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HEALTHY CITIES
SEBAGAI SETTING
Makassar, 03/11/16

SUKRI PALUTTURI

PRESENTATION OUTLINE
URBAN HEALTH CHALLENGES
SETTING APPROACH AND
HEALTHY CITIES
HEALTHY CITIES IN
INDONESIA
CONCLUSIONS

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URBAN HEALTH CHALLENGES

Urbanisation

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Slum areas

Waste

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Industrial waste

Puddle

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Puddle

Violence

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Crime

Pak OGA

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Pak OGA

Street children

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Street children

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Setting approach and


Healthy Cities development

Cornerstones for Health Promotion


Issue based approach

Diseases approaches

Population based
approach

Aging populations, sexual workers, gay,


lesbians, street children; street musicians

Setting approach

Healthy Cities movement

Source: Chu (2009a)

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Healthy settings
A setting is where people actively use and shape the
environment; thus it is also where people create or
solve problems relating to health. Settings can
normally be identified as having physical boundaries,
a range of people with defined roles, and an
organizational structure.

Setting for health


The place or social context in which people engage
in daily activities in which environmental,
organizational, and personal factors interact to
affect health and wellbeing.

Health promotion Glossary (1998)

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ELEMENTAL SETTINGS

ELEMENTAL SETTINGS

Healthy Prisons

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ELEMENTAL SETTINGS

Healthy Puskesmas

HEALTHY CITY; DEFINITION


A healthy city is one that is continually
creating and improving those physical and
social environments and expanding those
community resources which enable people
to mutually support each other in
performing all the functions of life and in
developing to their maximum potential
Source: Hancock & Duhl in Barton and Tsouros (2000), p.29;
Kickbusch and Goldstein (1996), p.4; WHO (2004), p.9; Froding,
Eriksson and Elander (2008), p. 321; Hancock (2009), p. 7.

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HEALTHY CITIES: Long term


process, run continually to
improve a better environment

HEALTHY CITIES: The impact of


HC takes efforts, time, cultural
changes and constancy of
purpose from the manager and a
shift values both by the council
and by the municipal
organizations (Clark, 2000; WHO,
1998)

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HEALTHY CITIES: The HCs need a


strong political commitment to
put and place the health issues on
the top level of decision making
process at all levels (WHO, 1998).

HEALTHY CITIES: Commitment to


health; political decision making;
intersectoral action; community
participation; innovation and
healthy public policy are a number
of major characteristics of HCs
(Chu, 2009a; L. J. Duhl & Sanchez,
1999; WHO, 2002b)

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HEALTHY CITIES: The aim of HCs


approach is to bring a partnership
mechanism (WHO, 2002a); to
achieve a good quality of life, to
provide basic sanitation and
hygiene needs and to facilitate
access to health care (Ashton, 2002;
WHO, 2002b, 2007b).

HEALTHY CITIES: The HCs


concept is based on community
engagement and partnership in
the cities dwellers (WHO, 2007b).

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QUALITY OF HEALTHY CITIES


Global Indicators

a clean, safe physical environment of high quality (including housing quality);


an ecosystem that is stable now and sustainable in the long term;
a strong, mutually supportive and non-exploitative community;
a high degree of participation in and control by the citizens over the decisions
affecting their lives, health and well-being;
the meeting of basic needs (food, water, shelter, income, safety and work) for
all the citys people;
access by the people to a wide variety of experiences and resources, with the
chance for a wide variety of contact, interaction and communication;
a diverse, vital and innovative economy;
connectedness with the past, with the cultural and biological heritage of city
dwellers and with other groups and individuals;
a form that is compatible with and enhances the preceding characteristics;
an optimum level of appropriate public health and sickness care services,
accessible to all; and
high health status (high levels of positive health and low levels of
disease).

CHARACTERISTICS OF HC
Commitment to health
Political DM
Intersectoral action
Community

participation
Innovation
Healthy public policy
Source: Duhl & Sanchez, 1999

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PRINCIPLES OF HEALTHY CITIES


Sustainability
Innovation
Adaptability
Inclusiveness
Equity
Leadership

Partnership
Source: Duhl & Sanchez, 1999

KESIMPULAN
TANTANGAN KESEHATAN

PERKOTAAN SANGAT
KOMPLEKS
HEALTHY CITIES SETTING
APPROACH
ELEMEN SETTING PERLU
DIPERKUAT
KUNCI SETTING ADALAH
KEPEMIMPINAN DAN
KETERLIBATAN LINTAS SEKTOR

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