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Between research and teaching: identifying new competencies for Healthy Cities

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Abstract

Healthy Cities is one of the central themes addressed in the Sustainable Development Goals. The World Health Organization's new Urban Health Initiative creates a paradigm shift in health systems approaches by focusing on the urban environment as a prerequisite for healthy lifestyles-and disease prevention. In Europe, the Zagreb declaration pointed out its attention to strengthen and champion action on health through healthy cities networks. Architects and engineers play a strategic role in building this future and activating actions in key development sectors, like housing and transport, as well as in the settings where people live and work. This requires new professional figures with the hard and soft skills that stimulate urban transformation for healthier built environments. The paper discusses a methodological approach to identify the competencies to be acquired by future practitioners. It is developed within an ongoing Erasmus+ project 1 that represents the contextual field for testing the method in three Bosnian Universities. The article describes the methodology and its application. It starts with designing analysis' grids to evaluate how the topic is currently addressed, and it builds questionnaires to evaluate the students' awareness. Moreover, the research investigates stakeholders through organized seminars and surveys to understand the labor market and social needs. The paper suggests a strategy for setting up new courses for future architects, urban planners, and engineers, experts of the healthy urban environment. Testing the method in the Bosnian context, one of the main indications are the importance of innovative teaching methodologies integrated with the use of practical experience and laboratories. The method proposed is replicable for curriculum development in Higher Education, and it highlights how the research is a fundamental base for designing and teaching academic courses.
... This method is replicable for curriculum development in other higher education institutions in Bosnia and Herzegovina and any other country. It highlighted the importance of using research as a fundamental base for designing and teaching academic courses [8]. ...
Chapter
This paper describes the results of the international Erasmus + project “HURBE: Healthy URBan Environment Developing Higher Education in Architecture and Construction in Bosnia and Herzegovina”. The project consortium developed the curricula in Higher Education Institutions dealing with the field of healthy urban environment in the Faculties of Architecture and Construction in Bosnia and Herzegovina. The project involves six universities from Bosnia and Herzegovina, Italy, Croatia and Bulgaria. The main results include modernisation of the curriculum by developing new and innovative courses and installing new laboratories.
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Health and health care 2010: the forecast, the challenge
  • R Amara
  • K Bodenhorn
  • M Cain
Amara, R., Bodenhorn, K. and Cain, M. 2003. Health and health care 2010: the forecast, the challenge. San Francisco: Jossey-Bass.
Healthy urban environment and design: the outdoor spaces
  • F Giofrè
  • Z Djukanovic
Giofrè, F. and Djukanovic, Z. (2017). Healthy urban environment and design: the outdoor spaces. pp. 155-168, In Book of Proceedings Keeping up with technologies in the context of urban synergy Place and technologies. Sarajevo: CIP.
Improving urban health equity through action on the social and environmental determinants of health: global research network on urban health equity
  • Grnuhe
GRNUHE. 2010. Improving urban health equity through action on the social and environmental determinants of health: global research network on urban health equity. London: UCL.
WHO. Promoting health in the urban context
  • T Hancock
  • L Duhl
Hancock, T., Duhl, L. 1986. WHO. Promoting health in the urban context. Copenhagen: FADL Publishers.
Department of Economic and Social Affairs, Population Division
United Nations (UN), Department of Economic and Social Affairs, Population Division.2019. World Urbanization Prospects: The 2018 Revision (ST/ESA/SER.A/420). New York: United Nations.