Abstract: QoL studies conceptualise urban well-being as a multidimensional process that is influenced by personal and environmental factors. A much less explored field in QoL has to do with the notion of capabilities and functionings as measurements to evaluate the level of quality of life that people experience in cities. By investigating the young adults category, this article develops a measurement of QoL based on the normative framework of the Capability Approach (CA) to capture urban domains that affect quality of life in Bogota. This study introduces a quantitative methodology to use secondary aggregated data to build a QoL measurement based on capabilities. A nonlinear categorical principal component analysis was used to explore the underlying factor structure of a calibration sample (n=6,998). Confirmatory Factor Analysis was conducted to validate identified factors, revealing a good fit (SRMR=0.033, CFI=0.910). The result is a Young Adult Capability Index (YACI) that empirically explores the use of capability achievements as a space for evaluating urban QoL in young adults. A multiple linear regression was calculated to predict YACI based on additional variables which are sensitive to inequality for young adults. Results show that capability scores are lower once young adults enter adulthood. Women arrive with better capabilities from childhood and adolescence than men, but rapidly undergo a marked process of decapitalisation of capabilities during their transition to adulthood, suggesting the need for more attention in the elaboration of public policies for this type of population.

Abstract: The rapid and ongoing process of urbanisation in Bogota has brought about significant socio-spatial segregation between city-dwellers. Such segregation is becoming increasingly complex as patterns of fragmentation are evolving towards a more ‘cellular’ differentiation between rich and poor –urban segregation which changes in terms of scale: from macro (neighbourhoods) to micro scales (blocks, streets). Urban segregation has been associated as a barrier for disadvantaged communities, especially when it becomes an intensifier of inequalities. Unequal access to services, availability of local employment, urban facilities, opportunities and supportive social relationships are examples of how segregation affects the distribution of quality of life, undermines attempts for social inclusion and, ultimately, creates unjust geographies. Alongside this context, public policy and measurements of quality of life have frequently overlooked spatial contexts of inequalities since a utility-based definition of well-being is often taken for granted. With the city of Bogota as a testing ground, this thesis analyses how and to what extent new patterns of urban segregation affect the distribution of capabilities and quality of life among young adults. Based on a capability place-based approach to wellbeing, this research will attempt to conceptualise urban quality of life, look at how patterns of urban segregation affect urban functionings, and quantify to what extent microsegregation explains differentials in capability achievement of quality of life among young adults in Bogota.

Abstract: Resilience refers to a relevant social necessity of protect the human systems and its interdependencies against growing uncertainties and hazards. Daily life and development become more exposed to such uncertainty and disruption as human beings spread to inhabit over undifferentiated landscapes, impact at a global level on the Earth dynamics, face intercultural encounters because of globalization and multiply activities and interconnectivities into the information age, among other aspects. The general adjustments required in governance mechanisms to deal with such growing challenges and all those social changes needed to adequate our societies could be understood, at the end, as cultural processes of qualification, that in fact have been gathered, conceived, adjusted and operated along the historic processes of human civilization. This proposal is based on empirical and theoretical research to infer that culture is the principal domain to build resilience. Successful local level initiatives and local conflicts are analyzed to outdraw first a critical approach to vertical, technocratic interventions and secondly to outline some key elements and strategies to be considered for building culture – or building on culture, as a resilient mechanism at the local level. Wide range positive effects pretend to be foreseen and supported, in terms of increasing social capital and organizational framing of society. This approach supported by climate risk management´s cases of study, offers a perspective in general for intervention of urban conflicts to build resilience, that demands for an expansion in modes of relationship among humans and nature to create the social space, beyond of mere physical urban operations Resumen: La resiliencia se refiere a una necesidad social relevante de proteger los sistemas humanos y sus interdependencias frente a incertidumbres y peligros crecientes. La vida cotidiana y el desarrollo se vuelven más expuestos a tal incertidumbre y disrupción a medida que los seres humanos se extienden para habitar paisajes indiferenciados, impactan a nivel global en la dinámica de la Tierra, enfrentan encuentros interculturales debido a la globalización y multiplican actividades e interconectividades en la era de la información, entre otros. aspectos. Los ajustes generales requeridos en los mecanismos de gobernanza para hacer frente a tales desafíos crecientes y todos aquellos cambios sociales necesarios para adecuar nuestras sociedades podrían entenderse, en definitiva, como procesos culturales de calificación, que de hecho han sido recogidos, concebidos, ajustados y operados a lo largo de los procesos históricos de la civilización humana. Esta propuesta se basa en investigaciones empíricas y teóricas para inferir que la cultura es el dominio principal para construir resiliencia. Las iniciativas exitosas a nivel local y los conflictos locales se analizan para extraer, en primer lugar, un enfoque crítico de las intervenciones tecnocráticas verticales y, en segundo lugar, para delinear algunos elementos y estrategias clave que deben tenerse en cuenta para construir cultura, o construir sobre la cultura, como un mecanismo resiliente a nivel local. Se pretende prever y apoyar una amplia gama de efectos positivos, en términos de incremento del capital social y del encuadre organizativo de la sociedad. Este enfoque, apoyado en los casos de estudio de la gestión del riesgo climático, ofrece una perspectiva en general para la intervención de los conflictos urbanos para construir resiliencia, que demanda una expansión en los modos de relación entre los seres humanos y la naturaleza para crear el espacio social, más allá de lo meramente físico.

