scholarly journals Meeting the water and sanitation MDGs: a study of human resource development requirements in Tanzania

Water Policy ◽  
2013 ◽  
Vol 15 (S2) ◽  
pp. 61-78 ◽  
Author(s):  
Richard Kimwaga ◽  
Joel Nobert ◽  
Victor Kongo ◽  
Mpembe Ngwisa

In the Tanzanian water and sanitation (WatSan) sector, the human resource (HR) requirements for meeting the Millennium Development Goal (MDG) targets have so far been relatively unknown. This study was therefore conducted with a focus on determining HR requirements in the public sector and parastatal institutions, in the private sector (private consultancy companies, individual contractors, etc.), and in non-governmental organizations and community-based organizations active in the broader water, sanitation and hygiene (WASH) sector. The competences assessed were: design and construction of new infrastructure, operation and maintenance (O&M), community mobilization, sanitation, and hygiene promotion. The study found a greater HR shortage in rural areas than in urban areas. The smallest HR need is for social development professionals (estimated at 320 in the urban areas). In the water supply and sanitation sectors, the average number of water supply engineers that will be required to achieve MDGs is estimated at 3,864, compared to the sanitation sector, which will need 637 engineers. In terms of the demand for competences in the water supply sector, the highest need is for O&M professionals (7,589) and the lowest for mobilization professionals (447). The study recommends increasing the HR supply in the WatSan sector through the following measures: increasing support for training institutions offering relevant courses in WatSan; focusing on skills required for asset management and O&M; and giving specific attention to HR capacity development in small towns and rural areas.

Water Policy ◽  
2005 ◽  
Vol 7 (6) ◽  
pp. 627-642 ◽  
Author(s):  
Edina Sinanovic ◽  
Sandi Mbatsha ◽  
Stephen Gundry ◽  
Jim Wright ◽  
Clas Rehnberg

The burden of water-related disease is closely related to both the socio-economic situation and public health issues like access to clean water, sanitation and hygiene services. Poverty eradication, through improved access to water and sanitation, is the South African government's major priority. This is partly achieved through subsidising the cost of water and sanitation provision to the poor in rural areas. Whilst the new policies have made a remarkable impact on improved access to water and sanitation services, a general problem since the new approach in 1994 has been the lack of integration of policies for water and sanitation and health. This paper analyses the policies concerning rural water supply and sanitation in South Africa. It considers the structure of institutions, the division of responsibilities and legislated and financial capacity of the South Africa's water sector. A more integrated approach for the policies aiming at water access, sanitation and health is needed. In addition, as the local government's capacity to implement different programmes is limited, a review of the financing system is necessary.


2021 ◽  
pp. 089719002110002
Author(s):  
David Rhys Axon ◽  
Melissa Johnson ◽  
Brittany Abeln ◽  
Stephanie Forbes ◽  
Elizabeth J. Anderson ◽  
...  

Background: Patients living in rural communities often experience pronounced health disparities, have a higher prevalence of diabetes and hypertension, and poorer access to care compared to urban areas. To address these unmet healthcare service needs, an established, academic-based MTM provider created a novel, collaborative program to provide comprehensive, telephonic services to patients living in rural Arizona counties. Objective: This study assessed the program effectiveness and described differences in health process and outcome measures (e.g., clinical outcomes, gaps in care for prescribed medications, medication-related problems) between individuals residing in different rural-urban commuting area (RUCA) groups (urban, micropolitan, and small town) in rural Arizona counties. Methods: Subjects eligible for inclusion were 18 years or older with diabetes and/or hypertension, living in rural Arizona counties. Data were collected on: demographic characteristics, medical conditions, clinical values, gaps in care, medication-related problems (MRPs), and health promotion guidance. Subjects were analyzed using 3 intra-county RUCA levels (i.e., urban, micropolitan, and small town). Results: A total of 384 patients were included from: urban (36.7%), micropolitan (19.3%) and small town (44.0%) areas. Positive trends were observed for clinical values, gaps in care, and MRPs between initial and follow-up consultations. Urban dwellers had significantly lower average SBP values at follow-up than those from small towns (p < 0.05). A total of 192 MRPs were identified; 75.0% were resolved immediately or referred to providers and 16.7% were accepted by prescribers. Conclusion: This academic-community partnership highlights the benefits of innovative collaborative programs, such as this, for individuals living in underserved, rural areas.


