Nfondoh Blanche

Public space initiatives (PSIs) in African cities can significantly promote health and social well-being, yet their implementation and impact are unknown across the continent. There is a substantial gap in literature on PSIs in African countries, with most studies concentrated in wealthier cities and lacking comprehensive assessments of long-term health impacts. The objective of this study was to synthesise evidence on the typology, location, features, and outcomes of these initiatives as well as the guiding principles that underlie their design and implementation. Employing a mixed-methods model, the study systematically reviews peer-reviewed and grey literature articles, focusing on the types, settings, and outcomes of PSIs. Data is analyzed using the CASP appraisal tool and thematic analysis. We analysed 47 studies, 15 of which were mixed methods, 22 qualitative and 10 quantitative. Sports accounted for 50% of initiatives. 30 of the 47 papers originated from South Africa. Communities viewed initiatives’ wellbeing impacts through social, economic, and ecological lenses, with health being but one dimension. The sustainability of initiatives was often limited by funding, historical marginalization, and competing land uses. Findings underscore the need for more comprehensive, long-term evaluations and cross-sector collaborations to sustain and enhance health-promoting public spaces in African cities.

Physical activity (PA) can reduce the risk of non-communicable diseases like heart diseases and diabetes. However, exposure to poor air quality (AQ) when engaging in PA could negate the health benefits. The risk associated with air pollution is relatively severe during physical activities because a higher inhaled pollution dose is experienced during PA compared to when sedentary. We conducted a yearlong AQ monitoring using a commercial low-cost AQ device. The devices were deployed near a public space used for PA as part of a study to understand the health risks encountered by people informally appropriating public spaces for PA in Lagos, Nigeria and Yaoundé, Cameroon. The parameters monitored included CO, NO, NO₂, O₃, PM_2.5, PM₁₀, CO₂, pressure, temperature and relative humidity. We detected unique pollutant temporal profiles at the two locations, with a distinct weekday-to-weekend effect observed for the gaseous pollutants but not for the PM. Transboundary emissions related to the Harmattan haze dominated the background PM concentration in both cities in the dry season. Our findings underscore the importance of long-term AQ monitoring to inform action and offer insights into simple behavioural changes that can maximise the health benefits of PA while minimising the risk of air pollution exposure.

Public spaces have the potential to produce equitable improvements in population health. This mixed-methods systematic review aims to understand the components of, determinants, risks, and outcomes associated with public space initiatives in African cities. This study will include quantitative and qualitative study designs that describe public space initiatives in African cities with implications for promoting health and wellbeing, particularly through the prevention of noncommunicable diseases. Only studies published after 1990 and that contain primary or secondary data will be included in the review. Literature search strategies will be developed with a medical librarian. We will search PubMed, using both text words and medical subject headings. We will adapt this search to Scopus, Global Health, and Web of Science. This systematic review will adopt a mixed methods analytical approach. Mixing will occur in extracting both qualitative and quantitative findings; in synthesizing findings; and in the analysis where we will integrate the qualitative and quantitative strands. The learnings from this study will contribute to advancing knowledge on noncommunicable disease prevention through public space initiatives in African cities.