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• (Journal Issue) Issue 2

  01.06.2022
  

• (Journal Issue) Issue 2

  01.04.2022
  

• (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) Impacts of emergencies on water and wastewater systems in congested urban areas

  01.01.2022
  The impacts of emergencies on society and structures are often reported in the media, but the impact of these emergencies on the water and wastewater system is less publicized. The safe operation of these systems is critical during hazardous events and the recovery process to ensure safe and clean water for the public. This need is magnified in congested urban areas where the number of people affected is greatest. A critical aspect to the safe operation of these systems during emergencies is a timely response by municipal leaders. Municipalities must develop plans to prevent and/or mitigate the damage to water systems during emergencies, which will speed the recovery process when these events occur. This paper discusses the impacts of hurricanes and flood events on the water and wastewater systems of densely populated urban areas and presents measures that could be taken to prevent and mitigate the impacts of these events in the future.

• (Journal Article) Sustainability and long-term impact of community-managed water supply in rural Kyrgyzstan, Central Asia

  01.01.2022
  How can Community Managed Water Supply (CMWS) become more sustainable? Recent studies in several countries indicate that the sustainability of many CMWS is poor. As a result, their long term impact on village lives is limited. This paper presents the findings of research on the sustainability and long-term impact of a group of CMWS created by the Rural Water Supply and Sanitation Project (RWSSP) in Kyrgyzstan, Central Asia. This project adopted a Community-Based Approach to maximize the sustainability and long-term impact of its CMWS. The research assessed the sustainability of these CMWS a decade after their completion. It used six measures to assess sustainability and examined four long-term impacts. The results are compared with studies from other countries. The influence of Community-Based Approach (CBA) on the results is discussed. Recommendations are made for changes in policies and strategies to improve the sustainability and long term impact of future CMWS in Central Asia and elsewhere.

• (Journal Article) How a water trucking governance mechanism in the West Bank enhances equity and sustainability

  01.01.2022
  In the Oslo Accord-defined Area C of the West Bank, approximately 11,000 Palestinians are unserved by the water network, forced to rely on water trucking at extremely high prices. In response to this situation, Gruppo di Volontariato Civile (GVC), in partnership with UNICEF, created a programme to subsidize water trucking that alleviates water scarcity while enhancing the sustainability of water service delivery, equitability of tariffs, and predictability of demand. Established in 2014, the programme now covers all the water-vulnerable communities in the West Bank and has reached 35,000 people. The programme links humanitarian and development interventions by using a contiguum approach, where the humanitarian provision of trucked water is accompanied by the construction of water infrastructure and the creation of a multilevel water trucking governance system that defines the roles and responsibilities of all national, regional, and local actors in the water supply chain. By embedding water trucking into the Palestinian Water Authority’s normal activities, the programme is designed to escape a cycle of chronic emergency humanitarian response, in line with the national water sector reform agenda. Eventually, the international donor funding on which the programme depends should be phased out by implementing an equitable, universal water tariff schedule across the entire West Bank, with rates set high enough to subsidize the provision of reliable, safe, and affordable water to the vulnerable residents of Area C.

• (Journal Article) Improving management of manually emptied pit latrine waste in Nairobi’s urban informal settlements

  01.01.2022
  Sanergy has offered reliable, non-sewered sanitation services in Nairobi, Kenya through the implementation of container-based, urine-diverting dry toilets. However, there remains a large volume of untreated faecal waste in urban informal settlements due to poorly managed pit latrines. With limited space in the settlements to bury old pits and dig new ones, management of faecal sludge requires manual pit emptying and safe discharge. Sanergy piloted the Mtaa Fresh project in the settlement of Mukuru Kwa Njenga, establishing a waste transfer station where manual pit emptiers could safely and reliably dispose of pit latrine contents. The most important factors in the successful implementation of this station were, first, the relationship established between Sanergy and the pit emptiers and, second, Sanergy’s commitment to iterating as new insights emerged. The relationship with the emptiers impacted the location, design, and adoption of the site, and aided in the formalization of a pit emptiers’ community-based organization. The commitment to iterating enabled Sanergy to respond to learnings gained from the emptiers. Additional factors that ensured the success of Mtaa Fresh included the implementation of full-time staff, security when the site is closed, support from local authorities, and an expansion to improve management of faecal sludge and trash. Improvements trialled during the expansion aim to minimize operation and maintenance costs, but sustainability will still rely on government support and external funding.

