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Journal of Water Sanitation and Hygiene for Development最新文献

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Functioning of community sanitary complexes in rural India: Insights into selected states 印度农村社区卫生综合体的运作:对选定州的见解
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-06-01 DOI: 10.2166/washdev.2023.066
W. Joe, R. Alambusha, B. Vijayan, M. Sabarisakthi, Sandip Surwade, Abhishek Kumar, S. Mojumdar, Koushiki Banerjee
An important component of the Swachh Bharat Mission is the construction of community sanitary complexes (CSCs) to address the unmet need for sanitation for households. The success, however, critically hinges on the operational management of CSCs. We examine the functioning status of CSCs in rural areas of five Indian states. Furthermore, we study the association between alternative management arrangements with the functioning and maintenance status of the CSCs. A principal component analysis-based CSC functioning index is created based on the maintenance indicators and sanitary items to identify better-performing CSCs. The mixed-effects logistic regression analysis was applied to examine the association between management arrangement for maintenance and CSC functioning index. Four in every five CSCs were directly managed by the Gram Panchayat. Over 90% of the CSCs have running water supply but electricity connection and lighting arrangement were available in 66.1 and 55.1% CSCs, respectively. The econometric analysis finds that CSCs managed by worship area groups or those managed by village CSC user-groups have better CSC maintenance status. The cleaning frequency of the CSC has a significant association with CSC functioning status. The operational management of CSCs is an area for further policy attention for sustained community sanitation efforts.
“清洁印度使命”的一个重要组成部分是建设社区卫生设施,以解决家庭卫生设施需求未得到满足的问题。然而,成功与否,关键取决于csc的运营管理。我们研究了印度五个邦农村地区CSCs的运作状况。此外,我们研究了替代管理安排与CSCs的功能和维护状态之间的关系。以维修指标和卫生项目为基础,建立了基于主成分分析的CSC功能指数,以识别性能较好的CSC。采用混合效应logistic回归分析检验维修管理安排与CSC功能指数的相关性。五分之四的社区服务中心由格兰村务委员会直接管理。超过90%的csc有自来水供应,但分别有66.1%和55.1%的csc有接驳电力和照明设施。计量分析发现,由礼拜区域群体管理的CSC和由村CSC用户群体管理的CSC维护状况较好。CSC的清洗频率与CSC的功能状态有显著的相关性。社区卫生服务中心的业务管理是一个需要政策进一步关注的领域,以促进持续的社区卫生工作。
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引用次数: 0
The right to sanitation in India: Realisation of what? 印度的卫生权:实现什么?
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-06-01 DOI: 10.2166/washdev.2023.248
Kopal Khare
In the context of recent degeneration in manual scavengers in Uttar Pradesh, India, where women are forced to undergo uterus removal surgery to perform efficiently at work, this article investigates what precisely realisation of the right to sanitation in India entails. It reviews the existing literature and finds that there is a narrow conception of sanitation as an infrastructure provision that influences the conceptualisation of sanitation as a right in India. The limited understanding of sanitation impacts the livability outcomes of the individuals, specifically the Dalit manual scavengers who are subjected to insufferable circumstances. The paper argues that the evaluation of the realisation of sanitation as a right is comprehensively achieved by deploying Amartya Sen's conception of justice, given its compatibility with the human rights framework. It concerns with the reduction of human suffering. It assesses individual well-being by focusing on expanding people's freedoms and opportunities to live a life of dignity.
