Improving human and environmental health in urban informal settlements: the Revitalising Informal Settlements and their Environments (RISE) programme

Brown, Rebekah Ruth; Leder, Karin; Wong, Tony Hoong Fatt; French, Matthew; Diego-Ramirez-Lovering,; Chown, Steven Loudon; Luby, S. C.; Clasen, Tom; Reidpath, Daniel D.; Sioufi, Mohamed El; McCarthy, David Thomas; Forbes, Andrew; Simpson, Julie A.; Allotey, Pascale; Cahan, Bruce B.

doi:10.1016/s2542-5196(18)30114-1

Cited by 29 publications

(16 citation statements)

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“…At the same time, we should expand transdisciplinary research (e.g. the Revitalising Informal Settlements and their Environments program (Brown et al 2018)) and amplify existing research-practice partnerships for impact. Building on these existing efforts with an explicit view to transformation may help redress the socio-spatial structural injustices perpetuating urban health inequalities so that cities and all their residents are better placed to overcome COVID-19 and similar crises in the future.…”

Section: Resultsmentioning

confidence: 99%

“…It spans interrelated issues of the emergence and spread of infectious diseases, water and sanitation, air pollution, gender equity, climate change, urbanisation, and displacement. This big-picture framing demands comprehensive interventions that address multiple variables in complex urban environments through a systems-level approach (Brown et al 2018). It positions health as multidimensional and encourages interrogation of systems phenomena across cascading and nested scales: global, regional, country, city, settlement, housing unit and individual.…”

Section: Planetary Health: the Interconnectedness Of Humans And Envirmentioning

confidence: 99%

“…This big-picture framing demands comprehensive interventions that address multiple variables in complex urban environments through a systems-level approach (Brown et al . 2018 ). It positions health as multidimensional and encourages interrogation of systems phenomena across cascading and nested scales: global, regional, country, city, settlement, housing unit and individual.…”

Section: From ‘Upgrading’ To ‘Revitalisation’mentioning

confidence: 99%

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Informal settlements in a COVID-19 world: moving beyond upgrading and envisioning revitalisation

et al. 2020

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The COVID-19 pandemic represents a turning point in the way things are done, globally and across sectors. We reflect on approaches to informal settlements and argue for a turn from 'upgrading' to 'revitalisation'. We conceptualise revitalisation as encompassing three core tenets: planetary health, transdisciplinarity, and a people-centred approach. In our vision, revitalisation approaches would take a big-picture view of informal settlements that recognises the inter-connectedness of people and nature within complex urban systems; integrates perspectives from various academic disciplines, non-academic sectors, and communities for knowledge generation; and centres informal settlement residents and communities as experts and partners in urban praxis.

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Section: Resultsmentioning

confidence: 99%

Section: Planetary Health: the Interconnectedness Of Humans And Envirmentioning

confidence: 99%

Section: From ‘Upgrading’ To ‘Revitalisation’mentioning

confidence: 99%

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Informal settlements in a COVID-19 world: moving beyond upgrading and envisioning revitalisation

et al. 2020

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“…A randomized controlled trial in Indonesia and Fiji is evaluating these interventions for improvements to population health and wellbeing, and also ecological health. 11 This research may offer an alternative to failed 20th century approaches by deploying nature based solutions that respond to social and physical context.…”

Section: Protecting Water Qualitymentioning

confidence: 99%

Planetary health approaches for dry cities: water quality and heat mitigation

Wong

Tapper

Luby

2020

BMJ

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“…The Revitalising Informal Settlements and their Environments (RISE) trial will implement an intervention designed to address these challenges. The RISE study ( www.rise-program.org ) 11 will collaborate with communities to design and implement a decentralised wastewater infrastructure, which integrates sustainable, water-sensitive technology into buildings and landscapes. The infrastructure will be implemented at dwelling, neighbourhood and precinct scales.…”

Section: Introductionmentioning

confidence: 99%

Study design, rationale and methods of the Revitalising Informal Settlements and their Environments (RISE) study: a cluster randomised controlled trial to evaluate environmental and human health impacts of a water-sensitive intervention in informal settlements in Indonesia and Fiji

et al. 2021

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IntroductionIncreasing urban populations have led to the growth of informal settlements, with contaminated environments linked to poor human health through a range of interlinked pathways. Here, we describe the design and methods for the Revitalising Informal Settlements and their Environments (RISE) study, a transdisciplinary randomised trial evaluating impacts of an intervention to upgrade urban informal settlements in two Asia-Pacific countries.Methods and analysisRISE is a cluster randomised controlled trial among 12 settlements in Makassar, Indonesia, and 12 in Suva, Fiji. Six settlements in each country have been randomised to receive the intervention at the outset; the remainder will serve as controls and be offered intervention delivery after trial completion. The intervention involves a water-sensitive approach, delivering site-specific, modular, decentralised infrastructure primarily aimed at improving health by decreasing exposure to environmental faecal contamination. Consenting households within each informal settlement site have been enrolled, with longitudinal assessment to involve health and well-being surveys, and human and environmental sampling. Primary outcomes will be evaluated in children under 5 years of age and include prevalence and diversity of gastrointestinal pathogens, abundance and diversity of antimicrobial resistance (AMR) genes in gastrointestinal microorganisms and markers of gastrointestinal inflammation. Diverse secondary outcomes include changes in microbial contamination; abundance and diversity of pathogens and AMR genes in environmental samples; impacts on ecological biodiversity and microclimates; mosquito vector abundance; anthropometric assessments, nutrition markers and systemic inflammation in children; caregiver-reported and self-reported health symptoms and healthcare utilisation; and measures of individual and community psychological, emotional and economic well-being. The study aims to provide proof-of-concept evidence to inform policies on upgrading of informal settlements to improve environments and human health and well-being.EthicsStudy protocols have been approved by ethics boards at Monash University, Fiji National University and Hasanuddin University.Trial registration numberACTRN12618000633280; Pre-results.

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Improving human and environmental health in urban informal settlements: the Revitalising Informal Settlements and their Environments (RISE) programme

Cited by 29 publications

References 1 publication

Informal settlements in a COVID-19 world: moving beyond upgrading and envisioning revitalisation

Informal settlements in a COVID-19 world: moving beyond upgrading and envisioning revitalisation

Planetary health approaches for dry cities: water quality and heat mitigation

Study design, rationale and methods of the Revitalising Informal Settlements and their Environments (RISE) study: a cluster randomised controlled trial to evaluate environmental and human health impacts of a water-sensitive intervention in informal settlements in Indonesia and Fiji

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