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Coping with water insecurity in urban Ghana: patterns, determinants and consequences 应对加纳城市用水不安全:模式、决定因素和后果
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-01-25 DOI: 10.2166/washdev.2023.203
Meshack Achore, E. Bisung
In Sub-Saharan Africa (SSA), rapid urbanization poses unprecedented challenges in terms of water security and associated health risks. Like most SSA countries, many Ghanaian households lack access to safely managed drinking water sources and resort to a patchwork of alternative sources for their water needs. This paper examines determinants and implications of water insecurity coping strategies in resource-constrained neighborhoods in Ghana, using a survey (n = 1192) of adult active water collectors within households in Accra and Tamale. Findings suggest that water insecure households were more likely to adopt behavioral, physical and a mix of behavioral and physical coping strategies. Households were more likely to use behavioral (OR = 5.64, p = 0.00), physical (OR = 3.18, p = 0.00) and behavioral and physical (OR = 4.20, p = 0.00) coping strategies in the dry season. Compared with the wealthy, the less wealthy (OR = 0.27, p = 0.00) were less likely to employ a mix of physical and behavioral coping strategies. Likewise, males were less likely (OR = 0.64, p = 0.03) to employ a behavioral coping strategy. The findings can help practitioners identify vulnerable groups and provide targeted interventions that seek to build or strengthen coping strategies in the short term.
在撒哈拉以南非洲,快速城市化在水安全和相关健康风险方面带来了前所未有的挑战。与大多数撒哈拉以南非洲国家一样,许多加纳家庭无法获得安全管理的饮用水源,只能依靠拼凑的替代水源来满足他们的用水需求。本文通过对阿克拉和塔马莱家庭中活跃的成年取水者的调查(n=1192),研究了加纳资源受限社区水不安全应对策略的决定因素和影响。研究结果表明,缺水家庭更有可能采取行为、身体以及行为和身体相结合的应对策略。在旱季,家庭更有可能使用行为(OR=5.64,p=0.00)、身体(OR=3.18,p=0.00。与富人相比,不太富裕的人(OR=0.27,p=0.00)不太可能采用身体和行为应对策略。同样,男性采用行为应对策略的可能性较小(OR=0.64,p=0.03)。研究结果可以帮助从业者识别弱势群体,并提供有针对性的干预措施,寻求在短期内建立或加强应对策略。
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引用次数: 0
Peri-urban schools of Kinshasa before and during COVID-19: an evaluation of water, handwashing facilities, and girl students’ hand hygiene practices 2019冠状病毒病之前和期间的金沙萨城郊学校:对水、洗手设施和女学生手卫生习惯的评估
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-01-25 DOI: 10.2166/washdev.2023.145
Jean-Marie Nlunda Mukiese, Tatiana Matumona Ndungidi, J. Konde, Marc Kapenga Yamba Yamba, G. Kiyombo
The COVID-19 pandemic has led communities, including Kinshasa peri-urban schools, to reinforce WASH-related practices as a key component in preventing the spread of COVID-19. This study aimed to determine the institutional and behavioural changes in adolescent girl students’ handwashing practices before and during the COVID-19 pandemic. A cross-sectional study was performed, observing the hand hygiene of adolescent girl students, and assessing WASH facilities at schools, chosen from a sample, previously selected in the study area. The results indicate significant increases in the prevalence of water points in schools from 10.9 to 22.5%, of handwashing facilities from 43 to 60.1% of schools with an average number of handwashing facilities from one to two, and the prevalence of school WASH brigades from 4.8 to 11.8% of schools. There was also a significant increase in schools receiving funds, and other support to WASH, respectively, from 24.9 to 70.3%, and from 17 to 45.9%, while the proportion of adolescent girl students washing their hands after using the toilet and before eating significantly increased from 6 to 28.4%. However, to improve the current WASH portrait, and achieve in curtailing the spread of COVID-19 and related impacts, additional efforts to enhance hand wash practice and WASH items’ coverage are expected.
