City Know-hows
Target audience
Professionals working on new development (e.g. architects, sustainability consultants, engineers, urban designers, etc.) planners and public health teams.
The problem
The design of built spaces affects health. Research has focused primarily on healthy planning policy development rather than implementation in the process of urban development. There is a knowledge gap about the specific problems encountered by design teams when they seek to create healthy buildings and places, including the solutions that they have adopted to overcome such challenges.
What we did and why
To explore professionals’ experiences of creating healthy development projects, we interviewed 31 built environment and public health practitioners in six countries (Australia, China, England, Netherlands, Sweden and the USA). We asked participants to tell us about a project in which they had tried to integrate health and wellbeing design measures, talking us through the background, motivation, people involved, challenges they encountered and opportunities to overcome those.
Our study’s contribution
Using the participants’ descriptions, we classified developers into two general categories about their willingness to design for health.
We found three key themes that related to integrating health into new buildings and communities. Managing risk, responsibility and economic constraints were paramount to persuade developers to adopt healthy design measures. Participants could push business-as-usual practices towards healthy urbanism by showing economic benefits or piloting new approaches. Finally, building knowledge and capacity across professionals and the public will support healthier development.
Impacts for city policy and practice
There are important lessons for urban design teams, policy-makers and practitioners.
Further information
Additional information and resources at healthyurbanism.net
Full research article:
Built environment stakeholders’ experiences of implementing healthy urban development: an exploratory study by Helen Pineo and Gemma Moore.
Related posts

Living in modern cities can increase cardiovascular disease risk. This study analyzes the association between urban design and obesity, proposing a simplified index to assess how the built environment impacts heart health. Our “Urban-Obesity-Index” helps local authorities and planners design healthier neighbourhoods.

We explored the combined effects of housing affordability, quality, tenure, and neighbourhood conditions on mental health outcomes. We gathered data through a survey involving 470 questionnaires for analysis. We have been able to isolate what matters in relation to housing and mental health in our Iranian cohort.

This study introduces a place-based model of urban environmental health drawn from residents’ perspectives.
• Highlights eight interconnected local parameters of environmental health.
• Demonstrates that residents link environmental health to everyday nuisances like noise, air pollution, and lack of safety.
• Shows that viable and livable environments depend on inclusive governance and infrastructure decisions.
• Offers a replicable approach for other cities to assess urban health from the ground up.