在印度北方邦最近人工拾荒者的堕落背景下,妇女被迫接受子宫切除手术以有效地工作,本文调查了在印度实现卫生权的确切意义。它回顾了现有的文献,发现卫生设施作为一种基础设施的概念很狭隘,这影响了印度卫生设施作为权利的概念化。对环境卫生的有限了解影响了个人的宜居性结果,特别是那些生活在令人难以忍受的环境中的贱民拾荒者。该文件认为,鉴于Amartya Sen的正义观与人权框架的兼容性,对实现环境卫生作为一项权利的评估是通过运用其正义观来全面实现的。它涉及减少人类痛苦。它通过关注扩大人们的自由和过上有尊严生活的机会来评估个人福祉。
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引用次数: 0
Level of JMP ladders for water, sanitation, and hygiene (WASH) services among healthcare facilities of Bishoftu Town, Ethiopia: An implication of healthcare-associated infection prevention status 埃塞俄比亚Bishoftu镇卫生保健设施中水、环境卫生和个人卫生(WASH)服务的JMP阶梯水平:卫生保健相关感染预防状况的含义
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-06-01 DOI: 10.2166/washdev.2023.230
A. M. Girmay, M. Kenea, S. D. Mengesha, Bedasa Wagari, Abel Weldetinsae, Z. A. Alemu, D. A. Dinssa, M. G. Weldegebriel, M. G. Serte, T. A. Alemayehu, K. T. Teklu, Ermias Alemayehu Adugna, W. Gobena, Getinet Fikresilassie, M. Tessema, G. Tollera
This study aimed to assess the level of JMP ladders for WASH services. A cross-sectional study was conducted. Forty-four healthcare facilities were enrolled. From each healthcare facility, water samples were collected directly from water storage facilities. In addition to the interview, an observational checklist was used. Descriptive statistics and a chi-square test were conducted to analyze the data. The coverage of advanced and basic drinking water services in healthcare facilities was 4.6 and 70.4%, respectively. However, the healthcare facilities’ access to advanced and basic sanitation services was nil. Similarly, 61.4 and 88.6% of the healthcare facilities had no hygiene and waste disposal services, respectively. While 2.6, 4.5, and 75% of healthcare facilities had advanced, basic, and limited environmental cleaning services, 18.2% lacked environmental cleaning services. Water samples of 15.9, 11.4, and 6.8% of the healthcare facilities were found positive for total coliforms, fecal coliforms, and E. coli, respectively. The WASH services of the healthcare facilities were very low and not on track to achieve the Sustainable Development Goal target. Healthcare facilities could be sources of healthcare-associated infections. Hence, the government and other concerned bodies should take urgent action to improve WASH services.
本研究旨在评估用于讲卫生服务的JMP阶梯的水平。进行了一项横断面研究。共有44家医疗机构参与。从每个医疗机构直接从储水设施中采集水样。除了访谈之外,还使用了观察检查表。采用描述性统计和卡方检验对数据进行分析。医疗机构高级和基本饮用水服务的覆盖率分别为4.6%和70.4%。然而,医疗机构获得先进和基本卫生服务的机会为零。同样,61.4%和88.6%的医疗机构没有卫生和废物处理服务。2.6%、4.5%和75%的医疗机构提供先进、基本和有限的环境清洁服务,18.2%的医疗机构缺乏环境清洁服务。15.9%、11.4%和6.8%的医疗机构的水样中总大肠菌群、粪便大肠菌群和大肠杆菌分别呈阳性。医疗机构的讲卫生服务水平很低,无法实现可持续发展目标的具体目标。医疗机构可能是医疗相关感染的来源。因此,政府和其他相关机构应采取紧急行动,改善讲卫生服务。
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引用次数: 1
Feasibility and acceptability of a novel intervention to improve hand hygiene behavior in rural Liberian health facilities 改善利比里亚农村卫生机构手部卫生行为的新干预措施的可行性和可接受性
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-31 DOI: 10.2166/washdev.2023.190
Lucy K. Tantum, John R. Gilstad, Lily M. Horng, Amos F. Tandanpolie, A. Styczynski, A. Letizia, S. Luby, R. Arthur
Hand hygiene is central to the prevention of healthcare-associated infection. In low-income settings, barriers to health worker hand hygiene may include inconsistent availability of hand hygiene supplies at the point of care. However, there is a lack of knowledge of interventions to improve and sustain health worker hand hygiene in these settings. This pilot study evaluates acceptability and feasibility of a personally-worn hand hygiene holster device for improving point-of-care access to alcohol-based handrub (ABHR). Holsters were distributed to clinical staff at a hospital in Liberia in July–September 2021. Data collection included 2,066 structured observations of hand hygiene behavior, six spot checks of supply availability, and focus group discussions with 13 clinical staff. The Integrated Behavioral Model for Water, Sanitation, and Hygiene (IBM-WASH) provided a framework for study design and qualitative analysis. Acceptability of the intervention was high, with users reporting that holsters were comfortable, easy to use, and aligned with their professional identities. Feasibility depended on consistent ABHR availability, which may diminish sustainability of this intervention. The hand hygiene holster is a promising tool for improving health worker hand hygiene behavior, but solutions to ABHR supply chain and distribution constraints are necessary to support sustainability of this intervention.
