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Are ceramic water filters effective in preventing diarrhoea and acute malnutrition among under-five children in Sudan? 陶瓷滤水器在预防苏丹五岁以下儿童腹泻和急性营养不良方面是否有效?
Q4 Environmental Science Pub Date : 2020-07-01 DOI: 10.3362/1756-3488.19-00014
Bonface Okotch, Elsir Gadir Ahmmed Elsimat, L. Gonzalez, J. Heeger, J. Dodos
Access to safe drinking-water at home is essential during the outpatient treatment of children with acute malnutrition due to their increased vulnerability to infections and disease. The study aimed to evaluate the effectiveness of ceramic water filters with safe storage in preventing diarrhoea and acute malnutrition among under-five children in Kassala state, Sudan. It was designed as an open-label randomized controlled trial, comparing two study groups. Data was collected through face-to-face interviews and direct observations, then processed and analysed using Epi Info 7.2.0.1. Use of water filters is a potential predictor of number of diarrhoea episodes per child (P < 0.001). The intervention group had a lower diarrhoea occurrence (P < 0.001), better monthly average weight gain (P = 0.012) and average mid-upper arm circumference increase (P = 0.001), and lower prevalence of acute malnutrition at the end of the study (P = 0.001) compared with the control group. Ceramic water filters with safe storage can be effective in preventing diarrhoea and acute malnutrition, and beneficial to children admitted to Community Management of Acute Malnutrition programmes in Kassala state. More research is needed to understand the pathways to achieving these outcomes. Other WASH interventions may be needed to interrupt the primary vectors of diarrhoea disease transmission in this setting.
在门诊治疗急性营养不良儿童期间,由于他们更容易感染和疾病,在家获得安全饮用水至关重要。该研究旨在评估安全储存的陶瓷滤水器在预防苏丹卡萨拉州五岁以下儿童腹泻和急性营养不良方面的有效性。它被设计为一项开放标签随机对照试验,比较了两个研究组。通过面对面访谈和直接观察收集数据,然后使用Epi Info 7.2.0.1进行处理和分析。使用滤水器是每个儿童腹泻发作次数的潜在预测因素(P<0.001)。与对照组相比,干预组腹泻发生率较低(P<001),月平均体重增加(P=0.012)和中上臂围平均增加(P<0.01),研究结束时急性营养不良的发生率较轻(P=0.001)。安全储存的陶瓷滤水器可以有效预防腹泻和急性营养不良,对卡萨拉州急性营养不良社区管理项目的儿童有益。需要更多的研究来了解实现这些结果的途径。在这种情况下,可能需要其他讲卫生干预措施来阻断腹泻病传播的主要媒介。
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引用次数: 0
Providing municipal faecal sludge management services: lessons from Bangladesh 提供城市粪便污泥管理服务:孟加拉国的经验教训
Q4 Environmental Science Pub Date : 2020-07-01 DOI: 10.3362/1756-3488.20-00002
Mariam Zaqout
Faecal sludge management (FSM) is a rising priority in the WASH sector, and governments and development agencies are increasing their investments in faecal sludge treatment plants (FSTPs). In Bangladesh there are plans to build 100 FSTPs in secondary municipalities. However, lessons from past experiences are not widely understood or considered. This article aims to fill that gap, shedding light on the drivers of success and challenges in the provision of municipal FSM services, analysing the cases of older FSTPs in four secondary towns in Bangladesh. Only one of these plants was fully operational, one was not operating, and two were partially operational. A challenge identified was that the faecal sludge treatment plants were not part of an integral and well-thought-out plan considering the whole sanitation service chain. Unbalanced partnerships between stakeholders was a crucial barrier to the long-term success of FSTPs, as it hindered the empowerment of the municipal governments to take ownership of FSM service provision. The financing and technical capacities of the municipalities were another barrier, which was covered by NGOs in the most successful plant. The study suggests that future investment in FSM services in secondary towns in Bangladesh and similar contexts should 1) put municipalities in the driving seat, 2) ensure adequate financing, 3) consider the whole sanitation service chain, and 4) strengthen the capacities of the local actors to deliver FSM services.
