Pub Date : 2021-04-01DOI: 10.3362/1756-3488.2020.40-2ED
R. Carter
{"title":"Editorial: Can communities manage their water services?","authors":"R. Carter","doi":"10.3362/1756-3488.2020.40-2ED","DOIUrl":"https://doi.org/10.3362/1756-3488.2020.40-2ED","url":null,"abstract":"","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45061652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.3362/1756-3488.20-00012
Tal Gordon, Andrés Hueso
The links between climate change and sanitation are frequently overlooked in the WASH sector. This paper examines experiences of WaterAid in Bangladesh, Burkina Faso, India, and Madagascar where there was some consideration of the impacts of climate change on sanitation. Climate resilience was often not considered explicitly, however, with work instead framed around weather-related threats that are now increasingly frequent and severe. In these case studies, sanitation and climate integration involved adapting on-site sanitation hardware to physical impacts on infrastructure, while some social aspects of climate resilience were also considered. Integration took place primarily at the project level, while climate change consideration seemed absent from wider planning and decision-making. Aside from these case studies, most of WaterAid’s sanitation work does not seem to incorporate climate change. It is recommended that climate resilience is integrated into each stage of sanitation programming, with a more systematic consideration of its potential impacts.
{"title":"Integrating sanitation and climate change adaptation: lessons learned from case studies of WaterAid’s work in four countries","authors":"Tal Gordon, Andrés Hueso","doi":"10.3362/1756-3488.20-00012","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00012","url":null,"abstract":"The links between climate change and sanitation are frequently overlooked in the WASH sector. This paper examines experiences of WaterAid in Bangladesh, Burkina Faso, India, and Madagascar where there was some consideration of the impacts of climate change on sanitation. Climate resilience was often not considered explicitly, however, with work instead framed around weather-related threats that are now increasingly frequent and severe. In these case studies, sanitation and climate integration involved adapting on-site sanitation hardware to physical impacts on infrastructure, while some social aspects of climate resilience were also considered. Integration took place primarily at the project level, while climate change consideration seemed absent from wider planning and decision-making. Aside from these case studies, most of WaterAid’s sanitation work does not seem to incorporate climate change. It is recommended that climate resilience is integrated into each stage of sanitation programming, with a more systematic consideration of its potential impacts.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45532116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.3362/1756-3488.20-00016
Tanner J. S. Hoffman, Alinaitwe Collins, Joseph Lwere, James B. Harrington
Where water resources are limited, rainwater harvesting (RWH) can provide on-site access to improved water sources. Community institutions are uniquely positioned to benefit from RWH; advocates have encouraged the installation of community-based RWH systems as a way to ameliorate water supply insufficiencies in low-income settings. However, poor quality RWH system installations and insufficient attention to management support have resulted in sustainability challenges, necessitating a commitment to higher standards for community-based RWH. Spurred on by an iterative learning cycle and commitment to innovation, the Ugandan Water Project has achieved RWH system design, installation, and management practices that are well adapted to Ugandan institutions. By investing in a professional crew, high-quality materials, and post-installation support, the Ugandan Water Project has achieved 96 per cent functionality two years after installation. The professionalized approach that the Ugandan Water Project employs can be used as a model to guide future RWH system installations in Uganda and elsewhere.