手部卫生对于预防卫生保健相关感染至关重要。在低收入环境中,卫生工作者手卫生方面的障碍可能包括在医疗点获得的手卫生用品不一致。然而,缺乏在这些环境中改善和维持卫生工作者手卫生的干预措施的知识。本试点研究评估个人佩戴的手部卫生皮套装置的可接受性和可行性,以改善医疗点获得酒精基洗手液(ABHR)的机会。2021年7月至9月,向利比里亚一家医院的临床工作人员分发了皮套。数据收集包括对2066例手部卫生行为的结构化观察,6次供应情况抽查,以及与13名临床工作人员的焦点小组讨论。水、环境卫生和个人卫生综合行为模型(IBM-WASH)为研究设计和定性分析提供了一个框架。干预的可接受性很高,用户报告说,皮套舒适,易于使用,并符合他们的职业身份。可行性取决于持续的ABHR可用性,这可能会降低该干预措施的可持续性。手卫生皮套是改善卫生工作者手卫生行为的一种很有前途的工具,但要支持这一干预措施的可持续性,必须解决ABHR供应链和分配限制问题。
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引用次数: 0
Life has become more colourful: the social and economic outcomes of community-led sanitation initiatives in the rural Philippines 生活变得更加丰富多彩:菲律宾农村社区主导的卫生倡议的社会和经济成果
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-30 DOI: 10.2166/washdev.2023.042
Rachael Sorcher, E. Cloete, A. Salazar, Elvis Gatchalian, Juan L. Gonzales
This article considers the impact of improved sanitation beyond physical well-being. Based on the experiences of women from three community-based organisations (CBOs) in the rural Philippines, this article expands on documented non-health related outcomes of health, safety and security, cleaner surroundings, and ownership, to also include those linked to household income, livelihood, and CBOs. Drawing from the participatory and qualitative methods of Photovoice and Most Significant Change, semi-structured interviews and individual photo conversations were conducted among 13 CBO leaders and 50 sanitation project participants, respectively. Findings suggest that CBOs enable improved sanitation, and such improvements include a personal and communal change in the form of reformed sanitation and hygiene practices, enhanced independence, privacy, and security, and improved ability to reclaim spaces for personal and public use, cultivation, and economic stimulation. Findings also underscore the idea that people may be more likely to adopt and sustain improved sanitation efforts if they are made aware of the additional non-physical health advantages of doing so.