粪便污泥管理(FSM)是WASH部门日益重视的问题,各国政府和发展机构正在增加对粪便污泥处理厂(fstp)的投资。在孟加拉国,计划在二级城市建造100个fstp。然而,过去的经验教训并没有被广泛理解或考虑。本文旨在填补这一空白,通过分析孟加拉国四个二级城镇较老的FSM服务的案例,揭示FSM提供市政服务的成功驱动因素和挑战。这些工厂中只有一个完全运行,一个不运行,两个部分运行。确定的一个挑战是,考虑到整个卫生服务链,粪便污泥处理厂不是一个完整和深思熟虑的计划的一部分。利益相关者之间不平衡的伙伴关系是fstp长期成功的关键障碍,因为它阻碍了市政府获得FSM服务提供的所有权。市政当局的资金和技术能力是另一个障碍,在最成功的工厂中,非政府组织解决了这一问题。研究表明,未来在孟加拉国二级城镇和类似背景下对FSM服务的投资应:1)让市政当局发挥主导作用;2)确保充足的资金;3)考虑整个卫生服务链;4)加强地方行动者提供FSM服务的能力。
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引用次数: 1
Addressing women’s needs in water access for economic use: the case of Wukro town, Ethiopia 解决妇女在经济用水方面的需求:以埃塞俄比亚乌克罗镇为例
Q4 Environmental Science Pub Date : 2020-07-01 DOI: 10.3362/1756-3488.19-00015
Z. Zerihun
In urban areas where water is not adequately supplied, women’s efforts to make a living out of water-intensive businesses face many challenges. The study examined how small-scale businesses run by women in Wukro town, Ethiopia are impacted by inadequate supply of water, and what coping strategies are employed. The lived experiences of women involved in small-scale water-intensive businesses, such as traditional beer brewing and coffee shops, were examined. In addition to these women, the perspectives and experiences of selected key informants as well as the officers at the local water utility have been assessed. Whether or not these women secure support from the social networks in their neighbourhood has also been considered. The study revealed that the unreliable supply of water in the town has impacted women involved in small business. It was indicated that some women manage to do well either by borrowing water from neighbours or purchasing from providers. In contrast, others who run businesses in rented houses with limited social networks expressed that they are struggling. Suggestions are made for the water utility to revise its working guidelines related to the provision of water services and to implement a gendered perspective in water management practices.
在供水不足的城市地区,妇女靠水密集型企业谋生的努力面临许多挑战。这项研究考察了埃塞俄比亚乌克罗镇妇女经营的小规模企业如何受到供水不足的影响,以及采取了哪些应对策略。研究了参与小型水密集型企业(如传统啤酒酿造和咖啡店)的妇女的生活经历。除了这些妇女之外,还评估了选定的关键线人以及当地供水公司官员的观点和经验。还考虑了这些妇女是否能获得社区社交网络的支持。研究表明,该镇供水不可靠,影响了从事小企业的妇女。有人指出,一些妇女通过向邻居借水或从供水者那里购买水来维持生计。相比之下,其他在社交网络有限的出租屋里经营企业的人表示,他们正在苦苦挣扎。建议水务公司修订其与提供供水服务有关的工作准则,并在水管理实践中实施性别观点。
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引用次数: 1
A promising approach for motivating handwashing in Tanzania 在坦桑尼亚鼓励洗手的一个很有前途的方法
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.19-00007
María Florencia Rieiro, J. Wandera, S. Cavill
Behaviour-centred design can be used to trigger changes in sanitation and hygiene practices. SNV Netherlands Development Organization used behaviour-centred design in an intervention to address the motivators of washing hands with soap in its Sustainable Sanitation and Hygiene For All (SSH4A) programme. This paper describes the use of emotional demonstrations (emo-demos) for triggering handwashing behaviour changes. The targets were the caregivers of children. Emo-demos focused on the motives of nurture (desire to care for one’s offspring) and disgust (a feeling of revulsion to avoid disease vectors and contamination). The paper provides practical information for implementing a small-scale handwashing promotion emo-demo within a WASH programme intervention. It concludes with lessons learned for wider practice.