2007 ◽  
Vol 56 (4) ◽  
pp. 165-173 ◽  
Author(s):  
R.E. de Graaf ◽  
N.C. van de Giesen ◽  
F.H.M. van de Ven

Urbanization, land subsidence and sea level rise will increase vulnerability to droughts in the urbanized low-lying areas in the western part of the Netherlands. In this paper a possibility is explored to decrease vulnerability of urban areas by implementing an alternative water supply option. A four component vulnerability framework is presented that includes threshold capacity, coping capacity, recovery capacity and adaptive capacity. By using the vulnerability framework it is elaborated that current water supply strategies in the Netherlands mainly focus on increasing threshold capacity by constructing improved water storage and delivery infrastructure. A complete vulnerability decreasing strategy requires measures that include all four components. Adaptive capacity can be developed by starting experiments with new modes of water supply. A concept which is symbolically called ‘the closed city’ uses local urban rainfall as the only source of water supply. The ‘closed city’ can decrease the water dependence of urban areas on (1) the surrounding rural areas that are diminishing in size and that are increasingly under strain and (2) river water resources that will probably be less constant and reliable as a result of climate change.


2021 ◽  
Author(s):  
Yunzhao Liu ◽  
Zhongguan Jiang ◽  
Jiajun Wu ◽  
Xianfu Zhao ◽  
Jing Li ◽  
...  

Abstract In freshwater ecosystems, previous studies on microplastics have been mostly focused on natural rivers and lakes, with limited consideration of urban water source areas. Sediments, recording the steady process of microplastics accumulation during a long period of time, can act as an important sink for microplastics. In this study, we investigated the distribution, characteristics and ecological risks of microplastic contaminants in sediments of a water supply reservoir of Hefei City (the Dafangying Reservoir). Meanwhile, the differences of microplastic concentrations in sediments between the rural and urban areas were also compared. The average microplastics abundance of sediments in rural areas was 83.20 ± 32.99 n/100g dry weight (dw), and 182.67 ± 72.21 n/100g (dw) in urban areas. The total microplastic concentrations were significantly higher in sediments of urban sites than that in rural sites (p < 0.01), which can be ascribed to more complex and diverse microplastic sources triggered by intensive anthropogenic activity in cities. Specifically, we also demonstrated significantly higher microbead abundance (p < 0.01) in urban sites, which may result from the widespread use of microbead in personal care products. Our results detected five shapes (fibers, debris, films, foams and microbeads) and seven colors (white, black, transparency, red, blue, green and brown) of microplastics in sediments of the Dafangying Reservoir, with fibers and transparency accounting for the dominant shape and color, respectively. Given the complexity and diversity of microplastics in urban areas, we exhibited a relatively higher abundance of microplastics in the Dafangying Reservoir than that in other rural larger reservoirs. According to the index of geoaccumulation, the sedimentary microplastics were assessed as moderately polluted. Our study provides valuable references for microplastic contaminants in urban water supply reservoir, and highlights the importance of microplastics assessment in aquatic ecosystems.


2013 ◽  
Vol 4 (1) ◽  
pp. 159-163 ◽  
Author(s):  
Brian Hubbard ◽  
Gabriella Lockhart ◽  
Richard J. Gelting ◽  
Fabienne Bertrand

In 2009 the Haitian Directorate of Potable Water and Sanitation (DINEPA) identified an inadequately trained and under-staffed rural workforce as one of their main institutional challenges. Plans to address this challenge were impacted by the devastating earthquake of January 12, 2010 and the cholera outbreak of October 2010, both of which further complicated Haiti's already poor water and sanitation conditions. Recognizing the importance of DINEPA's institutional priorities, donor and technical assistance groups provided needed support to improve the country's conditions and build the rural water and sanitation workforce. This report describes how DINEPA and the US Centers for Disease Control and Prevention (CDC) collaborated to design and implement a training program for 264 potable water and sanitation technicians for rural areas. The paper also describes the initial field activities of the newly trained technicians and the immediate impact of their work in the rural water, sanitation and hygiene sector.


