Marco Akerman

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In this paper, community capacity building (CCB) is seen as part of a long-standing health promotion tradition involving community action in health promotion. The conceptual context of the term CCB is presented, and compared with other community approaches. The usage of the term is variable. It is submitted that its common features are (i) the concepts of(More)
This paper presents the research methodology that applied existing data to the study of environmental and health inequalities in Accra, Ghana, and Sao Paulo, Brazil. After an introductory section, the paper considers why more research in this area is necessary and the reasons why information on cities in the South is lacking. The third section describes(More)
Since the Healthy City movement is a health promotion strategy, an update study was carried out to put into context the health promotion evaluation debate stressing the principles to be considered in an evaluation initiative and in the problematic of Health Cities projects. A literature review of "Healthy Cities" was conducted. A typology based on of(More)
Urban living is the new reality for the majority of the world’s population. Urban change is taking place in a context of other global challenges—economic globalization, climate change, financial crises, energy and food insecurity, old and emerging armed conflicts, as well as the changing patterns of communicable and noncommunicable diseases. These health(More)
All three of the interacting aspects of daily urban life (physical environment, social conditions, and the added pressure of climate change) that affect health inequities are nested within the concept of urban governance, which has the task of understanding and managing the interactions among these different factors so that all three can be improved(More)
OBJECTIVE To compare adolescent mothers living in four areas with different degrees of social exclusion in the city of Santo André, São Paulo, Brazil, in terms of the mothers' schooling, the birth weight and gestational age of their babies, and the specific fertility rate of each of the four areas in 1998. METHOD An ecological cross-sectional study was(More)
This article addresses the development of data linkage methods for the analysis of urban environmental health problems and the development of appropriate policies and discusses, based on existing experience of data linkage in São Paulo (Brazil), the potential for routine environmental health monitoring and management in a major developing country industrial(More)
Objetivo. Comparar as adolescentes que residiam em quatro áreas com diferentes graus de exclusão social no Município de Santo André, Estado de São Paulo, em relação ao nível de escolaridade, o peso ao nascer e a idade gestacional dos bebês e as taxas de fecundidade específicas de cada área no ano de 1998. Método. Foi realizado um estudo transversal(More)
A project concerned with the study of intra-urban health differentials in S. Paulo city, Brazil, is described. A brief outline of urban problems in the city is presented, followed by a review of the locally published literature on the subject of geographical differentials (stratification by socioeconomic status and environment). Two topics are introduced:(More)
This article discusses health inequalities based on acute childhood respiratory diseases in the coverage area of a health center in the city of São Paulo, Brazil, to help plan local health promotion activities. The work was based on ecological studies using the geographic area as the unit of analysis, allowing a comparison of health and socioeconomic(More)