COVID-19大流行促使包括金沙萨城郊学校在内的社区加强与wash相关的做法,将其作为预防COVID-19传播的关键组成部分。本研究旨在确定在2019冠状病毒病大流行之前和期间,青春期女生洗手习惯的制度和行为变化。进行了一项横断面研究,观察青春期女学生的手卫生情况,并评估学校的WASH设施,这些设施是从先前在研究区域选择的样本中选择的。结果表明,学校的供水点从10.9%增加到22.5%,洗手设施从43%增加到60.1%,洗手设施的平均数量从1个增加到2个,学校的WASH大队从4.8%增加到11.8%。获得WASH资金和其他支持的学校也显著增加,分别从24.9%增加到70.3%,从17%增加到45.9%,而青春期女学生如厕后和饭前洗手的比例从6%显著增加到28.4%。然而,为了改善目前的WASH状况,并实现遏制COVID-19的传播和相关影响,预计将进一步努力加强洗手做法和WASH项目的覆盖率。
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引用次数: 0
Engaging boys in menstrual hygiene management (MHM) interventions in Bangladeshi schools: a pilot study to assess acceptability and feasibility 让男孩参与孟加拉国学校的经期卫生管理干预:评估可接受性和可行性的试点研究
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-01-19 DOI: 10.2166/washdev.2023.153
Rizwana Khan, Supta Sarker, F. Sultana, M. Alam, Mehjabin Tishan Mahfuz, M. Nuruzzaman, Rofiuddin Robi, A. Masud, S. Khan, E. Hunter, L. Unicomb, Mahbubur Rahman, S. Luby, P. Winch
Educating boys about puberty and menstruation has been hypothesized to aid in reducing menstrual stigma and negative attitudes about menstruation. We developed and piloted a school-based intervention for girls and boys to increase knowledge about puberty and foster a more supportive environment for menstruating schoolgirls. In this sub-study, we report on data from the schoolboys. We conducted 24 formative in-depth interviews and four group vignette exercises to develop the intervention package. We then carried out pre-and post-intervention surveys and conducted four follow-up focus group discussions to determine the feasibility, acceptability, and effects of the intervention package among schoolboys and to develop recommendations for scale-up. During the formative phase, boys reported minimal knowledge concerning puberty but felt puberty education was vital for all. Following the intervention, boys' awareness of menstruation increased compared to baseline [PD: 15%; 95% confidence interval (CI): 2, 29]. The reported comfort level of discussing puberty-related issues in a school club or with friends also increased [PD: 13%; 95% CI: 2, 24]. In focus groups, boys reported finding the sessions helpful and informative. Engagement of schoolboys, combined with well-delivered intervention materials and social and behavior change communication interventions is feasible and can contribute to a more supportive and girl-friendly environment in schools.
对男孩进行关于青春期和月经的教育被认为有助于减少对月经的耻辱感和消极态度。我们为女孩和男孩制定并试行了一项基于学校的干预措施,以增加对青春期的了解,并为月经来潮的女学生营造一个更有利的环境。在这个子研究中,我们报告了来自男生的数据。我们进行了24次形成性深度访谈和4次小组小短文练习来制定干预方案。然后,我们进行了干预前和干预后的调查,并进行了四次后续焦点小组讨论,以确定干预方案在男生中的可行性、可接受性和效果,并提出扩大规模的建议。在形成阶段,男孩对青春期知之甚少,但认为青春期教育对所有人都至关重要。干预后,男孩的月经意识较基线有所提高[PD: 15%;95%置信区间(CI): 2,29]。据报道,在学校俱乐部或与朋友讨论青春期相关问题的舒适度也增加了[PD: 13%;95% ci: 2,24]。在焦点小组中,男孩们报告说,他们发现这些课程很有帮助,而且内容丰富。男生的参与,加上提供良好的干预材料以及社会和行为改变的沟通干预措施是可行的,并有助于在学校建立一个更加支持和对女孩友好的环境。
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引用次数: 0
Availability and accessibility of toilet facilities among low-income households in selected settlements of Cape Coast Metropolis, Ghana 加纳开普海岸大都市选定定居点低收入家庭厕所设施的可用性和可及性
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-01-13 DOI: 10.2166/washdev.2023.197
Rogers Kipkoech, M. Takase, A. Aliyu, Joy Kibet, Faith Mugah
Cape Coast Metropolis faces a serious lack of adequate toilet facilities among low-income households, which has led to poor sanitation and health. This research is aimed at exploring and providing valuable data on the availability and accessibility of toilet facilities among low-income households. Using a simple random sampling technique,100 closed-ended questionnaires were equally administered to respondents in four Cape Coast Metropolis communities. Descriptive statistics were used to assess the types of toilet facilities available, identify the accessibility of toilet facilities, and ascertain challenges in providing toilet facilities. Spearman's correlation coefficient was used to explore the relationship between income source and toilet facilities in households. All statistical analyses were done using SPSS version 21. The findings were presented in the form of tables. This result reveals that there is a significant lack of toilet facilities among the residents. Regarding the level of accessibility, most adults (79%) and children (72%) used household toilet facilities for defecation, while 14% of adults and 16% of children in the household were using toilet facilities outside the household. Open defecation near the house was more prevalent among children (11%) than adults (6%) which shows unwillingness by most families to invest in improving toilet facilities.
