Microbial quality of domestic water: following the contamination chain in a rural township in Kenya

2014 ◽  
Vol 5 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Pauline W. Macharia ◽  
Paul T. Yillia ◽  
Wairimu A. Muia ◽  
Denis Byamukama ◽  
Norbert Kreuzinger

A study was undertaken in Njoro Township, Kenya to evaluate the extent to which drinking water was subjected to post-collection faecal contamination in low-income and high-income households. Boreholes were the main drinking water sources, accounting for roughly 70% singular access. The microbial quality of drinking water from the boreholes deteriorated from the point-of-collection through conveying containers of small-scale water vendors to household storage containers, irrespective of their income status. The densities of Escherichia coli (EC) were relatively low at the point-of-collection – median (M): 18 CFU/100 mL, range (R): 0–220, n = 60 – increasing considerably in the containers of water vendors (M: 290 CFU/100 mL, R: 30–350) and slightly (M: 360 CFU/100 mL, R: 0–520) between vendors and low-income households, many of whom used the services of vendors unlike high-income households who relied on a piped system on premises (M: 40 CFU/100 mL, R: 0–500). Post-collection contamination was high in low-income households compared to high-income households but differences were not significant between the two household categories with and without household water treatment (HWT). Different HWT methods in the two household categories significantly reduced faecal contamination, but unhygienic handling and poor storage practices afterwards caused recontamination. HWT and behavioural change measures need not selectively target household groups solely on the basis of their income status.

Water ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1450 ◽  
Author(s):  
Alexandra Bastaraud ◽  
Jean Rakotondramanga ◽  
Jackson Mahazosaotra ◽  
Noror Ravaonindrina ◽  
Ronan Jambou

Access to piped water is often limited to urban areas in low-income countries, and the microbiological quality of drinking water varies due to technical and environmental constraints. To analyse the parameters that modulate the contamination of these systems, this study examines 16 years of microbial quality data for water supplied in 32 urban areas of Madagascar. A discriminant statistical approach and agglomerative hierarchical clusters were applied to environmental and climatic data. The microbial contamination varied between sites from 3.3 to 17.5%, and 78% of the supply systems showed large variations between years or months. Agglomerative hierarchical clusters (AHCs) revealed four supply system profiles that share a similar bacteriological evolution. Heavy rainfall and dry periods sustained increasing contamination, as reflected in levels of spores of sulphite-reducing clostridia (SSRC) and/or total coliforms (TC). SSRC were dominant in three profiles, with faecal indicator bacteria (FIB) dominant in the other. Principal component analysis demonstrated the main drivers of contamination: type of water source, implemented treatment, location of the site, population growth, lack of protection, agriculture, urbanization/sanitation, and flooding threats. Contamination increased over the 16-year period, reaching alarming levels. The protection of water sources should be a concern for public authorities.


2018 ◽  
Vol 108 ◽  
pp. 562-566 ◽  
Author(s):  
Javier Cravino ◽  
Andrei A. Levchenko

Cravino and Levchenko (2017) establish that the 1994 Mexican peso devaluation raised the prices of consumption baskets of low-income households substantially more than the prices of the consumption baskets of high-income households. In this paper, we explore this result further by focusing on the regional variation in how much prices of consumption baskets changed following the devaluation. Our main finding is that the devaluation was anti-poor in all regions, but there is substantial regional dispersion in the relative inflation faced by the poor.


2017 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Selviana Selviana ◽  
Elly Trisnawati ◽  
Sitti Munawarah

Abstract: Factors Related To Occurrence Of Diarrhea In 4-6 Year Children. Diarrhea cases in 4-6-year-old children in Desa Kalimas raised annually, from 10% in 2013 to 33% in 2014, and 35% in 2015. This study aimed at factors related to diarrhea cases in 4-6-year-old children in Desa Kalimas Kecamatan Sungai Kakap. Cross Sectional approach was used forty one sample participated in this study. They were selected by using proportional random sampling technique. The data analysis using chi-square test with a 95% confidence level. The study revealed significant correlation of hand washing (p = 0,043 ; PR = 2,175), microbial quality of drinking water storage (p = 0,016 ; PR = 1,462), availability of family latrine (p = 0,003 ; PR = 3,242), and diarrhea cases. There was no significant correlation between diarrhea cases are the habit of boiling water with the microbial quality of drinking water, the source of water for washing cutlery, and microbial of drinking water, (p > 0,05). It is hoped health authorized staffs in Desa Kalimas apply community- based total sanitation, enhance clean and healthy behaviour, and socialize healthy drinking water storage based on Regulation of Minister of Healthy No. 3/2014.Abstrak: Faktor-Faktor Yang Berhubungan Dengan Kejadian Diare Pada Anak Usia 4-6 Tahun. Angka kejadian diare pada anak usia 4-6 tahun di Desa Kalimas mengalami peningkatan setiap tahunnya. Tahun 2013 kejadian diare sebesar 10%, tahun 2014 sebesar 33% dan 35% pada tahun 2015. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada anak usia 4-6 tahun di Desa Kalimas Kecamatan Sungai Kakap. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel  45 orang yang diambil menggunakan teknik proportional random sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kebiasaan mencuci tangan dengan diare (p = 0,043; PR = 2,175), penyimpanan air minum dengan kualitas mikrobiologi air minum (p = 0,016; PR = 1,462), ketersediaan jamban keluarga dengan diare (p = 0,003; PR = 3,242). Variabel yang tidak berhubungan yaitu kebiasaan memasak air dengan kualitas mikrobiologi air minum, sumber air untuk mencuci alat makan/minum dan kualitas mikrobiologi air minum dengan diare (p ≥ 0,005). Disarankan agar di Desa Kalimas bisa diterapkan program STBM dan peningkatan penerapan PHBS pada masyarakat Desa Kalimas serta mensosialisasikan cara penyimpanan air minum yang baik sesuai dengan Permenkes No 3 tahun 2014.


