Read more about our cross-country learning below:

Partnership Approach and Results Brief
Synthesis of Findings Brief
Gaps, Opportunities, and Recommendations Brief
Merged Urban Health Database

HEARD activities in this area include: 1. Establishment of an inclusive collaboration in East Africa to identify urban health priorities and studies; 2. Leveraging of research studies to advance the urban nutrition and WASH agenda in the region; 3. Execution of an implementation science approach that included a stakeholder-engaged stdy design with wide utility; 4. Share process results and findings; 5. Enable implementation science advocacy and capacity development among partners.

In alignment with the implementation science strategy for urban health, the collaboration implemented two parallel processes: the policy/advocacy stakeholder engagement process and the research process. To learn more about policy and stakeholder engagement activities, visit the timeline and read more about informing policy and practice. The following describes the first research activity:

The first study undertaken by the Implementation Science Collaboration on Urban Health in East Africa is the Three-Country Assessment of Nutrition and WASH Vulnerabilities Among the Urban Poor in East Africa. The assessment used desk review and case study methodology to identify and synthesize literature, polices, available data, strategies, partners, platforms, and contextual factors influencing child and adolescent health in poor urban areas of Kenya, Tanzania, and Uganda. The country teams each used a similar design to allow for a cross-country synthesis of findings, which was guided by the UNICEF framework for undernutrition (see below). While the situation differed across countries, there was a general dearth of urban-specific policies, data, evidence, and relatively few interventions targeting nutrition/WASH among poor populations. To learn more, see the cross-country briefs on this page.


For country specific information, please use the links below:

The Applied Implementation Science Strategy

The implementation science approach requires deliberate engagement of multiple actors representing an extensive array of skill sets and experiences to apply evidence to the most pressing challenges facing health policy and program implementation. Therefore, our larger set of partners includes sub-regional health bodies, policy advocacy groups, civil society-based evidence advocates, implementation support organizations, research organizations, and academic institutions.  With support from the “research systems integrator” (e.g. URC), partnerships can more seamlessly move across the continuum from priority identification to use of evidence to inform change. We aim to use evidence as a vehicle for action and change.  See below for a depiction of the parallel processes that enable the research-to-use pathway in the case of our most recent urban health work in East Africa.

Adapted UNICEF Framework for Undernutrition

The graphic below was adapted to reflect the findings of the three-country assessment. To learn more, go to the working draft of the Synthesis of Findings Brief.