The links between health and physical activity and between physical activity and habitual travel by passive (cars) and active (principally walking and cycling) transport modes have been well explored. As a result, the potential of urban planning strategies that mobilize their potential for achieving significant health and environmental benefits is well established. In developing countries, however, travel patterns are already far more centred on walking, cycling and increasingly, motor cycles. In many cities, this has occurred despite car-centred urban planning, which has boosted road-related deaths and caused air pollution and other related phenomena to soar. In these very different contexts, will strategies tested in developed countries really serve us well, or should we consider employment generation as integral to behavioural change for low- and middle-income communities? Santiago Chile has transitioned rapidly to a car-centred urban transport model, with massive subsidies for highways and other infrastructure that has encouraged sprawling land use policies and high levels of car use. Cars, however, remain the privilege of just 40% of households, given the severe concentration of wealth in this recently democratizing, post-dictatorial society. Health and environmental impacts have been very negative. So too, the effect on social equality, in a city that is already extremely segregated and excluding, as part of the legacy from the military regime's urban policies (1973–1990).Based on recent research (2016–2017) that has combined qualitative (workshops, focus groups) and quantitative methods (surveys, data mining and analysis) under the umbrella of a participation action research methodology this presentation considers the implications, for social change, of high levels of walking, Uneven cycling patterns and spatial segregation in a developing context concludes that including employment programs and cross-cutting gender policies could be essential to fostering active transport and achieving the health, environmental and social equity objectives defined in the Sustainable Development and other global goals. Carefully developed, employment-related measures could make a substantial contribution to health and social equity.