scholarly journals Water services in small towns in developing countries: at the tail end of development

Water Policy ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. 1-11 ◽  
Author(s):  
Mireia Tutusaus ◽  
Klaas Schwartz

Abstract The current lack of knowledge about small towns, the great diversity of such settlements and the pressure to ‘scale up’ interventions make it difficult for policy makers and practitioners to develop models which are suitable for these towns. Currently, principles and practices informing models for water services in urban and rural areas are applied in small towns without question. This paper highlights how these principles that are engrained in the sector, may be pernicious for expanding water services in small towns as the realities of these towns may not be conducive for models incorporating these principles. Often these models are adapted to the realities of small towns to benefit water services provision. However, these adaptations are rarely documented. The little documentation of these adaptations is a consequence, we argue, of two main factors. First, such adaptations question the suitability of the models present in the sector and alter the principles on which these models are based. Secondly, the great range of adaptations linked to the diversity of small towns. Taking such adaptations seriously then limits the replicability of models, making them less suitable for scaling up interventions. As a result, certain dogmas underlying water services models continue to be reproduced.

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Karen Lee ◽  
Femke van Nassau ◽  
Anne Grunseit ◽  
Kathleen Conte ◽  
Andrew Milat ◽  
...  

Abstract Background While known efficacious preventive health interventions exist, the current capacity to scale up these interventions is limited. In recent years, much attention has focussed on developing frameworks and methods for scale-up yet, in practice, the pathway for scale-up is seldom linear and may be highly dependent on contextual circumstances. Few studies have examined the process of scaling up from decision to implementation nor examined the sustainability of scaled-up interventions. This study explores decision-makers’ perceptions from real-world scaled-up case studies to examine how scale-up decisions were made and describe enablers of successful scale-up and sustainability. Methods This qualitative study included 29 interviews conducted with purposively sampled key Australian policy-makers, practitioners and researchers experienced in scale-up. Semi-structured interview questions obtained information regarding case studies of scaled-up interventions. The Framework Analysis method was used as the primary method of analysis of the interview data to inductively generate common and divergent themes within qualitative data across cases. Results A total of 31 case studies of public health interventions were described by interview respondents based on their experiences. According to the interviewees’ perceptions, decisions to scale up commonly occurred either opportunistically, when funding became available, or when a deliberate decision was made and funding allocated. The latter scenario was more common when the intervention aligned with specific political or strategic goals. Decisions to scale up were driven by a variety of key actors such as politicians, senior policy-makers and practitioners in the health system. Drivers of a successful scale-up process included good governance, clear leadership, and adequate resourcing and expertise. Establishing accountability structures and appropriate engagement mechanisms to encourage the uptake of interventions were also key enablers. Sustainability was influenced by evidence of impact as well as good acceptability among the general or target population. Conclusions Much like Kingdon’s Multiple Streams Theory of ‘policy windows’, there is a conceptually similar ‘window for scale-up’, driven by a complex interplay of factors such as political need, strategic context, funding and key actors. Researchers and policy-makers need to consider scalability from the outset and prepare for when the window for scale-up opens. Decision-makers need to provide longer term funding for scale-up to facilitate longer term sustainability and build on the resources already invested for the scale-up process.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Huda Farhana Mohamad Muslim ◽  
Tetsuro Hosaka ◽  
Shinya Numata ◽  
Noor Azlin Yahya

Direct experiences with nature in childhood are essential for enhancing psychological and physical development in children. However, researches on childhood nature-related experiences and their effects are largely biased toward more developed Western countries. In this study, we created a questionnaire on childhood experiences with nature and surveyed 357 adults (>20 years old) around Kuala Lumpur, the capital of Malaysia, to determine whether younger generations had fewer nature-based experiences than older generations and whether people who grew up in urban areas had fewer experiences than those who grew up in rural areas. We found that playing in rivers or waterfalls and collecting and eating tropical fruits were the most common nature-related activities experienced in childhood. There was a minimal decline in nature-related experiences among generations. However, people who grew up in rural areas had more nature-related experiences than those who grew up in urban areas. The loss of nature areas and increase in population density may accelerate the decline in nature-related experiences in urban areas. Therefore, efforts to create urban parks and other public spaces for reconnecting urban children to nature will become increasingly important for urban planning and environmental education in tropical developing countries such as Malaysia.


