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• (Journal Article) Efficiency of additives and internal physical chemical factors for pit latrine lifetime extension

  01.07.2018
  Pit latrines are the most common form of on-site sanitation, but are blighted by the problem of pit fill-up. Little is known about what factors and conditions affect decomposition of pit content and thus govern pit filling, but the liquid–mass balance is the key factor. Under laboratory conditions the effect of inorganic and biological additives and the effect of physical chemical factors on solids hydrolysis of black water and human faeces were investigated to establish the potential of these to extend pit latrine lifetime. Additives did little or nothing to enhance net solids hydrolysis in batch tests or to reduce pit fill height in miniature simulated pit latrines. Physical chemical factors such as redox condition and initial pH increased solids hydrolysis, whereas temperature and substrate moisture did little. Since additives need contact with the substrate to act, measurements on faeces crust formation speed and strength were performed and showed that crusts formed within three hours and persisted after covering with fresh faeces or water.

• (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) Are burial or disposal with garbage safe forms of child faeces disposal? An expert consultation

  01.07.2015
  The importance of safe handling and disposal of child faeces given its potential role in disease transmission are increasingly recognized. Household surveys demonstrate that the burying of child faeces (‘dig-and-bury’) is common in several countries, especially in sub-Saharan Africa and South-east Asia. Disposal with garbage is widely practised in middle- and high-income countries and is becoming increasingly common in urban areas of low-income countries. The safety of these two approaches is difficult to assess given the limited evidence available and we therefore sought the opinion of experts in the field of sanitation to support advocacy around the topic. We report the findings of an anonymous expert (Delphi) consultation on the safety of these two child faeces disposal methods. There was almost unanimous agreement these should be considered neither safe nor improved. A range of arguments was provided to support this position, including proximity of solid waste and burial sites to the home and children’s play areas and that neither practice would be acceptable for adults. The consultation also highlighted gaps in the current evidence base that should be addressed to gain a fuller insight into the risks involved in these two forms of sanitation with a view to providing both programmatic and normative guidance. In particular further work is needed to assess the potential for exposure to faecal matter in solid waste in low- and middle-income countries and to elucidate the predominant practices of child faeces burial including proximity to the home or infant play areas as well as depth of burial.

• (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) Taking Stock: Incompetent at incontinence – why are we ignoring the needs of incontinence sufferers?

  01.07.2016
  How would you cope if you had no control over how you urinated or defecated and regularly or constantly leaked urine or faeces? How would this make you feel? How would you deal with the smell, with the indignity? What if you were a young teenager, traumatized by very stressful events and returned to bed-wetting as a result? And what would you do if you didn’t have the money to buy spare underwear or incontinence protection products or those are simply not available to you? Could you manage if you were suddenly displaced in an emergency and did not have access to a toilet, shower or bathing facilities, or your usual materials and coping mechanisms? What if you lived in a camp and your toilet or bathing shelter was a 5 minute walk away and had a long line in front of it? Would you be able to stand in line at food distribution or water collection points, go to school, or look for or undertake work?

• (Journal Article) Uncovering the challenges to menstrual hygiene management in schools in Mali

  01.01.2015
  There is limited information on girls' menstrual hygiene practices and experiences at school in francophone sub-Saharan Africa. We conducted qualitative research to determine the challenges faced by school-aged girls in Mali, a culturally diverse and largely Muslim country. Research activities were conducted in eight urban and rural schools across the Sikasso and Koulikoro regions, including in-depth interviews with 26 girls and key informant interviews with 14 teachers and school directors. Results describe girls' practices for managing menstruation at school, their support systems and information channels, and their voiced recommendations for school WASH and education improvements.

• (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) Towards demand-driven services? The role of feedback mechanisms in agribusiness-based advisory services for smallholder farmers

  01.09.2019
  In many developing countries, agribusinesses are highly engaged in providing services to smallholder farmers, including agricultural advisory services or extension. As private service providers depend on farmers’ choice, eliciting farmer feedback and learning from farmers’ demands seem to become more important. However, the phenomenon of agribusiness-based advisory services has received relatively little attention in the study of advisory services. Little is known on whether and how agribusinesses operationalize the idea of demand-driven service provision. This is a critical oversight as agribusinesses are increasingly present as service providers and hence shape the prevailing service landscape for smallholder farmers. Based on a study of 29 agribusinesses providing advisory services to farmers in developing countries, this paper explores the extent to which agribusinesses provide demand-driven services based on farmer feedback and how they integrate and learn from such feedback.

