scholarly journals WASH conditions in a small town in Uganda: how safe are on-site facilities?

2019 ◽  
Vol 10 (1) ◽  
pp. 96-110 ◽  
Author(s):  
J. G. Nayebare ◽  
M. M. Owor ◽  
R. Kulabako ◽  
L. C. Campos ◽  
E. Fottrell ◽  
...  

Abstract Inadequate hygiene coupled with the conjunctive use of the shallow subsurface as both a source of water and repository of faecal matter pose substantial risks to human health in low-income countries undergoing rapid urbanisation. To evaluate water, sanitation and hygiene (WASH) conditions in a small, rapidly growing town in central Uganda (Lukaya) served primarily by on-site water supply and sanitation facilities, water-point mapping, focus group discussions, sanitary-risk inspections and 386 household surveys were conducted. Household surveys indicate high awareness (82%) of domestic hygiene (e.g. handwashing, boiling water) but limited evidence of practice. WHO Sanitary Risk Surveys and Rapid Participatory Sanitation System Risk Assessments reveal further that community hygiene around water points and sanitation facilities including their maintenance is commonly inadequate. Spot sampling of groundwater quality shows widespread faecal contamination indicated by enumerated thermo-tolerant coliforms (TTCs) (Escherichia coli) ranging from 0 to 104 cfc/100 mL and nitrate concentrations that occasionally exceed 250 mg/L. As defined by the WHO/UNICEF Joint Monitoring programme, there are no safely managed water sources in Lukaya; ∼55% of improved water sources comprising primarily shallow hand-dug wells show gross faecal contamination by E. coli; and 51% of on-site sanitation facilities are unimproved. Despite the critical importance of on-site water supply and sanitation facilities in low-income countries to the realisation of UN Sustainable Goal 6 (access to safe water and sanitation for all by 2030), the analysis highlights the fragility and vulnerability of these systems where current monitoring and maintenance of communal facilities are commonly inadequate.

2013 ◽  
Vol 3 (3) ◽  
pp. 441-450 ◽  
Author(s):  
A. Cotton

Current resource allocations for water supply and sanitation are far below those required to meet basic needs, particularly in low-income countries. Many organisations supporting advocacy and arguing for change make use of the primary statistical data for Official Development Assistance (ODA) which measures donor aid flows to the sector. From 2010 onwards important changes have taken place to the way ODA is reported including disaggregation between aid flows for water supply and aid flows for sanitation. This paper reports findings from a consultative group regarding issues requiring clarification for the revised codes to be applied consistently. These include: disaggregation of water and sanitation from within integrated water sector projects; disaggregation of water and sanitation components from projects in other sectors; clarity on working definitions of ‘large and basic’ when reporting water and sanitation projects; capacity development that directly supports implementation; and recording the transition from projects to programme-based aid. Case studies drawn from donors' reporting of ODA are used to illustrate key issues for users of ODA statistical information who aim to capture data on aid flows to the water sector.


2003 ◽  
Vol 3 (1-2) ◽  
pp. 469-476
Author(s):  
S.R.A. Soares ◽  
R.S. Bernardes

The sanitary problems promoted by the rapid urbanization process in developing cities are usually resulted from the absence of planning, high population concentration and inadequate water and wastewater infrastructure for low income people. Because the provision and planning of water supply and is a complex task, a modeling approach was used to enhance the understanding of the process and the aspects involved. In the development of a model, not only the technical aspects were taken into account, but other aspects related to the provision of drinking water and the water resources protection were also analyzed, such as institutional, financial, socioeconomic, environmental and public health. In the modeling process two different methods of conceptualization were used to describe the urban water flow through the water and wastewater systems linked to various aspects related to their implementation in large developing cities. The urban water systems of five large metropolitan areas in Brazil were also evaluated for the complete model. It is expected that the modeling approach developed in this paper consists of a valuable methodology for water supply and sanitation planning in Brazilian cities, and other developing cities with the same characteristics. The suggested conceptual model could, at least, provide more than a starting point for a useful urban water management tool.


