City deals and health equity in Sydney, Australia

Patrick Harris, Matt Fisher, Sharon Friel, Peter Sainsbury, Elizabeth Harris, Evelyne De Leeuw, Fran Baum

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

‘City Deals’ are new governance instruments for urban development. Vast evidence exists on the relationship between urban factors and health equity, but little research applies a health equity lens to urban policy-making. This paper does precisely that for the Western Sydney City Deal (WSCD) in Australia. We conducted a critical discourse analysis of publicly available documents and interviews with the WSCD's main architects, applying insights from relevant theories. We find ‘pro-growth’ discourse to encourage economic investment dominates any references to disadvantage. Interviewees maintained the WSCDs fundamental purpose is to rebalance urban investment toward the historically disadvantaged West. However, the WSCD makes limited reference to health and none to equity. Institutionalised governance practices that favour private investments in infrastructure remain the dominant force behind the WSCD. We document how a shift to ‘place-based’ infrastructure has promise for equity but struggles to overcome institutionalised approaches to urban investments.

Original languageEnglish
Article number102711
Number of pages11
JournalHealth and Place
Volume73
DOIs
Publication statusPublished - Jan 2022

Keywords

  • Cities
  • City deals
  • Equity
  • Governance
  • Health
  • Infrastructure
  • Place
  • Policy

Fingerprint

Dive into the research topics of 'City deals and health equity in Sydney, Australia'. Together they form a unique fingerprint.

Cite this