Overall Population Growth
Urban Population Growth
Mega-City Population Growth
Slum Population Growth
While the well to do have access to a diversity of healthcare facilities, the urban poor find even basic medical access beyond their means. In fact, the gap between services accessible by the urban population and its poorest sections is evident from studies that have found that urban poor remain under-served by the health system. Their health status is worse than that of the rural poor.
This website offers a peek into the role USAID has played to focus attention on the health of the urban poor and development of the National Urban Health Mission to improve healthcare for them.
According to the World Health Organization (WHO), urbanization is one of the leading global trends of this century. Increasing urbanization directly affects the quality of health available to the most vulnerable of its residents. Experts say that by 2050, over 68 per-cent of the world's population will live in cities.
While cities may offer the promise of prosperity, they also face significant health challenges. The urban poor face the risk of epidemics of HIV/AIDS, TB, pneumonia, diarrhea and malaria given the density of slums. Additionally, there has been rapid growth in non-communicable diseases like asthma, heart disease, cancer and diabetes.
The National Urban Health Mission (NUHM) programme has expanded across India, providing free health care to about 200 million people. Until the year 2000 there were only sporadic campaigns with no programmatic approach for health. This changed, but slowly, and over 15 years. The timeline chronologically maps the journey of the Urban Health legacy in India.
Identified urban health as an important focus area
Set up the Environment Health Office to orient government policy and create evidence and models
Mr. A R Nanda
Former Health Secretary
The Environment Health Project, modeling urban health care
Urban Health Resource Centre, building up local resources
UHRC built on EHPs' success with demonstration projects in Delhi and Meerut. It generated, compiled and disseminated information on urban health to address knowledge gaps and draw attention to the poor state of the health of the urban poor.
Health of the Urban Poor, scaling up the model
Following the success of EHP, and keen to try it out at larger scale, USAID initiated the Health of the Urban Poor project. It expanded to half a million people in eight states and five cities. HUP's team drew on EHP and its own lessons while drafting the framework and guidelines for the National Urban Health Mission. Many aspects of the two projects found space in NUHM.
Over the next few years, HUP's team:
National Urban Health Mission, the national program
NUHM was launched in January 2014. It incorporated most elements from the USAID-supported EHP and HUP projects. As a major milestone of USAID's support to improving urban health in India, NUHM covers 200 million urban poor people across all states. The major threads it has picked up from EHP and HUP are
This detailed report on the Urban Health programme in India highlights the various facets of the programme – from project to programme, from first steps to challenges including methodologies, evidences and impact.DOWNLOAD