health

Health and urban planning
En matière d’urbanisme réglementaire, l’agence a élaboré dans un premier temps en 2014 un guide « PLU et santé environnementale », qui permet d’identifier à travers 12 déterminants de santé les leviers réglementaires pour intégrer au mieux ces enjeux lors de l’élaboration du document d’urbanisme.
 
Les 12 déterminants de santé retenus sont les suivants :
 
  • Alimentation en eau potable et protection de la ressource
  • Assainissement des eaux usées et gestion des eaux pluviales
  • Eaux de baignade
  • Installations classées pour la protection...
In terms of regulatory urban planning, the agency first developed in 2014 a guide called "PLU and environmental health", which helps identify through 12 health determinants the regulatory levers to best integrate these issues into the drafting of the planning document.
 
The 12 health determinants selected are:
 
  • Drinking water supply and resource protection
  • Wastewater remediation and stormwater management
  • Bathing water
  • Facilities classified for environmental protection, including livestock buildings
  • Polluted sites and soils
  • Noise
  • Air quality
  • Urban heat islands
  • Power lines
  • Food and local agriculture
  • Physical activity and access to the city for all
  • Degraded habitat
A "vade-mecum" was then carried out in 2019 for the attention of communities in the Nouvelle Aquitaine region, for better consideration of health-environmental issues when developing a Local Intercommunal Urban Planning Plan.
 
This work is part of the implementation of the RHEP (Regional Health-Environment Plan) in Nouvelle Aquitaine. It summarises the approach by health determinants, and complements it by taking into account a number of regional specificities: population profiles, economic activities, exposure levels and pathologies with suspected or proven links with environmental factors.
 
In addition, in collaboration with the EHESP (Ecole des Hautes Etudes en Santé Publique de Rennes/School of Higher Studies in Public Health in Rennes), a-urba has also developed a guide for integrating health into development projects (ISadOrA project).
 
Some 15 "operational keys" have been identified to help developers implement all health issues within the timeline of a development operation.
 
The results of this study were shared in a working group of 35 stakeholders from both the world of urban planning and health at the national level.
 
Cooling our cities: what knowledge do we need?
La surchauffe des villes impacte le confort des citadins, et en période de canicule pose un enjeu de santé pour les populations sensibles. C'est pourquoi l'ADEME, soutient le développement de solutions de rafraichissement de la ville qui permettent d'améliorer le confort thermique estival, tout en adoptant une approche environnementale de l'urbanisme.
 
En 2017, l'ADEME souhaitait initier une réflexion scientifique et technique, en partenariat avec des acteurs externes, permettant de formaliser les résultats clés des travaux de recherche finis, mais surtout d'en avoir une lecture critique afin de dynamiser et...
Overheating of our cities impacts the comfort of city dwellers, and during heat waves poses a health issue for sensitive populations. This is why ADEME supports the development of city cooling solutions that improve thermal comfort in summer while adopting an environmental approach to urban planning.
 
In 2017, ADEME wanted to initiate scientific and technical reflection, in partnership with external stakeholders, to formalise the key results of the finished research, but above all to have a critical reading of it in order to energise and more deeply research these topics. Following a report on research in the field of urban cooling carried out by the City's Institute for Research in Science and Technology, a science and technology day was organised in Lyon on 27 June 2017. The day brought together more than 50 practitioners and researchers who exchanged views on urban cooling practices and knowledge.
 
The proceedings of this science and technology day combine a presentation on the state of the art on current knowledge and blind spots in research, the round table interventions that helped highlight operational issues and the work of participants who were invited to explore together, as part of a World Café, the barriers and research avenues that could contribute to ADEME's strategic research operations in this subject.
Cellal e Kisal Programme: reducing maternal, neonatal and child morbidity and mortality in Senegal
La région rurale de Kolda au sud du Sénégal est marquée par des taux de mortalité maternelle et infantile nettement supérieurs aux valeurs nationales en raison du manque d’infrastructures et de personnel de santé.
Par ailleurs, du fait de leur éloignement géographique et du faible niveau d’information dont elles disposent sur les parcours de soins, on constate un faible taux de fréquentation des structures de santé par les communautés isolées de la région.
Cellal e Kisal renforce l’accès à une offre de services de qualité en santé maternelle, néonatale et infantile à travers le développement d’un...
The rural region of Kolda in southern Senegal is marked by maternal and child mortality rates well above national values due to lack of infrastructure and health personnel.
Moreover, due to their geographical distance and the low level of information available to them on care options, there is a low rate of attendance at health facilities by isolated communities within the region.
 