• (Journal Article) The new reality: perspectives on future integrated WASH

  01.01.2022
  Over the next 10 years, the humanitarian and development fields will face significant changes as new skills, expanded technologies, and shifting funding streams prompt innovation in order to maintain impact. As the length of humanitarian crises expand relief response can no longer be viewed merely through the humanitarian lens, but current and future crisis responses increasingly require long-term development considerations. Integration across the humanitarian-development nexus will be vital to future emergency response. The interdisciplinary nature of the WASH sector makes it ideally placed to lead further integration with sectors like health, nutrition, livelihoods, child protection, and education. Integration of the WASH sector is not only possible but essential to face the challenges of future crises. COVID-19 is a wake-up call showing how quickly global humanitarian needs can change and the need for a more integrated response to emergencies. Tomorrow’s WASH practitioners will need to be proactive in developing new hard and soft skills and have broader multi-sectoral experience to succeed. Future integration will require stronger relationships between multi-mandated organizations, governments, and the private sector as well as new innovative funding sources, including impact investing, blended finance, and development impact bonds. We argue that there is a unique window of opportunity to bridge these gaps as COVID-19 brings the value of effective WASH programming forward as a foundational part of long-term resilience building. To indeed provide life-saving interventions as humanitarian works claim to do, we must start with a clear focus on the long-term developmental ends in mind.

• (Journal Issue) Issue 1

  01.01.2022
  

• (Journal Article) Options for addressing poor quality drinking water in rural Vanuatu

  01.10.2021
  Consumption of poor quality water can cause diarrhoea and waterborne disease. To determine how to support residents to consume safe water, the Vanuatu Department of Water Resources (DoWR) undertook an analysis. The analysis included reviewing 793 water quality test results, exploring treatment options with WASH sector stakeholders, surveying 689 community members in three provinces, demonstrating products to 510 people in 22 communities, and interviewing key informants. Analysis of water quality results compiled by DoWR between 2000 and mid-2019 found that Escherichia coli was detected in 60% of samples tested and total coliforms were detected in 84% of samples. Overall, 62% of individuals surveyed stated that water is in some way a daily problem. Discussion facilitators reported that most individuals had not seen or heard of water treatment options beyond boiling and most who boiled admitted they do so only occasionally. Of the water treatment options explored in this research, household water filtration systems seemed the most viable approach. However, individuals underestimated the market cost of filters and indicated a willingness to pay that is half the market price. Of the different filtration systems demonstrated, consumers stated a preference for easy-to-use units with large and transparent water storage containers.

• (Journal Article) Hygiene kit distribution and use in humanitarian response: summary of information from a systematic review and key informant interviews

  01.10.2021
  Hygiene kits are commonly distributed in humanitarian emergencies to provide dignity and safety, yet remain under-researched. We aimed to close evidence gaps by completing a systematic review and key informant interviews (KII) to assess current practice in hygiene kits distributions. Fourteen KIIs were conducted and >5,000 documents were screened, with nine meeting inclusion criteria. Existing evidence highlights that reported use of hygiene kit items is high, and standardization, beneficiary involvement in kit design, and post-distribution monitoring are needed. Emergent themes from KIIs were: hygiene kit design; logistics/procurement; field appropriateness/feedback; and recommendations. Unexpectedly, menstrual health management (MHM) and market-based programming (MBP) dominated the literature. Overall, hygiene kit distributions are governed by ‘best practice’ rather than ‘evidence base’. This limited evidence base is stark compared to more robust evidence for market-based programming. As a common definition of hygiene kits was lacking, we developed and present a hygiene kit typology. We recommend hygiene kit programming: 1) understands local context, cultural norms, and preferences by incorporating beneficiary consultation and feedback; 2) ensures item type and quantity is what beneficiaries need; 3) ensures hygiene kits are context-appropriate, and considers concurrent MHM and/or MBP programming; and 4) works with coordination mechanisms to harmonize kit materials, delivery, and monitoring.

