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The Healthy Homes Programme Greater Johannesburg Healthy Cities Project.


 This article describes the strategies that were used to upgrade and maintain hygiene and sanitation in an office building renovated for housing in Johannesburg, South Africa. The strategies were based on surveys of this building and a case study of a similar project in the Health Community Program in Buenos Aires, Argentina. The project staff negotiated with the landlord about legal liability, organized a tenants' committee, negotiated for a training program for transferring maintenance operations to the housing residents, developed effective skills in negotiating among residents, and developed working groups to deal with problems. Over the prior year, environmental health organizations provided health education to the residents of the building. The tenants' committee resolved to address the waste removal problem by hiring two unemployed men for waste removal. Tenants on each floor were assigned the responsibility of cleaning common public areas 1 day/week or face eviction. Tenants' proposed that vendors, who wandered through the building selling alcohol and other items, should operate out of a vacant ground floor space. A fair rental was determined in legal negotiations. A local engineering department was chosen to redesign the building at no cost. The Housing Department will train caretakers. The Department of Parks and Recreation will begin an urban gardening project. Residents volunteered to clean up a nearby park and 20 inner city blocks on a monthly basis beginning in 1995. The Healthy Homes Program expanded functions to include job creation, nutrition, and home ownership.
