Africa’s population is young (median age 19.4 years) and rapidly urbanising. High rates of urban poverty and largely unplanned urban environments compromise well-being and are contributing to a rising burden of both infectious and non-communicable diseases (NCDs). Despite an urgent need for healthy urban environments to reverse this trajectory, the continent’s mostly unplanned urban development, coupled with unresponsive governance in growing cities, offer few opportunities for health creation and disease prevention, with most urban residents also experiencing environmental vulnerability.
These cities are dually characterised by rapidly growing informal settlements and increasing investment in new greenfield urban development initiatives, with a largely untapped opportunity to harness this rapid pace of change and the young population for sustainable urban health initiatives.