• (Journal Article) Microfinance for sanitation: what is needed to move to scale?

  01.07.2015
  The sanitation sector is gradually realizing that the effectiveness of approaches such as Community-Led Total Sanitation (CLTS) is limited by inadequate access to finance. Households are not able to construct durable facilities and sanitation services are unable to develop so as to respond to demand. At the same time, there is fierce competition among microfinance services providers that is pushing institutions towards more remote customers and to offer innovative products. In addition, the rise of mobile banking and digital finance has lifted many poor people out of financial exclusion. These factors have created a nexus between microfinance and sanitation with high growth potential. However, the sanitation microfinance market remains small to date. Since 2010, the SHARE research consortium has investigated global experiences and lessons for using microfinance to develop sanitation services. A SHARE action-research in Tanzania triggered selected financial institutions to offer financial products for sanitation and generated lessons for scaling up sanitation microfinance. This article presents the findings from the SHARE research, in the context of broader developments in the microfinance markets and key findings from other donor-led initiatives.

• (Journal Article) Better together: improving food security and nutrition by linking market and food systems

  01.09.2019
  Market-based approaches to food security often increase agricultural productivity and income yet sometimes fail to enhance nutrition. When food security programming combines market and food systems with a specific focus on women and girls, economic and nutrition outcomes benefit. We identify distinctive and shared elements from market and food systems and highlight how they enhance nutrition outcomes when they are combined. We describe food security programming by CARE and World Vision in Bangladesh, Ethiopia, Madagascar, Zambia, and Zimbabwe, demonstrating nutrition gains in food insecure households.

• (Journal Article) Are ceramic water filters effective in preventing diarrhoea and acute malnutrition among under-five children in Sudan?

  01.07.2020
  Access to safe drinking-water at home is essential during the outpatient treatment of children with acute malnutrition due to their increased vulnerability to infections and disease. The study aimed to evaluate the effectiveness of ceramic water filters with safe storage in preventing diarrhoea and acute malnutrition among under-five children in Kassala state, Sudan. It was designed as an open-label randomized controlled trial, comparing two study groups. Data was collected through face-to-face interviews and direct observations, then processed and analysed using Epi Info 7.2.0.1. Use of water filters is a potential predictor of number of diarrhoea episodes per child (P < 0.001). The intervention group had a lower diarrhoea occurrence (P < 0.001), better monthly average weight gain (P = 0.012) and average mid-upper arm circumference increase (P = 0.001), and lower prevalence of acute malnutrition at the end of the study (P = 0.001) compared with the control group. Ceramic water filters with safe storage can be effective in preventing diarrhoea and acute malnutrition, and beneficial to children admitted to Community Management of Acute Malnutrition programmes in Kassala state. More research is needed to understand the pathways to achieving these outcomes. Other WASH interventions may be needed to interrupt the primary vectors of diarrhoea disease transmission in this setting.

• (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 Article) Menstrual hygiene: a ‘silent’ need during disaster recovery

  01.07.2016
  Post-disaster relief and recovery operations seldom focus on women’s priorities regarding menstrual hygiene. There is an increasing awareness to incorporate inclusive, participatory, and gender-sensitive strategies for implementation of response programmes. This article presents empirical findings related to menstrual hygiene management (MHM), demonstrating it is integral to women’s privacy and safety during recovery. Using case studies from India, the 2012 Assam floods and 2013 Cyclone Phailin in Odisha, this article explores menstrual hygiene practices in a post-disaster context. The data were collected through participatory learning and action tools such as focus group discussions, household interviews, priority ranking, and observations. It emerged that menstrual hygiene was overlooked at the household level during recovery; women and adolescent girls faced seclusion and isolation, exacerbating privacy and security concerns post-disasters. Some humanitarian agencies have an ad hoc approach towards MHM, which is limited to distribution of sanitary pads and does not address the socio-cultural practices around MHM. There is a need for strategic planning to address MHM with a gender-sensitive and inclusive approach. This article draws practical and policy inferences from the research for stronger approaches towards initiating behaviour change in MHM, and addressing attitudes and knowledge regarding menstrual hygiene.

