Monday, 9 March 2015

China's quiet revolution in reproductive health

China's quiet revolution in reproductive health

With a population of 1.3 billion, much of it crowded into the eastern third of the country, China's rulers remain convinced of the importance of slowing the growth in numbers. However, almost unnoticed, China is adopting a new 'people-centred' approach to reproductive health, which has already spread to 880 counties.

Zhang Xinhua, an attractive woman in her early 30s, sits on a bench outside the small family planning service station in the tiny township of Liangjiao, in Datonghui County, buried deep in the Loess Plateau of North-Western China. It is a rugged, unforgiving landscape. The Yellow River, often referred to as China's Sorrow, rises out of these eroded hills on its way to the Bo Hai Sea. But here, in this remote clinic, Zhang is benefiting from a quiet revolution in China's controversial population policy.
Though most of Qinghai Province, where Zhang's village is located, consists of hilly, semi-arid grasslands, this is farming country. Close to 60 per cent of the entire population of five million lives and works on just three per cent of the provinces land area. The treeless hills around the village have been cultivated continuously for some 3000 years. Every square metre of soil that can bear crops has been put to the plough. The entire landscape is a checkerboard of wheat, maize and vegetable fields.
Zhang's one-hectare farm grows mostly wheat and some vegetables for household consumption. The land is fertile and produces more than enough to feed the family, two adults and three children. During surplus years, she can even put some money in the bank. Still, Zhang's life is not easy. Her husband injured his back in an accident and is unable to perform most of the heavy work that must be done on a farm. Zhang does most of the farm work herself, with help from two of her three children. The third child, a boy, is afflicted with epilepsy and is enrolled in a special school. Her other son and daughter pitch in to help with chores after school.
Despite her difficulties, Zhang is optimistic about the future. She has advantages some of her neighbours do not. Zhang is a high school graduate and is literate.  Many women in her village, especially those belonging to the Hui minority which are predominately Muslim, did not even get a chance to pass through grade school. Traditionally, Muslim women were not educated and in some villages female illiteracy is as high as 60 per cent. Zhang values her daughter as much as her two sons and intends to keep all of them in school as long as possible. "I want them all to go to the university, if they have the aptitude and interest," she explains in a clear, even voice. "I want my children to make a living with their heads, not their hands."
Birth quotas
Zhang has come to the clinic for a routine checkup. "With a handicapped child and a crippled husband, life is difficult," she says matter-of-factly. "So I decided to switch to Norplant [a long-term injectible]. I do not want any more children." Now she is looking forward to the extra time so she can concentrate on raising her three children and make some extra money by selling vegetables and sewing clothes. Thanks to the upgrading of the clinic's services, including access to a complete array of contraceptive choices and better counseling, Zhang can now get most of the services she needs at her local community clinic, services she used to get only at the county hospital, an hour each way by bus from her home.
This out-of-the-way family planning clinic is part of a silent transformation in China's reproductive health services. In 32 counties in 22 of the country's provinces, the State Population and Family Planning Commission, working closely with the Ministry of Health and the China Family Planning Association (an NGO) has abandoned birth quotas and targets for family planning acceptors. At the same time, the services in family planning clinics and primary health care centres have been upgraded. Women and men now have more freedom of choice when selecting contraceptive methods, including wider access to alternatives such as condoms, pills and injectibles.
This ground-breaking initiative was made possible by a $14 million pilot project funded by United Nations Population Fund (UNFPA). Before this project was launched the most common family planning methods in these counties, as in the rest of the country, were limited to two methods: an IUD after the first child and often sterilization after the second. The quality of reproductive health services has been improved significantly through an expanded training programme for health care providers, the provision of modern diagnostic equipment and supplies and better interpersonal counseling, which includes informed consent.
Dr. Song Hou Qin, the physician in charge of the Qinghai Provincial Family Planning Commission, is enthusiastic about the results of the project in Datonghui County, an area of some 1,000 farming villages tucked away in the hills about 40 kilometres north of the provincial capital of Xining. "We chose this county as one of the project sites because it has a fairly mixed population; 45per cent consists of various minorities, with 55 per cent Han Chinese," she points out. "As a result, we have a significant number of Muslims, as well as Buddhists and some Christians. In addition, the county is rural and needs better services, and the provincial and local governments strongly support this effort."
Quality care
As part of the implementation strategy, Datonghui County has strengthened its capacity to deliver quality reproductive health services to more women and men. "We have trained our local family planning service providers, giving them better face-to-face counseling techniques," explains Dr. Song. "We also designed and distributed more focused IEC [Information, Education and Communication] materials, aimed at the needs and concerns of local women, and we are making full use of new technologies to improve the quality of reproductive health care, including better pre-natal, post-natal and peri-natal services and attended births for all women."
Two thousand kilometres to the southeast the small farming village of Mudun is tucked away deep inside the rice growing region of Fujian Province. Ye Jianzhen, a petite women with round cheeks and raven hair, sits in her living room explaining how her life has improved over the past decade. She is 34 years old and the mother of a charming, intelligent 8-year-old girl - the only child in the family. Ye is part of a growing chorus of voices heard among younger Chinese women that having a child is the important thing, no matter whether a boy or a girl.
"I was delighted to have a girl child," she says in a quiet, steady voice. "A girl is just as good as a boy," she adds emphatically. "I want her to achieve as much as she can in life, and hopefully since she is intelligent and does well in school she will have a chance to go to the university." Ye didn't get beyond the 9th grade before being forced to dropout to help with farm chores.
Like Zhang, Ye lives in one of the 32 counties in China that have eliminated family planning targets and quotas. Ye does not want another child because she wants to give her daughter opportunities that she did not have, coming as she did from a family of four children, three of them boys. "My life has been confined to this village, but it is my hope that my daughter will acquire skills that will take her away from here and open up a world of opportunities for her."
With the family's fortunes on the rise, thanks to two rice crops a year and the success of her husband's small business shipping oranges to neighbouring provinces, Ye is looking forward to more disposable income. One of the first things she intends to buy: "a new computer for my daughter, with Internet access, so she can benefit from the global information revolution."

