine among people living in urban informal settlements; this confusion was soon reduced by the awareness efforts of government and non-government organizations. Women and young people were more interested in being vaccinated as they had had more exposure to the awareness sessions conducted by non-governmental organizations (NGOs) and on social media. However, people living in the slums still faced systemic barriers, such as complicated online vaccine registration and long queues, which led to low uptake of the vaccine despite their increased willingness to be vaccinated. This study highlights the importance of using sources such as NGO workers and television news to debunk myths, disseminate COVID-19 vaccine information, and support adherence to vaccination among urban slum dwellers. Our study underscores the importance of addressing systemic barriers blocking access and understanding community perceptions in order to develop effective communication strategies for vulnerable groups that will then improve the COVID-19 vaccine uptake. Full article

Due to the gradual encroachment of natural drainage channels (also known as khals) and the poor management of drainage infrastructures, any rainfall of higher intensity for a few hours causes urban flooding in Dhaka, Bangladesh, hindering the daily lives of city dwellers, especially in slum areas. The Intensity–Duration–Frequency (IDF) curves with return intervals of 2, 5, 10, 25, 50, and 100 years were estimated for a 3 h duration of rainfall using the Gumbel statistical method to assess urban flooding extent around the Baganbari slum within the Baunia Khal watershed. The spatial land use changes of the Baunia Khal were also delineated through the analysis of the areal changes of the khal from 2004 to 2020. The area of the khal was found to be 7.00 km², 2.17 km² and 0.41 km² for the years 2004, 2010, and 2020, respectively. It appears that a gradual massive areal decrease of the khal (impervious land segment) was in progress during this period for high encroachments driven by various governmental agencies and other private entities’ urban developmental projects. The runoff coefficient was computed as 0.76 based on the existing land use pattern, slope, and soil type of the study area. The average runoff generated from the catchment was estimated using the rational method and was 103.41 m³/hr. The drainage length was calculated as 9.1 km using the Kirpich method, whereas the present drainage length was reported as only 6.95 km. The multiple rainfall intensities with return periods of 2, 5, 10, 25, 50, and 100 years were also applied to replicate a heightened extent of urban flooding in the Baunia Khal watershed. The study suggests that the depth, length and width of the Baunia Khal need to increase to hold the generated runoff to manage urban flooding around the Baunia Khal watershed. Full article

Slum formation is a visible outcome of population growth, rapid urbanization, economic and political policy. Currently, there are approximately one billion slum dwellers, representing approximately thirty percent of the global population. As evident, slums as a critical issue will remain in the upcoming decades. The discipline of architecture should consider the issue of a slum in its curriculum, especially within the design studios. This research attempts to integrate the slum topic within the fourth year undergraduate architecture curriculum and develop a pedagogical framework concerning architectural design projects that focuses on slum topic. The Graduation Research & Preparation (ARC 403) course and Graduation Project (ARC 402) course are modified in order to be responsive to the slum topic. The novelty of the framework can be categorized as follows: the proposed framework is context specific. It is based on an interdisciplinary approach to architecture and ethnography. It utilizes ethnographic tools for collecting data during fieldwork. It values research throughout the design process. A research-based approach prepares young architects for future complex challenges. It requires the young architects to utilize research and build an inventory of collected data, which can guide them during the design process as a reference point. It attempts to increase the awareness of the young architect regarding the discourse on social sustainability. It values social equity, quality of life, and well-being as core indicators of social sustainability and tries to integrate the indicators within the curriculum. The aforementioned indicators can guide young architects to reach strategic decisions to achieve sustainable design solutions. Full article

Vaccination against COVID-19 remains one of the ultimate solutions to the ongoing pandemic. This study examined and compared the completion of primary COVID-19 vaccination series and associated factors in the slum and estate communities of Uganda. This was a cross-sectional survey conducted among 1025 slum and estate residents. Logistic regression models were fitted. Of the 1025 participants, 511 were slum residents and 514 were estate residents. Completion of COVID-19 vaccination was 43.8% in the slum community and 39.9% in the estate community (p = 0.03). Having more knowledge about COVID-19 was positively associated with completing COVID-19 vaccination in both communities. Perceived benefits and cues to action also had a positive association, but only among the slum residents. However, perceiving people infected with COVID-19 as having a high death rate, perceived barriers such as serious side effects and long distances, and depressive symptoms had negative associations with vaccine uptake among the slum community, but not in the estate community. Addressing barriers to vaccination, strengthening and utilizing the various cues to action, engagement of religious and cultural leaders, and continued community education and sensitization tailored to the needs of each community are potentially vital strategies in raising vaccination rates. Consideration of socioeconomic impact-alleviation strategies, especially among the urban poor, would also be beneficial. Full article