Search Results (19)

This paper provides a comprehensive bibliographic and bibliometric review of water, sanitation, and hygiene (WASH) in global urban areas, employing the Proknow-C methodology. The study categorizes WASH into four main themes: sustainability, urban areas, indicators and index, and urban planning, allowing for a detailed analysis of several multidimensional aspects. The review underscores the importance of providing basic infrastructure to adopt an integrated, sustainable, and socially inclusive approach, showcasing the resilience and adaptability of the WASH sector in tackling the dynamic challenges of urbanization. It is noticeable that the WASH area has undergone significant development, moving from a focus primarily on infrastructure to a more holistic approach. In general, the WASH framework is globally characterized by high irregularity/inequality in provision and access. The relationship between urban vulnerabilities and WASH is very clear, but also multifaceted and complex, and there is a crucial need to combine behavior change with infrastructure development while addressing economic challenges and prioritizing investments in WASH. The improvement of WASH conditions in urban areas should focus the interplay between urban development policies and the provision of WASH services, while focusing also on the role of multi-sectoral collaboration, stakeholder engagement, and policy implementation in overcoming barriers to effective WASH delivery. Full article

Period poverty is a broad and complex issue that intersects with various areas, including health, education, infrastructure, and human rights, among others, affecting countless women and girls around the world. Despite remarkable technological, social, and economic advances this century, menstruation remains a taboo subject, which leads to widespread misinformation and stigma. Prejudice and a lack of access to knowledge and essential sanitation resources, such as clean water, hygiene products, and safe private spaces, heighten the vulnerability of those affected. Integrated and multisectoral approaches that involve legislature, health, education, and sanitation are necessary to face this public health issue effectively. These efforts involve developing and implementing comprehensive plans that unite government, society, and the private sector. Some examples of these actions include making information about menstruation and menstrual health available in schools, cutting taxes on feminine hygiene products, improving basic sanitation, building decent public restrooms, and providing free sanitary pads in schools and workplaces. These initiatives have the potential to promote menstrual health and dignity, ensuring that people who menstruate can manage their periods in healthy, safe, and supportive environments. This review aims to shed light on menstrual poverty in Brazil as a global issue and a human rights violation, especially when it comes to the rights to health, education, and dignity. It stresses that efforts to end this social stigma and align with the 2030 Agenda, which seeks to eliminate poverty and inequality worldwide, and provides a plan of action to tackle this stigma. Full article

Innovation in public sector management is essential for improving service delivery and strengthening citizen trust. However, in highly populated municipalities with budgetary constraints, such as Ecatepec de Morelos, administrative opacity and inefficiencies in the provision of essential services pose significant structural challenges. This study examines the relationship between citizens’ perceptions of public resource management and the quality of municipal services, with a particular focus on transparency and accountability. Through perception surveys, statistical analysis, and documentary review, the research identifies operational barriers affecting the provision of basic services such as potable water, sanitation, and public lighting. The findings reveal high levels of citizen dissatisfaction and distrust in local institutions, highlighting the urgent need to implement innovative strategies to optimize resource allocation and enhance municipal governance. This study contributes to the ongoing discussion on public sector modernization by emphasizing the need for participatory decision-making mechanisms, strengthened transparency, and the adoption of best practices in municipal management. Full article

In Africa, the urban population and informal settlements are increasing, resulting in additional public health and environmental risks and challenges related to the need for basic and sustainable infrastructures and services. In Maputo, the capital of Mozambique, at least 80% of the city is composed of informal settlements, and although some areas are regularized and have approved urbanization plans, the municipality has major deficiencies in meeting current demands in terms of basic infrastructures, such as water supply, sewerage, solid wastes, energy, roads, and communications. Most of the peri-urban areas are occupied by small but overcrowded houses, mostly self-built, served by unpaved roads, and with access limitations. The water pipe network is almost non-existent, and the same occurs with stormwater drainage, sanitation, waste collection, and public illumination services. Despite the improvements made in the last few years, some households still do not have safe sanitation, and in some neighborhoods, open defecation still prevails. In this study, the authors try to understand and explore the interdependences among the infrastructures of the different sectors and how they may jointly contribute to adequate services and a better life for the urban poor. And how to identify the combination of infrastructures to be implemented in the short term in the face of limited budgets for investments. For that purpose, a simplified conceptual approach is proposed and applied to an informal neighborhood in Maputo. Full article

