Abstract
This study provides rich insights into the context wherein slum dwellers live, using data collected randomly from three slum areas in Giza governorate, Egypt. Contrary to popular opinions and prevailing beliefs that slums are homogeneous residential entities, this study demonstrates that the surveyed slums are heterogeneous as the households’ characteristics and environmental and living conditions differ. The data also reveal that the three slums are remarkably different in terms of health, education, and employment outcomes. Meanwhile, slum residents face common challenges such as the lack of health, educational, social, and security services, and exhibit high levels of dissatisfaction with the provided services. However, most slum households are connected to public drainage sewers, water pipe systems, and electricity lines, and they complain about the lack of continuity and the poor quality of services. Drug abuse, insecurity, and violence are considered the biggest problems faced by the slum dwellers, coinciding with poverty and low incomes. Slums infested with crime and deviant behavior entail deliberate state intervention to improve their security conditions. Policymakers, development partners, planners, and other stakeholders aiming to improve the living conditions of slum dwellers should account for these challenges.
Similar content being viewed by others
Data Availability
The datasets collected and analyzed during the study are available from the corresponding author on request. The corresponding author had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Notes
TADAMUN is a research initiative by Takween ICD (Cairo) and American University in Washington, D.C., established in 2012. For more details, see `Izbit Khayrallah—Tadamun, Paving the Streets of Mīt `Uqba—Tadamun, COMMUNITY WORKSHOP | ‘Izbit Al-Haggāna—Tadamun.
References
Amis, P., & Kumar, S. (2000). Urban economic growth, infrastructure and poverty in India: Lessons from Visakhapatnam. Environment and Urbanization, 12(1), 185–196. https://doi.org/10.1177/095624780001200113
Boutayeb, A., Boutayeb, S., & Boutayeb, W. (2013). Multi-morbidity of non communicable diseases and equity in WHO Eastern Mediterranean countries. International Journal for Equity in Health, 12, 60. https://pubmed.ncbi.nlm.nih.gov/23961989.
Butala, N. M., VanRooyen, M. J., & Patel, R. B. (2010). Improved health outcomes in urban slums through infrastructure upgrading. Social Science and Medicine, 71(5), 935–940. https://doi.org/10.1016/j.socscimed.2010.05.037
Corburn, J., & Hildebrand, C. (2015). Slum sanitation and the social determinants of women’s health in Nairobi, Kenya. Journal of Environmental and Public Health, 2015https://doi.org/10.1155/2015/209505
Corburn, J., & Sverdlik, A. (2017). Slum upgrading and health equity. International Journal of Environmental Research and Public Health, 14(4), 1–12. https://doi.org/10.3390/ijerph14040342
Ezeh, A., Oyebode, O., Satterthwaite, D., Chen, Y. F., Ndugwa, R., Sartori, J., Mberu, B., Melendez-Torres, G. J., Haregu, T., Watson, S. I., Caiaffa, W., Capon, A., & Lilford, R. J. (2017). The history, geography, and sociology of slums and the health problems of people who live in slums. The Lancet, 389(10068), 547–558. https://doi.org/10.1016/S0140-6736(16)31650-6
Falkingham, J. C., Chepngeno-Langat, G., Kyobutungi, C., Ezeh, A., & Evandrou, M. (2011). Does socioeconomic inequality in health persist among older people living in resource-poor urban slums? Journal of Urban Health, 88(SUPPL. 2). https://doi.org/10.1007/s11524-011-9559-4
Gadallah, M., Megid, S. A., Refaey, S., El-Hussinie, M., Mohsen, A., Ardakani, M. A., & El-Feky, S. (2017). The application of urban health equity assessment and response tool to assess health inequity among dwellers of an urban slum area in giza governorate. Egypt. Journal of the Egyptian Public Health Association, 92(2), 68–76. https://doi.org/10.21608/EPX.2018.8944
Gadallah, M., Megid, S. A., Mohsen, A., & Kandil, S. (2018). Hypertension and associated cardiovascular risk factors among urban slum dwellers in Egypt: A population-based survey. Eastern Mediterranean Health Journal, 24(5), 435–442. https://doi.org/10.26719/2018.24.5.435
Gulyani, S., & Talukdar, D. (2008). Slum real estate: The low-quality high-price puzzle in Nairobi’s slum rental market and its implications for theory and practice. World Development, 36(10), 1916–1937. https://doi.org/10.1016/j.worlddev.2008.02.010
Haines, A., Bruce, N., Cairncross, S., Davies, M., Greenland, K., Hiscox, A., Lindsay, S., Lindsay, T., Satterthwaite, D., & Wilkinson, P. (2013). Promoting health and advancing development through improved housing in low-income settings. Journal of Urban Health, 90(5), 810–831. https://doi.org/10.1007/s11524-012-9773-8
Kaur, J. (2018). Impact assessment of access to basic services for urban poor in Chandigarh City India. Asian Journal of Public Affairs, 11(1), 1–23. https://doi.org/10.18003/ajpa.20188
Khalifa, M. A. (2011). Redefining slums in Egypt: Unplanned versus unsafe areas. Habitat International, 35(1), 40–49. https://doi.org/10.1016/j.habitatint.2010.03.004
Khalifa, M. A. (2015). Evolution of informal settlements upgrading strategies in Egypt: From negligence to participatory development. Ain Shams Engineering Journal, 6(4), 1151–1159. https://doi.org/10.1016/j.asej.2015.04.008
Khalil, D., Abdelaal, A., Barakat, M., & Khalafallah, Y. (2018). Inclusive services for youth in Cairo’s informal areas. The Economic Research Forum, 1–35.