2008 ◽  
Vol 58 (4) ◽  
pp. 887-891 ◽  
Author(s):  
Jenna Davis ◽  
Gary White ◽  
Said Damodaron ◽  
Rich Thorsten

This article summarises initial findings of a study to explore the potential of providing micro-financing for low-income households wishing to invest in improved water supply and sanitation services. Through in-depth interviews with more than 800 households in the city of Hyderabad in India, we conclude that, even if provided with market (not concessional) rates of financing, a substantial proportion of poor households would invest in water and sewer network connections.


2016 ◽  
Vol 6 (3) ◽  
pp. 353-361 ◽  
Author(s):  
Audrey R. Matteson ◽  
Alexandria K. Graves ◽  
Ann M. Hall ◽  
Dina Kuy ◽  
Matthew L. Polizzotto

Rural communities within low-income countries frequently rely on a range of drinking-water sources, and each water source varies in its potential for biological contamination. The extent and source of biological contamination in primary drinking sources within Kien Svay, Kandal, Cambodia, were determined by fecal indicator bacteria (FIB) measurements, 16S rDNA genetic markers for human and bovine fecal Bacteroides, presence of the bloom-forming Microcystis species, and the microcystin toxin mcyD gene marker. Thirteen wells, 11 rain barrels, 10 surface-water sites, and five sediment samples were examined during the dry and wet seasons. Surface water was commonly contaminated with FIB, with up to 1.02 × 105Enterococcus sp., 6.13 × 104E. coli, and 2.91 × 104 total coliforms per 100 mL of water. Human and bovine Bacteroides were detected in 100 and 90% of the surface water samples, respectively. Concentrations of FIB in rain-barrels varied by site, however 91% contained human Bacteroides. Microcystis cells were found in 90% of surface water sites, with many also containing microcystin gene mcyD, representing the first report of microcystin-producing cyanobacteria in surface waters of Cambodia. The study results show that many potential drinking-water sources in Cambodia contain harmful bacterial and algal contaminants, and care should be taken when selecting and monitoring water options.


Author(s):  
Sylvia M. Nkatha ◽  
Eric M. Muchiri ◽  
Patrick Kubai ◽  
Jane Rutto

Introduction: Globally, poor sanitation is the cause of childhood diseases. Annually, more than 19,500 people die from diarrhea of which 17,100 are children. Diarrhea, which accounts for 16% of deaths among the children below 5 years, is highly linked to open defecation (OD). Poor excreta disposal remains a major challenge to improved sanitation and hygiene in many communities of Kenya and therefore they continue to practice open defecation. Construction and utilization of a latrine at home is a protective factor for communicable diseases.  About 52% of the population practice proper utilization of latrine in low-income countries. Improper utilization of latrines leads to the contamination of the water sources. Availability of a pit latrine does not guarantee utilization because other factors like functionality and distance influence its use. Furthermore, the availability and use of the latrine depends on maintenance practices of the latrines and cleanliness as well as the quality of housing and household compound. Aims: To analyze the physical and social demographic factors influencing the utilization of pit latrines in Tigania East Sub-County, Meru County, Kenya. Study Design:  The study was a descriptive cross-sectional survey. Place and Duration of Study: The study was carried out in Tigania East Sub-County, Meru County, Kenya shown in Fig. 3. Household survey was carried out between June 2018 and December 2019. Methodology: This was a descriptive cross-sectional survey involving 369 respondents selected by systematic random sampling from different households across the sub-county was utilized. Data collection was done using a structured questionnaire administered in English and a spot observation checklist. All data generated was entered, validated and analyzed using SPSS using SPSS Software Version 23.  Descriptive analysis was done during the calculation of measures of central tendency and proportions. Regression analysis was used in the determination of any association between the socio-demographic factors and the utilization of latrines. Results: Ownership, location and functionality of the pit latrine were positively associated with utilization (OR=2.127, OR=1.53, OR=4.36, P=.00). Households that owned pit latrines were 2 times likely to utilize the pit latrines than those without a pit latrine. Moreover, household size, gender, and employment were positively related to utilization (R=0.502, P=.00). High construction costs challenges were 7 times linked to open defecation practices. Households with less than 6 members were 2.35 times more likely to utilize the pit latrine compared to those with 7-12 members (OR=2.35, X²=13.573, P=.00). Conclusion: Interventions should target households with more than 7 members. A call for partnerships between government and donors to improve household income, water sources, and sanitation practices in Tigania East Sub-County is necessary. A call for funding projects related to pour-flush pit latrines and wet technologies to enhance utilization.