低收入家庭严重缺乏足够的厕所设施,导致环境卫生和健康状况不佳。这项研究旨在探索并提供关于低收入家庭厕所设施可用性和可及性的宝贵数据。使用简单的随机抽样技术,对四个开普海岸大都市社区的受访者进行了100份封闭式问卷调查。描述性统计用于评估可用厕所设施的类型,确定厕所设施的可及性,并确定提供厕所设施的挑战。采用Spearman相关系数探讨了家庭收入来源与厕所设施之间的关系。所有的统计分析均使用SPSS版本21进行。调查结果以表格形式呈现。这一结果表明,居民中厕所设施严重不足。关于无障碍水平,大多数成年人(79%)和儿童(72%)使用家庭厕所设施排便,而家庭中14%的成年人和16%的儿童使用家庭外的厕所设施。儿童(11%)在家附近露天排便比成年人(6%)更普遍,这表明大多数家庭不愿意投资改善厕所设施。
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引用次数: 2
Factors affecting the performance of household rainwater harvesting systems in the south-western coastal region of Bangladesh 影响孟加拉国西南沿海地区家庭雨水收集系统性能的因素
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2023-01-13 DOI: 10.2166/washdev.2023.123
Shimul Ghosh, T. Ahmed
This study aims to evaluate the post-installation performance of household (HH) rainwater harvesting (RWH) systems in the southwestern coastal region of Bangladesh. A conceptual framework for evaluating the effectiveness of RWH systems was developed based on seven determinants. An application of multivariable logistic regression showed that family size, monthly income, the practice of tank and downpipe cleaning, and the organizations supporting the installation were the most significant parameters (p< 0.05) affecting the effectiveness of the RWH systems. A family size of 1–4 has a higher odds of having a properly functioning system (adjusted odds ratio (AOR) = 28.3; 95% confidence interval (CI) = 4.8–167.7) than a family of 9 or more. The practice of tank cleaning once per year (AOR = 3.3; 95% CI = 1.2–9.1) and downpipe cleaning more than 3 times/year (AOR = 9.7; 95% CI = 1.5–62.5) had higher odds than HHs practicing no cleaning at all. No significant association was found with the practice of first-flush diversion, filter, and overhanging vegetation cleaning or duration of the operation. RWH systems installed by institutions other than the Department of Public Health Engineering, and NGOs had higher odds (AOR = 22.0; 95% CI = 2.3–213.0) compared to systems installed on their own. This study provides clues to strengthening the existing RWHS intervention programs in the water-challenged regions of Bangladesh.