Ye is now using pills, instead of an IUD. She gets a check up three times a year at her local clinic to make sure that her family planning method is working properly and is counseled on other contraceptive methods; services the old system did not provide. "Before we were not given a choice of contraceptive methods," she shrugs. "This has all changed because of the new policies. The services are much better and tailored to my needs."
One-child choice
It's a similar story for Zhang Qingying and her husband Lu Hao, living in Deqing County, in Zhejiang Province. Unlike other regions, efforts to improve the quality of reproductive health care began here in 1995, following the International Conference on Population and Development (ICPD) in Cairo. Since 1998 when Deqing joined UNFPA's 32 county pilot programme, it has become a showcase for quality service delivery for the entire country.
Qingying and Hao are both busy professionals (school teachers) in their late 20s and have one child, a gifted six-year-old boy named Yihui. Even though the couple could have another child, since both come from one-child households, they do not want another child. "It is a difficult enough job raising one child," confesses Qingying. "Besides, with two children you don't have as many options and opportunities available. We want to concentrate our efforts on giving Yihui the best possible future."
Qingying is delighted with the services provided by her local family planning clinic. "The counselors are well informed, friendly and courteous," she says, "and the doctors are very professional, very competent." However, she is not taking any contraceptives. "I don't like pills," she says blushing slightly, "so my husband uses condoms."
Empowering women
Condom use in China is soaring, especially in urban areas. In Deqing, a full 10 per cent of family planning acceptors use condoms; in Shanghai and other large cities over 20 per cent do so.
Condom use is on the increase mainly for two reasons: the success of publicity campaigns to prevent sexually transmitted infections (STIs) and HIV/AIDS, and because Chinese women are being empowered in their personal and professional lives.
"We have certainly empowered women in this county," affirms Shao Huimin, Director of the Deqing Family Planning Bureau. "Most women here work and earn their own money. Three of our four government bureau directors are women, along with two deputy governors," she points out proudly. "In addition to comprehensive improvements in services, we have educated local politicians to be gender sensitive, included services for youth, introduced sexuality education in secondary schools and reached out to other partners."
An energetic, engaging woman in her early 50s, Shao has worked in the health and family planning fields her entire adult life. "Thanks to UNFPA's catalytic assistance, we have made tremendous progress in a short period of time," she states. "We now get around 60,000 visitors a year from all over China, as well as foreign countries. Most are family planning experts who come mainly to see our facilities and seek advice and guidance on best practices and lessons learned."
Shanghai centre
Just 200 kms to the northeast of Deqing lies Shanghai, home to 17 million people. Not surprisingly, China's largest metropolis is another centre of excellence in the new approach to reproductive health services. Even small, neighbourhood reproductive health stations come equipped with a reception area, counseling rooms, a private examination room, a library and a complete range of contraceptive supplies. Additionally, many sell baby supplies, including high-tech cribs that sport built-in toys and a variety of gadgets, even a sleep monitor.
"We provide a complete array of services for reproductive health, family planning and baby care under one roof," points out Zhang Yunxia, Director of the Da Pu Qiao Street Reproductive Health Station in the centre of Shanghai. "Our doctor, a highly popular gynecologist, comes twice a week at posted times to give examinations and provide special counseling if necessary. We also have a regular counselor here everyday to answer questions and give advice."
Pointing to a young woman with the doctor, Zhang says, "this lady came in for a routine health examination, only to discover that she has a reproductive tract tumour. The doctor is setting up an appointment with the local hospital right away so she can get a complete array of tests." Before the emphasis on quality of care, this station did not offer such comprehensive services. "It's one more reason why we see dozens of clients a day here," confirms Zhang. "Even nearby university students drop in to get information, borrow tapes on various reproductive health issues, get advice and help themselves to our free condoms."
This centre, like all others in the city, hands out dozens of pieces of literature and hundreds of condoms every week. All municipal buildings in Shanghai sport condom dispensers - anyone is free to take as many as they need. But, astonishingly, even apartment buildings now have condom dispensers in discreet locations. As a result, STIs have dropped dramatically in many parts of the city. "It's September," says Zhang, "but we haven't had one case of an STI yet this year in our centre."
Extended impact
The impact of UNFPA's programme in China has been remarkable.. Based on the results and impact of the 32 county pilot project, the State Population and Family Planning Commission has extended the quality of care package of services to another 880 counties, one-third of the country's total. Though these counties will still have birth quotas and targets, at least initially, the Commission is counting on being able to keep fertility rates down by providing a wider choice of contraception, improved care and better counseling, based in informed consent.
The Fund's pilot project has not only helped establish client-centred services, including informed choice, as hallmarks of the Commission's approach to reproductive health, it has "opened the eyes of many officials and politicians regarding population issues in general and family planning in particular," notes one population expert from Beijing. UNFPA's efforts have helped "change fundamental attitudes towards these issues," he says.
"Of course we still have old guard politicians in this country who want draconian population laws, but this initiative has demonstrated that you can have voluntary family planning programmes that work; without quotas, without targets and most importantly without increases in the population."
Lower population growth rates remain a top priority for the Chinese government, which views the issue as one of crucial importance for the future of the country. "Anyone who has visited China will see right away how important it is to limit population growth," observes a former World Bank economist and diplomat, stationed in Beijing from 1998 until 2002. "China has a population of close to 1.3 billion people, with 94 per cent of them living in the eastern third of the country. Imagine that many people all crammed together east of the Mississippi River in the United States, and you get a picture of how crowded this country is by comparison."
Fewer children
Even so, the one-child family is not a universal policy. In fact, the average number of children per family in China today is close to two. There are plenty of exceptions to the rule.
In rural areas couples can have two children: if the first baby is a girl, if both husband and wife are only children, if the parents of the wife had two girls and no boys, and if both husband and wife are from rural areas. Ethnic minorities can have up to three children and Tibetans have no limits on family size.
Perhaps most importantly, the new strategy "reflects major changes in Chinese society," states Baige Zhao, the dynamic, English-speaking Vice Minister of the State Population and Family Planning Commission in Beijing. "China is in transition from a state-planned to a free market economy; from a largely rural, traditional society to a modern, urban one." These underlying changes are also driving people's decisions to have fewer children.
"Our efforts to deliver client-centered, quality reproductive health services to more people, including access to a full range of contraceptives," she observes, "must be seen in the context of the economic and social forces at work. UNFPA came in with the right strategy at the right time."

The right strategy at the right time has allowed China's reproductive health revolution to take off. Ru Xiao-mei, Assistant Counsel of the State Population and Family Planning Commission, underscores what this transition means: "we are no longer preaching population control. Instead, we are emphasizing quality of care and better meeting the needs of clients. It's a service-based approach, not a demographic-based approach."
Funding tragedy
As the new system takes root throughout the country, it has not only transformed the way services are delivered, it has forged new partnerships between the Commission, the Health Ministry and NGOs. The Maternal and Child Hospital in Jianou City, capital of Jianou County, about 50 kilometres from where Ye Jianzhen lives, has become a model facility. The hospital delivers 1,400 babies a year. Moreover, with only three infant deaths over the past three years - one per year - this achievement has earned it UNICEF's "Baby Friendly Hospital" award.
Dr. Han Xiaoqing, Deputy Director of the Family Planning Commission of Jianou County, says the hospital's success rests on four factors, "a good foundation for services, a client-oriented approach, very affordable fees and close collaboration between the Ministry of Health and the Commission." Ten years ago," confesses Han, "we were a self-contained agency, we seldom even spoke to colleagues in the Ministry of Health, now we work closely with them, as well as other partners."