这篇文章考虑了改善环境卫生的影响,而不仅仅是身体健康。基于菲律宾农村三个社区组织的妇女的经验,本文扩展了健康、安全和保障、清洁环境和所有权等与健康无关的结果,还包括与家庭收入、生计和社区组织有关的结果。根据Photovoice和Most Significant Change的参与性和定性方法,分别对13名国会预算办公室领导人和50名卫生项目参与者进行了半结构化访谈和个人照片对话。调查结果表明,社区组织能够改善环境卫生,这种改善包括个人和社区的改变,形式是改革环境卫生和个人卫生做法,增强独立性、隐私和安全性,以及提高回收空间供个人和公共使用、耕种和经济刺激的能力。调查结果还强调了这样一种观点,即如果人们意识到这样做对非身体健康的额外好处,他们可能更有可能采取并维持改善的卫生措施。
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引用次数: 0
Promoting safe and inclusive water and sanitation services for students with physical disabilities in primary schools: a concept mapping study in Ghana 促进为小学身体残疾学生提供安全和包容的水和卫生服务:加纳的一项概念地图研究
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-23 DOI: 10.2166/washdev.2023.029
Urbanus Wedaaba Azupogo, Ebenezer Dassah, E. Bisung
Improving water, sanitation, and hygiene (WASH) services in schools is crucial to providing inclusive environments for all children to thrive in school. Particularly for children with disabilities, the school environment can serve as a barrier to their access and use of WASH facilities. This study examines strategies and programmes needed to promote safe and inclusive WASH services for primary schools in Ghana. We recruited 22 stakeholders from the Upper West Region of Ghana to complete an online concept mapping exercise. Participants generated eight themes they felt were important for promoting safe and inclusive access to WASH for students with physical disabilities (PWDs). These themes included ‘building special schools,’ ‘guidance services,’ ‘ensuring non-discrimination and fair treatment,’ ‘additional programs for PWDs,’ ‘local government interventions,’ ‘public sensitization,’ ‘teacher training,’ and ‘supervision.’ Statements that do not demand large resources or financial needs are frequently easier to execute than those that do. The GO-zone was utilized to identify easy-to-implement and important strategies as the first step in addressing WASH issues for PWDs. These findings can assist stakeholders in identifying strategies and activities they should prioritize in the short run to improve WASH among students with PWDs.
改善学校的水、环境卫生和个人卫生服务对于为所有儿童在学校茁壮成长提供包容性环境至关重要。特别是对残疾儿童来说,学校环境可能成为他们进入和使用讲卫生设施的障碍。本研究考察了为促进加纳小学提供安全和包容的讲卫生服务所需的战略和规划。我们从加纳上西部地区招募了22名利益相关者来完成一项在线概念地图绘制工作。与会者提出了他们认为对促进身体残疾学生安全、包容地获得讲卫生知识很重要的八个主题。这些主题包括“建立特殊学校”、“指导服务”、“确保不歧视和公平待遇”、“残疾人士额外项目”、“地方政府干预”、“公众敏感”、“教师培训”和“监督”。不需要大量资源或财务需求的报表通常比需要大量资源或财务需求的报表更容易执行。go区域被用来确定易于实施和重要的战略,作为解决残疾人讲卫生问题的第一步。这些发现可以帮助利益相关者确定他们应该在短期内优先考虑的战略和活动,以改善残疾学生的讲卫生活动。
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引用次数: 1
Assessment of WASH infrastructure in schools in Central Sulawesi, Indonesia using structured observations and principal interviews 利用结构化观察和校长访谈评估印度尼西亚中苏拉威西省学校的讲卫生基础设施
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-18 DOI: 10.2166/washdev.2023.147
Imaduddin Ahmed, Margarita Garfias Royo, Eyitayo A. Opabola, S. Nurdin, E. Meilianda, Y. Idris, I. Rusydy, H. Joffe, P. Parikh
Adequate water, sanitation, and hygiene(WASH) facilities in schools are vital, especially for girls. This study addresses a gap in assessing the adequacy of WASH facilities' repair at schools affected by natural hazards. Central Sulawesi was used as a case study where principal interviews were conducted at 26 schools, and structured observations were made at 18 schools, 3 years after the earthquake in September 2018. Of the 26 principals, 10 reported no damage to the toilets from the events of September 2018. Among those who reported damage, a third felt that the fixes insufficiently met basic needs and that they did not deliver WASH services as well as they used to. Structured observations revealed that most toilets lacked soap, open water reserves were placed next to non-flush latrines, posing a high potential for vector-breeding, and there were inadequate facilities for menstrual hygiene management, including no bins. Recommendations include ensuring a supply of soaps, adding lids to water storage containers for hygiene, and providing sanitary napkins and lidded bins. It was noted that private schools provided a better level of WASH service than state schools, and state schools in more hazardous zones did not take long to recover and offer lower-quality WASH facilities.