Cellal e Kisal improves access to quality maternal, neonatal and child health services by developing an integrated device using information and communication technologies (ICT).
It is based on several interconnected technologies that promote the identification, referencing and follow-up of pregnant women from registration through the first 2 years of the child’s life (Track-Check-Retain approach):
- A mobile application that allows community contacts to connect with health facilities and provide close monitoring of women and children,
- A telemedicine toolbox at health centres to carry out comprehensive examinations in remote areas,
and the telemedicine platform which links regional hospitals and specialist care services.

Results:
- Deployment of the telemedicine toolbox: 735 pregnant women consulted, 9,899 pregnancies and 67,662 children under the age of 5 registered and monitored via the digital device in 2018.
- More than 70,000 participants combined for behaviour change activities (lower-risk pregnancy, gender approach, etc) through the action of the 80 community contact points trained by Amref (public health NGO in Africa).
- Institution of a cervical cancer component with the equipment of health facilities in the region in screening and cryotherapy units.
Improving sanitary conditions and preventing water-borne diseases in Burundi
Le projet couvre une commune en milieu péri-urbain : Mutimbuzi, province de Bujumbura rural au Burundi, à l'ouest de la capitale et proche de la frontière congolaise.

Il a pour but d’améliorer les conditions sanitaires des communautés visées et de réduire la propagation des maladies hydriques, telles que le choléra ou la diarrhée. Au-delà de la mise en place d’installations hydrauliques et sanitaires, un réel travail de sensibilisation/éducation comportementale a été développé selon une approche participative intégrale afin de garantir des améliorations à long terme.
 
Le...
The project covers a commune in a peri-urban area: Mutimbuzi, a province of rural Bujumbura in Burundi, west of the capital and close to the Congolese border.

It aims to improve the sanitary conditions of the target communities and reduce the spread of water-borne diseases such as cholera and diarrhoea. Beyond the establishment of hydraulic and sanitary facilities, real work on awareness raising/behavioural education has been developed using a comprehensive participatory approach to ensure long-term improvements.
 
The project has set up the following actions:

- Introduction of a participatory methodology called WAST that raises awareness and provides training in waste management and the right to water, hygiene and sanitation,

- Structuring, legal training and empowerment of the community through the creation and training of Hygiene and Sanitation Committees (HSCs) capable of taking charge, monitoring and evaluating a sanitation service throughout the sector, from construction of infrastructure to the recovery of collected waste (Ecosan latrines),

- Supporting and empowering the municipality through the strengthening of its capacities (awareness-raising and maintenance of works), implementation of communal regulations, the strengthening of synergies with other local, regional and national policies, and the establishment of criteria to respect the right to water and sanitation,

- Ex ante evaluation of innovation in health impacts (village surveys and health centres).
Mozaik : an exceptional office renovation project
Mozaik est un projet de rénovation d’un complex de bureaux de plus de 18 000 m2, développé sur 8 plateaux en superstructure, adaptables et aménageables selon les besoins des occupants. Bien-être, confort et respect de l’environnement ont été au cœur de la réalisation du projet. Les études menées en amont ont permis d’identifier les équipements et matériaux à cet effet, et les déchets de chantier ont par ailleurs été valorisés à 90%. Mosaik a été choisi pour participer au test HQE Performance qui évalue la performance environnementale des bâtiments.

Mozaik is a renovation project of an 18 000-square-metre office building complex, spanning 8 superstructure floors, adaptable and convertible according to occupants’ needs. Well-being, comfort and respect for the environment were at the heart of the implementation of the project.

Studies carried out beforehand helped identify the best equipment and materials for this purpose, and 90% of the waste from the construction site was recovered. Mosaik was selected to take part in the HQE Performance test, which assesses the environmental performance of buildings.

Enjeux : quelles villes pour demain ? Maîtriser l’étalement urbain et repenser la ville

Le guide pratique de l’ADEME « Enjeux : quelles villes pour demain ? Maîtriser l’étalement urbain et repenser la ville » analyse les répercussions de l’étalement urbain sur les conditions de vie et l’environnement ; et répertorie des exemples de solutions urbaines innovantes pour rendre les villes plus accessibles et durables tout en freinant leur étalement. 10 exemples d’aménagements urbains durables illustrent ce guide, pour une gestion économe de l’espace.

ADEME’s practical handbook « Challenges: the cities of tomorrow? Containing urban sprawl and rethinking the city” analyses the impact of urban sprawl on living conditions and the environment. It also identifies examples of innovative urban solutions to make cities more accessible and sustainable while curbing their sprawl. For an ecological management of space, 10 examples of sustainable urban development are illustrated in this guide.