The present work examines the relationship between aerial spraying and its health impacts on the population living in the banana production areas of Ecuador (the rural sectors of the cantons Milagro and Naranjito, Guayas Province). Objectives: the objectives of this study are to obtain information on sanitation, basic services, and environmental rationality and to interpret the low levels of cholinesterase and prevalent diseases among the population. Methods: the methodology involved a face-to-face questionnaire, the formal authorization of an informed consent document, and venipuncture for cholinesterase tests. The information was processed in the EPI–INFO system 7.2 (statistical software for professionals and researchers dedicated to public health), with the certification of protocols issued by the Bioethics Committee of the Kennedy Hospital Clinic of Ecuador. Results: the results showed that 89.5% of inhabitants do not have access to drinking water, 92.5% do not have a sewage disposal service, 97.50% experience aerial spraying at their homes or workplaces, and 57% have low cholinesterase levels. Additionally, several gastrointestinal, respiratory, neurological, dermatological, and reproductive disorders were detected among the inhabitants. Conclusions: we found that companies in the banana sector have not implemented corporate social responsibility measures. For example, no blood tests are conducted to monitor cholinesterase levels or to track hereditary disorders. Moreover, entities such as the Ministry of Public Health have not taken action to serve this at-risk population. Full article

Planetary Health is an expanding scientific field around the world, and actions in different areas are essential to minimize the environmental damage that compromises the future of humanity. This project report aims to describe the development of Planetary Health actions in a rural school in the Brazilian Amazon, to understand and raise awareness of themes related to Planetary Health. To implement the educational activities, a booklet entitled “Planetary Health: Guide for Rural Education” was created. Subsequently, didactic sequences were applied to 37 ninth-grade students in the first semester of 2023. The activities were diversified, including: (1) investigative activities (pre-tests, interviews with family members, ecological footprint adapted to the Amazonian riverside context), (2) interpretative activities (image reading, identification and problem-solving for Planetary Health stories in the Amazon, educational cartoons, and graphs of the sectors with the highest pollution in Brazil and diseases associated with climate change), (3) audiovisual activities (educational videos), (4) playful activities (educational games), (5) practical and field activities (forest tracking, planting seedlings, sanitation trail, construction of a school garden, preparation of a healthy school snack, greenhouse effect simulation, and basic analysis of lake water with a probe). The results of the educational actions allowed students to undergo new experiences on Planetary Health themes, as well as understand the centrality of the Amazon for the planet and how the environmental impacts in this biome are compromising the future of humanity. The experiences during the educational actions showed that young riverside residents are concerned about the future of the Amazon, especially given the environmental destruction that is frequently evident, such as deforestation, fires, illegal mining, and land grabbing. Inserting these themes into riverside education makes it possible to look at the Amazon in a resilient, responsible way and to discuss scientific and local knowledge so that students can develop initiatives to face environmental challenges in their community. We conclude that Planetary Health education needs to be an effective part of the school curriculum, prioritizing reviewing the documents that guide education to prioritize transdisciplinary actions with children and young people, as they are the voices of the future and future leaders in emerging causes. Educational actions in Planetary Health in the Amazon region are an example that can inspire actions in other places with similar characteristics. Full article

This study aimed to identify social determinants of maternal and child health (SDoH) in Pakistan. Using a qualitative study design, data were collected from community members in seven underserved areas of Lahore City, Pakistan. A total of 22 qualitative in-depth interviews and 10 focus group discussions (FGDs) were conducted. The participants included basic health unit healthcare staff, women of reproductive ages, male family members, mothers-in-law, and religious leaders. We found that maternal and child health is adversely affected by the following socioeconomic and environmental barriers: (i) poor housing quality and sanitation; (ii) inadequate food supply and safety; (iii) unsatisfactory public sector school services; (iv) a lack of safety and security; (v) scarce poverty alleviation efforts and loan schemes; (vi) unsatisfactory transport and internet services; and (vii) inadequate health services. The targets for maternal and child health in Pakistan cannot be met without close coordination between the primary health sector, local governance, and macro state structures, which collectively must monitor and improve housing adequacy, food security, public sector services (primary healthcare services, public schooling, public transport, and public internet access), overall safety, and poverty emergence. Full article