Abstract : In this chapter, I demonstrate that simulation models, and in particular system dynamics models, could be a cheap and efficient way of examining policies that could allow public servants and service providers to learn and evaluate the different scenarios they are facing in delivering transitional justice remedies. In particular, I concentrate on the simulation and resultant evaluation of possible alternatives to be considered in relation to the reparation and restitution of land rights for the victims of forced displacement in Colombia. To this end, this chapter first presents a brief description of the phenomenon of forced displacement in Colombia and its impact on the society as a whole, thus highlighting the nature of the challenge for government institutions in tackling the results of decades-long conflict in the country.

Abstract: Latin America was in turmoil in 2019. Protests raged across different countries and against governments across the political spectrum. Widespread mobilisation from social organisations denounced corruption and voiced various demands, including greater political freedoms, better and affordable public services, and the urgent need to tackle corruption and inequality in Mexico, Guatemala, Nicaragua, Honduras, Venezuela, Colombia, Ecuador, Peru, Bolivia, Chile and Brazil. The region ended the year with unfulfilled promises of a new social pact, and the promise of intensified mobilisations.

Abstract: The ability of the United States (U.S.) to influence policies in Colombia is indisputable. The U.S. is Colombia’s largest trading partner, and this alone provides the U.S. with great power with regards to Colombian policymaking. U.S. power is not only manifest within the economic realm, though, as Colombia is a consumer of many U.S. cultural products, but U.S. political decisions also greatly inform Colombian policymaking. However, the nature of decisions in the U.S., and their influence, only partially explains policies in Colombia. Domestic policies also remain shaped by the configuration of different actors, agendas, and interests within the country itself. In this chapter, we argue that although there are shifts in the agenda between both countries, we should not understand these changes as only due to the rhetoric and the style brought by the Trump government. The policy changes also relate to internal political processes within Colombia, alongside other external factors.

Abstract: South Africa remains one of the most unequal countries in the world. The current levels of inequality are the legacy of the segregation and marginalization of the vast majority of its citizenry in every aspect of South Africa’s socio- economic development before and during apartheid. Contemporary inequality literature is unambiguous about the fact that such extremely high levels of inequality are detrimental to a country’s development path and stifle a country’s potential in multiple dimensions (Wilkinson and Pickett 2010). In South Africa, poverty and inequality are often mentioned in the same breath. This elides over important conceptual differences between poverty (measured by incomes at a particular threshold) and inequality (measured by gaps between groups or individuals). Poverty is analysed as an individualized metric, the income level of a person or the level of a multi- dimensional index relative to an income or multidimensional poverty line (for a fuller discussion on poverty in South Africa see chapter 8 of this volume). On the other hand, inequality is a relational concept; one is more or less equal in relation to another (Tilly 1998). As such the analysis of poverty cannot necessarily explain the forces reproducing intergenerational inequality or poverty. Analysing inequality is better suited to unveiling the societal processes driving the provision and allocation of assets, and services and the determinants of well- being, and can better describe the forces reproducing intra-generational and intergenerational inequality. This is the task of this chapter.