学校里充足的水、环境卫生和个人卫生设施至关重要,尤其是对女孩来说。这项研究解决了在评估受自然灾害影响的学校讲卫生设施维修的充分性方面存在的差距。中苏拉威西岛被用作案例研究,在2018年9月地震发生3年后,对26所学校进行了校长访谈,并对18所学校进行结构化观察。在26名校长中,有10人报告说,2018年9月的事件没有损坏厕所。在报告损坏的人中,三分之一的人认为修复措施不能满足基本需求,他们没有像过去那样提供讲卫生服务。结构性观察显示,大多数厕所缺乏肥皂,开放式水源被放置在非冲洗厕所旁边,很有可能滋生病媒,而且月经卫生管理设施不足,不包括垃圾箱。建议包括确保肥皂的供应,为储水容器添加卫生盖,以及提供卫生巾和带盖垃圾箱。有人指出,私立学校比公立学校提供了更好的讲卫生服务,而危险地区的公立学校很快就恢复了,并提供了质量较低的讲卫生设施。
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引用次数: 0
Process performance evaluation of faecal matter treatment via black soldier fly 黑蝇处理粪便的工艺性能评价
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-18 DOI: 10.2166/washdev.2023.010
Valary Oyoo, J. Riungu, Prasanta Dey, J. Kirimi, Rosemary M. Matheka
Sustainable management of faecal matter is a prevailing global challenge. In this study, we assessed black soldier fly (BSF) process performance during co-treatment of faecal matter using kitchen waste (FM:KW) to formulate five feeding substrates. About 1 kg of each feed substrate was treated utilizing 5 g of 5-day-old BSF larvae after which 100 larvae were randomly picked at 3-day intervals from each treatment to monitor the larval weight gain across the treatment process. Larval days to 50% pupation, mean pupal yield, waste reduction rate (WR), bioconversion rates (BRs), and feed conversion rates (FCRs) were monitored for the process performance. Study results showed that the substrate 1:1 attained the best measures of high WR, waste reduction index (WRI), BR, FCR, and overall pre-pupal yield within a shorter development time. Further, we modelled the BSF larval weight gain using the modified Gompertz model to assess the least time for optimal biomass conversion for animal feed processing. The BSF larvae exhibited an S-shaped growth curve and the modified Gompertz model adequately quantified the BSF larval growth performance. In the future, our methodology will pave the way for effective treatment and valorization of faecal matter from onsite sanitation facilities, manage organic municipal wastes and provide alternative animal feed and bio-fertilizer.
粪便的可持续管理是一项普遍存在的全球性挑战。在这项研究中,我们评估了黑兵蝇(BSF)在用厨余垃圾(FM:KW)共处理粪便时的工艺性能。采用5日龄BSF幼虫5 g,每处理1 kg左右,每隔3 d随机选取100只幼虫,监测整个处理过程中幼虫的增重情况。监测幼虫日至50%化蛹量、平均蛹产量、废物减减率(WR)、生物转化率(BRs)和饲料转化率(fcr)。研究结果表明,以1:1配比的基质在较短的发育时间内获得较高的WR、废物减量指数(WRI)、BR、FCR和总蛹前产量的最佳指标。此外,我们采用改进的Gompertz模型对BSF幼虫增重进行建模,以评估动物饲料加工中最佳生物量转化的最短时间。BSF幼虫呈s型生长曲线,改进的Gompertz模型能较好地量化BSF幼虫的生长性能。在未来,我们的方法将为现场卫生设施粪便的有效处理和增值,管理有机城市废物以及提供替代动物饲料和生物肥料铺平道路。
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引用次数: 1
Planted drying beds in the African context: state of knowledge and prospects 非洲环境下的种植干燥床:知识状况和前景
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-10 DOI: 10.2166/washdev.2023.258
Baruc Goussanou, A. V. O. Akowanou, H. E. J. Deguenon, M. Daouda, M. Djihouessi, M. Aina, J. Labanowski
In low-income countries, the discharge of untreated fecal sludge directly into the environment is a common practice that poses a threat to both environmental and public health. Planted drying beds (PDBs) are a promising and low-cost option for treating fecal sludge. Therefore, in Africa, the use of PDBs for treating fecal sludge is increasingly valuable due to the technology's high efficiency, especially in tropical climates. This paper presents a literature review on the use of PDBs for treating fecal sludge in Africa, focusing on current research requirements and directions. This review shows that Echinochloa pyramidalis appears to be the most effective indigenous species used for this purpose, while also highlighting the lack of stability in the design and implementation models of PDBs. Standardizing and generalizing implementation methodologies for PDBs in Africa, researching new native and efficient species, and testing combinations of different species in the beds would all be beneficial.