Tragically, just as China's new policies are having real impact across the country, UNFPA finds itself the hapless victim of US domestic politics. UNFPA's mere presence in China has prompted the Bush Administration to withhold $34 million in Congressional appropriations for the Fund in 2002 and again in 2003. The excuse provided by the State Department (speaking on behalf of the White House) was that UNFPA had violated the terms of the Kemp-Kasten Amendment (to the 1985 foreign appropriations bill), which states that no agency can receive US funds if it participates in a program of coercive abortion or sterilization.
Monitoring missions
In withholding funds from UNFPA, the Bush administration not only ignored the findings of over 160 UN monitoring missions to China over the past decade, they ignored the detailed reports of three major independent missions fielded over the past two years. In April 2002 three members of an all-party group of British Parliamentarians visited China, followed in May by the US State Department's own three-person assessment team. Both concluded that there was absolutely no evidence to support allegations of misconduct by UNFPA. The State Department's hand-picked team found "no evidence that UNFPA has knowingly supported or participated in the management of a program of coercive abortion or involuntary sterilization in the PRC. Indeed, UNFPA has registered its strong opposition to such practices."
Another independent mission, organized by Catholics for a Free Choice, sent a nine member team of faith-based organization leaders and ethicists to China in September 2003. Their conclusions were unequivocal: "On the basis of our meetings with Chinese family planning officials and ordinary citizens, we can say with confidence that all of the programs with which UNFPA is currently working are committed to avoiding any practice of forced abortions or involuntary sterilizations."
The sad fact is that the "Bush Administration has made UNFPA a sacrificial lamb for the religious right in America," says Professor Ronald Green, Chair of the Department of Religion at Dartmouth College and a member of the faith-based delegation that visited China in September 2003. "President Bush is pandering to militants on the extreme right wing of the Republican Party," insists Dr. Green. "It's crass election politics. These groups not only oppose abortion, they are against family planning and reproductive health in general. Their positions are unethical, contradictory and have no basis in reality."
The ironies of the Bush policy are as thick as treacle. In the first place, not one dollar of American aid went to UNFPA's China programme; those funds were provided by European donors. This fact seems to have escaped the attention of religious conservatives, who now seem to be making US foreign policy in the field of reproductive health and family planning.
Fewer abortions
A much more poignant testimony to UNFPA's presence is the plain fact that in the 32 counties where UNFPA's programme is being implemented, the abortion rate has dropped by an average of 30 per cent. In Yuzhong county, Gansu Province, data show an 85 per cent decline in abortions, from 512 in 1997 (before UNFPA assistance began) to 75 in 2002. Similarly, in UNFPA supported counties, the voluntary sterilization rate for women under 35 decreased significantly, from 36 to 26 per cent (for the period 1998-2003). Moreover, the overall sterilization rate for all men and women of reproductive age in these counties is 30 per cent, nearly the same as in the United States!
The results of the UNFPA-sponsored programme are so impressive that high-level officials in Beijing are looking forward to extending the same package of services to every corner of the country. If the trends hold and the reforms do spread throughout China, it is conceivable that quotas and birth targets will become redundant. Underscoring these momentous changes is the fact that women are being empowered in China through increasing opportunities for economic and social advancement. Even in the countryside, most women work. Increasingly, it is economic considerations, not government decrees, which are keeping one-child families the norm in cities and towns.


Wanting girls
Two other important factors are reinforcing China's shift to a quality of care, service-based approach. In the first place, "the small family ethos has become part of Chinese culture," observes Dr. Ronald Green. "Through public education and civic involvement, Chinese attitudes towards the family have changed dramatically."
Secondly, younger Chinese women do not have 'a boy bias'. "Our research shows that even in rural areas a preference for boys is no longer as pronounced as it once was," explains Dr. Zhang Rong Zhou, Director of the Shanghai Population Information Center, an NGO. "The younger generation has no preferences whatsoever; they value girls as much as boys." In fact, in Shanghai, he points out, "couples now prefer girl children because they cost less and are easier to raise than boys." As a result, the sex ratio in Shanghai is 105 boys to every 100 girls, the normal international average. "In other urban areas the ratio is also beginning to even out," claims Dr. Zhou.
"Centuries of prejudice are not easy to overcome, especially in the countryside," admits Zhou. "In some rural provinces the disparity is still striking, but the younger generation in China shares many of the characteristics of its counterparts in the West: they want a better life, much smaller families and more opportunities for education, travel and work." It is these powerful trends that are helping to drive China's quiet revolution in reproductive health.
"The demographic profile of China, like its economic profile, is changing rapidly and so policies and programmes must adjust to new realities," points out Baige Zhou, the eloquent Vice Minister of the State Population and Family Planning Commission. "The policy that we see evolving is more fluid, based on continued improvements in the provision of client-oriented quality services that meet the needs of modern families."
She is grateful for the help afforded by international partners. "We could not have come this far so quickly without help from the international community. The lesson here is clear," she concludes, "if you want to influence Chinese policy, stay engaged."


Thursday, 5 March 2015

Cities 100 Years Report

The Centre for Cities launched a report on 100 years of cities in the UK and make some interesting observations on how cities have changed. They argue that industrial decline and manufacturing change were not as influential as we may believe. Read on, follow the link here

Friday, 13 February 2015

Fines for Fat Kids - read on

Could fining parents be the solution to the increasing global concern surrounding childhood obesity?

Read this article from the BBC for more details

Wednesday, 4 February 2015

Brown Agenda UN calls for change to Waste Water

UN Report Calls for Wastewater Focus in Post-2015 Agenda, as 80% of Worlds Wastewater Discharged Untreated 

Pit Latrines Still Used by 1.77 Billion People Worldwide,Sparking Low-income Country Waste Treatment Innovations 

Click here for details

Sunday, 23 February 2014

Decline and Deprivation in the Inner City


Urban decay and decline occur when part of a city falls into disrepair and abandonment. Characteristics of urban decay include high unemployment rates, high crime rates, depopulation, desolate-looking landscapes, abandonment of buildings and split  family groups. Urban decay does not have one single cause, but rather a combination of many, including poor urban planning, redlining, poverty, suburbanization and racial discrimination.



Urban decline is the deterioration of the inner city often caused by lack of investment and maintenance.  It is often but not exclusively accompanied by a decline in population numbers, decreasing economic performance and unemployment.


Urban deprivation is a standard of leaving below that of the majority in a particular society that involves hardships and lack of access to resources. Places suffering from urban deprivation have visible differences in housing and economic opportunities been the rich living alongside poor people.


Decay and deprivation is a relative concept depending on how deprived the area is in relation to more prosperous areas.




