Urban

The majority of the world's population lives in urban and peri-urban areas, and the proportion of city dwellers continues to grow1. Urbanization presents one of the most challenging global public health issues of the 21st century, with risks including food and nutrition insecurity, inadequate sanitation and waste disposal, thriving infectious diseases such as HIV, and overall unhealthy lifestyles fueled by urban living including crowded living conditions, tobacco use, and alcohol abuse. Yet while the challenges are immense, the future of human development requires that we find ways to ensure good urban public health.

JSI uses targeted, innovative approaches to ensure urban populations have access to high-quality services. From training community workers to go door-to-door to deliver health services, to implementing behavior-change programs in areas where vulnerable populations congregate such as at bus depots, truck stops, and beer halls, to strengthening referral systems between health facilities and community programs, at the core of our approach is building the capacity of local organizations—including religious, social, and educational institutions—to provide these services on their own.

For decades, JSI has addressed urban-specific needs in countries such as Bangladesh, Egypt, Ethiopia, Nigeria, and Zambia. Our focus areas in these and other countries include immunization, HIV prevention, treatment, care and support for children and adults, safe motherhood initiatives, water, sanitation and hygiene efforts, and overall social and behavior change programs. Our work also includes addressing structural barriers to health such as gender inequities and stigma/discrimination.


1. World Health Organization, The WHO Centre for Health Development, Kobe,and United Nations Human Settlements Programme (UN-HABITAT), 2010

Highlights

PROJECT
View details: USAID/PEPFAR SAFE: Supporting an AIDS-Free Era

USAID/PEPFAR SAFE: Supporting an AIDS-Free Era

In Zambia, JSI will work to reduce HIV mortality, morbidity, and transmission, while improving nutrition outcomes and family planning integration in three provinces: Central, Copperbelt, and North-Western.

FEATURE
View details: Speaking out about victory over cancer to reduce cancer stigmas across South Africa

Speaking out about victory over cancer to reduce cancer stigmas across South Africa

Through LIVESTRONG and JSI's Cancer Anti-Stigma project, a 22-year-old cancer survivor living in Soweto, South Africa shares the moving story of his fight to overcome leukemia and the stigma surrrounding his illness that tore his family apart.

PROJECT
View details: Tuberculosis Health Action Learning Initiative (THALI)

Tuberculosis Health Action Learning Initiative (THALI)

The TB Health Action Learning Initiative (THALI) works with the India Revised National TB Control Program (RNTCP), municipal governments, and private providers to identify, and scale up successful innovative approaches to addressing TB.

FEATURE
View details: Introducing communities to their health workers brings enthusiastic response in Ethiopia

Introducing communities to their health workers brings enthusiastic response in Ethiopia

Local leaders in Debremarkos town, Ethiopia help pave the way in their communities for Health Extension Workers from the Urban Health Extension Program to conduct important data collection drives and link residents to public health facilities.

PROJECT
View details: Technical Assistance to the Government of Uttar Pradesh to Improve Health, Nutrition, and Development Coverage and Outcomes

Technical Assistance to the Government of Uttar Pradesh to Improve Health, Nutrition, and Development Coverage and Outcomes

JSI is providing technical support to India's most populous state in the implementation of the national government's Reproductive, Maternal, Neonatal and Child Health (RMNCH+A) strategy at scale and in priority districts.

FEATURE
View details: Establishing a connection between reproductive health services and the Roma community

Establishing a connection between reproductive health services and the Roma community

The Romanian family Health Initiative reaches the Roma community--which has been largely excluded from the mainstream health system-- with essential family planning services.

PROJECT
View details: New Vaccine Introduction for Gavi (Gavi-NVI)

New Vaccine Introduction for Gavi (Gavi-NVI)

The New Vaccine Introduction (NVI) for GAVI supports the introduction of the HPV vaccine, pentavalent vaccine, pneumococcal conjugate vaccine (PCV), and rotavirus vaccine in three countries.

PROJECT
View details: Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING)

Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING)

SPRING is scaling up high-impact nutrition practices and policies by providing technical support on preventing stunting and maternal and child anemia, linking agriculture and nutrition, and changing behavior through communication.

PROJECT
View details: Ethiopia Urban Health Extension Program (USAID|UHEP)

Ethiopia Urban Health Extension Program (USAID|UHEP)

JSI is supporting the implementation and monitoring of the Government’s Urban Health Extension Program (UHEP) as a means of improving access to and demand for health - including HIV - services in urban areas to improve overall health outcomes.

PROJECT
View details: Nigeria Targeted States High Impact Project (TSHIP)

Nigeria Targeted States High Impact Project (TSHIP)

JSI manages the Targeted States High Impact Project to improve household health practices and strengthen health care delivery in Bauchi and Sokoto states in Nigeria – areas with among the worst rates of child and maternal mortality in the world.

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