Sanitation services for the urban poor: A social capital approach to sanitation challenges in informal settlements

Ivy Chumo, B. Mberu, Cynthia Wainaina, Wanjiru Murigi, Leunita A. Sumba, Caroline W. Kabaria
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Abstract

Poorly managed sanitation is degrading, unhealthy and far too dominant among the urban poor. The conventional solution to poorly managed onsite sanitation and/or open defecation is for governments to provide adequate sanitation at subsidized prices. Few governments in low and middle income countries can subsidize access to sanitation facilities for people living and working in informal settlements. This leaves the urban poor in informal settlements to face challenges in accessing safely managed sanitation, with some residents and manual pit emptiers adopting social capital approaches. We sought to identify sanitation challenges along the value chain and social capital approaches to addressing the challenges. We used qualitative approaches. Our target population were manual pit emptiers and community members. We analysed data using conventional content analysis methodology. We grouped sanitation challenges into those that are outside individual households and those that are at the individual household. Challenges outside the household could not be controlled at the individual level, and included legislative, physical, and social challenges, while challenges at the individual household could be controlled at individual level, and included health, financial and technical challenges. As a result of these challenges, both the manual emptiers and community members adopted social capital approaches, which included the use of reciprocity and trust, networks and information channels and norms to counter the challenges. Sanitation challenges along the sanitation value chain should persuade policymakers and practitioners that sanitation extends beyond the four walls of a sanitation containment facility, to include emptying, transportation, treatment and disposal. Many of the challenges could be attributed to governance outside the sanitation sector. Hence long-term improvement of sanitation conditions in informal settlements ought to be supported by broader policies and strategies like social capital that begins by thinking outside “the sanitation box”.
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为城市贫民提供卫生服务:以社会资本方法应对非正规住区的卫生挑战
管理不善的卫生设施会造成环境退化、不健康,而且在城市贫民中非常普遍。解决现场卫生管理不善和/或露天排便问题的传统办法是由政府以补贴价格提供适当的卫生设施。在中低收入国家,很少有政府能够为在非正规住区生活和工作的人提供卫生设施补贴。这使得非正规居住区的城市贫民在获得安全管理的卫生设施方面面临挑战,一些居民和人工掏粪者采用了社会资本方法。我们试图确定价值链上的环境卫生挑战以及应对挑战的社会资本方法。我们采用了定性方法。我们的目标人群是人工掏坑者和社区成员。我们采用传统的内容分析方法对数据进行分析。我们将卫生挑战分为家庭外部挑战和家庭内部挑战。家庭外部的挑战在个人层面上无法控制,包括立法、物理和社会挑战,而家庭内部的挑战在个人层面上可以控制,包括健康、财务和技术挑战。面对这些挑战,人工掏粪工和社区成员都采用了社会资本方法,包括利用互惠和信任、网络、信息渠道和规范来应对挑战。环卫价值链上的环卫挑战应说服政策制定者和从业人员,环卫工作不仅仅局限于环卫设施的四壁,还包括清空、运输、处理和处置。许多挑战可归咎于环卫部门之外的治理。因此,非正规住区环境卫生条件的长期改善应得到更广泛的政策和战略的支持,如社会资本,首先要跳出 "环境卫生的框框"。
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