Decline and Deprivation in the Inner City


Inner city areas suffer

  • Poverty
  • Pollution
  • Crime
  • Overcrowding
  • Poor housing conditions
  • Unemployment
  • Racial tension
Inner city areas were once thriving communities with a mixture of land-use and rich living alongside poor. They developed in the nineteenth century around transport developments and heavy industries and were characterised by high density housing.There were shops and houses, services, community spirit and little crime. However there were high levels of pollution – land, air and water. Poor sanitation led to a high death rate (c.f. cholera outbreaks in Soho, Manchester, Newcastle, Leeds and Bristol).
After the industrial revolution people became increasingly affluent. This led to social segregation – rich move out of inner city suburbs. People left in the inner city:
  • Older residents
  • Single parent families
  • Students
  • Poorer families
  • Ethnic minorities left behind – formation of ghettos.
Decentralisation increases the problem: -
Movement of businesses out of inner city – unemployment – Dead Heart.
Removal of businesses causes a loss of money from the area so there is little money available to invest in improvements.
Out-of-town shopping centres means less wealthy are deprived of better shops – less mobile.
The main cause of inner city problems is the decline of its economic base and the resulting loss of jobs. Since 1951 inner city areas in the UK have lost over 50% of their jobs. Three key changes in industry are evident and attribute to these changes:
I) Deindustrialisation (decline in manufacturing employment).
ii) Growth in service sector employment failed to replace manufacturing loss and much of modern day cbd and inner city employment is filled by commuters from outside inner city areas.
iii) The majority of new employment has been in part-time and low paid jobs, many of which employ women. Many inner city areas are characterised by outflows of capital and labour resulting in little inward investment.
The reasons for industrial decline include:
  •      increased competition from overseas
  •      reduced demand
  •      increased mechanisation and use of technology reducing manpower
  •      globalisation 


TASK

The Causes of Inner City Decline:

Read Section IV in this linked pdf and make notes on:

 The Causes and Consequences of Urban Decline.


Use the Barker, Redfern and Skinner  textbook 148-153 to support your notes.


Thursday, 13 February 2014

Conflict on the Edge

In 1955 the national Green Belt system was established to prevent urban sprawl (London had restrictions in place prior to WW2). Subsequent Planning Acts have continued to preserve Green Belt land, however, increasing pressure, particularly in the south east have resulted in ministers lobbying for change to the Town and Country Planning Act to permit house building on Green Belt land.

Have a look at the following links for background and local issues on this matter.

http://leeds-list.com/leeds-greenbelt-at-risk/

http://www.telegraph.co.uk/news/politics/10527031/Green-belt-half-of-local-councils-plan-to-build-on-rural-build-National-Trust-warns.html

http://londongreenbeltcouncil.org.uk/lgbc%20website/the%20green%20belt%20story.html


Get GeoFile 414 from Intranet - Pressure on the UKs Green Belt from Counter-urbanisation

Wednesday, 12 February 2014

Notting Hill

GentrificationGentrification is the rehabilitation/renewal of a deteriorated neighbourhood by new residents who are wealthier than the long-time residents. This can cause an increase in house prices and lead to the displacement of the long-time residents. It is often small scale and incremental, usually instigated by individual people and is often accompanied by landscape and street furniture improvements.§
An example of Gentrification is that of Notting Hill. Although the place is now a bustling urban area, in the mid-eighteenth century a country hamlet that was known for it's gravel pits and roadside inns had proved to be a magnet in attracting highwaymen. The unpopular tollgate, which gave the main road it's name appeared during this time. The Industrialisation brought many workers in from the countryside (urbanisation), with the landlords building tiny terreced houses to rent to the poor. During the Victorian Times Notting Hill was a rough, working class area and by the 1950's the area had become synonymous with slum landlords and inner-city deprivation. In 1958, it was the scene of many race riots after the tensions arose between the newly arrived afro-caribbean community and the teddy boys of the facist British Unioon, a secound riot then took place during the infamous Notting Hill Carnival in 1976.

The past 30 years have seen a steady northwards swarm of gentrification, with estate agents coining names like 'Hillgate Village' for the previous working-class neighbourhoods which then sent the property prices rocketing, to a point where houses can now cost more than in the ultra-upmarket Mayfair. Notting Hills secluded communal gardens, sandwiched between the rows of houses and scarcely visible from the street, make it today London's most desirable area for families.

Notting Hill: The Movie, helped to popularise the area in households around the world and area, but Gentrification had already being underway a long time before this. This tempted Movie Stars, Rock Singers, Media Types and Fashion Designers to flood into the area which has now acquired a similar atmosphere to that associated with King's Road, Chelsea in the 1960's. The Canal Way branch of Sainsburys near the Ladbroke Grove tube station is now said to be one of the best places in London to spot celebrities.
It has also become one of the best places to eat and drink with such places as Veronica's that is a place that devotes itself to reviving Britains culinary heritage, by serving historical dishes derived from 2,000 year old menu's.
§
Portbello Road, is the world's most famous market, although it is really several markets just after one another it is said you can buy just about anything there and people have being doing just that since 1837, the market is known locally as 'thelane' serves up 3 different experiences: antiques to the south, vegetables and fruit in the middle with secound hand clothing, bedding and random bits and bob's to the north. Notting Hill is also home to the biggest street festival outside of Rio de Janiero, their is a large percentage of Caribbean in the area and the 3-day carnival is held over the last Bank Holiday Weekend of August and is attended by over 1million people with the revellers being drawn in by the colour, people, food, large sound systems pumping out Caribbean music, dancing and a riotous all-day street party during the grand parade of floats.

However despite Gentrification being mainly positive as it does such things as: the stabilisation of declining communities, increases property values, reduces vacancy rates and the refurbishment of property. It can cause displacement of local people through the rent/prices increase, it can also cause community resentment and conflict and speculative property price increases along with changes of the local services to higher upper class services.


Check this Link
http://www.saunders1865.com/relocation-reports/relocating-to-london-area-report-notting-hill-and-westbourne-grove.html






Tuesday, 4 February 2014

Population Change - using today's data to see tommorrow's world

The glocal population is changing at a pace some demographers could not predict thirty years ago. Hans Rosling takes a look at the future uding today's data. Watch the video and make notes which you can use to augment your work using the Population Reference Bureau Data and Gapminder,

Sunday, 26 January 2014

The Pharmaceutical Industry – its role in globalising health matters

TNCs and Globalisation
A transnational corporation is a company that operates in at least 2 countries. The HQ is generally located in the country that the corporation was founded in while remaining assets, mainly the manufacturing plants, are located in LEDCs where labour is cheap and readily available.

