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(Journal Article) Is soapy water a viable solution for handwashing in schools?
01.10.2010
Despite the known health benefits of washing hands with soap, global handwashing rates are low. In Nyanza Province, Kenya, a follow-up of 55 pilot primary schools three years after the implementation of a safe water and hygiene intervention revealed that only 2 per cent (one school) provided soap for handwashing on the day of the assessment. After identifying barriers to soap provision, SWASH+ partners piloted a handwashing intervention using powdered soap mixed with water to create soapy water in place of bar soap in 11 schools. The first six months of unannounced visits showed high uptake (10 schools). A one-year follow-up visit revealed a decrease of soapy water use (four schools). This paper discusses the soapy water intervention, initial and follow-up monitoring findings, potential sustainability drivers of handwashing programmes in rural primary schools and next steps. -
(Journal Article) Impact of COVID-19 on livestock exports from Somalia and the Horn of Africa
01.06.2021
Somalia has a significant place in the livestock sector in the Horn of Africa; livestock trade and export is one of the key economic contributors. Most of the livestock trade happens with the Middle East, the Kingdom of Saudi Arabia being one of its biggest importers. The COVID-19 pandemic has led to both massive loss of life and huge economic losses as the result of measures to contain the virus. In June 2020, the Kingdom of Saudi Arabia took the decision to restrict the number of pilgrims for the annual Hajj. Impacts resulted in a decline in income from the seasonal Hajj of 80 per cent, though domestically prices of livestock remained stable and local markets were used for livestock sales. This paper, besides highlighting the effects, provides recommendations which could inform strategic planning, humanitarian aid, and resilience building for the livestock value chain in Somalia and the Horn of Africa -
(Journal Article) Making pathogen hazards visible: a new heuristic to improve sanitation investment efficacy
01.04.2016
The public health objective of sanitation is to reduce the risk of negative health outcomes from faecal contamination. For water-based sanitation systems at the household and community scale as practised in Indonesia and perhaps elsewhere, the liquid component of the effluent comprises a significant pathogen hazard. While increasing attention is paid to managing the solid fraction, the hazard in the liquid fraction goes largely unnoticed and unmanaged. This paper proposes the means for a conceptual shift to a focus on the pathogen hazards that matter post-treatment, and where those hazards enter the environment, enabling improved local risk management. Firstly, the paper proposes exponential, rather than arithmetic, representations of pathogen number or concentration, because arithmetic representations of treatment efficacy wrongly suggest low cause for concern. Secondly, the paper introduces and applies the Pathogen Hazard Diagram, a new heuristic applicable at both the local and national scale, that requires only local knowledge and general sanitation reference knowledge to construct, but which can guide policy and action, direct monitoring, and improve the efficacy of sanitation investments. -
(Journal Article) Microcredit: from hope to scepticism to modest hope
01.03.2015
After its introduction in the late 1980s and its fast expansion thereafter modern microfinance, and specifically microcredit, raised the hope that it could combine access to (semi-) formal credit for the poor with financial sustainability of the new microfinance institutions, and that it would contribute to increased micro-entrepreneurial activity, consumer welfare, and the empowerment of women. More recently scepticism about the operation of microfinance institutions and their impact has arisen. Based on the literature, we discuss the possibility of combining outreach to the poor with financial sustainability, microfinance crises, and the findings of recent impact studies. Our conclusion is that microfinance is not a panacea for development, but that it is a tool poor households can use in their fight for survival. -
(Journal Article) Relationship between water, sanitation, hygiene, and nutrition: what do Link NCA nutrition causal analyses say?
