Health and the Urban Transition. Effects of Household Perceptions, Illness, and Environmental Pollution on Clean Water Investment

Recent efforts to reinvigorate the connections between urban planning and health have usefully brought the field back to one of its original roles. Current research, however, has focused on industrialized cities, overlooking some of the important urbanization processes in poor countries. This paper describes an emerging ‘health transition’ and the importance of socio-ecological approaches to understanding new health challenges in the developing world and uses the empirical case of Vietnam to examine the development dilemma of new industrial health concerns associated with economic development.
The paper summarizes original qualitative data suggesting that one of the main benefits and rationales of the system is the improvement in public health that it has promoted. Using a related original sample survey (n=200) from 2005, the paper then tests a set of hypotheses about the relationship between illness, connections to the new system, and the role of pollution of natural water sources in illness.

The Political Economy of Avian Influenza Response and Control in Vietnam

As a country suffering from large-scale AI outbreaks and receiving considerable international support, Vietnam provides a crucial case not to be missed in any analysis of the global AI crisis. Vietnam is also interesting because of two paradoxes in her response to AI. Despite being poor, Vietnam selected the most expensive approach (comprehensive vaccination) to disease control. Despite substantial foreign aid and praise lavished on Vietnam, and despite a tough strategy, Vietnam has not performed better than neighbouring countries in keeping the epidemic from coming back.  Based on interviews of various stakeholders and newspaper sources since 2003, this paper analyses the timeline of major events, key narratives driving the debate, and the main actor networks in the policy process.
The author found Vietnam’s AI policy process was characterised by top down/technical perspectives supported by the central government and foreign donors. These narratives reinforced the political interests of a national/international elite.

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