以行为为中心的设计可用于引发环境卫生和个人卫生习惯的变化。SNV荷兰发展组织在其“人人享有可持续环境卫生和个人卫生”(SSH4A)方案中采用了以行为为中心的设计,在一项干预措施中解决用肥皂洗手的激励因素。本文描述了使用情绪演示(emo-demos)来触发洗手行为的改变。目标是照顾儿童的人。Emo-demos关注的是养育动机(照顾后代的愿望)和厌恶动机(为避免疾病媒介和污染而产生的厌恶感)。本文为在WASH项目干预中实施小规模的洗手宣传演示提供了实用信息。最后总结了可供更广泛实践的经验教训。
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引用次数: 0
Minding the gap: viability gap funding for private rural water operators in Cambodia 注意差距:为柬埔寨农村私营供水运营商提供可行性缺口资金
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.18-00031
K. Fogelberg
The adoption of the Sustainable Development Goals has led to an increased interest in blended finance, recognition of pluralistic service delivery models, and ambition for safer, more convenient, a...
可持续发展目标的采纳提高了人们对混合融资的兴趣,认可了多元化的服务提供模式,并立志实现更安全、更方便、更…
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引用次数: 0
Dimensions of water insecurity in pastoralist households in Kenya 肯尼亚牧民家庭用水不安全的各个方面
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.19-00016
N. Balfour, J. Obando, D. Gohil
Pastoralist communities in Northern Kenya face increasing water security risks attributable to disruptions in their socio-ecological environments. Sedentarized pastoralists, women, and children are...
由于社会生态环境的破坏,肯尼亚北部的牧民社区面临越来越大的水安全风险。定居的牧民、妇女和儿童……
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引用次数: 6
Securing a conducive environment for WASH markets: the role of local government 为讲卫生市场创造有利环境:地方政府的作用
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.18-00026
A. Gero, J. Willetts
Local governments play critical, yet under-recognized, roles in supporting or constraining the development of emerging water, sanitation, and hygiene (WASH) markets. The focus of market approaches to date has been primarily on small-scale businesses and social enterprises themselves, rather than on addressing the broader institutional environment.This study, drawing on experiences in Vietnam, Cambodia, and Indonesia, examined the political economy affecting support to WASH market actors, including the perspective and role of local governments. Semi-structured interviews were conducted with rural water supply enterprises and sanitation entrepreneurs, non-governmental organizations, and government officials. Qualitative analysis yielded key themes as regards political economy dynamics and identification of a breadth of pertinent roles for local governments. This study formed part of a larger research initiative funded through the Australian aid programme, focused on small-scale enterprise and led by the University of Technology Sydney.The findings demonstrate important local government roles, including: training and business development support to enterprises; linking demand and supply by promoting local enterprises; supporting associations of entrepreneurs; providing targeted subsidies or financing to catalyse private sector engagement or to facilitate access for the poor and disadvantaged; and setting and monitoring quality standards and accreditation of products and services. In particular, balancing an enabling or supporting role with the need to ensure appropriate regulatory functions are in place provided a point of tension (and sometimes confusion) for local governments. Key motivators driving local government engagement with enterprises included coverage targets. Various constraints limited their support, including lack of clarity on their role, availability of relevant skills, and perceptions that WASH market systems and private sector engagement should arise spontaneously.These findings inform gaps in development agency programming when it comes to WASH markets in terms of the need to work more strategically with local government actors, rather than solely directing efforts towards enterprises themselves. This study suggests a way forward in progressing more systemic interventions to support WASH markets in ways that facilitate local governments and related stakeholders to play more effective roles and achieve greater and more equitable development outcomes.