2010 ◽  
Vol 14 (1) ◽  
pp. 59-63 ◽  
Author(s):  
M.B. Miranzadeh ◽  
M. Heidari ◽  
A.R. Mesdaghini ◽  
M. Younesian

2019 ◽  
Vol 53 ◽  
pp. 112
Author(s):  
Sofia Wolker Manta ◽  
Rodrigo Siqueira Reis ◽  
Tânia Rosane Bertoldo Benedetti ◽  
Cassiano Ricardo Rech

ABSTRACT OBJECTIVE: To analyze the association between sociodemographic characteristics of census tracts and the presence/quality of public open spaces and physical activity facilities. METHODS: A cross-sectional study was conducted in 643 census tracts in Florianópolis, Brazil, the presence and quality of public open spaces and physical activity facilities were objectively analyzed and the data by census tracts using Geographic Information Systems was treated. Outcomes were analyzed considering the census tracts as having: ≥ 1 public open spaces; ≥ 1 public open spaces with high quality; ≥ 2 physical activity facilities and high-quality physical activity facilities. Sociodemographic characteristics were the independent variables. Logistic regression analysis was performed. RESULTS: Census tracts with a medium-income (OR = 1.8; 95%CI 1.1–3.0) and high-income (OR = 2.4; 95%CI 1.4–4.0), in those with medium (OR = 1.7; 95%CI 1.0–2.7) and high residential density (OR = 2.0; 95%CI 1,2–3.3), and with higher proportions of older adults (OR = 3.3; 95%CI 1.9–5.7) had a higher proportion of public open spaces. Census tracts with higher proportions of children/adolescents (OR = 0.3; 95%CI 0.2–0.6) and non-white residents (OR= 0.6; 95%CI 0.3–0.9) were less likely to contain public open spaces. The tracts with medium (OR = 4.0; 95%CI 1.4–11.3) and high-income (OR = 3.6; 95%CI 1.2–10.2) were more likely to contain public open spaces with ≥ 2 structures for physical activity, compared with those with low-income. We observed the inverse in sectors with a high proportion of non-white residents (OR = 0.3; 95%CI 0.1–0.9). CONCLUSIONS: Census tracts with higher proportions of children or adolescents, non-white individuals and those in the low-income strata had lower odds of containing public open spaces and physical activity facilities.


Author(s):  
Saloni Gupta

A vibrant banking policy should facilitate the evolution and growth of banks and micro credit institutions, which focus on low income households, agriculturalists, tiny and small scale industries and underbanked citizens aiming at self-employment and entrepreneurship. These institutions should include such specialist institutions as may be promoted by voluntary action, private enterprise or NGOs for meeting the banking needs of the poor or small players. In the contemporary policy, ‘differentiated banks’ serving niche interests, local area banks, payment banks etc. are contemplated to meet credit and remittance needs of small businesses, unorganized sector, low income households, farmers and migrant work force. Small Finance Banks, to whom licences have recently been issued by the RBI, are a step in this direction.


2008 ◽  
Vol 38 (4) ◽  
pp. 697-715 ◽  
Author(s):  
Göran Dahlgren

The conservative government that came to power in Sweden in 2006 has initiated major market-oriented reforms in the health sector. Its first health care policy bill changed the health legislation to make it possible to sell/transfer public hospitals to commercial providers while maintaining public funding. Far-reaching market-oriented primary health care reforms are also initiated, for example in Stockholm County. They are typically presented as “free choice models” in which “the money follows the patient.” The actual and likely effects of these reforms in terms of access and quality of care are discussed in this article. One main finding is that existing social inequities in geographic access to care not only are reinforced but also become very difficult to change by democratic political decisions. Furthermore, dynamic market forces will gradually reduce the quality of care in low-income areas while both access and quality of care will be even better in high-income areas. Public funds are thus transferred from people living in low-income areas to people living in high-income areas, even though the need for good health services is much greater in the low-income areas. Certain policy options for reversing the inverse law of care are also presented.


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