Health, wellbeing and nutrition
Many residents in African cities face considerable challenges relating to health, nutrition and wellbeing, along with marginalisation or exclusion in accessing healthcare – especially those living in poverty. Yet these difficulties are often masked within wider data and policy debates by the so-called “urban advantage”.
Poor access to clean water, sanitation and affordable quality health services, as well as malnutrition, have made many people living in African cities – particularly in informal settlements – vulnerable to communicable diseases such as malaria and tuberculosis. The Covid-19 crisis has highlighted the extent of health vulnerabilities in cities and the wider consequences for national and global health security, along with the fragility of food and nutrition security in many urban centres.
Improving integration between multiple city systems – including healthcare, food, water and sanitation, waste management, energy and spatial planning – is key to securing better health, wellbeing and nutrition outcomes for residents in African cities. This domain looks at the political dimensions underlying the ability of governments to provide affordable, higher quality health services and food, exploring potential policy approaches and interventions to improve access and availability.
Within the health, wellbeing and nutrition domain, we are focusing on the following cities:
LATEST NEWS from ACRC
Podcast: The value of cross-city learning exchanges
ACRC city managers Jack Makau and Temilade Sesan join Tom Goodfellow to talk about the action research that’s underway in their cities, along with how urban communities in informal settlements can build power through their own forms of knowledge and data collection, and how two-way exchanges between cities can strengthen this process.
Supporting community responses to kush in Freetown: Next steps
Although ACRC’s funding of action research in Freetown on the synthetic drug, kush, came to an end in September 2025, its legacy continues. There is ongoing work to address the challenges of reducing kush use, building on the gains of the action research.
Unpacking the complexity of informal urban land governance in Kisenyi informal settlement, Kampala
During ACRC’s foundation phase, the Kampala land and connectivity domain research revealed how relevant and critical local councils (LCs) are in land transfers, especially in informal settlements. To deepen our understanding of this challenge, we are conducting action research in Kisenyi informal settlement in Kampala.