The influence of a transnational corporation is great and there are few parts of both the developed and undeveloped world where the influence of a transnational corporation cannot be felt. In the majority of countries, transnational corporations play a major role in the economy of the country and often have a lot of control over whether the economy is successful or unsuccessful.



These companies make large profits but the research and development of new drugs can be very expensive. The largest ten pharmaceutical companies are among the top 400 companies in the world. One of the most famous pharmaceutical companies is GlaxoSmithKline (GSK) which employs 9650 people in over 100 countries and sell their products to 179 countries. GSK’s headquarters are distributed throughout MEDCs. There are 5 in the USA, 2 in Switzerland, 2 in the UK and 1 in France.


Branded pharmaceuticals
Medicines have two names, their generic names (normally the active ingredient) and then a brand name which the manufacturer trades the drug by.

When a company discovers a new drug, it’s put through clinical trials in order to gain approval for marketing. If the trial shows that the drug is safe and effective, it’s approved and given a license. Given that testing generally takes 12 years and costs £500,000, the company that developed the drug holds the exclusive rights to the drug for 10 - 12 years in order to recuperate the money they spent on research and development. The drug company will market the drug under a brand name and the drug is protected from being developed by competitors by a patent.

When the patent expires, other companies can produce the drug however they can only sell it under another brand name or its generic name. When other companies produce the drug, they can generally do so for less and sell the drug for less money since most of the research and development has already been done. Given that branded drugs are normally 3 - 30 times more expensive than their generic counterparts they are prohibitive to the majority of the world. Consumers of branded drugs generally have no choice but to purchase the branded drugs since the branded drugs are normally prescribed by doctors, at least in the UK.

Branded drugs are more expensive up to 30 times, generic ones are simply their chemical description. They are therefore identical to their brand named equivalent. The generic name is often complex but the brand names are more well known, fluoxetine hydrochloride is branded as Prozac by Eli Lilly. The cost of the branded drugs tends to make them prohibitive for much of the world's population. Nurofen costs £1.70 for 16 tablets; Ibroprfen costs 41p for 16 tablets from Tecso.



While drug companies may seem to be profit making corporations, they do in fact bring important advances to societies. Drug companies provided numerous jobs and invest in society by paying taxes and investing in new, more advanced technologies.

Pharmaceuticals can be sold under two broad categories: generic or branded. 

Essential drugs
The WHO regularly publishes lists of 'essential drugs'. They are "those drugs that satisfy the health care needs of the majority of the population; they should therefore be available at all times in adequate amounts and in appropriate dosage forms, at a price the community can afford." 

These are generic drugs that can provide safe, effective treatment for most diseases such as diarrhoea. They are seen as important in improving the 'world's health'. But the lists are unpopular in countries which have a strong pharmaceutical industry, it is not implemented in the USA or the EU. In the USA legal action has meant that generic drugs are no longer encouraged.


Drug development
The largest profit comes from the sale of brand names in developed counties. Therefore most research is done on drugs to control non communicable disease. Patents for new branded drugs last 20 years and so are not available in generic form. Patents last for 20 years and it is illegal to make a generic copy. Therefore many new drugs that the WHO regard as essential are not available to poorer countries. 

Some companies use the profits they make in wealthier countries to subsidies research onto diseases affecting poorer countries. This leads to improved health in poorer countries, (e.g.Malaria)

Marketing and distribution
Drugs cost a lot of money to research and develop, which companies get back from the sale of their drug. The cost of patented drugs affects global health because some poorer countries may not be able to afford the drugs they need. Some pharmaceutical companies, often through deals with wealthier countries, provide free or cheaper drugs for poorer countries (e.g. anti-HIV drugs). The industry targets doctors as they prescribe the drugs for their patients. Therefore the consumer often has little say in the product used. 

Another criticism is that pharmaceutical companies and the WHO tend to treat the symptoms rather than the cause of the problem. To prevent anemia in pregnant women iron foliate, a vitamin supplement, is recommended by the WHO. But the compound is found in leafy green vegetables. It is possible that encouraging the growth of these vegetables would be more valid than promoting vitamin supplements

GlaxoSmithKline The UKs largest Pharmaceutical Company

GlaxoSmithKline is the third largest TNC  pharmaceutical company in the world. Founded in London in 2000 (GlaxoWellcome is actually the original drug company, founded in 1880), the company has grown substantially and offers products for many diseases, especially diseases common to MEDCs such as diabetes and cancer. They also have treatments for viral diseases, mental health diseases and GlaxoSmithKline offers several over the counter products such as indigestion tablets.

The company’s headquarters are located in London, with more sub-headquarters spread around the world. GlaxoSmithKline has a presence in 99 cities across 39 countries.
While GlaxoSmithKline mainly targets more developed countries, the company has several programmes that help less developed countries. Since 2008, GlaxoSmithKline has been running trials of a vaccine against malaria, which would bring unprecedented benefits to most of the world, especially less developed countries. However the drug could end up being prohibitively expensive for less developed countries given its 25 years development period. None the less, GlaxoSmithKline has made several pledges to try and bring its drugs to developing countries. The company has committed itself to lower the prices of its drugs in 50 of the least developed countries and to make its drugs more affordable to industrialising countries such as Brazil and India. In addition to this, all chemicals and processes that the company holds intellectual property rights to have been placed in a “patent pool” which will allow other companies to develop the drugs and improve upon them.

GSK Corporate and Social Responsibility
GlaxoSmithKline has numerous programmes within communities to help improve the health of those communities. Globally, GSK provides disaster relief medicines. For example, after the earthquake in Haiti, GSK committed £250,000 to the British Red Cross to fund a mass sanitation unit that prevents water borne diseases from spreading. On a more local scale, GSK provides services to local communities. Within the UK, GlaxoSmithKline has an independent living programme for young people living with disabilities. In the USA GlaxoSmithKline runs a programme to provide specialist care for homeless children. GlaxoSmithKline also runs educational programmes within the UK and USA to help develop an understanding of science issues and to encourage the young to take up careers in science.


GSK produces almost four billion packs of medicines and health care products each year, including one-quarter of the world's vaccines. It produces products for wealthy countries (e.g. Pravastatin-RL) , a drug for Coronary Heart Disease), and for poorer countries (e.g. polio vaccines).

GSK makes a large profit from drug sales but also donates some drugs to poorer countries for free. For example, GSK's donated 750 million albendazole tablets to treat over 130 million people with elephantiasis (an infectious inflammatory disease).

GSK also invests a large amount of its profit in community programmers to help people in need - 3.8% of their pre-tax profits (£282 million) in 2007.