Kien, V. D., Van Minh, H., Giang, K. B., Dao, A., Weinehall, L., Eriksson, M., & Ng, N. (2017). Socioeconomic inequalities in self-reported chronic non-communicable diseases in urban Hanoi. Vietnam. Global Public Health, 12(12), 1522–1537. https://doi.org/10.1080/17441692.2015.1123282
Latif, M. B., Irin, A., & Ferdaus, J. (2016). Socio-Economic and Health Status of Slum Dwellers., 29(1), 73–83.
Makalela, K. I., & Asha, A. A. (2019). Rural household’s satisfaction with access to basic services in Lepelle-Nkumpi local municipality, Limpopo Province. International Journal of Economics and Finance Studies, 11(1), 49–63. https://doi.org/10.34109/ijefs.201911104
Ministry of Planning and Economic Development. (2021). EGYPT’S 2021 Voluntrary National Review.
Mutyambizi, C., Mokhele, T., Ndinda, C., & Hongoro, C. (2020). Access to and satisfaction with basic services in informal settlements: Results from a baseline assessment survey. International Journal of Environmental Research and Public Health, 17(12), 1–21. https://doi.org/10.3390/ijerph17124400
Pierce, G. (2017). Why is basic service access worse in slums? A synthesis of obstacles. Development in Practice, 27(3), 288–300. https://doi.org/10.1080/09614524.2017.1291582
Rahman, S. (2017). Factors influencing household income in poor urban slum settlements in Bangladesh. Journal of Poverty Alleviation and International Developmen, 8(2), 55–80.
Riley, L. W., Ko, A. I., Unger, A., & Reis, M. G. (2007). Slum health: Diseases of neglected populations. BMC International Health and Human Rights, 7, 1–6. https://doi.org/10.1186/1472-698X-7-2
Sheuya, S. A. (2008). Improving the health and lives of people living in slums. Annals of the New York Academy of Sciences, 1136(2008), 298–306. https://doi.org/10.1196/annals.1425.003
Turley, R., Saith, R., Rehfuess, E., & Carter, B. (2013). Slum upgrading strategies involving physical environment and infrastructure interventions and their effects on health and socio-economic outcomes. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010067.pub2.www.cochranelibrary.com
UNDP. (2004). Egypt human development report—Choosing decentralization for good governance.
UN-HABITAT. (2011). Cities & Citizens series bridging the urban divide. https://issuu.com/unhabitat/docs/cities_and_citizen_series-_bridging_the_urban_divi
United Nations Human Settlements Programme. (2003). The challenge of slums: Global report on human settlements 2003 (p. 345). Earthscan.
Zulu, E. M., Beguy, D., Ezeh, A. C., Bocquier, P., Madise, N. J., Cleland, J., & Falkingham, J. (2011). Overview of migration, poverty and health dynamics in Nairobi City’s slum settlements. Journal of Urban Health, 88(SUPPL. 2), 185–199. https://doi.org/10.1007/s11524-011-9595-0
Acknowledgements
I would like to acknowledge the efforts and support of Major General Yousef Ahmed Wesal for inspecting security in the surveyed informal areas during data collection and for coordinating fieldwork. We would like to thank Heba El Refay for her help in designing the questionnaire, Pro. Noura Anwar for her valuable feedback on the questionnaire, and Alyaa Ali and Hatem Zahran for their help in acquiring the data. Sincere thanks are also to Nasreen Sayed, Mona Al-Saeed, Karim Hassanein, Mehitab Sharif, Amal Adel, Nourhan Salameh, Esraa Saeed, and Nesma Sayed for their assistance in collecting the data.
Funding
This study is part of the research project “Characteristics of slum dwellers and their future needs: A study of slum areas surrounding Cairo University.” This research is funded by Cairo University.
Author information
Authors and Affiliations
Contributions
SA contributed to the conception and design of the study; helped to acquire, analyze, and interpret the data; drafted the manuscript; and revised the manuscript for important intellectual content. EK and MN revised the manuscript for important intellectual content. All the authors read, approved the manuscript, and consented to publish.
Corresponding author
Ethics declarations
Ethical Considerations
The study was approved by Central Agency for Public Mobilization and Statistics (CAMPAS) according to Resolution No. (783) of 2021. Informed consent was obtained from all individual participants included in the study, confirming that their participation in this research is voluntary and they have the right to refuse the research or withdraw from the study at any time. The data is confidential and used only for scientific research purposes.
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Abdel-Rahman, S., Khater, E. & Abdel Fattah, M. Characteristics of Slum Residents in Egypt and Their Critical Existing Problems. Urban Forum 34, 99–132 (2023). https://doi.org/10.1007/s12132-022-09470-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12132-022-09470-y