2017 ◽  
Vol 32 (3) ◽  
pp. 166-182 ◽  
Author(s):  
Ipek Kalemci Tuzun ◽  
Bahar Araz Takay

Purpose This study aims to identify and understand the challenges, motivational factors and future needs of female entrepreneurs in Ankara, Turkey. Design/methodology/approach The study uses the qualitative analysis methodology and uses the qualitative data analysis software, MAXQDA 11. A total of 41 randomly selected female entrepreneurs from the city of Ankara and rural areas of the Ankara region participated in semi-structured in-depth interviews. A total of 284 codes were defined. Findings Results indicate that female entrepreneurs are mostly intrinsically motivated and are driven by the desire to achieve and to become independent. The socially constructed role of women in Turkey is the primary challenge faced by female entrepreneurs in both urban and rural areas. Moreover, the major future needs identified for female entrepreneurs are support from public institutions and access to managerial consultants. Originality/value There are limited number of studies that closely examine the characteristics of female entrepreneurship activity and their challenges/motivations in Turkey. This research contributes to the existing literature through its qualitative nature and by highlighting differences in urban and rural female entrepreneurs. Moreover, the results of this study are useful for policy makers to evaluate the future needs of female entrepreneurs and the programs that will be needed to overcome the challenges facing female entrepreneurs in the entrepreneurial process.


2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Jingting Liu

This article discusses the obstacles encountered in the process of literacy in rural China. Although China's overall literacy rate is high, there is a huge literacy rate gap between urban and rural areas. On this basis, this article explores the factors affecting the literacy rate in rural China, and concludes that the main factors are financial status, gender differences, health challenges, and policy interventions.


2021 ◽  
Vol 8 (5) ◽  
pp. 397-403
Author(s):  
Irin Ephrem ◽  
Ateendra Jha ◽  
A. R Shabaraya

Antenatal care is the ‘care before birth’ to promote the well-being of mother and fetus, and it is essential to reduce maternal morbidity and mortality, low-weight births and perinatal mortality. The care for the mother during pregnancy, during delivery, and after delivery is important for the wellbeing of the mother and the child. Maternal health-care vary within developing countries, which shows differences between affluent and poor women, and between women living in urban and rural areas. Health care service provision in India is very diverse, with rural services achieving considerably less coverage than their urban counterparts. It was found that following factors affects the antenatal care utilization maternal education, husband’s education, marital status, availability, cost, household income, women’s employment, media exposure and having a history of obstetric complications. If a woman visited health centre three or more than three times, her chances were 31 percent higher to deliver in an institution. Poorer women may prefer home-based delivery care. Lack of affordability might explain the large poor–rich inequalities in professional delivery attendance within urban and rural areas. Traditional beliefs and ideas about pregnancy also influence on antenatal care use. Older women would have accumulated knowledge on maternal health care and therefore would likely have more self-confidence on pregnancy and childbirth and thus, may give less importance to obtaining institutional care. Incomplete access and underutilization of modern healthcare services are major causes for poor health in the developing countries. There is a need of enhancing community awareness about the importance for educating women about early detection of complications during pregnancy and promptly seeking care, and about the importance of giving birth in a health facility. Keywords: Antenatal Care, Developing Countries.


1970 ◽  
Vol 19 (2) ◽  
pp. 126-130 ◽  
Author(s):  
MK Uddin ◽  
MH Sardar ◽  
MZ Hossain ◽  
MM Alam ◽  
MF Bhuya ◽  
...  

Objective: To determine the prevalence of anaemia in children of 6 to 59 months old in Narayanganj, Bangladesh to help policy makers to formulate health and nutrition policies in national level. Methods: In 2009, a representative sample of 767 young children (age ranging from 6 to 59 months) had their haemoglobin concentration measured. The sampling process was in three stages: at first, 5 Upazila hospitals, 1 District hospital and a 200 bedded specialized hospital were randomly selected to represent the whole district and its 5 geographic urban and rural areas. Next, using census lists, 15 census sectors were randomly chosen. Finally, 767 children of 6-59 months were selected. Blood was collected by vein puncture and haemoglobin concentration was measured with a haemoglobin meter. Data were analysed to determine prevalence of anaemia. Results: The prevalence of anemia among the children of 5-59 months old was 40.9% for the district as a whole. Prevalence in the municipal region of Narayanganj was 40.9%. The rural areas had the highest prevalence of 66.9%. Prevalence was almost two times higher in children of 6-23 months in comparison to children of 24-59 months i.e. 61.8% and 31.0% respectively. The mean haemoglobin concentrations in the younger and older age groups were 10.4(±1.5) g/ dl and 11.4(±1.4) g/dl respectively. There is no difference found between the sexes. Conclusion: This is the first assessment of anaemia prevalence among young children in Narayangaj, Bangladesh. As there is very high prevalence of anaemia among the children studied in Fatulla upazila, especially those in the age group 6-23 months, public health interventions are needed here most. Key words: Anaemia; iron deficiency anaemia; haemoglobin; child heath; Bangladesh. DOI: 10.3329/jdmc.v19i2.7084J Dhaka Med Coll. 2010; 19(2) : 126-130


2019 ◽  
Vol 11 (3) ◽  
pp. 668 ◽  
Author(s):  
Suhaiza Zailani ◽  
Mohammad Iranmanesh ◽  
Sunghyup Sean Hyun ◽  
Mohd Ali