01.10.2017
Defined by UNICEF as ‘the outcome of insufficient food intake and repeated infectious diseases’, undernutrition is one of the world’s most serious problems, with long-lasting harmful impacts on health and devastating consequences for social and economic development. The three main underlying causes of undernutrition, namely unsuitable or insufficient food intake, poor care practices, and infectious diseases, are directly or indirectly related to inadequate access to water, sanitation facilities, and hygiene practices (WASH). There is a growing base of evidence showing the links between poor WASH conditions, especially exposure to poor sanitation, and stunting (low height for age ratio). However, the effects of WASH interventions on wasting (low weight for height ratio) and the impact of environmental enteric dysfunction (chronic infection of small intestine caused by extended exposure to faecal pathogens) on undernutrition should be explored further. Action Against Hunger (Action Contre la Faim) promotes a participatory nutrition causal analysis, the Link NCA methodology, which is used to analyse complex, dynamic, locally specific causes of undernutrition. This article aims to assess the main findings from 12 most recent Link NCA studies, conducted from the beginning of 2014 until the end of 2016. Results show that inadequate WASH conditions are often identified as major contributors to undernutrition in the study areas. The article also provides lessons learned and a set of practical recommendations for better alignment and integration of WASH and nutrition interventions. -
(Journal Article) Mainstreaming menstrual hygiene management in schools through the play-based approach: lessons learned from Ghana
01.01.2015
The study objective was to identify and document the effectiveness of the play-based approach in promoting menstrual hygiene management (MHM) in schools and share lessons learned. The study used a mix of study approaches including qualitative and quantitative techniques. The writer carried out an exploratory evaluation on the promotion of MHM activities as part of WASH in Schools programmes in 120 public schools in Ghana. Comparison was drawn between 60 schools currently using the play-based approach in promoting MHM, and 60 other schools which are not using the play-based approach. Data were gathered through interview, focus group discussions, observation, and from field level reports over a six month period. The study showed that there is much potential in play-based approaches, which could accelerate and sustain the implementation of MHM in schools. More teachers and school children participate in and demonstrated considerable knowledge and were confident discussing MHM. The play-based activities also served as point of attraction for the primary school children. The study indicated positive attitudes in boys towards menstruating girls and improved personal hygiene among adolescent girls. -
(Journal Article) From new evidence to better practice: finding the sanitation sweet spot
01.10.2017
A growing body of evidence shows that there is a strong causal link between exposure to poor sanitation and detrimental health, human capital, and economic outcomes. At the same time a number of recent impact evaluations of specific sanitation interventions show mixed results. This heterogeneity in findings raises the questions of whether and how the demonstrated benefits of improved sanitation can be consistently achieved through regular project implementation. This paper attempts to show that the benefits of improved sanitation can be consistently achieved through investing in interventions that address the drivers of latrine use and by divesting from interventions that do not address the drivers of latrine use. -
(Journal Article) Schoolgirls’ experiences of changing and disposal of menstrual hygiene items and inferences for WASH in schools
01.10.2015
Menstrual hygiene management (MHM) challenges during changing and disposal of menstrual items are important in low-income countries (LICs) where schools lack sufficient water and sanitation. Changing in poorly maintained latrines may expose girls to excrement and infection. We examine the frequency of dropping menstrual items and disposal of waste by schoolgirls in a menstrual solutions feasibility study in western Kenya. Drops when changing were reported in 17 per cent (20 per cent <16 years; 16.5 per cent 16 years plus; p=0.04) of girls’ reports overall. Differences by socio-economic status were not evident. Fifty-four per cent of girls dropped at least once. A quarter of girls using pads and cups reported drops in the first few months, reducing to 10 per cent over time, compared with ~30 per cent among traditional item users. One in four accidental drops occurred at school during the study. When dropped at school, most girls swapped the dropped item for a new one, but 24 per cent brushed/washed the item and reused it. While no clinical events occurred during this study, data suggest dropping within latrines could place girls at potential risk of exposure to infection. Disposal of items, or emptying cups, was mostly into the latrine. We conclude that accidental dropping of menstrual items while changing is common, including at school. Prevention will be helped by improving poorly constructed sanitation facilities, shelving, privacy, and staggering/increasing break time for girls to change. Provision of special garbage bins to prevent clogging and overflow of latrines is recommended. -
(Journal Article) Measuring progress towards sanitation and hygiene targets: a critical review of monitoring methodologies and technologies
01.01.2022
The Sustainable Development Goal (SDG) target for access to safe sanitation and hygiene represents a marked improvement over the target used during the Millennium Development Goal (MDG) period. The SDG target attempts to: explicitly address hygiene; eliminate inequalities within populations; evaluate sanitation services beyond the household; account for the accessibility, safety, acceptability, and affordability of service delivery; and improve the sustainability of services (WHO/UNICEF, 2015). However, the proposed indicators for monitoring progress in sanitation and hygiene still rely primarily on infrequent household surveys and census data. This paper provides a critical review of the sanitation and hygiene target and explores the potential gaps between the expanded understanding of access, the proposed monitoring strategies, and the desired impacts. A variety of innovative methodologies and technologies are reviewed, with specific attention given to their suitability for measuring and monitoring progress towards the sanitation and hygiene target. -
(Journal Article) Developing agro-pastoral entrepreneurship: bundling blended finance and technology
01.06.2019
Development of agro-pastoral and pastoral entrepreneurship in arid and semi-arid lands (ASAL) of East Africa is constrained by lack of access to financial services, limited technology, and low capacity to engage in high value crop production. This is exacerbated by high risks associated with providing these services to pastoralist communities in ASAL areas in Kenya. The communities’ preference for ethical financial products and services has exacerbated this exclusion. This article presents a new intervention area that addresses these challenges. It argues that bundling ethical financial services with agricultural technology and capacity building positively affects entrepreneurship and income generation among pastoral communities that are transitioning into crop production. This article is based on the Islamic Relief Kenya (IRK) project implementation experience and participatory action and quantitative research conducted with randomly selected members of 180 Alpha Group Savings and Loans Associations (AGSLAs). -
(Journal Article) Fostering economic opportunities for youth in Africa: a comprehensive approach
01.06.2015
Youth unemployment and working poverty are large and growing development challenges. The barriers faced by young women and men in accessing sustainable livelihoods are many, so supporting their successful transition into employment and entrepreneurship requires a comprehensive and holistic approach. This article reflects on the evolving approach of The MasterCard Foundation-supported programmes in sub-Saharan Africa, within the broader context of wider research and evidence. It suggests that combining training in a range of market-relevant skills, with access to job and business opportunities and appropriate financial services, can foster economic opportunities for youth. It emphasizes the importance of recognizing the role of mixed livelihoods in contexts where formal jobs are lacking, and of supporting youth engagement in agriculture and agribusiness as viable livelihood opportunities. And it highlights that the challenge can only be adequately addressed via the meaningful engagement of a range of stakeholders, including the private sector, government and civil society, and, especially, youth themselves. -
(Journal Article) Menstrual hygiene management: education and empowerment for girls?