在低收入国家,将未经处理的粪便污泥直接排放到环境中是一种普遍做法,对环境和公众健康都构成威胁。种植干燥床(PDBs)是一种有前途且低成本的处理粪便污泥的选择。因此,在非洲,使用多氯联苯处理粪便污泥越来越有价值,因为该技术的高效率,特别是在热带气候下。本文综述了非洲利用多氯联苯处理粪便污泥的相关文献,重点介绍了目前的研究需求和方向。这一综述表明,锥体棘球藻(Echinochloa pyramidalis)似乎是用于这一目的的最有效的本地物种,同时也突出了PDBs的设计和实施模式缺乏稳定性。标准化和推广非洲PDBs的实施方法,研究新的本地和高效物种,以及在床上测试不同物种的组合都将是有益的。
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引用次数: 0
Quality of latrines and willingness to improve them in rural Ethiopia 埃塞俄比亚农村厕所的质量和改善厕所的意愿
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-05-02 DOI: 10.2166/washdev.2023.257
Biruk Getachew Mamo, J. Novotný, Amha Admasie
Ethiopia recorded the worldwide fastest increase in latrine coverage over the past two decades, but it was largely achieved by the adoption of latrines that do not meet basic hygienic standards. Therefore, this study aims to examine the quality of latrines and their upgrading at household level through a case study from the Loka Abaya district, South Ethiopia. Of the initially sampled 549 households, 422 (77%) had private latrines, and a survey was administered among them. The data were characterized descriptively, and correlates of the latrine quality and willingness to improve were analysed. The average latrine quality score in the sample was only 2.8 of the maximum six quality dimensions. Despite the low quality of latrines, 63% of respondents were satisfied with their sanitation situation. Both past improvements and plans to improve latrines were frequently reported. However, these changes mostly involved regular maintenance or reconstructions of collapsed latrines. No substantial upgrading of the functionality was identified. We identified inadequate awareness about the means of hygienic sanitation implying the importance of community education. Demand for as well as supply of hygienic sanitation products are further constrained by the low purchasing power of households implying a need for sanitation subsidies.
在过去二十年中,埃塞俄比亚的厕所覆盖率在全球范围内增长最快,但这在很大程度上是通过采用不符合基本卫生标准的厕所实现的。因此,本研究旨在通过埃塞俄比亚南部Loka Abaya区的一项案例研究,检查厕所的质量及其在家庭层面的升级。在最初抽样的549户家庭中,422户(77%)拥有私人厕所,并对其中的家庭进行了调查。对数据进行了描述性描述,并分析了厕所质量和改善意愿的相关性。样本中厕所质量的平均得分仅为最大六个质量维度中的2.8分。尽管厕所质量很低,但63%的受访者对其卫生状况感到满意。过去的改进和改进厕所的计划经常被报道。然而,这些变化大多涉及定期维护或重建倒塌的厕所。没有发现对功能进行实质性升级。我们发现,对卫生条件的认识不足,这意味着社区教育的重要性。家庭购买力低,意味着需要卫生补贴,这进一步限制了卫生卫生产品的需求和供应。
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引用次数: 2
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Journal of Water Sanitation and Hygiene for Development
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