• (Journal Article) Using a franchise structure to scale affordable housing internationally

  01.09.2021
  Capital investment as high as US$16 tn is required to address the shortage of adequate and affordable housing worldwide. Market-driven housing approaches that produce quality units, reduce dwelling costs, and provide access to a range of capital sources can help to solve this challenge. This article describes the experience of a social enterprise in Mexico that is taking its proven, market-driven housing solution to countries in Africa using a joint venture franchising company to execute a master franchising strategy. Its experience and the innovative approach it used to scale internationally offer useful insights and lessons for housing practitioners, policymakers, and researchers.

• (Journal Article) Beyond building: how social norms and networks shape mason construction practices in incremental homebuilding

  01.09.2021
  How do low-income households and masons make house construction decisions? A three-country study examined social norms, networks, and information flows that influence construction practices in Kenya, India, and Peru. The study used a suite of qualitative research strategies, including desk research, site observation, focus group discussions, and key informant interviews, to examine households and informal construction service providers, and the interactions between them. The research sought to answer the following questions: 1) How do households and individuals make housing decisions? 2) What are the information flows, key influences, and social norms that steer these decisions? and 3) How can programmes leverage knowledge about norms to improve the quality of home construction? Findings covered areas of gender, disaster resilience, and construction labour – this article focuses on the latter. Ultimately the paper argues that designing impactful programmes for low-income housing markets requires understanding and incorporating these social norms, networks, and information flows.

• (Journal Article) Menstrual hygiene management in disasters: the concerns, needs, and preferences of women and girls in Vanuatu

  01.07.2021
  In disaster settings, women and girls face additional challenges in safely managing menstruation with confidence and dignity. Assessing women’s and girls’ needs and preferences at country level prior to a disaster assists Red Cross National Societies with preparedness planning and development of local menstrual hygiene management (MHM) kits for pre-positioning. This study, conducted in Vanuatu, examined the experiences, concerns, needs, and preferences of women and girls in managing menstruation in disasters. Participants trialled one of four different sanitary products included in a MHM kit. Absorbency, security of fit, and odour were the main determinants of product acceptability. Water supply and safe disposal options influenced the preference for either reusable or disposable products. Access to sanitary products, distribution processes, water supply, and privacy were key concerns. Detailed recommendations within this paper will support the Vanuatu Red Cross in decision making and programming for MHM in disaster preparedness and response.

• (Journal Article) The Bishesta campaign: a menstrual hygiene management intervention for people with intellectual impairments and their carers

  01.07.2021
  This paper describes the components of the Bishesta campaign: a behaviour change intervention for menstrual hygiene management (MHM), targeting young people with intellectual impairments, and their carers in Nepal. The campaign uses two fictitious characters: Bishesta (a young person with an intellectual impairment) and Perana (her carer), and consists of three group training modules. ‘Period packs’, designed to make MHM behaviours attractive and easy to adopt, are given to the young people. Packs include storage bags, a bin, and stories about Bishesta menstruating and learning to manage as independently as possible, with Perana’s support. Carers receive a calendar to track the young person’s menstrual cycle. A Bishesta doll, with removable clothes, underwear, and a miniature ‘period pack’ is used in training to demonstrate MHM. Evaluation findings show the intervention is feasible at small scale, so further research on how to scale up the intervention in an evidence-based way is required.

• (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) Assessment of low-cost, non-electrically powered chlorination devices for gravity-driven membrane water kiosks in eastern Uganda

  01.04.2021
  Recontamination during transport and storage is a common challenge of water supply in low-income settings, especially if water is collected manually. Chlorination is a strategy to reduce recontamination. We assessed seven low-cost, non-electrically powered chlorination devices in gravity-driven membrane filtration (GDM) kiosks in eastern Uganda: one floater, two in-line dosers, three end-line dosers (tap-attached), and one manual dispenser. The evaluation criteria were dosing consistency, user-friendliness, ease of maintenance, local supply chain, and cost. Achieving an adequate chlorine dosage (∼2 mg/L at the tap and ≥ 0.2 mg/L after 24 h of storage in a container) was challenging. The T-chlorinator was the most promising option for GDM kiosks: it achieved correct dosage (CD, 1.5–2.5 mg/L) with a probability of 90 per cent, was easy to use and maintain, economical, and can be made from locally available materials. The other in-line option, the chlorine-dosing bucket (40 per cent CD) still needs design improvements. The end-line options AkvoTur (67 per cent CD) and AquatabsFlo® (57 per cent CD) are easy to install and operate at the tap, but can be easily damaged in the GDM set-up. The Venturi doser (52 per cent CD) did not perform satisfactorily with flow rates > 6 L/min. The chlorine dispenser (52 per cent CD) was robust and user-friendly, but can only be recommended if users comply with chlorinating the water themselves. Establishing a sustainable supply chain for chlorine products was challenging. Where solid chlorine tablets were locally rarely available, the costs of liquid chlorine options were high (27–162 per cent of the water price).