2020 ◽  
Author(s):  
◽  
Mpumelelo Dolo

Water is regarded as the most important substance found on earth. There is no substitute for it. The daily running of production businesses, industrial firms and agricultural production that help sustain the economy of countries are largely dependent on the availability of water for them to function. The importance of water cannot be over emphasised. The food which is consumed daily depends on water; it can therefore be safely concluded that without water there would be no food, and without food there would be no life. Despite the importance of water in relation to human life, animals and plants, research studies show that the its availability becoming increasingly deficient around the globe. Water levels of major dams and rivers around the world are dropping, limiting the supply of potable water to those dependent on them. Global warming is one factor that is influencing the dropping of water levels, through evaporation. Other factors include climate change, drought and population growth. In South Africa, the government has been fighting a continuous battle of trying to address the backlog of water infrastructure, particularly in the areas which were disadvantaged by the apartheid government. These areas include rural areas, small towns (semi-urban) and townships. The Eastern Cape province in South Africa is top of the list from a backlog point of view. Rural dwellers migrate to urban areas for various reasons such as better education, better health care, job opportunities and more efficient services. Water supply is one of the services which is more adequately supplied in the cities compared to the rural areas. Even though the supplied water in the urban areas of the Eastern Cape is not the best standard when compared to other cities around the country or the world, it is still at an acceptable standard. Thus, this study was conducted to seek ways of improving the supply of water in the urban and rural areas of the Eastern Cape. The availability and the quality of water differs between the urban and rural areas. The purpose of this study was to seek ways of bridging the gap between these areas while improving the standard of water supply in both rural and urban areas. While working towards improving the lives of the Eastern Cape people, the study also seeks to promote water preservation and awareness to the people of the province. In order to find better alternatives which have been tested in various places around the world, an in-depth literature review was conducted in the study. This functioned as an effective comparison of what is obtained in different places around the world and the context of this study, which is the Eastern Cape. A survey method was used to gather data regarding the problems surrounding water supply and options that could be adopted to remedy those problems. The survey was conducted in the form of a self-observation assessment, questionnaire for households in urban and rural areas and interview sessions with prominent government entities and local technical service providers. The survey covered the whole spectrum of individuals and groups that play a major role in the supply and usage of water. The study was conducted within three municipalities of the Eastern Cape. These municipalities cover approximately two-third of the Eastern Cape considering the size of population in those areas. The municipalities covered by the study were: Amathole District Municipality (ADM), Buffalo City Metropolitan Municipality (BCMM) and OR Tambo District Municipality (ORTDM). The findings from the study showed that indeed the standard of water supply between urban and rural areas was not equal. This relates to the purification methods, the convenience of collecting water by users, the quality of infrastructure being constructed (due to good or poor monitoring during construction) and the quality of the water as well as operation and maintenance response from the various service providers. Moreover, it was found that there was an acceptable level of awareness by citizens when it comes to using water, and precautions to save it were being taken by some. However, some dominant factors such as poor management, poor infrastructure resulting in leaks, climate change, run-offs and population growth were putting a strain on the existing water resources which is not coping with the increasing demand by people. Recommendations made in the study to balance the supply of water in rural areas and urban areas include: improving the purification of water so as to achieve a standard quality within the Eastern Cape; that rural areas be allowed to have an option of having yard or house connections, particularly those who are willing to pay rates at a scale suiting their class or standard; and that water service providers make it their responsibility to extend reticulation networks if there is expansion or development of more houses in rural areas in order to keep the distance minimal to standpipes


2018 ◽  
Vol 68 (673) ◽  
pp. e566-e575 ◽  
Author(s):  
Peter Murchie ◽  
Rosalind Adam ◽  
Wei L Khor ◽  
Edwin A Raja ◽  
Lisa Iversen ◽  
...  