GSK has been working on new vacancies to combat H1N1 flu strains and they have recently lowered their prices

Research – this is a critical sphere as it is this that is responsible for finding drugs that act as cures/offset symptoms of diseases. Thus, drugs to offset impact of HIV/Aids have evolved. Most research is into diseases of affluence so CHD and cancer, high blood pressure that affect many people in richer areas of the world attract a lot of investment for research and drug development. Diseases that affect many in poorer areas such as malaria receive less. However, GSK do tackle this and HIV/Aids and TB – and there is clearly a need for this, given numbers affected, its debilitating impact and rates of spread.

Production – many drugs are sold under different names – those sold by major pharmaceutical companies directly (the designer label versions) are more expensive than the copies – that perform the same function – at affordable prices. WHO provides a list of such drugs –under their actual technical name, rather than that used to market them by big brand name companies. This has led to court action having been taken in the US – so answers may relate to the purpose of production – to improve health of population or for profit.

Distribution – many companies target doctors with regard to selling their products rather than the patients – and they are sold principally forprofit. Often symptoms are treated rather than the cause – as this is more lucrative – so iron tablets are manufactured rather than changing the diet of sufferers and ensuring they eat green vegetables. The presence of drugs that are made but are not available to poorer countries is an issue – as HIV/Aids sufferers in poorer countries cannot access treatment. GSK provided 206 million tablets at special prices to poorer countries, including 120 million of these generically made.










TASK 1. Read and make notes from the above text; follow the hyperlinks to augment these and add up to date and relevant information.

TASK 2. Use your notes to answer the AS questions handed out in class.

Thursday, 23 January 2014

Tobacco Transnational Corporations

Tobacco Transnational Corporations

Tobacco transnational corporations are perhaps the largest and most powerful of transnational corporations playing major roles in many countries economies and health.

British American Tobacco

British American Tobacco is one of the largest tobacco suppliers in the world. It sells its products in many countries, mainly targeting African, Indian & Indonesian markets. It uses controversial advertising techniques to sell its products and there are strong accusations that it attempts to advertise and sell its products to young children in an attempt to get them addicted to tobacco. One of the alleged techniques is to sell single stick cigarettes in less developed countries, a practice which is frowned upon and illegal in many countries. These single stick cigarettes are far more accessible to young children with limited incomes who couldn’t afford a full pack of cigarettes and are an effective way of getting people hooked while they’re young.

The primary brands sold by British American Tobacco are Pall Mall and Embassy. The tobacco for these products is grown in warm equatorial environments and British American Tobacco will often employ the local population in the tobacco farming industry. British American Tobacco and other tobacco companies bring numerous advantages and disadvantages to the countries that they employ people in. One country that relies heavily on tobacco farming and tobacco transnational corporations is Malawi, a small landlocked nation located in the south of Africa. The advantages and disadvantages tobacco transnational corporations bring to Malawi are outline below:

Advantages

  • Tobacco farming provides a very large source of income for the country as a whole. Tobacco farming accounts for 2/3 of Malawi’s yearly income.
  • Tobacco transnational corporations provide the people of Malawi with employment, stopping them from being forced to turn to crime. In Malawi, 75% of the population is dependent on tobacco farming in some way. The tobacco industry provides 1.7 million people with direct jobs and 5 million with indirect jobs relating to the tobacco industry in Malawi.
  • Tobacco transnational corporations provide employment for women in many less developed countries which is very unusual and good progress towards developing women’s rights.
  • Tobacco transnational corporations will often have ‘charitable givings’ where they provide clean water or health care to people in less developed countries. In Malawi, tobacco transnational corporations provide 40,000 people with clean water.

Disadvantages

  • Children are often employed on tobacco farms despite this being illegal in Malawi and many other countries. This is unfair on the child as it takes them out of their education and prevents them from attaining better careers.
  • Workers on the farm often die from tobacco poisoning including children.
  • In Malawi, the high dependency on the tobacco companies means that if they were to leave the country, the people and the country would be without a reliable source of income.
  • Due to the potential profitability of tobacco farming, many farmers choose to grow tobacco instead of food leading to famines within countries were tobacco farming is popular.
  • The pay for tobacco farmers is very low since the farmers often have to take out huge loans from the tobacco companies to run farms.
  • Tobacco farming acts as propaganda and increases the likelihood of people smoking in a country.

Health Implications Of Smoking

  • Smoking is the second major cause of death in the world. It causes 90% of the deaths from lung cancer; 80% of the deaths from bronchitis & emphysema; 17% of deaths from heart disease and a third of all cancer deaths.

Reducing The Impacts Of Smoking

In the UK, many government lead programmes have been carried out in order to reduce smoking in the country. Some of these programmes include:
  • Advertisement campaigns featuring shocking and graphic scenes relating to the risks of smoking aired during prime time TV.
  • A ban on the sale of cigarettes to under 18s.
  • All cigarettes must be kept behind a counter and away from public view.
  • Vending machines that dispense cigarettes are illegal.
  • Public smoking is banned except for in designated areas.
  • Cigarette packaging must be generic and plain and must feature large warnings about the risks of smoking.
  • The NHS offers free stop smoking clinics.
The Framework Convention on Tobacco Control (FCFC) is an international agreement that outlines the minimum standards on tobacco e.g. advertising bans. The framework was signed by most countries but, noticeably, the USA and Indonesia did not sign.

Sunday, 19 January 2014

Mumbai - Megacity


http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20Location.png
Mumbai is a megacity and a World city, it has grown enormously since the 1950’s and gives a great case study of urbanization and its issues within an LEDC.  This case study will explore how urbanization, suburbanization, counter urbanization and now re-urbanisation processes have occurred in the Mumbai region and how those processes have been managed.
 

 

 
Mumbai is located on a peninsular on the Western coast of Maharashtra state in western India, bordering the Arabian Sea.   Bombay is a thriving megacity that has had an economic boom in recent years. It is home to Bollywood and the film "Slumdog Millionaire" was based there. Indeed, property in Mumbai is becoming some of the most expensive in the world. One 28 story structure for one family cost £2 billion. However, many of the residents of Mumbai live in illegal squatter settlements. Despite the poor conditions in the slum Prince Charles thinks that the people of Dharavi "may be poorer in material wealth but are richer socially".       
Indeed, in terms of population size Mumbai is India's largest city, and is the financial capital of the country, being home to the Mumbai Stock Exchange. Up until the 1980s, Mumbai owed its wealth to its historical colonial past, textile mills and the seaport, but the local economy has since been diversified and now Mumbai is home to most of India's specialised technical industries, having a modern industrial infrastructure and vast, skilled human resources. Industries include aerospace, optical engineering, medical research, computers and electronic equipment of all varieties, shipbuilding and salvaging, and renewable energy. Mumbai serves as an important economic hub of India, contributing 10% of all factory employment and 40% of India's foreign trade. Many of India's numerous Trans National Corporations (including the State Bank of India, Tata Group, Godrej and Reliance) are based in Mumbai. Other formalized workers include many state and government workers.
Alongside this incredible wealth is a large, unskilled and informal workforce, who work as self-employed and often unregulated workers. Many of these people earn their living as street hawkers, street sellers, taxi drivers, mechanics and other such occupations.
Bollywood and other Media Industries also employ huge numbers of people. Most of India's major television and satellite networks, as well as its major publishing houses, have headquarters here. The centre of the Hindi movie industry, Bollywood, produces the largest number of films per year in the world.
http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20Location%20Map.png
Urbanisation and its impacts
Mumbai has urbanised over the past 60 years and urbanized rapidly from its origins as a fishing village.  The site of the fishing village soon became a port region as the site favoured development.  Protected from the Arabian Sea by a peninsular art the southern end of Salsette Island, it had access to sea on two sides and the British colonial administration in India developed the sheltered inlet into a major port.  The British viewed the port and surroundings as the ”Gateway to India”.  This made it the closest port of entry to subcontinent for travellers from Europe, through the Suez Canal.   As with many major global ports area around the port became industrialised – processing goods for export and handling imports. 
http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20Population%20Growth.png
 