本研究旨在评估孟加拉国西南沿海地区家庭雨水收集(RWH)系统安装后的性能。基于七个决定因素,开发了评估RWH系统有效性的概念框架。多变量logistic回归分析表明,家庭规模、月收入、水箱和下水管清洗情况以及支持安装的组织是影响RWH系统有效性的最显著参数(p< 0.05)。1-4人的家庭拥有正常功能系统的几率更高(调整优势比(AOR) = 28.3;95%可信区间(CI) = 4.8-167.7)大于9人以上家庭。水箱每年清洗一次的做法(AOR = 3.3;95% CI = 1.2-9.1),下水管清洗次数大于3次/年(AOR = 9.7;95% CI = 1.5-62.5)比完全不进行清洁的HHs发生率更高。未发现与首次冲洗分流、过滤器和悬垂植被清洗的做法或操作时间有显著关联。由公共卫生工程系以外的机构和非政府组织安装的RWH系统的几率更高(AOR = 22.0;95% CI = 2.3-213.0)与自行安装的系统相比。本研究为加强孟加拉国缺水地区现有的RWHS干预方案提供了线索。
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引用次数: 0
Women, technology, and water: creating new waterscapes and contesting cultural norms 妇女、技术和水:创造新的水景和挑战文化规范
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-12-30 DOI: 10.2166/washdev.2022.306
A. Sarkar
With the analysis of primary data, the paper looks at how the adoption of new modes of water technologies and subsequent water commercialization has created new waterscapes. Water commercialization is changing cultural norms associated with water collection in the drought-prone villages of western Rajasthan. The newly introduced water tankers have selectively benefited the upper caste rich households who now buy water from the tankers at doorsteps. The majority of the poor and low caste households remain dependent on common water sources that are drying up due to neglect with the advent of water commercialization. Women from low caste poor households have to walk for long distances to fetch water in addition to doing physical labor to support family income. Though domestic water use remains a domain of woman's working space, men from high caste rich households have started fetching and storing water as it entails cash transactions.
通过对原始数据的分析,本文着眼于采用新的水技术模式和随后的水商业化如何创造新的水景。在拉贾斯坦邦西部干旱频发的村庄,水的商业化正在改变与水收集相关的文化规范。新引入的水罐车有选择地让上层种姓的富裕家庭受益,他们现在在家门口从水罐车上买水。大多数贫困和低种姓家庭仍然依赖普通水源,而随着水商业化的到来,由于被忽视,这些水源正在枯竭。来自低种姓贫困家庭的妇女除了从事体力劳动以维持家庭收入外,还必须走很远的路取水。尽管家庭用水仍然是女性工作空间的一个领域,但来自高种姓富裕家庭的男性已经开始取水和蓄水,因为这需要现金交易。
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引用次数: 0
Access to basic water, sanitation, and hygiene (WASH) facilities and associated factors in Ethiopia: evidence from demographics and health surveys 埃塞俄比亚获得基本水、环境卫生和个人卫生设施的情况及相关因素:来自人口统计和健康调查的证据
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-12-30 DOI: 10.2166/washdev.2022.226
Belay Desye, A. Keleb, Leykun Berhanu, Ahemed Mohammed Ebrahim, Tarikuwa Natnael, Birhanu Wagaye, Zenawi Hagos Gufue, Metadel Adane
In low- and middle-income countries, ensuring water, sanitation, and hygiene (WASH) facilities for households remains a major public health concern. Therefore, this study aimed to assess households’ access to WASH services and associated factors in Ethiopia. A cross-sectional study was conducted among 16,650 and 8,663 households in the 2016 Ethiopian Demographic Health Survey (EDHS) and 2019 Mini-EDHS, respectively. The households were selected using a stratified two-stage cluster sampling technique. Multivariable logistic regression analysis was performed to identify factors associated with basic WASH services. Households’ access to basic water services was 65.2% (95% CI: 64.5–65.9%) and 68.7% (95% CI: 68.01–69.4%) in the 2016 EDHS and 2019 Mini-EDHS, respectively. Only 25.9% (95% CI: 25.2–26.62%) in the 2016 EDHS and 27.5% (95% CI: 26.34–28.3%) in the 2019 Mini-EDHS households had access to basic sanitation services. Moreover, only 38% (95% CI: 37.25–38.8%) of households had access to basic hygiene services in the 2016 EDHS. Female-headed households, urban residents, having education, family members ≥7, presence of soaps or detergents, and having a better wealth index were the most likely to have access to basic WASH services. The findings in general suggest the need for effective WASH interventions.
