Building Back Better from Below

2019冠状病毒病大流行加深了现有的社会、健康和营养不平等现象，凸显了全球南北城市中边缘化和种族化社区面临的共同挑战。它还推动了新的社会创新和跨部门合作，其中一些可能有潜力改变破坏全球卫生、粮食系统和治理进程的长期不平等现象。这项跨大西洋合作将结合社会科学研究的见解和活动人士、社会企业家、一线工作人员和地方公职人员的实际经验，确定未来行动的战略，以在大流行后打破根深蒂固的不平等模式，确保健康权和粮食正义。认识到大流行带来的卫生、粮食公平和民主代表性挑战的交叉性质，我们将采取行动研究方法，分析自2020年3月以来在三个社会多样化、经济充满活力但不平等的城市中，与边缘化和种族化社区合作的活动家和一线服务提供者之间出现的基层创新和合作的轨迹、结果和可持续性：圣保罗（巴西）、多伦多（加拿大）和布莱顿（英国）。专题工作流程将审查创新的地方举措，以确保获得初级卫生保健、紧急粮食供应，并在政治上代表受COVID-19负担过重的边缘化社区的需求和优先事项，分析促成或阻碍公民与公共当局之间有效合作和共同制作方案和服务的社会、政治、体制和政策因素。在不同级别的政府之间，在国家、社区和商业行为者之间。综合工作将审查大流行期间在这三个城市出现的跨部门政策协调和多利益攸关方合作的经验的成果和可持续性，评估其支持战略和扩大行动的潜力，以解决影响巴西、加拿大、英国和其他国家边缘化和种族化社区的交叉不平等现象。

The COVID-19 pandemic has deepened existing social, health and nutritional inequities and highlighted common challenges facing marginalised and racialised communities in cities across the Global North and South. It has also driven new social innovations and cross-sector collaborations, some of which may have the potential to transform the longstanding inequities that undermine global health, food systems and governance processes.This Trans-Atlantic collaboration will combine insights from social science research and the lived experiences of activists, social entrepreneurs, front-line workers and local public officials to identify strategies for future action to disrupt entrenched patterns of inequity and secure health rights and food justice after the pandemic. Recognising the intersecting nature of the health, food equity and democratic representation challenges the pandemic has brought, we will take an action research approach to analysing the trajectories, outcomes and sustainability of grassroots innovations and collaborations that have emerged since March 2020 among activists and front-line service providers working with marginalised and racialised communities in three socially diverse and economically dynamic but unequal cities: São Paulo (Brazil), Toronto (Canada) and Brighton (UK).Thematic workstreams will examine innovative local initiatives to ensure access to primary health care, emergency food provision and political representation of the needs and priorities of marginalised communities disproportionately burdened by COVID-19, analysing the social, political, institutional and policy factors that have enabled or hindered effective collaboration and co-production of programmes and services between citizens and public authorities, between different levels of government and between state, community and business actors. Synthesis work will examine the outcomes and sustainability of the experiences of cross-sector policy coordination and multi-stakeholder collaboration that have emerged in the three cities during the pandemic, assessing their potential to underpin strategic and scaled-up action to tackle intersecting inequities affecting marginalised and racialised communities in Brazil, Canada, the UK and beyond.