Publications by authors named "James Duminy"

The focus is on the demographic drivers and demographic implications of urban health and wellbeing in towns and cities across the globe. The aim is to identify key linkages between demographic change and urban health - subjects of two largely disparate fields of research and practice - with a view to informing arguments and advocacy for urban health while identifying research gaps and priorities. The core arguments are threefold.

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Article Synopsis
  • Urban health faces significant challenges, particularly in sub-Saharan Africa, where rapid urbanization and high unmet needs for contraception coexist, especially in informal settlements.
  • An analysis of policies and interviews highlights cross-sectoral obstacles between family planning and urban development but also reveals potential collaboration opportunities tied to local contexts.
  • Effective advocacy for urban family planning necessitates robust evidence, internal agreement among stakeholders, and a supportive environment, including clear guidelines and accountability mechanisms for cross-sectoral efforts.
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Health agendas for low- and middle-income countries (LMICs) should embrace and afford greater priority to urban family planning to help achieve a number of the global Sustainable Development Goals. The urgency of doing so is heightened by emerging evidence of urban fertility stalls and reversals in some sub-Saharan African contexts as well as the significance of natural increase over migration in driving rapid urban growth. Moreover, there is new evidence from evaluations of large programmatic interventions focused on urban family planning that suggest ways to inform future programmes and policies that are adapted to local contexts.

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