Intersectoral Approaches to Health Promotion in Cities

  • Nicholas Freudenberg

The health problems facing the world today increasingly require complex solutions in which public health interventions must work across sectors and levels of organization. Cities – where two-thirds of the global population is expected to live by 2030 – especially face challenging health conditions like cardiovascular disease, diabetes, obesity, avian flu, infant mortality, and depression and social conditions like concentrated poverty, rising inequality, and declining public infrastructures. These problems demand that effective health promotion measures must integrate efforts within the health care, education, environmental protection, housing, nutrition and economic development sectors.

In this chapter, I will examine intersectoral approaches to health promotion, describe the rationale and characteristics of this strategy, and then examine the strategies used to evaluate intersectoral work and the methodological and organizational challenges to evaluation that this approach poses. I...


Health Promotion Social Determinant Millennium Development Goal Vertical Integration Health Impact Assessment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Nicholas Freudenberg
    • 1
  1. 1.City University of New YorkNew York, NYUSA

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