BackgroundThose living in rural areas have poorer cancer outcomes, but current evidence on how rurality impacts melanoma care and survival is contradictory.AimTo investigate the impact of rurality on setting of melanoma excision and mortality in a whole-nation cohort.Design and settingAnalysis of linked routine healthcare data comprising every individual in Scotland diagnosed with melanoma, January 2005–December 2013, in primary and secondary care.MethodMultivariate binary logistic regression was used to explore the relationship between rurality and setting of melanoma excision; Cox proportional hazards regression between rurality and mortality was used, with adjustments for key confounders.ResultsIn total 9519 patients were included (54.3% [n = 5167] female, mean age 60.2 years [SD 17.5]). Of melanomas where setting of excision was known, 90.3% (n = 8598) were in secondary care and 8.1% (n = 771) in primary care. Odds of primary care excision increased with increasing rurality/remoteness. Compared with those in urban areas, those in the most remote rural locations had almost twice the odds of melanoma excision in primary care (adjusted odds ratio [aOR] 1.92; 95% confidence interval [CI] = 1.33 to 2.77). No significant association was found between urban or rural residency and all-cause mortality. Melanoma-specific mortality was significantly lower in individuals residing in accessible small towns than in large urban areas (adjusted hazards ratio [HR] 0.53; 95% CI = 0.33 to 0.87) with no trend towards poorer survival with increasing rurality.ConclusionPatients in Scottish rural locations were more likely to have a melanoma excised in primary care. However, those in rural areas did not have significantly increased mortality from melanoma. Together these findings suggest that current UK melanoma management guidelines could be revised to be more realistic by recognising the role of primary care in the prompt diagnosis and treatment of those in rural locations.


2017 ◽  
Vol 11 (1) ◽  
pp. 16-27
Author(s):  
W. G. OJEBIYI ◽  
O. R., ASHIMOLOWO ◽  
T. O. A. BANMEKE ◽  
A. M. ARIYO

Protecting the rights of children has become important to local and international agencies of government and non-governmental organizations. This led to the formulation of laws that provided for and protected the rights of the child. Such laws include the United Nation’s Convention on the Rights of the Child, the African Charter on the Rights and Welfare of the Child, the Nigeria’s Child’s Rights Act (CRA) and the Child’s Rights Law of Ogun State. However, the provisions of these documents seem to be inefficient in curbing the violation of child’s rights due to the high prevalence of street hawking, raping, corporal punishment, etc among children in Nigeria and Ogun State in particular. Hence, this study sought the societal awareness of CRA in rural and urban areas of Ogun State. About 243 rural and urban residents were interviewed through multistage sampling techniques with the aid of questionnaires and interview schedules administered on the different groups of respondents. The result showed that 69.14% of Ogun State residents were aware of the CRA. It further revealed that awareness of CRA was higher in urban than rural areas. Awareness of CRA was primarily sourced through the radio (42.86%) and television (42.86%). Radio and awareness campaigns were the most common sources of awareness among rural (51.76%) and urban (65.06%) residents respectively. The study recommended that government agencies and non-governmental organizations should sponsor more programmes that will be specifically directed to raising residents’ awareness of CRA in rural areas of the state.  


2012 ◽  
Vol 7 (2) ◽  
Author(s):  
I. Nhapi ◽  
A. J. Nshimiyimana ◽  
U. G. Wali ◽  
F. O. K. Anyemedu ◽  
J. J. Kashaigili

After the genocide of 1994, Rwanda has been struggling to contain urban migration and its pressures on existing facilities. Water supply coverage is low at 76% in urban areas and 68% in rural areas. This implies that huge investments are required to meet the Millennium Development Goals on water supply and sanitation. This study was conducted to assess the existing problems of raw water intake systems at Yanze and Nyabarongo intakes in Kigali; Shyogwe intake in Ruhango District; and Kadahokwa intake in Huye District. The study was in response to high amounts of sediments in raw water which literally clogged the intake systems for a number of days, resulting in erratic water supplies to the residents in the rainy season. The study focused on performance problems of the intake systems, raw water turbidity variations and the assessment of how environmental concerns could be addressed in the design of intake systems in areas of high soil erosion activities. Data was collected through interviews and physical measurements. The study revealed that flooding, intake site selection, erosion, screen clogging, intake protection, high raw water turbidity, inadequacy of raw water supplied to the water treatment plants, and low downstream environmental flows were the main intake problems. The Yanze intake had worst problems with high levels of flooding, erosion, sedimentation, and high raw water turbidity levels. The bank filtration system at Nyabarongo gave the least problems of raw water turbidity. Yanze and Nyabugogo river intakes systems were found to be threatened by decreasing water levels attributed to surrounding upstream landuse activities. It was recommended that proper maintenance of existing structures, landuse management around river intakes, use of well-designed reservoir abstraction systems, increased groundwater abstraction systems (including bank filtration), would greatly improve the performance of intake systems in Rwanda.


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