The city grew during British rule as variety of services grew up around the port and continued to grow after British left in 1947.  Since 1971, the graph shows the inexorable rise in the population of Mumbai, from 8 million in 1971 to 21 million now.  The other significant factor to note is that slum dwellers make up an ever increasing proportion of the population, creating numerous problems for people and planners.  It should be noted that the original urbanisation phase of Mumbai focussed upon the southern tip of Salsette Island, and outside of this the city suburbanised in a Northern direction.
The causes of urbanisation are multiple, but involve a high level of natural increase within Mumbai itself and in-migration principally from the surrounding district of Maharashtra but also from neighbouring states. Mumbai booming economy means that migrants come for job opportunities in the expanding industries, financial institutions and administration.
Mumbai has grown in a Northern direction limited by physical geography as shown in the image below. It is limited in where it can grow with creek systems to the North and East, the Arabian Sea to the West and its harbour to the south East.  Mangrove swamps further complicate the picture, and these marginal lands often form the location for the poorest people who live illegally in slums. 
http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20Satellite%20Image.png
 
One such slum is Dharavi, in the heart of Mumbai.
Watch both video clips
 
The following notes are based upon Kevin McCloud's "Slumming it." And show the consequences of rapid urbanisation in poorer countries, where the pace of urbanisation make it difficult to maintain services essential for an acceptable standard of living.
Dharavi slum is located in Mumbai (formally Bombay) in India. India’s and Mumbai's biggest slum is known as Dharavi. There are a million people crammed into one square mile in Dharavi. At the edge of Dharavi the newest arrivals come to make their homes on waste land next to water pipes in slum areas. They set up home illegally amongst waste on land that is not suitable for habitation. In the wet monsoon season these people have huge problems living on this low lying marginal land. Many of the people here come from many parts of India as a result of the push and pull factors of migration.
Conditions in the slum
In the slum people have to live with many problems. People have to go to the toilet in the street and there are open sewers.  Children play amongst sewage waste and doctors deal with 4,000 cases a day of diphtheria and typhoid. Next to the open sewers are water pipes, which can crack and take in sewage. Dharavi slum is based around this water pipe built on an old rubbish tip. The people have not planned this settlement and have no legal rights to the land. There are also toxic wastes in the slum including hugely dangerous heavy metals. Dharavi is made up of 12 different neighbourhoods and there are no maps or road signs. The further you walk into Dharavi from the edge the more permanent and solid the structures become. People live in very small dwellings (e.g. 12X12ft), often with many members of their extended families.
Many architects and planners claim this slum could hold the solution to many of the problems of the world’s largest cities.
Water is a big problem for Mumbai's population; standpipes come on at 5:30am for 2 hours as water is rationed. These standpipes are shared between many people. Rubbish is everywhere and most areas lack sanitation and excrement and rats are found on the street. 500 people share one public latrine.
The famous cloth washing area also has problems, despite its social nature sewage water filters into the water used for washing clothes.
The Positives of Dharavi Slum
There are positives; informal shopping areas exist where it is possible to buy anything you might need. There are also mosques catering for people's religious needs.
There is a pottery area of Dharavi slum which has a community centre. It was established by potters from Gujarat 70 years ago and has grown into a settlement of over 10,000 people. It has a village feel despite its high population density and has a central social square.
Family life dominates, and there can be as many as 5 people per room. The houses often have no windows, asbestos roofs (which are dangerous if broken) and no planning to fit fire regulations. Rooms within houses have multiple functions, including living, working and sleeping.
 
Many daily chores are done in social spheres because people live close to one another. This helps to generate a sense of community. The buildings in this part of the slum are all of different heights and colours, adding interest and diversity. This is despite the enormous environmental problems with air and land pollution.
 
85% of people have a job in the slum and work LOCALLY, and some have even managed to become millionaires.
Recycling and waste in Dharavi
Kevin McCloud found that people seemed genuinely happy in the slum. However, toilets are open holes above a river – hardly hygienic. This could lead to Dengue fever, cholera and hepatitis
Dharavi has a recycling zone. It is claimed that Dharavi’s recycling zone could be the way forward to a sustainable future. Everything is recycled from cosmetics and plastics to computer keyboards. 23% of plastic waste gets recycled in the UK, in Mumbai it is 80%. However, it is humans who work to sift the rubbish in the tips where children and women sift through the rubbish for valuable waste. They have to work under the hot sun in appalling conditions. They earn around a £1 a day for their work.
At the edge of the tip the rag dealers sort their haul before selling it on to dealers. The quandary is that people have to work in poor conditions to recycle waste. From the tip it arrives in Dharavi where it is processed. It is sorted into wire, electrical products, and plastics. Plastics in India are continuously recycled. People work in dangerous conditions with toxic substances without protective clothing; this could affect people’s life expectancy. Even dangerous hospital waste is recycled.
One private enterprise makes the metal cages inside suitcases, making 700 pieces per day, paid 3 rupees per piece. There are 15,000 one room factories in Dharavi which there are 300 feeding most of Mumbai. Many of the products from Dharavi end up around the world based upon very cheap labour. Many of the people work in very poor working conditions, and includes children. Indeed, Dharavi is trying to do in 20 years what the west did in 200, develop.
Managing and improving Squatter settlements
Large scale redevelopment
A $2billion development project threatens the recycling district and part of Dharavi. The land upon which Dharavi is built is next to Mumbai’s financial district. This makes it a prime target for redevelopment. The people who are relocated will be put into smaller housing in apartment blocks. An ancient fishing village is also threatened. These areas have strong safe neighbourhoods that have low crime and communal areas. Also at risk are the local shops and markets and the community spirit which has taken generations to develop. The locals would prefer small improvements to the existing slum such as improvements in drainage. The value of land is so high that redevelopment is now a real threat. The alternative accommodation is very small.
The slum dwellers face 14 story apartments as accommodation as proposed by the cities Slum Rehabilitation Authority. This will separate communities and make people work away from where they live. Only people who have lived in the slum since 2000 will be relocated. Current redevelopment projects are densely populated and house lots of people. They are not good for community cohesion.