{"title":"Elevating the standard: a professionalized approach to community-based rainwater harvesting systems in Uganda","authors":"Tanner J. S. Hoffman, Alinaitwe Collins, Joseph Lwere, James B. Harrington","doi":"10.3362/1756-3488.20-00016","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00016","url":null,"abstract":"Where water resources are limited, rainwater harvesting (RWH) can provide on-site access to improved water sources. Community institutions are uniquely positioned to benefit from RWH; advocates have encouraged the installation of community-based RWH systems as a way to ameliorate water supply insufficiencies in low-income settings. However, poor quality RWH system installations and insufficient attention to management support have resulted in sustainability challenges, necessitating a commitment to higher standards for community-based RWH. Spurred on by an iterative learning cycle and commitment to innovation, the Ugandan Water Project has achieved RWH system design, installation, and management practices that are well adapted to Ugandan institutions. By investing in a professional crew, high-quality materials, and post-installation support, the Ugandan Water Project has achieved 96 per cent functionality two years after installation. The professionalized approach that the Ugandan Water Project employs can be used as a model to guide future RWH system installations in Uganda and elsewhere.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"115-126"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49379669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.3362/1756-3488.20-00013
Roshani Rajbanshi, S. Bastien, M. Pandey, Bipana Sharma, Bal Chandra Luitel
Use of human excreta as fertilizer is not a new concept. However, with the use of the modern water-flush toilet, human excreta becomes mixed with water and causes environmental pollution. To reemphasize the nutritional value of human urine in the field, a urine diversion toilet was constructed in a community school situated in Kavre, Nepal. The purpose of establishing the urine diversion toilet is to improve hygiene outcomes through promoting proper sanitation and transforming the school community’s regular practice and attitudes towards urine as a resource. To ensure effective implementation of the urine diversion toilets, intervention mapping was used as a guiding framework. The aim of this paper is to document how the urine diversion toilet was planned and implemented in the school and how the urine diversion toilet was connected with the curriculum to address concerns regarding water, sanitation, and hygiene with a focus on sustainability through intervention mapping. This study highlights the benefits of intervention mapping as a systematic and step-by-step process for the planning and implementation of the urine diversion toilet. This study also highlights the benefits of connecting urine diversion toilets with school gardening, and engaging with local government and other stakeholders about the value of the approach.
{"title":"Intervention mapping as a framework for planning the implementation of urine diversion toilets and Ecosan education in a community school in Kavre, Nepal","authors":"Roshani Rajbanshi, S. Bastien, M. Pandey, Bipana Sharma, Bal Chandra Luitel","doi":"10.3362/1756-3488.20-00013","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00013","url":null,"abstract":"Use of human excreta as fertilizer is not a new concept. However, with the use of the modern water-flush toilet, human excreta becomes mixed with water and causes environmental pollution. To reemphasize the nutritional value of human urine in the field, a urine diversion toilet was constructed in a community school situated in Kavre, Nepal. The purpose of establishing the urine diversion toilet is to improve hygiene outcomes through promoting proper sanitation and transforming the school community’s regular practice and attitudes towards urine as a resource. To ensure effective implementation of the urine diversion toilets, intervention mapping was used as a guiding framework. The aim of this paper is to document how the urine diversion toilet was planned and implemented in the school and how the urine diversion toilet was connected with the curriculum to address concerns regarding water, sanitation, and hygiene with a focus on sustainability through intervention mapping. This study highlights the benefits of intervention mapping as a systematic and step-by-step process for the planning and implementation of the urine diversion toilet. This study also highlights the benefits of connecting urine diversion toilets with school gardening, and engaging with local government and other stakeholders about the value of the approach.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"127-141"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43897714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.20-00011
M. Domini, T. Yates, Sunny Guidotti, Lae Yee Win, D. Lantagne
Hygiene kits are commonly distributed in humanitarian emergencies to interrupt disease transmission and provide dignity. Despite being commonly implemented, hygiene kit distribution interventions are under-researched, and there is a lack of knowledge on kit efficacy and effectiveness. In Myanmar, the WASH cluster developed a national hygiene kit distribution and monitoring strategy. The research was aimed at determining the effectiveness of this strategy in the context of protracted internally displaced persons camps in Myanmar. To understand programme strategy, we reviewed documents against inclusion criteria; extracted and categorized data for included documents; analysed data; and summarized results. Twenty-six documents met the inclusion criteria of describing strategy development (47 per cent), monitoring in Rakhine (47 per cent) or Kachin State (3 per cent), or monitoring menstrual health and hygiene programme (3 per cent). We identified the strategy was successfully adopted and adapted for Kachin and Rakhine states; however, limitations were identified in receiving consistent monitoring data. We found hygiene kit distributions need to consider local context, including population mobility, local markets and availability of products, and household expenses and debt. Due to these interrelated factors, the percentage of households selling kit items decreased over time; additionally, soap and sanitary pad presence was significantly associated with household income. Consistently, women reported preferring disposable pads for menstrual health and hygiene due to privacy concerns. Programmatically, it is recommended to adapt hygiene kit distributions to local contexts, continue to distribute hygiene kits in protracted contexts to identified at-risk households, distribute disposable pads, and continue revising and improving strategy and monitoring tools.