• (Journal Article) Integrating sanitation and climate change adaptation: lessons learned from case studies of WaterAid’s work in four countries

  01.04.2021
  The links between climate change and sanitation are frequently overlooked in the WASH sector. This paper examines experiences of WaterAid in Bangladesh, Burkina Faso, India, and Madagascar where there was some consideration of the impacts of climate change on sanitation. Climate resilience was often not considered explicitly, however, with work instead framed around weather-related threats that are now increasingly frequent and severe. In these case studies, sanitation and climate integration involved adapting on-site sanitation hardware to physical impacts on infrastructure, while some social aspects of climate resilience were also considered. Integration took place primarily at the project level, while climate change consideration seemed absent from wider planning and decision-making. Aside from these case studies, most of WaterAid’s sanitation work does not seem to incorporate climate change. It is recommended that climate resilience is integrated into each stage of sanitation programming, with a more systematic consideration of its potential impacts.

• (Journal Article) Results from implementing a cohesive strategy and standardized monitoring programme for hygiene kit distribution in Myanmar

  01.01.2021
  Hygiene kits are commonly distributed in humanitarian emergencies to interrupt disease transmission and provide dignity. Despite being commonly implemented, hygiene kit distribution interventions are under-researched, and there is a lack of knowledge on kit efficacy and effectiveness. In Myanmar, the WASH cluster developed a national hygiene kit distribution and monitoring strategy. The research was aimed at determining the effectiveness of this strategy in the context of protracted internally displaced persons camps in Myanmar. To understand programme strategy, we reviewed documents against inclusion criteria; extracted and categorized data for included documents; analysed data; and summarized results. Twenty-six documents met the inclusion criteria of describing strategy development (47 per cent), monitoring in Rakhine (47 per cent) or Kachin State (3 per cent), or monitoring menstrual health and hygiene programme (3 per cent). We identified the strategy was successfully adopted and adapted for Kachin and Rakhine states; however, limitations were identified in receiving consistent monitoring data. We found hygiene kit distributions need to consider local context, including population mobility, local markets and availability of products, and household expenses and debt. Due to these interrelated factors, the percentage of households selling kit items decreased over time; additionally, soap and sanitary pad presence was significantly associated with household income. Consistently, women reported preferring disposable pads for menstrual health and hygiene due to privacy concerns. Programmatically, it is recommended to adapt hygiene kit distributions to local contexts, continue to distribute hygiene kits in protracted contexts to identified at-risk households, distribute disposable pads, and continue revising and improving strategy and monitoring tools.

• (Journal Article) Unravelling context: a formative photovoice study of Indian youth perspectives of sanitation and hygiene practices

  01.01.2021
  Water, sanitation, and hygiene are issues of substantial public health importance. Community-based participatory research approaches such as photovoice can help explore and identify determinants that influence sanitation and hygiene-related behaviours. This study aimed to use photovoice as part of the formative research process to increase understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours in Thirumalaikodi, India. First, a school was recruited using convenience sampling; next, 10 participants were purposively selected to participate in an information meeting, seven photo discussion sessions, and one wrap-up session over a three-week period. In each photo discussion session, participant groups selected one ‘trigger’ photograph, and through a structured discussion using SHOWED mnemonic questions (a series of questions that ask participants to describe and reflect upon a chosen photograph), generated a new understanding of issues related to water, sanitation, and hygiene. All sessions were audio-recorded and transcribed verbatim. Conventional content analysis was used to analyse photo discussion session text. Findings revealed that factors such as social structure, education, and culture influence behaviours that determine the sanitary conditions of an individual’s private and public spaces. Furthermore, participants described how descriptive norms generated practices (e.g. littering) that were reinforced and maintained by limited access to waste management systems, attitudinal indifference, and generational beliefs. Findings yielded an in-depth understanding of youth’s perceptions of the cultural and contextual factors that influence sanitation and hygiene-related behaviours. This study also contributes to the advancement of participatory applications in formative research and intervention adaptation processes.