在中低收入国家,确保家庭用水、环境卫生和个人卫生设施仍然是一个主要的公共卫生问题。因此,本研究旨在评估埃塞俄比亚家庭获得讲卫生服务的情况及相关因素。在2016年埃塞俄比亚人口健康调查(EDHS)和2019年小型EDHS中,分别对16650户和8663户家庭进行了横断面研究。这些家庭采用分层两阶段整群抽样技术进行选择。进行了多变量逻辑回归分析,以确定与基本讲卫生服务相关的因素。在2016年EDHS和2019年Mini-EDHS中,家庭获得基本供水服务的比例分别为65.2%(95%CI:64.5-65.9%)和68.7%(95%CI:68.01-69.4%)。在2016年的EDHS中,只有25.9%(95%CI:25.2-26.62%)和2019年的Mini-EDHS家庭中,只有27.5%(95%CI:26.34-28.3%)能够获得基本的卫生服务。此外,在2016年EDHS中,只有38%(95%置信区间:37.25-38.8%)的家庭能够获得基本卫生服务。女性户主家庭、城市居民、受过教育、家庭成员≥7岁、有肥皂或洗涤剂、财富指数较高的人最有可能获得基本的讲卫生服务。调查结果总体上表明,有必要采取有效的讲卫生运动干预措施。
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引用次数: 0
The water finance gap and the multiple interpretations of ‘bankability’ 水利资金缺口与“银行性”的多重解读
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-12-29 DOI: 10.2166/washdev.2022.201
Wilder McCoy, K. Schwartz
In discussing progress on achieving SDG target 6.1 (universal access to water services by 2023), a large ‘financing gap’ is frequently referred to. It is often repeated in development circles that the key to bridging the ‘financing gap’ in the water sector is through the creation of ‘bankable’ water projects. However, there remains a wide gap between technical professionals in the water sector and market-oriented financiers in understanding how ‘bankability’ is practically operationalized. This paper presents a framework of bankability, which highlights the complexity of making projects in the water services sector bankable. This complexity means that making projects bankable requires innovative water project structuring to align interests of investors, water entrepreneurs, and society to leverage more capital into the water sector.
在讨论实现可持续发展目标6.1(到2023年普及供水服务)的进展时,经常提到一个巨大的“融资缺口”。发展界经常重申,弥合供水部门“资金缺口”的关键是创建“可银行化”的供水项目。然而,水务部门的技术专业人员和以市场为导向的金融家在理解“银行性”如何实际运作方面仍然存在巨大差距。本文提出了一个银行性框架,强调了使供水服务部门的项目银行化的复杂性。这种复杂性意味着,要使项目银行化,就需要创新的水项目结构,以调整投资者、水企业家和社会的利益,从而将更多资本投入水行业。
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引用次数: 0
Sustained effectiveness evaluation of two water systems installed in Haitian communities after the 2010 earthquake 2010年地震后在海地社区安装的两个供水系统的持续有效性评估
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-12-21 DOI: 10.2166/washdev.2022.054
S. Sagar, Dorothy DiMascio-Donohue, Justine Rayner, K. Gallandat, Michael Ritter, M. Joseph, D. Lantagne
As a 2010 earthquake and cholera response project, in 2013–2014, an international non-governmental organization, working with local organizations, installed water systems in two Haitian communities. In 2016, 2 years after installation, we conducted a mixed-methods evaluation to assess sustained effectiveness, including 20 infrastructure assessments, 199 household surveys, water quality testing, 30 key informant interviews, and financial analysis of two water committee records. One of 14 (7.1%) installed kiosks were functional during the evaluation, with 42–60% of survey respondents near installed sources reporting using system water for drinking. No household water sample had detectable chlorine residual and non-detectable E. coli, except when household water treatment was reported. Informants expressed appreciation for the project, and discussed difficulties with operations, maintenance, and community engagement. Revenue was initially sufficient for operations and maintenance, although not sustainable because lack of trust led to poor quality service and then lack of payment. While the functional kiosks did provide water to some residents, overall project sustained effectiveness was not reached due to operational and maintenance issues, and lack of governance and community engagement. We recommend future implementers of small-scale water systems in complex contexts like Haiti plan for the technical and social components necessary for sustained effectiveness.