{"title":"Results from implementing a cohesive strategy and standardized monitoring programme for hygiene kit distribution in Myanmar","authors":"M. Domini, T. Yates, Sunny Guidotti, Lae Yee Win, D. Lantagne","doi":"10.3362/1756-3488.20-00011","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00011","url":null,"abstract":"Hygiene kits are commonly distributed in humanitarian emergencies to interrupt disease transmission and provide dignity. Despite being commonly implemented, hygiene kit distribution interventions are under-researched, and there is a lack of knowledge on kit efficacy and effectiveness. In Myanmar, the WASH cluster developed a national hygiene kit distribution and monitoring strategy. The research was aimed at determining the effectiveness of this strategy in the context of protracted internally displaced persons camps in Myanmar. To understand programme strategy, we reviewed documents against inclusion criteria; extracted and categorized data for included documents; analysed data; and summarized results. Twenty-six documents met the inclusion criteria of describing strategy development (47 per cent), monitoring in Rakhine (47 per cent) or Kachin State (3 per cent), or monitoring menstrual health and hygiene programme (3 per cent). We identified the strategy was successfully adopted and adapted for Kachin and Rakhine states; however, limitations were identified in receiving consistent monitoring data. We found hygiene kit distributions need to consider local context, including population mobility, local markets and availability of products, and household expenses and debt. Due to these interrelated factors, the percentage of households selling kit items decreased over time; additionally, soap and sanitary pad presence was significantly associated with household income. Consistently, women reported preferring disposable pads for menstrual health and hygiene due to privacy concerns. Programmatically, it is recommended to adapt hygiene kit distributions to local contexts, continue to distribute hygiene kits in protracted contexts to identified at-risk households, distribute disposable pads, and continue revising and improving strategy and monitoring tools.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"3-22"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69470297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.20-00003
Jordan Brands, Leandra Rhodes-Dicker, Wali Mwalugongo, Ruthie Rosenberg, Lindsay Stradley, David Auerbach
Sanergy has offered reliable, non-sewered sanitation services in Nairobi, Kenya through the implementation of container-based, urine-diverting dry toilets. However, there remains a large volume of untreated faecal waste in urban informal settlements due to poorly managed pit latrines. With limited space in the settlements to bury old pits and dig new ones, management of faecal sludge requires manual pit emptying and safe discharge. Sanergy piloted the Mtaa Fresh project in the settlement of Mukuru Kwa Njenga, establishing a waste transfer station where manual pit emptiers could safely and reliably dispose of pit latrine contents. The most important factors in the successful implementation of this station were, first, the relationship established between Sanergy and the pit emptiers and, second, Sanergy’s commitment to iterating as new insights emerged. The relationship with the emptiers impacted the location, design, and adoption of the site, and aided in the formalization of a pit emptiers’ community-based organization. The commitment to iterating enabled Sanergy to respond to learnings gained from the emptiers. Additional factors that ensured the success of Mtaa Fresh included the implementation of full-time staff, security when the site is closed, support from local authorities, and an expansion to improve management of faecal sludge and trash. Improvements trialled during the expansion aim to minimize operation and maintenance costs, but sustainability will still rely on government support and external funding.