地方政府在支持或限制新兴的水、环境卫生和个人卫生(WASH)市场的发展方面发挥着关键但未得到充分认可的作用。迄今为止,市场方法的重点主要是小规模企业和社会企业本身,而不是处理更广泛的体制环境。这项研究借鉴了越南、柬埔寨和印度尼西亚的经验,考察了影响对讲卫生运动市场参与者支持的政治经济,包括地方政府的观点和作用。对农村供水企业和环卫企业家、非政府组织和政府官员进行了半结构化访谈。定性分析产生了关于政治经济动态和确定地方政府广泛相关角色的关键主题。这项研究是由澳大利亚援助计划资助的一项更大的研究计划的一部分,该计划以小规模企业为重点,由悉尼科技大学领导。调查结果表明,地方政府发挥着重要作用,包括:为企业提供培训和业务发展支持;通过促进当地企业,将需求和供应联系起来;支持企业家协会;提供有针对性的补贴或融资,以促进私营部门的参与或为穷人和弱势群体提供便利;制定和监测产品和服务的质量标准和认证。特别是,平衡扶持或支持作用与确保适当监管职能到位的需要,为地方政府提供了一个紧张点(有时甚至是混乱点)。推动地方政府与企业合作的主要动力包括覆盖率目标。各种制约因素限制了他们的支持,包括他们的角色不明确,相关技能不可用,以及认为讲卫生市场体系和私营部门的参与应该自发产生的看法。这些发现表明,在讲卫生市场方面,发展机构的规划存在差距,需要与地方政府行为者进行更具战略性的合作,而不仅仅是将努力导向企业本身。这项研究提出了一条前进的道路,即推进更系统的干预措施,以支持讲卫生市场,促进地方政府和相关利益攸关方发挥更有效的作用,实现更大、更公平的发展成果。
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引用次数: 2
Return to learn: recommendations from revisited rural ecosan projects in Burkina Faso 回归学习:重新审视布基纳法索农村生态项目的建议
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.19-00008
Linus Dagerskog, S. Dickin, K. Savadogo
Burkina Faso has extensive experience with urine-diverting dry toilets (UDDTs) and the reuse of human excreta in agriculture in line with the ecological sanitation (ecosan) principles of containment, treatment, and reuse. Around 30 such ecosan projects have been implemented over the past 15 years, including installation of approximately 13,500 household UDDTs, accompanied by awareness-building and training on toilet use, emptying, and reuse. Recently, efforts have been made to revisit former and current project sites in the spirit of ‘return to learn’. We identified four such learning initiatives (studies/events), from which we draw recommendations to improve the sustainability of future implementation of ecosan in Burkina Faso and similar contexts. Key recommendations include increased attention to different user needs, handwashing and training on emptying/reuse as well as research and innovation on toilet design, urine collection/handling, menstrual management, and cost reduction/financing. Burkina Faso has set up the ambitious goal of 100 per cent toilet coverage and optimal reuse in the national sanitation programme by 2030, with UDDTs projected to make up 15 per cent of the 2 million toilets needed in rural areas. It is therefore timely to take stock and learn from past interventions. In addition, to enable resource recovery and reuse at scale, it will be important to develop a supportive policy and legal framework with collaboration between the WASH, agriculture, health, and environmental sectors.
布基纳法索在利用尿液的干式厕所和按照控制、处理和再利用的生态卫生(ecosan)原则将人类排泄物重新用于农业方面拥有丰富的经验。在过去的15年里,已经实施了大约30个这样的生态项目,包括安装了大约13,500个家庭发展发展装置,同时还进行了关于厕所使用、清空和再利用的认识建设和培训。最近,本着“回归学习”的精神,我们努力重新审视以前和现在的项目地点。我们确定了四个这样的学习倡议(研究/事件),从中我们得出建议,以提高未来在布基纳法索和类似情况下实施生态经济的可持续性。主要建议包括更多地关注不同的用户需求、洗手和关于排空/再利用的培训,以及厕所设计、尿液收集/处理、月经管理和降低成本/融资方面的研究和创新。布基纳法索在国家卫生规划中制定了到2030年实现100%厕所覆盖率和最佳再利用的宏伟目标,预计千年发展目标将满足农村地区200万个厕所需求的15%。因此,现在是总结和吸取过去干预措施教训的时候了。此外,为了实现资源的大规模回收和再利用,必须在讲卫生运动、农业、卫生和环境部门之间的协作下制定一项支持性政策和法律框架。
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引用次数: 0
Editorial: Bridging the funding gap in rural community water services 社论:弥合农村社区供水服务的资金缺口
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.2020.39-1ed
R. Carter
These days, with the exception of sewered urban sanitation, it is taken for granted that households will meet the full cost of first providing, then maintaining and upgrading, their sanitation serv...
如今,除了有下水道的城市卫生设施外,人们想当然地认为,家庭将支付首先提供、然后维护和升级卫生设施的全部成本。
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引用次数: 0
The Swiss cheese failure model of self-supply hand-dug wells in developing nations: review and implications for water safety planning 发展中国家自供手挖井的瑞士奶酪失效模型:对水安全规划的回顾和启示
Q4 Environmental Science Pub Date : 2020-01-01 DOI: 10.3362/1756-3488.19-00006
G. Oluwasanya
Self-supply systems are privately owned household-based water sources that generally serve people beyond the asset owners. The system’s yielding safe water is crucial to achieving provision of safe...
自供系统是私人拥有的以家庭为基础的水源,通常服务于资产所有者以外的人。该系统产出的安全用水对实现安全供水至关重要。
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引用次数: 0
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