Author(s):  
N. Vijay Jagannathan

Sustainable Development Goal No. 6 (SDG 6) has committed all nations of the world to achieving ambitious water supply and sanitation targets by 2030 to meet the universal basic needs of humans and the environment. Many lower-middle-income countries and all low-income countries face an uphill challenge in achieving these ambitious targets. The cause of poor performance is explored, some possible ways to accelerate progress toward achieving SDG 6 are suggested. The analysis will be of interest to a three-part audience: (a) readers with a general interest on how SDG 6 can be achieved; (b) actors with policy interest on improving water supply and safe sanitation (WSS) service issues; and (c) activists skeptical of conventional WSS policy prescriptions who advocate out-of-the-box solutions to improve WSS delivery.


2016 ◽  
Vol 14 (5) ◽  
pp. 851-863 ◽  
Author(s):  
Akosua Sarpong Boakye-Ansah ◽  
Giuliana Ferrero ◽  
Maria Rusca ◽  
Pieter van der Zaag

Over past decades strategies for improving access to drinking water in cities of the Global South have mainly focused on increasing coverage, while water quality has often been overlooked. This paper focuses on drinking water quality in the centralized water supply network of Lilongwe, the capital of Malawi. It shows how microbial contamination of drinking water is unequally distributed to consumers in low-income (unplanned areas) and higher-income neighbourhoods (planned areas). Microbial contamination and residual disinfectant concentration were measured in 170 water samples collected from in-house taps in high-income areas and from kiosks and water storage facilities in low-income areas between November 2014 and January 2015. Faecal contamination (Escherichia coli) was detected in 10% of the 40 samples collected from planned areas, in 59% of the 64 samples collected from kiosks in the unplanned areas and in 75% of the 32 samples of water stored at household level. Differences in water quality in planned and unplanned areas were found to be statistically significant at p < 0.05. Finally, the paper shows how the inequalities in microbial contamination of drinking water are produced by decisions both on the development of the water supply infrastructure and on how this is operated and maintained.


Water Policy ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 351-367
Author(s):  
Raquel dos Santos ◽  
Joyeeta Gupta ◽  
Nicky R. M. Pouw ◽  
Klaas Schwartz

Abstract Poorly designed policies jeopardise ecosystems and their services and the expansion of basic services to vulnerable populations. In the water and sanitation (WatSan) sector, inadequate access of the urban poor to formal and public drinking water supply and sanitation services (WSS) calls for more inclusive policies. Inclusive development (ID) has social, environmental and relational dimensions. However, there is little research on operationalising ID dimensions in WatSan policy discourse analysis. Hence, this paper addresses: How can we elaborate on indicators for inclusive WatSan policies? How can these be applied to assess the design of Brazilian WatSan policies? It examines the literature on ID and WatSan, develops and applies an analytical framework with six indicators to assess ID in WSS through policy analysis: access to minimum WSS; access to WSS even if the urban poor do not have formal housing; domestic wastewater collection/treatment; water availability; participation; and WSS subsidies for low-income people. Comparison between two Brazilian WatSan policies shows that the current WatSan law scores higher on ID than the previous law but neglects key aspects of social, environmental and relational ID dimensions. The selected indicators were useful to operationalise ID in WatSan policy discourse analysis and can boost policy design assessment elsewhere.


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