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Mobility & Health  
 

Transport can have both positive and negative impact on poor people's health. Improving transport infrastructure and services increases access to health services, enables better servicing of health outposts, increases the flow of health information and facilitates the movement of health workers. Improved access can also help improve water supply. These factors in turn contribute to reducing morbidity and mortality, to increasing awareness about reproductive issues, and to improving livelihoods and reducing poverty. The experience with the spread of HIV/AIDS has dramatically shown that improving mobility can also have strong negative impacts. Developing transport corridors often results in increased sexual activity and the spread of HIV. In the context of the need to step up development activity to meet the MDGs, a better understanding of the relationship between mobility and health becomes a priority.

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International Networked Research Programme (IFRTD, SDC, Skat, SCIH)  
 

What's ongoing?

Most recent news from the research program are available on the Mobility&Health website.

 
 

Description

 
 

Summary

The International Forum for Rural Transport and Development (IFRTD), in collaboration with the Swiss Agency for Development and Cooperation (SDC), the Swiss Resource Centre and Consultancies for Development (Skat) and the Swiss Centre for International Health (SCIH) is carrying out a two-year networked research programme on Mobility and Health. The programme aims to increase the understanding of the impacts of mobility constraints on the health, well-being and issues of poor people in different developing country contexts, and to develop tools that will enable transport professionals to include holistic health impact assessments and mitigation measures in the planning, design and implementation of transport interventions. It will result in an advocacy programme to sensitise the health sector to mobility and health issues.

Background

A recent SDC supported TransNet workshop concluded that mobility and transport could have both a positive and a negative impact on poor people’s health. Improving transport infrastructure and services increases poor people's access to health services, enables better servicing of health outposts, increases the flow of health information and facilitates the movement of health extension workers. Improved access can also help improve water supply, which has positive consequences for the health of communities. These factors in turn contribute to reducing morbidity and mortality, to increasing awareness about reproductive issues, and to improving livelihoods and reducing poverty. The experience with the spread of HIV/AIDS has dramatically shown that improving access and mobility can also have strong negative impacts. Developing transport corridors for long distance goods transport often results in increased sexual activity and the spread of HIV.

The workshop participants agreed that in order to optimise the health potentials of activities that improve mobility, the sector must thoroughly assess the knowledge gaps, make steps to share existing research and generate new knowledge to fill the gaps. In the context of increasing development efforts to meet the MDGs, a better understanding of the relationship between transport and health becomes a priority. It is against that backdrop, SDC’s mobility desk has agreed to support an initial phase of the international networked research programme on mobility and health.

Objectives and methodology

The international networked research programme seeks to address this knowledge gap via three key objectives:

  • Increased understanding of the impacts of mobility constraints on the health, well being and livelihoods of poor people in different developing country contexts.
  • Developing tools that will enable transport professionals to include holistic health impact assessments and mitigation measures in the planning, design and implementation of transport interventions.
  • Developing an advocacy programme to sensitise the health sector to mobility and health issues.

Using a networked research methodology the programme aims to carry out between 20 to 30 case studies from Asia, Latin America and Africa. These case studies will demonstrate the existing and potential links between health and mobility, particularly in rural areas. This encourages research to be carried out in a way that enhances networking, generates awareness and stimulates immediate action. It is participatory in the design and implementation of research activities. It will generate a wide range of information to fill the knowledge gap and reach a large range of stakeholders and facilitate networking and learning across local, national and international contexts.

On the basis of a web-based literature review and a substantial number of relevant case studies carried out globally and on all levels, the programme’s outputs will be an international symposium to present the issues raised by the case studies and a toolkit for transport professionals to include holistic health impact assessments in planning and implementation of interventions and an advocacy programme to sensitise the health sector to mobility issues. In addition a network of interested actors will continue the debate and exchange on mobility and health on a global level.

Implementation

The programme is steered by a core group consisting of individuals of SDC, IFRTD, Skat and SCIH. The activities of the entire networked research programme are expected to cost around USD 685,000 over a two years period. The SDC contribution towards this programme amounts to CHF 125'000 and is to be considered as seed money and kick-off money for the start-up phase of the activities. The SDC contribution will cover initial core group costs and some costs of the researcher’s workshops and the international symposium. It will also allow to do fundraising and leverage contributions from other donors.