Abstract: Objective: To investigate opportunities for task shifting to decongest an outpatient neurology clinic in Zambia by describing current patient flow through the clinic and potential nodes for intervention using process mapping. Background: Zambia has a population of approximately 18 million people with 4 full-time adult neurologists, as of 2018, who all practice at the University Teaching Hospital (UTH), the main tertiary care center in the country. As a result of this provider-to-patient ratio, the outpatient neurology clinic is overcrowded and overbooked. Task-shifting programs have shown to improve efficiency, access and quality of care through the use of less specialized healthcare workers in low- and middle-income countries (LMIC). Methods: We evaluated patient flow in the UTH neurology outpatient clinic through the development and analysis of a process map. The characteristics of the clinic population between 2014 and 2018 were retrospectively reviewed from the clinic register. Between July and August 2018, we prospectively collected appointment lag times and time each patient spent waiting at various points in the clinic process. We conducted interviews with clinic staff and neurologists to generate a detailed process map of current pathways to care within the clinic. We then devised task- shifting strategies to help reduce patient wait times based on the overview of clinic process mapping and patient demographics. Results: From 2014 to 2018, there were 4701 outpatients seen in the neurology clinic. The most common neurologi- cal diagnoses were epilepsy (39.2%), headache (21.5%) and cerebrovascular disease (16.7%). During prospective data collection, patients waited an average of 57.8 (SD 73.4) days to be seen by a neurologist. The average wait time from arrival in the clinic to departure was 4.0 (SD 2.5) h. The process map and interviews with clinic staff revealed long waiting times due to a paucity of providers. Nurses and clerks represent an influential stakeholder group, but are not actively involved in any activity to reduce wait times. A large proportion of follow-up patients were stable and seen solely to obtain medication refills. Conclusions: Epilepsy, headache, and stroke make up the largest percentage of outpatient neurological illness in Zambia. Targeting stable patients in these diagnostic categories for a task-shifting intervention may lead to substan- tially decreased patient wait times. Potential interventions include shifting clinical follow-ups and medication refills to less specialized healthcare workers.

Abstract: In order to re-envision the Royal Melbourne Hospital and the Parkville Medical Precinct, it is begun by drawing key points of interest from the research conducted on hospitals and the healthcare system. The chapter will synthesize the learnings from research conducted on: the ageing population, new medical technologies, hospital logistics, campus types, and healthcare delivery models. From each area of research, it is established the key points of interest and how they may be applied in the field of design medical infrastructure. These points allowed consider the possible design opportunities within the Parkville medical precinct. From this research method, it is able to gain a further understanding of the logistics of a hospital, and what elements can be incorporated into the design of the precinct. Most importantly, by undertaking this exercise, we were able to uncover relationships that were not evident from a top-down site simplified site analysis perspective. Design as a research tool opens a wide range of opportunities for urban design that reaches across many different disciplines and cross them, providing unexpected creative outcomes.

Abstract: Objective: To investigate opportunities for task shifting to decongest an outpatient neurology clinic in Zambia by describing current patient flow through the clinic and potential nodes for intervention using process mapping. Background: Zambia has a population of approximately 18 million people with 4 full-time adult neurologists, as of 2018, who all practice at the University Teaching Hospital (UTH), the main tertiary care center in the country. As a result of this provider-to-patient ratio, the outpatient neurology clinic is overcrowded and overbooked. Task-shifting programs have shown to improve efficiency, access and quality of care through the use of less specialized healthcare workers in low- and middle-income countries (LMIC). Methods: We evaluated patient flow in the UTH neurology outpatient clinic through the development and analysis of a process map. The characteristics of the clinic population between 2014 and 2018 were retrospectively reviewed from the clinic register. Between July and August 2018, we prospectively collected appointment lag times and time each patient spent waiting at various points in the clinic process. We conducted interviews with clinic staff and neurologists to generate a detailed process map of current pathways to care within the clinic. We then devised task- shifting strategies to help reduce patient wait times based on the overview of clinic process mapping and patient demographics. Results: From 2014 to 2018, there were 4701 outpatients seen in the neurology clinic. The most common neurologi- cal diagnoses were epilepsy (39.2%), headache (21.5%) and cerebrovascular disease (16.7%). During prospective data collection, patients waited an average of 57.8 (SD 73.4) days to be seen by a neurologist. The average wait time from arrival in the clinic to departure was 4.0 (SD 2.5) h. The process map and interviews with clinic staff revealed long waiting times due to a paucity of providers. Nurses and clerks represent an influential stakeholder group, but are not actively involved in any activity to reduce wait times. A large proportion of follow-up patients were stable and seen solely to obtain medication refills. Conclusions: Epilepsy, headache, and stroke make up the largest percentage of outpatient neurological illness in Zambia. Targeting stable patients in these diagnostic categories for a task-shifting intervention may lead to substan- tially decreased patient wait times. Potential interventions include shifting clinical follow-ups and medication refills to less specialized healthcare workers.