Abstract

ABSTRACT This study showcases the City Health Development Planning (CHDP) methodology developed and implemented in Hungarian designated cities of the World Health Organization European Healthy Cities Network. This methodology is based on those principles that the WHO-EHCN recommends for CHDP works. The methodology consists of two phases: creating a City Health Profile (CHP) with specific components such as content analysis of the city’s strategic policy documents, semi-structured interviews with local political decision-makers, adopting a decentralized and participatory planning approach, and gathering available health-related data from the city. Then, the City Health Development Plan is created based on the statement of the CHP using the CHDP. The effectiveness of CHDP efforts, relies on three crucial factors: local politicians’ commitment, the operation of a local multisectoral steering committee, and annual action plans approved by the local government. Kingdon’s multiple streams theory suggests that issues are addressed when the streams of problems, policy, and politics align. The CHDP methodology described in this paper can effectively support the alignment of the three streams and open a window of opportunity to contribute to creating a healthy urban environment, as demonstrated by the experiences of the Hungarian designated cities of the WHO-EHCN.

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