作为2010年的地震和霍乱应对项目,2013-2014年,一个国际非政府组织与当地组织合作,在两个海地社区安装了供水系统。2016年,也就是该系统安装2年后,我们进行了混合方法评估,包括20项基础设施评估、199个家庭调查、水质测试、30个关键信息提供者访谈,以及对两项水务委员会记录的财务分析,以评估持续有效性。在评估期间,安装的14个售货亭中有一个(7.1%)是正常运行的,在安装水源附近的42-60%的调查受访者报告使用系统饮用水。除家庭用水处理报告外,没有家庭水样检测到氯残留和未检测到大肠杆菌。举报人对该项目表示赞赏,并讨论了运营、维护和社区参与方面的困难。最初的收入足以用于运营和维护,但由于缺乏信任导致服务质量差,然后缺乏付款,因此无法持续。虽然功能性的供水亭确实为一些居民提供了水,但由于运营和维护问题,以及缺乏治理和社区参与,整个项目的持续有效性没有达到。我们建议未来在海地等复杂情况下的小规模供水系统的执行者计划持续有效所需的技术和社会组成部分。
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引用次数: 0
Stakeholder acceptance of shared toilets to improve sanitation access in low-income urban settings: a case study of Gulu city, Uganda 利益相关者接受共享厕所以改善低收入城市环境中的卫生条件:乌干达古卢市的案例研究
IF 1.7 4区 环境科学与生态学 Q3 WATER RESOURCES Pub Date : 2022-12-21 DOI: 10.2166/washdev.2022.172
Anna Therese Schoell, R. Scott
With growing worldwide urbanisation, ensuring adequate sanitation for all urban citizens is gaining importance. Access to sufficient and appropriate sanitation presents particular challenges for low-income areas of high population density. In Gulu city, Uganda, 87% of the population relies on shared sanitation facilities. This paper investigates under what circumstances shared toilets can offer access to improved sanitation facilities. It explores stakeholders' perceptions of shared toilets – users, political leaders, and key decision-makers of Gulu. Findings are analysed from an existing dataset of over 10,000 households, alongside qualitative data from household interviews, key informant interviews with health inspectors, health workers, political leaders, and focus group discussions. Results reveal that shared toilets have the potential to improve access to enhanced sanitation technology in areas where people lack the space and financial means to construct individual household toilets. For shared toilets to be acceptable, they would be of a higher sanitation technology, located on private land, with the familiarity of users, and agreed cleaning and maintenance regimes. The paper, therefore, proposes improving both the technology and arrangements for the use of shared facilities, to a level that satisfies users and improves access to safe sanitation in low-income urban areas.
随着全球城市化的不断发展,确保所有城市公民享有足够的卫生条件变得越来越重要。获得足够和适当的卫生设施对人口密度高的低收入地区来说是一个特别的挑战。在乌干达古卢市,87%的人口依靠共享的卫生设施。本文调查了在什么情况下共享厕所可以提供改善的卫生设施。它探讨了利益相关者对共享厕所的看法——使用者、政治领导人和咕噜的主要决策者。调查结果是从现有的10000多个家庭的数据集中进行分析的,同时还有来自家庭访谈、卫生检查员、卫生工作者、政治领导人的关键线人访谈和焦点小组讨论的定性数据。研究结果表明,在人们缺乏空间和经济手段建造个体家庭厕所的地区,共享厕所有可能改善获得强化卫生技术的机会。为了让共享厕所被接受,它们将具有更高的卫生技术,位于私人土地上,用户熟悉,并商定清洁和维护制度。因此,该文件建议改进共享设施的使用技术和安排,达到让用户满意的水平,并改善低收入城市地区获得安全卫生设施的机会。
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引用次数: 0
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Journal of Water Sanitation and Hygiene for Development
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