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For more information:
Contact the programme
Mobility&Health website

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See the outcomes of the M&H workshop
 

Updates

 
 

Update on the International Networked Research on Mobility & Health (February 2998)

IFRTD, in collaboration SDC, Skat and the Swiss Centre for International Health started beginning 2006 a two-year networked research programme on the links between Mobility and Health. The program aims to increase the understanding of the impacts of mobility constraints on the health, well-being and issues of poor people in different developing country contexts, to develop tools enabling transport professionals to include holistic health impact assessments and mitigation measures in transport interventions and to elaborate an advocacy programme to sensitise the health sector to mobility issues. The 24 case studies (9 from Africa, 8 from Asia and 7 from Latin America) of the local researchers, looking at the theme from a variety of angles and aimed at demonstrating the existing and potential links between mobility and health, especially in rural areas, are now in their final stages. The final reports are expected to be submitted, reviewed and edited in a synthesis book with references to the webpage containing the full studies throughout the 1st semester 2008.

On October 27-29, 2007, the researchers gathered in Beijing in an international symposium to share their initial research findings. The symposium gave all the researchers the opportunity to reflect on their first findings before their final reports are submitted in early 2008. They were also able to identify common issues and worked together through exercises to translate their research evidence into policy recommendations. The outcomes of the symposium then fed directly into the Forum 11 of the Global Forum for Health Research (Beijing, October 29 – November 1, 2007), an international event attracting a cross section of participants from the health sector. The Mobility & Health team exhibited at the event and hosted 2 sessions; an international panel discussion and a participative workshop to develop a strategy for change.

Also in the 11th TransNet event of Dec. 7, 2007 in Bern, the main objective was to share the preliminary conclusions and recommendations of the M&H Networked Research Programme. Researchers from Burkina Faso, Mexico and Pakistan presented their findings, one of which was the lack of good coordination between the health and transport sectors. Representatives from SDC and Sida responded to the findings by sharing some of their ideas on how those sectors should be working more closely together. The main session ended by sharing a practical example from the Azerbaijan Highway II project where the transport and health sector are effectively collaborating strongly.

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23 case studies ongoing and an outlook (update of 25.05.07)

23 case studies (8 in Africa and Asia each, 7 in Latin America) are ongoing, looking at the theme from a variety of angles and aimed at demonstrating the existing and potential links between mobility and health, especially in rural areas. After completion of the studies, an International Symposium will be organised to gather all the researches and the program’s core team together. Here the research findings will be shared and synthesized, whilst starting to develop an advocacy strategy that will ensure that the research leverages change. The symposium is expected to be aligned with the forthcoming annual event of the “Global Forum for Health Research” (29th October to 2nd November, Beijing) and to organize a half-day panel session within the Forum’s programme. This will be a unique opportunity to stimulate dialogue between the health and transport sectors on the research results and to encourage cross-sectoral debate and future collaboration between health and transport professionals from Africa, Asia and Latin America.

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In-country researches started (update of 06.12.06)

After launching the programme in January 2006 and inviting researchers to submit proposals to research the links between mobility and health, the programme had received over 90 abstracts from 34 countries in Africa, Asia and Latin America. 54 applicants had been selected to submit an elaborated proposal from which 24 have been carefully selected by the core team to participate in the programme. As a first step in applying the networked research methodology, the selected researchers came together in regional workshops in Uganda, Indonesia and Mexico during August / September 2006. The aim of the workshops was to let the researchers themselves design the analytical framework they will be using. These workshops enable the methodology to be more relevant to its context, encourage ownership, and stimulate debate at local and national level.

The research guidance manual that resulted from the series of workshops forms now the backbone of the programme. The various researchers embarked on their case studies in October 2006 looking at the theme from a variety of angles and perspectives. Topics such as the impact of rural roads on health are included as well as the potential of intermediate means of transport to help facilitate better access to health services. Once the case studies are finished (after 6-12 months), an international symposium will be organised to present the issues flowing out of the case studies and to develop outlines for a "toolkit", book and an advocacy programme.

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