Urban Health in Kampala City: An Assessment Using the Who Urban Health Equity Assessment and Response Tool

Dorothy Aanyu, Uganda National Institute of Public Health
Alex Ndyabakira, Kampala Capital City Authority
Benon Kwesigwa, Uganda National Institute of Public Health
Daniel Okello, Kampala Capital City Authority
Richard Migisha, Uganda National Institute of Public Health
Daniel Kadobera, Uganda National Institute of Public Health
Alex Riolexus Ario, Uganda National Institute of Public Health

Background: Urban health assessments enable cities to identify gaps and identify interventions to promote urban health equity. In order to identify the key determinants driving health inequities in Kampala City, we applied the World Health Organization’s Urban Health Equity Assessment and Response Tool (Urban HEART). Methods: We prioritized eight indicators across three urban HEART domains: health, physical environment and infrastructure and social and human development. Data for 2022 was abstracted from the District Health Information system2, disaggregated by division and compared to the national average and SDG target. Results: Urban HEART revealed inequities in health outcome indicators; diabetes prevalence was higher than SDG targets in 2/5 divisions, TB incidence and road traffic deaths were higher than SDG target in 4/5 divisions. We observed no inequities in the physical environment & infrastructure and social & human development domains. Conclusion: There was inequity in health and health outcome indicators in Kampala City.