Sanergy通过在肯尼亚内罗毕实施基于容器的尿液分流干厕所，提供了可靠的、无需缝合的卫生服务。然而，由于坑式厕所管理不善，城市非正规住区仍有大量未经处理的粪便。由于定居点内埋葬旧坑和挖掘新坑的空间有限，粪便污泥的管理需要手动清空坑和安全排放。Sanergy在Mukuru Kwa Njenga定居点试点了Mtaa Fresh项目，建立了一个废物转运站，手动清坑器可以安全可靠地处理坑式厕所的内容物。该电站成功实施的最重要因素是，首先，赛能与挖坑者之间建立的关系，其次，赛能致力于随着新见解的出现而迭代。与清空者的关系影响了场地的位置、设计和采用，并有助于清空者社区组织的正式化。对迭代的承诺使桑能能够对从空置者那里获得的经验做出回应。确保Mtaa Fresh成功的其他因素包括全职员工的配备、现场关闭时的安保、地方当局的支持，以及扩大规模以改善粪便污泥和垃圾的管理。扩建期间进行的改进旨在最大限度地降低运营和维护成本，但可持续性仍将依赖政府支持和外部资金。
{"title":"Improving management of manually emptied pit latrine waste in Nairobi’s urban informal settlements","authors":"Jordan Brands, Leandra Rhodes-Dicker, Wali Mwalugongo, Ruthie Rosenberg, Lindsay Stradley, David Auerbach","doi":"10.3362/1756-3488.20-00003","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00003","url":null,"abstract":"Sanergy has offered reliable, non-sewered sanitation services in Nairobi, Kenya through the implementation of container-based, urine-diverting dry toilets. However, there remains a large volume of untreated faecal waste in urban informal settlements due to poorly managed pit latrines. With limited space in the settlements to bury old pits and dig new ones, management of faecal sludge requires manual pit emptying and safe discharge. Sanergy piloted the Mtaa Fresh project in the settlement of Mukuru Kwa Njenga, establishing a waste transfer station where manual pit emptiers could safely and reliably dispose of pit latrine contents. The most important factors in the successful implementation of this station were, first, the relationship established between Sanergy and the pit emptiers and, second, Sanergy’s commitment to iterating as new insights emerged. The relationship with the emptiers impacted the location, design, and adoption of the site, and aided in the formalization of a pit emptiers’ community-based organization. The commitment to iterating enabled Sanergy to respond to learnings gained from the emptiers. Additional factors that ensured the success of Mtaa Fresh included the implementation of full-time staff, security when the site is closed, support from local authorities, and an expansion to improve management of faecal sludge and trash. Improvements trialled during the expansion aim to minimize operation and maintenance costs, but sustainability will still rely on government support and external funding.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"155 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41275396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.20-00006
R. Holm, Alice Ngulube Magombo
Cooperation and locally driven water management are at the forefront of food production water management for smallholder farmers in low-income countries. The aim of this paper was to critically reflect on the experiences of 5,819 smallholder rice farmers in Karonga District, Malawi, who were members of a farmers’ organization that achieved improved water stewardship, but could not achieve Alliance for Water Stewardship certification within a three-year project. The data for this paper were obtained through farmer and stakeholder interviews. The partnership attempted to bring together four parties: academics, farmers, local government, and a non-governmental organization. The farmers were trained by combining stewardship and certification topics through a train-the-trainer approach. The farmers’ organization primarily focuses on agribusiness; therefore, they did not have any water-related data or detailed farm boundaries from the large and dispersed group of farmers and could not obtain a collective water permit. Understanding water governance was difficult for many farmers. Furthermore, moving from stewardship to certification presented some financial challenges. Critical thinking and questioning are required, along with a deeper understanding of the local context, logistical hindrances, priorities, alternatives, culture, and science, to evaluate how projects are designed and partially succeed or fail from the perspective of low-income farmers in the Global South.
