Local participatory governance mechanisms should be established that enable communities and local governments to partner in building healthier and safer cities. Good urban governance means paying attention to concerns and planning horizons that extend beyond current needs. In many developing nations, present urban problems are the only the beginning. Cities need a longer term strategy in order to turn urbanization’s potential into reality.
Action and successful implementation require four preconditions for change: political commitment at the highest level where health, equity and sustainable development are core values in a city’s policies and vision; shared vision, understanding and commitment to a comprehensive and systematic approach for urban health; organizational structures and processes to coordinate, manage and support change and to facilitate interectional action and active citizen involvement; and opportunities for partnership-building and networking with statutory and non-statutory bodies and community groups.
Concrete and feasible actions that can be taken include: