{"title":"Coping with water insecurity in urban Ghana: patterns, determinants and consequences","authors":"Meshack Achore, E. Bisung","doi":"10.2166/washdev.2023.203","DOIUrl":"https://doi.org/10.2166/washdev.2023.203","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46759043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jean-Marie Nlunda Mukiese, Tatiana Matumona Ndungidi, J. Konde, Marc Kapenga Yamba Yamba, G. Kiyombo
{"title":"Peri-urban schools of Kinshasa before and during COVID-19: an evaluation of water, handwashing facilities, and girl students’ hand hygiene practices","authors":"Jean-Marie Nlunda Mukiese, Tatiana Matumona Ndungidi, J. Konde, Marc Kapenga Yamba Yamba, G. Kiyombo","doi":"10.2166/washdev.2023.145","DOIUrl":"https://doi.org/10.2166/washdev.2023.145","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47339341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Engaging boys in menstrual hygiene management (MHM) interventions in Bangladeshi schools: a pilot study to assess acceptability and feasibility","authors":"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","doi":"10.2166/washdev.2023.153","DOIUrl":"https://doi.org/10.2166/washdev.2023.153","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42779151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rogers Kipkoech, M. Takase, A. Aliyu, Joy Kibet, Faith Mugah
{"title":"Availability and accessibility of toilet facilities among low-income households in selected settlements of Cape Coast Metropolis, Ghana","authors":"Rogers Kipkoech, M. Takase, A. Aliyu, Joy Kibet, Faith Mugah","doi":"10.2166/washdev.2023.197","DOIUrl":"https://doi.org/10.2166/washdev.2023.197","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48413877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors affecting the performance of household rainwater harvesting systems in the south-western coastal region of Bangladesh","authors":"Shimul Ghosh, T. Ahmed","doi":"10.2166/washdev.2023.123","DOIUrl":"https://doi.org/10.2166/washdev.2023.123","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46527393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women, technology, and water: creating new waterscapes and contesting cultural norms","authors":"A. Sarkar","doi":"10.2166/washdev.2022.306","DOIUrl":"https://doi.org/10.2166/washdev.2022.306","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47215631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Belay Desye, A. Keleb, Leykun Berhanu, Ahemed Mohammed Ebrahim, Tarikuwa Natnael, Birhanu Wagaye, Zenawi Hagos Gufue, Metadel Adane
{"title":"Access to basic water, sanitation, and hygiene (WASH) facilities and associated factors in Ethiopia: evidence from demographics and health surveys","authors":"Belay Desye, A. Keleb, Leykun Berhanu, Ahemed Mohammed Ebrahim, Tarikuwa Natnael, Birhanu Wagaye, Zenawi Hagos Gufue, Metadel Adane","doi":"10.2166/washdev.2022.226","DOIUrl":"https://doi.org/10.2166/washdev.2022.226","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47908797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The water finance gap and the multiple interpretations of ‘bankability’","authors":"Wilder McCoy, K. Schwartz","doi":"10.2166/washdev.2022.201","DOIUrl":"https://doi.org/10.2166/washdev.2022.201","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48352783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sagar, Dorothy DiMascio-Donohue, Justine Rayner, K. Gallandat, Michael Ritter, M. Joseph, D. Lantagne
{"title":"Sustained effectiveness evaluation of two water systems installed in Haitian communities after the 2010 earthquake","authors":"S. Sagar, Dorothy DiMascio-Donohue, Justine Rayner, K. Gallandat, Michael Ritter, M. Joseph, D. Lantagne","doi":"10.2166/washdev.2022.054","DOIUrl":"https://doi.org/10.2166/washdev.2022.054","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":"1 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67906042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stakeholder acceptance of shared toilets to improve sanitation access in low-income urban settings: a case study of Gulu city, Uganda","authors":"Anna Therese Schoell, R. Scott","doi":"10.2166/washdev.2022.172","DOIUrl":"https://doi.org/10.2166/washdev.2022.172","url":null,"abstract":"\u0000 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.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47970304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}