The transportation sector has dominated global fuel consumption and as a result, greenhouse gas emissions have risen at an alarming rate. As a consequence, many countries have adopted policies and strategies to diversify their fuel sources in the transportation sector. Biofuel is one of the potential substitution fuels that has attracted the attention of both researchers and policy makers. Public acceptance of biofuels is one of the major challenges for the implementation of biofuel blends in transportation. To determine the influence of different values that affect drivers’ willingness to pay for biofuels, the theory of consumption values is applied in the present research. The data were gathered by distributing questionnaires to 343 Malaysian people with driving licences and access to cars. The data were analysed using the partial least squares technique. The results of the analysis revealed that functional values, specific condition, emotional values and novelty seeking were among the main factors that influence drivers’ willingness to pay for biofuels. Social values were shown to not be a significant factor. The results of the study contribute to the literature by testing the relationship between consumption values and willingness to pay for biofuels. The information provided in the present research might be beneficial for policy makers in modifying tactics and strategies towards the successful promotion of the usage of biofuels in developing countries.


Author(s):  
Christos Bouras ◽  
Konstantinos Antonis ◽  
Georgios Diles ◽  
Vasileios Kokkinos ◽  
Leonidas Loukopoulos

Broadband is a public utility with positive effects on competitiveness, employment and growth. Although evidence shows that broadband development is increasing, this increment is not homogeneous between urban and rural areas. The main factor is the high cost for deploying next generation networks in rural areas, and especially the cost linked to civil engineering works. In order to overcome the investment challenges arising in the context of broadband deployment, the European Commission made mandatory the sharing of existing telecommunication and non-telecommunication infrastructures and facilities. This manuscript proposes and presents a novel tool that enables the estimation of the expected savings from exploiting existing infrastructures when deploying a broadband network. This is followed by a number of general principles and recommendations that policy makers and national authorities could embrace to diminish deployment costs and promote broadband deployment.


2020 ◽  
Vol 12 (13) ◽  
pp. 5488 ◽  
Author(s):  
Karolina Pawlak ◽  
Małgorzata Kołodziejczak

Ensuring food security has become an issue of key importance to countries with different degrees of economic development, while the agricultural sector plays a strategic role in improving food availability. The aim of this paper is to identify relationships between the undernourishment scale and selected characteristics describing the agricultural sector within identified clusters of developing countries. Typological groups of countries were separated using Ward’s method. It results from the analyses that the greatest problems with maintaining food security are observed in the developing countries with a high share of agriculture in their Gross Domestic Product (GDP), adverse conditions hindering agricultural production and deficient infrastructure. Based on research results desirable and tailored strategies for food security improvement in individual clusters were developed. Promoting investments in agricultural infrastructure and extension services along with adopting measures aimed at increasing the households’ purchasing power, especially those in rural areas, appear to be key drivers for improving both food availability and food access. The paper focuses not only on identifying the reasons of undernourishment, but also contributes to recognition of the most effective ways to solve the hunger problem under a country’s unique conditions. It offers a comprehensive perspective for the policy formulation in various areas world-wide, which may be of interest to scholars and policy makers.


2019 ◽  
Author(s):  
Lihua Zhang ◽  
Tingting Zhen ◽  
Qinyou Meng ◽  
Shimin Yang ◽  
Jiaxue Pan ◽  
...  

Abstract Background: Although a large number of studies have shown that maternal mortality in rural areas is higher than that in urban areas, few reports discussed about the detailed situation and the behind causes. Here, we summarized the maternal mortality from 1995 to 2018 in Jinan and the reason behind it was deeply discussed. It is expected to reveal the difference and its behind reasons, thus providing a basis for policy makers to develop interventions. Methods: Data about maternal mortality in the selected city from 1995 to 2018 were collected through the local maternal and child health care network. Maternal death age, maternal death delivery location, maternal death location, number of pregnancies, number of deliveries and maternal death causes were analyzed. The composition ratio of above factors were compared in order to indicate the differences between rural areas and urban areas. Results: The study showed that 75.34% of maternal deaths in urban areas occurred in tertiary hospitals, which were 2.13 times higher than that in rural areas(P<0.05). 16.67% of maternal deaths in rural areas delivered in primary hospitals, which were 12.17 times higher than that in urban areas (P<0.05) . The main cause of death in rural areas were attributed to direct obstetrics reasons, which were indirect obstetric reasons for urban areas (P<0.05). There was no difference of maternal deaths in the death age, number of births, and number of pregnancies between rural areas and urban areas.(P>0.05) Conclusion: Policy makers should focus on the construction of medical institutions in rural areas, the improvement of rescue capabilities in rural areas and the convenience of transport in rural areas in order to narrow the gap between rural and urban areas. Key words: Maternal Mortality; Differences between urban and rural areas; China


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