01.01.2015
This paper discusses the recent attention of the water, sanitation, and hygiene (WASH) sector to resolving the menstrual hygiene crisis for young girls in developing countries. Menstrual hygiene management (MHM) interventions, including the use of sanitary pads, education, and awareness, and where possible separate, sanitary toilets, are identified to have far-reaching impacts on the education and empowerment of girls. Field research conducted in Ghana's Northern Region indicates a pronounced socialized, sexualized understanding and experience of menstruation among young girls and their families, school teachers, and local NGOs. Unfortunately WASH initiatives only allow interventions to manage menstrual hygiene, leaving the young girls and others in their social settings to deal with the larger subset of sexuality issues. We argue that opening the dominant discourse of a medicalized concept of menstruation to other meanings and experiences will have significant implications for the education and empowerment of young adolescent girls. -
(Journal Article) Incontinence in Zambia: initial investigation into the coping strategies of sufferers and carers
01.07.2018
There is little information on the management of incontinence in low-income settings. This article provides some initial insights, of particular relevance to water, sanitation, and hygiene (WASH) and health practitioners, into the coping strategies used by sufferers and carers in Zambia. Incontinence is rarely reported to medical professionals in Zambia, possibly due to a reluctance to disclose as a result of the stigma associated with the condition. Management and treatment of incontinence is subsequently limited, and both coping strategies and treatment received are determined by affordability and accessibility. If the global community is to achieve the Sustainable Development Goals of universal sanitation (Goal 6) and well-being (Goal 3), future studies and programmes on incontinence in Zambia will need to involve collaborations between WASH and health practitioners that investigate how to reduce the stigma associated with the condition and increase awareness, and how to improve the availability and affordability of management and treatment, considering the potential preference for traditional medicine in rural communities. -
(Journal Article) Building frontline market facilitators' capacity: the case of the ‘Integrating Very Poor Producers into Value Chains Field Guide’
01.06.2014
Utilizing the case of the Integrating Very Poor Producers into Value Chains Field Guide, the article provides its strengths (extensive tools and worksheets, case studies from recovery and development settings) and limitations (very brief overview of market systems, only focuses on the implementation phase of market development, only focuses on integrating the very poor into markets). The knowledge assessment results of two workshops lead the author to question how much is learned in workshop settings. The online survey showed that the most used section of the Field Guide was ‘Linking Very Poor Producers with Buyers & Suppliers’. The 70 per cent experiential, 20 per cent from others, and 10 per cent formal ratios regarding learning led the author to recommend more on-the-job learning. Extensive feedback from the users provided lessons on improved tool design and capacity building for tool users. The article concludes with a number of recommendations: frontline workers need written guides; translate guides; include a monitoring and evaluation system; get organizational commitment to build frontline market facilitators' capacity; more research into the different methods of building capacity (workshops; written guides; a monitoring and evaluation system; and online and in person training events are likely the most effective combination). -
(Journal Article) A global assessment of budgeting and financing for WASH in schools
01.10.2020
The aim of this review is to assess the literature (published and grey) on capital and recurrent costs of water, sanitation, and hygiene (WASH) in Schools (WinS) facilities and services. The review presents life-cycle costs (e.g. consumables, repair, support, and maintenance) of WinS services and assesses the practical costing exercises and tools currently available for WinS. Furthermore, this review characterizes the typical costs and financial sources for WASH services in (primary) schools and explores the different financial mechanisms available to meet school-level WASH financing gaps. -
(Journal Article) Mission drift between the balance of social mission vs. financial performance of microfinance institutions
01.09.2022
Recently, many researchers have highlighted the imbalance between the financial and social missions of microfinance institutions (MFIs), which is considered to be the main objective of the research. Hence, the objectives of the current study were to identify the roots of mission drift and the reasons for high interest rates. In addition, the article was focused on the examination of the most efficient products of the sector. The research paper is conceptualized and based on primary data collection through field work, which has been analyzed using SPSS software. Secondary data has been collected mainly from peer-reviewed articles. As an improvement strategy, representatives of the sector should plan strategic campaigns to solve the situation. According to the results, though the strict regulations of the sector lead to stability in the market, changes regarding micro-savings or microinsurance regulation should be developed for future enhancement of MFIs in Armenia and in the Commonwealth of Independent States (CIS) region.