{"title":"Between water stewardship and independent global water certification: learning from smallholder rice farmers, Karonga, Malawi","authors":"R. Holm, Alice Ngulube Magombo","doi":"10.3362/1756-3488.20-00006","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00006","url":null,"abstract":"Cooperation and locally driven water management are at the forefront of food production water management for smallholder farmers in low-income countries. The aim of this paper was to critically reflect on the experiences of 5,819 smallholder rice farmers in Karonga District, Malawi, who were members of a farmers’ organization that achieved improved water stewardship, but could not achieve Alliance for Water Stewardship certification within a three-year project. The data for this paper were obtained through farmer and stakeholder interviews. The partnership attempted to bring together four parties: academics, farmers, local government, and a non-governmental organization. The farmers were trained by combining stewardship and certification topics through a train-the-trainer approach. The farmers’ organization primarily focuses on agribusiness; therefore, they did not have any water-related data or detailed farm boundaries from the large and dispersed group of farmers and could not obtain a collective water permit. Understanding water governance was difficult for many farmers. Furthermore, moving from stewardship to certification presented some financial challenges. Critical thinking and questioning are required, along with a deeper understanding of the local context, logistical hindrances, priorities, alternatives, culture, and science, to evaluate how projects are designed and partially succeed or fail from the perspective of low-income farmers in the Global South.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"61-72"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69470348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.20-00009
Anise Gold-Watts, G. Aamodt, R. Shanmugasundaram, S. Bastien
Water, sanitation, and hygiene are issues of substantial public health importance. Community-based participatory research approaches such as photovoice can help explore and identify determinants that influence sanitation and hygiene-related behaviours. This study aimed to use photovoice as part of the formative research process to increase understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours in Thirumalaikodi, India. First, a school was recruited using convenience sampling; next, 10 participants were purposively selected to participate in an information meeting, seven photo discussion sessions, and one wrap-up session over a three-week period. In each photo discussion session, participant groups selected one ‘trigger’ photograph, and through a structured discussion using SHOWED mnemonic questions (a series of questions that ask participants to describe and reflect upon a chosen photograph), generated a new understanding of issues related to water, sanitation, and hygiene. All sessions were audio-recorded and transcribed verbatim. Conventional content analysis was used to analyse photo discussion session text. Findings revealed that factors such as social structure, education, and culture influence behaviours that determine the sanitary conditions of an individual’s private and public spaces. Furthermore, participants described how descriptive norms generated practices (e.g. littering) that were reinforced and maintained by limited access to waste management systems, attitudinal indifference, and generational beliefs. Findings yielded an in-depth understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours. This study also contributes to the advancement of participatory applications in formative research and intervention adaptation processes.
{"title":"Unravelling context: a formative photovoice study of Indian youth perspectives of sanitation and hygiene practices","authors":"Anise Gold-Watts, G. Aamodt, R. Shanmugasundaram, S. Bastien","doi":"10.3362/1756-3488.20-00009","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00009","url":null,"abstract":"Water, sanitation, and hygiene are issues of substantial public health importance. Community-based participatory research approaches such as photovoice can help explore and identify determinants that influence sanitation and hygiene-related behaviours. This study aimed to use photovoice as part of the formative research process to increase understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours in Thirumalaikodi, India. First, a school was recruited using convenience sampling; next, 10 participants were purposively selected to participate in an information meeting, seven photo discussion sessions, and one wrap-up session over a three-week period. In each photo discussion session, participant groups selected one ‘trigger’ photograph, and through a structured discussion using SHOWED mnemonic questions (a series of questions that ask participants to describe and reflect upon a chosen photograph), generated a new understanding of issues