The conversion to renewable energy can be achieved when cities and communities start to depend on sustainable resources capable of providing for the basic needs of the community, along with a reduction in the daily problems and issues that people face. These issues, such as poverty, hunger, sanitation, and economic difficulties are highlighted in the Sustainable Development Goals (SDGs), which aim to limit and eradicate these problems along with other environmental obstacles including climate change and Greenhouse Gases (GHGs). These SDGs, containing 17 goals target each sector and provide propositions to solve such devastating problems. Hydrogen contributes to the targets of these sustainable developments, since through its implementation in different industries the levels of GHG will drop and thus contribute to the climate change which Earth is facing. Further, through the usage of such resources, many job opportunities will also be developed, thus enhancing the economy, and lifting the status of society. This paper classifies the four different types of hydrogen and outlines the differences between them. The paper then emphasizes the importance of green hydrogen use within the shipping industry, transportation, and infrastructure, along with economic and social development through job opportunities. Furthermore, this paper provides case studies tackling green hydrogen status in the United Kingdom, United States of America, and European Union as well as Africa, United Arab of Emirates, and Asia. Finally, challenges and recommendations concerning the green hydrogen industry are addressed. This paper aims to relate the use of green hydrogen to the direct and indirect goals of SDG. Full article

The United Nations Children’s Fund (UNICEF) and World Health Organisation (WHO) Joint Monitoring Programme (JMP) reports that only three African countries are on track to achieve universal access to at least basic water services by 2030 and only one country, Botswana, within the East and Southern Africa region (ESAR). Monitoring is crucial to advancing progress on SGD 6 in the region through providing reliable data to decision makers for policy, planning and much needed investment in the sector. This paper presents findings of the rapid assessment termed SDG 6 + 5 which relates to monitoring systems for Water Supply, Sanitation and Hygiene (WASH) in 21 countries of ESAR, five years into the SDGs. The paper presents the results of a fuzzy logic analysis applied to aspects and findings from the rapid assessment. Fuzzy logic benefits the study by managing unconscious bias from qualitative assessment and evaluating the strengths of countries’ WASH monitoring systems. The paper demonstrates similarities and variations between results from the rapid assessment and fuzzy analysis including Angola and Botswana scoring more favourably in enabling environments for monitoring from the analysis. The paper provides methods of rapid assessment of key aspects that impact on effective WASH monitoring and recommends the use of fuzzy logic to reduce data bias from qualitative methods. The methodology presented in the paper can be adapted and applied to other regions of the world and settings to enhance evaluations on the strength of systems within other sectors. Full article

The use of biodigesters and the circular economy (CE) has been gaining attention in recent years. Both biodigesters and CE have the potential to minimize negative impacts—not only environmental, but also economic and social. However, little attention has been paid to the relationship between biodigesters and CE. Therefore, the objective of this paper is to identify and analyze the implications of the use of biodigesters in the light of a CE concept. To do this, a SWOT matrix was developed based on the opinion of experts and two case studies were conducted in companies operating in different sectors in Brazil. The results showed that the use of biodigesters can drive CE through biogas, which is a renewable energy source, closing the cycle of organic materials, increasing the economic power of companies and small producers, improving basic sanitation in remote areas, and stimulating industrial symbiosis. However, this study identified barriers in the use of biodigesters in the context of CE, such as lack of government incentives and composting being shown to be more cost-effective than the use of biodigesters for the treatment of solid waste. Full article

COVID-19 has had a severe impact on human health, as well as in social and economic terms, with implications for the management and governance of the water and sanitation sector. These implications are evident in Latin America and the Caribbean due to existing challenges the region faces in accessing water and sanitation services. In spite of significant advances, around 65 million people in the LAC region currently lack appropriate access to water and soap to wash their hands—one of the most basic measures to prevent the spread of disease. Furthermore, social and economic vulnerabilities have exacerbated the effects of the pandemic in the region, particularly among those living in poverty. The COVID-19 pandemic thus requires the mobilization of frameworks such as the human rights to water and sanitation, specifically considering the region’s realities. This paper provides a review of some of the challenges currently faced in the region and advances a series of recommendations for enhancing access to water, sanitation and hygiene. The importance of effective governance, management and communication strategies in the water provisioning sector is highlighted in the context of the pandemic, and the role of science and research for adequate decision making is emphasized. Full article

