State preventive project “Healthy cities and towns”: experience and prospects
https://doi.org/10.65249/1027-7218-2026-5-40-48
Abstract
Objective. To analyze the history and prospects for the promotion of the national preventive project “Healthy Cities and Towns” (project) in Belarus, taking into account international experience.
Materials and methods. The experience of implementing the World “Health Organization Healthy Cities” initiative in various countries was analyzed. To study the specifics of the initiative's implementation in Belarus, a retrospective analysis of the database of settlements included in the project, the regulatory documents governing its creation and operation, was conducted.
Results. In 2025 620 cities and towns from all administrative territories of the Republic of Belarus are involved in the project, a 6.1-fold increase compared to 2019. The Mogilev Region has seen the largest increase – a 15.6-fold increase compared to 2019 from 7 in 2019 to 109 in 2025. The Grodno Region has seen the smallest increase (3.1 times) in the number of cities and towns involved in the project (from 18 in 2019 to 55 in 2025).
Conclusion. The decision to approve the project “Healthy Cities and Towns” in 2019 represented a powerful measure of government support for achieving a new level of national health through the development and implementation of modern strategies and new management approaches to creating health-preserving spaces in the republic's populated areas.
About the Authors
S. NechayBelarus
A. Kosava
Belarus
E. Guzik
Belarus
References
1. Cacciatore S., Mao S., Nunez M.V., et al. Urban health inequities and healthy longevity: traditional and emerging risk factors across the cities and policy implications. Aging Clin Exp Res. 2025; 37(143). doi: 10.1007/s40520-025-03052-1.
2. Lawrence, R. J. Urban Health Challenges in Europe. J Urban Health 90. (Suppl. 1). 2013; 23–36. doi: 10.1007/s11524-012-9761-z.
3. WHO. Alma-Ata Declaration. 2019. Available at: https://www.who.int/ru/publications/i/item/WHO-EURO-1978-3938-43697-61471 (accessed: 05.03.2026). (in Russian)
4. WHO. Regional committee for Europe, 30th session (1980). Regional committee for Europe, thirtieth session: Fes, 7–11 october 1980: regional strategy for achieving health for all by the year 2000. Available at: https://iris.who.int/handle/10665/362546 (accessed: 05.03.2026). (in Russian)
5. WHO European Region. Ottawa Charter for Health, 1986. Available at: https://iris.who.int/handle/10665/349655 (accessed: 05.03.2026). (in Russian)
6. Zerbe S., Hornberg C., Macher M., Fehr R. [Research program «City of the Future – Healthy and Sustainable Metropolises»]. Gesundheitswesen. 2023. 85(S05). doi: 10.1055/a-2156-4244.
7. WHO. Healthy cities effective approach to a rapidly changing world. 2020. Available at: https://iris.who.int/handle/10665/331946 (accessed: 05.02.2026).
8. WHO European Region. The Bursa Commitment: adopted by the mayors and political leaders of the WHO European Healthy Cities Network at the launch of phase VIII (2026–2030). 2026. Available at: https://iris.who.int/server/api/core/bitstreams/5bef9f66-c1a5-48e7-8d5e-c20f630727d0/content (accessed: 22.03.2026).
9. Popova T.V., Uteuliev E.S., Bajbosynova F.K., et al. Principles of forming a healthy society and strengthening health at the present stage. Vestnik KazNMU. 2020; 1. Available at: https://cyberleninka.ru/article/n/printsipy-formirovaniya-zdorovogo-obschestva-i-ukrepleniya-zdorovya-na-sovremennom-etape (accessed: 25.03.2026).
10. WHO European Region. City leadership for health and sustainable development: critical issues for successful Healthy Cities initiatives in the WHO European Region. 2024. Available at: https://iris.who.int/server/api/core/bitstreams/d4653f50-6b47-47fa-8947-aead73fd3619/content (accessed: 15.03.2026).
11. Wang Q., Huang L. Implementation and improvement of policies for building healthy cities in China. Front Public Health. 2025; 12. doi: 10.3389/fpubh.2024.1399120.
12. Zhu X., Zhang Y., Zhu Y., et al. Realization path and connotation of the healthy China strategy: macroscopic perspective of dietary structure and the entry of individual health consciousness. BMC Public Health. 2024; 24(1). doi: 10ф.1186/s12889-024-18557-z.
13. Bai Y., Zhang Y., Zotova O., et al. Healthy cities initiative in China: progress, challenges, and the way forward. Lancet Reg Health West Pac. 2022. 15. doi: 10.1016/j.lanwpc.2022.100539.
14. Shestakova T. New approaches to creating a healthy urban environment. Ozdorovlenie gorodskoj sredy. 2022; 1. Available at: https://cyberleninka.ru/article/n/novye-podhody-k-formirovaniyu-zdorovoy-gorodskoy-sredy (accessed: 05.03.2026)
Review
For citations:
Nechay S., Kosava A., Guzik E. State preventive project “Healthy cities and towns”: experience and prospects. Healthcare. 2026;(5):40-48. (In Russ.) https://doi.org/10.65249/1027-7218-2026-5-40-48
JATS XML