related to water, sanitation, and hygiene. All sessions were audio-recorded and transcribed verbatim. Conventional content analysis was used to analyse photo discussion session text. Findings revealed that factors such as social structure, education, and culture influence behaviours that determine the sanitary conditions of an individual’s private and public spaces. Furthermore, participants described how descriptive norms generated practices (e.g. littering) that were reinforced and maintained by limited access to waste management systems, attitudinal indifference, and generational beliefs. Findings yielded an in-depth understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours. This study also contributes to the advancement of participatory applications in formative research and intervention adaptation processes.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"23-43"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69470387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.2020.40-1ED
R. Carter
{"title":"Editorial: Making a difference","authors":"R. Carter","doi":"10.3362/1756-3488.2020.40-1ED","DOIUrl":"https://doi.org/10.3362/1756-3488.2020.40-1ED","url":null,"abstract":"","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49055741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.3362/1756-3488.20-00008
Théoneste Ntakirutimana, Bethesda O'Connell, M. Quinn, P. Scheuerman, Maurice Kwizera, F. Sunday, I. Ozodiegwu, V. Mbarushimana, Gasana Seka Heka Franck, Rubuga Kitema Felix
Rwanda met the Millennium Development Goal targets for access to drinking water and sanitation. However, the WASH practices of high-risk communities are undocumented. Lack of information may hide disparities that correlate with disease. The purpose of this study was to assess WASH and childhood diarrhoea in Bugesera District. A survey was administered to caregivers. Water and stool samples were collected to assess physical and biological characteristics. Focus groups provided information on community context. Analysis included descriptive statistics, Chi-square, logistic regression, and thematic analysis. Piped water and unimproved sanitation were used by 45.28 per cent and 88.38 per cent of respondents. Most respondents (51.47 per cent) travelled 30–60 minutes per trip for water and 70 per cent lacked access to hand-washing near the latrine. Diarrhoea was less prevalent in children who used a toilet facility (p = 0.009). Disposal of faeces anywhere other than the toilet increased the odds of having diarrhoea (OR = 3.1, 95 per cent CI = 1.2–8.2). Use of a narrow mouth container for storage was associated with decreased intestinal parasites (p = 0.011). The presence of a hand-washing station within 10 metres of the toilet was associated with lower odds of intestinal parasites (OR = 0.54, 95 per cent CI: 0.29–0.99). Water and sanitation access, water handling and storage, and unsanitary household environment underlie high diarrhoeal disease prevalence.
{"title":"Linkage between water, sanitation, hygiene, and child health in Bugesera District, Rwanda: a cross-sectional study","authors":"Théoneste Ntakirutimana, Bethesda O'Connell, M. Quinn, P. Scheuerman, Maurice Kwizera, F. Sunday, I. Ozodiegwu, V. Mbarushimana, Gasana Seka Heka Franck, Rubuga Kitema Felix","doi":"10.3362/1756-3488.20-00008","DOIUrl":"https://doi.org/10.3362/1756-3488.20-00008","url":null,"abstract":"Rwanda met the Millennium Development Goal targets for access to drinking water and sanitation. However, the WASH practices of high-risk communities are undocumented. Lack of information may hide disparities that correlate with disease. The purpose of this study was to assess WASH and childhood diarrhoea in Bugesera District. A survey was administered to caregivers. Water and stool samples were collected to assess physical and biological characteristics. Focus groups provided information on community context. Analysis included descriptive statistics, Chi-square, logistic regression, and thematic analysis. Piped water and unimproved sanitation were used by 45.28 per cent and 88.38 per cent of respondents. Most respondents (51.47 per cent) travelled 30–60 minutes per trip for water and 70 per cent lacked access to hand-washing near the latrine. Diarrhoea was less prevalent in children who used a toilet facility (p = 0.009). Disposal of faeces anywhere other than the toilet increased the odds of having diarrhoea (OR = 3.1, 95 per cent CI = 1.2–8.2). Use of a narrow mouth container for storage was associated with decreased intestinal parasites (p = 0.011). The presence of a hand-washing station within 10 metres of the toilet was associated with lower odds of intestinal parasites (OR = 0.54, 95 per cent CI: 0.29–0.99). Water and sanitation access, water handling and storage, and unsanitary household environment underlie high diarrhoeal disease prevalence.","PeriodicalId":39265,"journal":{"name":"Waterlines","volume":"40 1","pages":"44-60"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69470357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：