 
Local Based Improvements
There is an alternative to large scale redevelopment and that is to allow LOCAL people design the improvements to the slum.
The Society for the Promotion of Area Resource Centres, better known as SPARC, this is an NGO that supports the efforts of local people to get better housing for their many members. Ideas generated from local people supported by this charity include adding an extra floor to buildings so that all family members can be accommodated in the same building. These flats also had 14-foot high ceilings and a single tall window so are well ventilated, bright, and less dependent on electric fans for cooling. Their loft spaces add extra room without seeming crowded, and include small spaces for bathing. But toilets are placed at the end of each of the building’s four floors, and kept clean by the two or three families who use each one. These ideas only work when water is running in Dharavi.
Architecture students have also been hard at work. One student has created a multi-storey building with wide outer corridors connected by ramps “space ways in the sky,” to replicate the street. These space ways allow various activities to be linked, such as garment workshops, while maintaining a secluded living space on another. Communal open space on various levels allows women to preserve an afternoon tradition, getting together to do embroidering.
One student also tried to help the potters of Dharavi. He designed into existing houses the living space at one end and a place to make the pots at the other. Each has an additional open terrace on which to make pots, which are fired in a community kiln.
As the National Slum Dwellers Federation has repeatedly proven, housing the poor works best, costs less and is better for the environment, when the poor themselves have a say in what is being built.
Dharavi could also follow the Brazilian model, as evidenced in Rocinha in Rio de Janeiro. Within the Favelas the government has assisted people in improving their homes. Breeze blocks and other materials (pipes for plumbing etc) were given as long as people updated their homes.  This is an approach known as SITE and SERVICE.
The Brazilian government also moved a lot of people out of shanty towns and into low cost, basic housing estates with plumbing, electricity and transport links. The waiting list for these properties was huge.




 

Suburbanisation in Mumbai
Mumbai now has a long history of suburbanisation, and many key events have occurred in the suburbanisation process, initially in a Northwards direction along major transport routes such as roads and rail links, and now in an Eastward direction.  This suburbanisation has involved not just the growth of residential areas but also the relocation and growth of new industrial areas.
1930s to 1940s         The rise of Shivaji Park area, Matunga and Mahim as the outlying suburbs
1960s (post independence) Inner suburbs in southern Salsette and Chembur-Trombay had emerged
1970s Assimilation of the `extended suburbs' beyond Vile-Parle and Ghatkopar.
http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20suburbanisation.png 
 
 
 
 
 
 
 
 
 
 
 
 
As with other major cities, other towns and villages have been swallowed up by Mumbai in the process of suburbanisation. In the last decade, Thane, Vashi and Belapur have become extended suburbs despite being planned as individual towns. All of these developments are summarised in the map below.
 
 
The northwards movement along rail and road corridors comes first.  Next, the areas around these communication links are developed.  Third, these areas extend outwards and can involve reclaiming land next to creeks and mangrove, and slopes in the hills of Salsette can be colonised too. The major railway stations have areas around them that have become shopping fronts. The reclaimed areas house the wealthier middle and upper classes, but poorer people will build huts in and amongst these areas and full shanties can grow on the poorest quality land.
This suburbanisation has had consequences;
1.     People are economically stratified into those that can afford better housing and those that cannot, rather than historical caste, religious or linguistic stratifications
2.     Less than a third of the population of Mumbai lives in the `island' city.
3.     The centre of density of population has shifted from the island city well into suburban Salsette.
4.     The commuter traffic has changed.  Rather than being just one way into the Central Business District (CBD) in the south of the city in the mornings there is an increasing movement of people in the opposite direction. Increasing industrialisation of the suburbs is increasing this movement.

For details on these changes.
http://www.newgeography.com/content/002172-the-evolving-urban-form-mumbai
 

Counterurbanisation in Mumbai
 
The map below shows that some of the population of Mumbai is also counterurbanising, with a decline in population over a 20 year period within the original heart of the city in Mumbai district.  The largest growth is in those districts directly to the East of Salsette Island, and even districts 50 or more kilometres from Mumbai are growing.  One such phenomenon fuelling this growth is that of planned towns (new towns in the UK.  Navi Mumbai is a planned township directly to the East of Mumbai and was designated in 1972.  It is the largest new town in the world.  The town was developed to reduce congestion and population densities in Mumbai, which itself was restricted by its physical geography.  The new town now has a population of 1,111,000 people, is linked to Mumbai by road and rail bridges and an international airport.  It also has an extensive bus network, an international airport and many IT and software firms in areas such as the International Infotech Park at Vashi and the New Millennium City near Mahape.
 http://www.coolgeography.co.uk/A-level/AQA/Year%2013/World%20Cities/Mumbai/Mumbai%20Growth%20Rates%201991%20to%202011.png
 
Reurbanisation – changes to Dharavi Slum
 
A $2billion development project threatens the recycling district and part of Dharavi. The land upon which Dharavi is built is next to Mumbai’s financial district. This makes it a prime target for redevelopment. The people who are relocated will be put into smaller housing in apartment blocks. An ancient fishing village is also threatened. These areas have strong safe neighbourhoods that have low crime and communal areas. Also at risk are the local shops and markets and the community spirit which has taken generations to develop. The locals would prefer small improvements to the existing slum such as improvements in drainage. The value of land is so high that redevelopment is now a real threat. The alternative accommodation is very small.
The slum dwellers face 14 story apartments as accommodation as proposed by the cities Slum Rehabilitation Authority. This will separate communities and make people work away from where they live. Only people who have lived in the slum since 2000 will be relocated. Current redevelopment projects are densely populated and house lots of people. They are not good for community cohesion. Indeed, the planned redevelopment is part of the Maharashtra state governments plan for Dharavi.  The architect employed to put together a $2 billion bid from major developers across the world to demolish Dharavi and build homes and amenities, Mukesh Mehta, has said ‘Dharavi is a black hole – something we should be ashamed of. My vision would be that it would be transformed into one of the better suburbs of Mumbai.’
The residents do not want this redevelopment,  Arputham Jockin grew up in Mumbai's slums and now represents the slum dwellers in their fight against the government's plans. ‘Selling this land to the global market and giving it over for commercial use - how will that improve our lives? 90% of the people here want a stake in their future and a say in how it is transformed. It has to work from the bottom up - not top down.’ he says.   As of 2012 no progress had been made with the plans.