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This text reviews the background to the current interest in urban community health development, and the rationale for examining the relationship between appropriate research methods and ways of bringing about informed change. Within the "health policy sector", there is a great deal of activity worldwide based on the WHO's Healthy Cities movement, which involves cities and communities throughout the developed world, and increasingly in many developing countries as well. This text is a reflection of the growing recognition that health, environment and socio-economic circumstances are inextricably linked, and that a co-ordinated and common approach is required.