The ship-breaking industry has become a promising sector in Bangladesh by contributing to the country’s primary steel demand as raw material for re-rolling mills, providing livelihood opportunities for the poor. This paper investigates the livelihood index and health hazards of workers engaged in ship-breaking activities at the Bhatiari coast of Chattogram, Bangladesh. Both qualitative and quantitative data were collected through participatory rural assessment (PRA) tools that included 128 individual interviews (II), ten focus group discussions (FGDs), and 15 key informant interviews (KIIs). The workers’ livelihoods revealed that workers lack basic facilities and are exposed to occupational health hazards due to working in a risky environment. Workers of different origins claimed to have 1 to 6 years of work experience and worked 11 to 12 h a day. More than 60% of workers reported being injured or suffering from various physical problems such as blurred vision, abdominal pain, and skin problems. Labor-intensive and unstable occupations, limited access to medical services, poor housing and sanitation, and lack of basic safety requirements increase workers’ plight. Therefore, the study offers advanced protective equipment, better medical facilities, and a safe workplace to improve the workers’ livelihoods. Full article

Humanitarian emergencies pose a great challenge to how all sectors perform their functions in society. In several countries, these emergencies combined the pandemic and other man-made and natural disasters: “double disaster”, which affected the health, safety, and well-being of both individuals and communities. Students are a particularly vulnerable population for mental health problems considering the challenges with their transitions to adulthood. Using narrative analysis, this study explored the impacts of a double disaster on the mental health of students and how they cope up with these emergencies. The results showed that the occurrence of natural disasters during the lockdowns from pandemic brought stress to students in adjusting to distance education, completing academic requirements, and accessing technology for online learning. Participants expressed their anxieties about the spread of the virus in the community, particularly in the disaster evacuation centers with less strictly observed social distancing, insufficient hygiene and sanitation facilities, and lack of basic needs. Participants described their learnings and coping strategies that included helping one another, following the government protocols, finding additional sources of income, using energy for important purposes only, and leaning on faith. The findings of this study would be instrumental in formulating policies and strategic measures that best complement the needs of community members during a double disaster, particularly in addressing the mental health impacts of humanitarian emergencies. Full article

This study aims to evaluate the level of technical efficiency of companies that perform the integrated management of basic sanitation in Brazilian municipalities. A Multiple Data Envelopment Analysis (M-DEA) model was applied to estimate the performance of water supply and sewage services in $1628$ municipalities covering more than $56\%$ of the Brazilian population, identifying the factors that most influence the efficiency of the sector in the years 2008 and 2016. The M-DEA methodology is an extension of Data Envelopment Analysis (DEA) with multiple DEA executions considering all combinations of inputs and outputs to calculate efficiency scores. The methodology reduces possible biases in the selection of resources and products of the model, ability to support decision-making in favor of improvements in the sector′s efficiency based on national regulatory framework. The analyses show that the companies analyzed can increase their operating results and attendance coverage by more than $60\%$, given the current levels of infrastructure, human and financial resources in the sector. Based on the simulation of potential efficiency gains in Brazilian basic sanitation companies, the estimates show that the coverage of the population with access to sanitary sewage would go from the current $59.9\%$ to $76.5\%$. The evidence found provides indications to subsidize sanitation management in the country at the micro-analytical level, enabling a better competitive position in the sector for the integrated management of basic sanitation and its universalization in Brazil. Full article

To address the complex challenge of sustaining basic water and sanitation services in low income settings, international organizations and local and national government entities are beginning to design and implement interventions explicitly aimed at addressing system weaknesses. Often referred to as “systems approaches,” these interventions seek to understand, engage with, and positively influence the network of actors and the interacting factors that deliver services. As WASH sector assistance and support activities shift toward systems approaches, many associated intermediate results and desired outcomes become less quantifiable than those of more traditional WASH activities. This paper reviews systems approaches, evaluation methodologies, and several applications in East Africa, at varying geographic scales. Early findings from the application of outcome mapping and system-wide assessments within the USAID-funded Sustainable WASH Systems Learning Partnership (SWS) indicate the importance of including both within an overall monitoring approach to support systems strengthening of water and sanitation services. The views and opinions expressed in this paper are those of the author(s) and not necessarily the views and opinions of the United States Agency for International Development, or the U.S. Government. Full article