Urban governance and health development in Leon, Nicaragua

This paper describes the development of a "healthy municipality" initiative in Leon, Nicaragua's second largest city, in 1995, and of the innovations in local governance that preceded it - especially the partnerships that local government developed with the university, bilateral agencies and the long-established urban social movement. The healthy municipality initiative helped bind and mobilize support for the already established partner ships set up to address poverty and health and environmental problems. The emphasis has been on building the capacity of urban social movements to interact with local government in the process of policy-making. After first discussing why participation and good governance are so central to "healthy cities", the peeper describes the specific conditions which fostered the participatory approach in Leon, and the difficulties faced - especially an unresponsive central government, The paper also analyzes the process of citizen participation in policy-making and the contents and results of the programme. Leon and its surrounds were also severely affected by the recent hurricane Mitch - and the paper describes how important the existing local capacity and the healthy municipality initiative proved in addressing the immediate needs of communities during and after the emergency.