• (Journal Article) Empowerment in action: savings groups improving community water, sanitation, and hygiene services

  01.03.2015
  With 748 million people worldwide lacking adequate water, sanitation, and hygiene (WASH) services (WHO/UNICEF, 2014), increased access to these services is a significant global challenge. Savings groups (SGs) combined with social empowerment strategies can be used to engage communities meaningfully in addressing development challenges such as access to clean water and a functioning latrine. As participants in PCI's SG initiative entitled Women Empowered (WE), women have independently identified WASH needs in their communities and have organized and carried out collective actions to improve their situation. This paper highlights results from a qualitative study in which PCI looked at SGs within two international development programmes in urban and rural Guatemala. The paper explores key opportunities in implementing an integrated, social and economic empowerment strategy and how changes in self-efficacy and leadership can lead to positive community impact. PCI found that participation by women in rural and urban Women Empowered SGs contributes to increased decision-making abilities and leadership, as well as increases in collaborative, collective actions at the community-level. Moreover, when one integrates SGs as a component of larger, multi-intervention development programmes, one can create a facilitative environment which encourages SGs to participate as active development partners rather than passive development recipients.

• (Journal Article) Towards a sustainable solution for school menstrual hygiene management: cases of Ethiopia, Uganda, South-Sudan, Tanzania, and Zimbabwe

  01.01.2015
  African schoolgirls face considerable challenges as a result of the real biological phenomenon of menstruation and its management. Menstruation is seen as a secret and is regarded as taboo. As a result girls are not receiving adequate support from home, schools, or the community. They are left on their own to address the challenge which consequently affects their school performance. Development interventions that deal only with the supply of materials cannot resolve the problem in a sustainable manner. We need to have a comprehensive approach that can improve: knowledge, attitude, and practice of girls, parents, and the community; sanitary materials supply; the policy environment; and the physical infrastructure. The issue of menstrual hygiene management is gaining recognition as part of the development agenda for improving girls' school participation. But there is little research and few practical case studies have been conducted to inform policy and practice. SNV Netherlands Development Organization is addressing menstrual hygiene under its WASH in School programme in Asia, Africa, and Latin America. This article highlights baseline survey findings of the current menstrual hygiene management practices in the project areas of Ethiopia, South Sudan, Uganda, Tanzania, and Zimbabwe and recommends the approach piloted.

• (Journal Article) Dimensions of water insecurity in pastoralist households in Kenya

  01.01.2020
  Pastoralist communities in Northern Kenya face increasing water security risks attributable to disruptions in their socio-ecological environments. Sedentarized pastoralists, women, and children are most vulnerable to spatial-temporal variations in water availability. This vulnerability is exacerbated by embedded power relations within existing socio-cultural and water governance systems. A preliminary study carried out in 2016 examined pastoralist women’s disempowerment in relation to the domestic water security constraints they face. The research found anecdotal evidence that women with diversified livelihoods and social capital are more resilient to water stress. The follow-on study was carried out in 2018 and aimed to provide empirical evidence on factors behind water security and to identify factors that enhance resilience for vulnerable pastoralist communities. The study covered both urban and rural communities in Samburu County and applied a mixed-methods research methodology incorporating quantitative and qualitative research approaches. The study was also used to test a scale for measuring household water insecurity which could potentially improve the methodology for assessing shock-related stress in these high-risk communities. Results show extreme levels of water insecurity, especially in rural areas, and indicate a close relationship between water security and social capital as indicated in the earlier study. Livelihood diversity does not appear to influence water security but households with higher numbers of livestock tend to be more water insecure than households with smaller herds. This is supported by reports from women that the additional burden of watering homestead-based livestock makes them more vulnerable.

• (Journal Article) The handpump choice is yours: a pilot study in Rumphi District, Malawi

  01.10.2017
  In sub-Saharan Africa, moving towards the Sustainable Development Goals will require an approach to water and sanitation service delivery for many rural communities where handpumps still dominate infrastructure. This paper reviews a case study of allowing users (local government and communities) in Rumphi District, Malawi, to choose a handpump model based on information about the life-cycle costs. The results indicate that there is some awareness within communities and within the local government of several handpump options for the rural water supply in the study area. Given a choice of different handpump models in the treatment communities, each community chose the rope pump. Allowing communities to choose the type of handpump model, with input from both local government and donors on low cost borehole drilling, should be considered as an innovative approach to rural water service delivery.

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  (Book) Self-Supply

  Sally Sutton, John Butterworth

  While governments and development partners focus on improving community and utility-managed water supplies to ensure access for all, hundreds of millions of people are taking actions to supply their own water. In the WASH sector household investment in construction and improvement of facilities is w...

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  (Book) Le nexus énergie-eau-alimentation à des échelles décentralisées

  Lucy Stevens, Mary Gallagher

  Ce document s’appuie sur l’expérience de Practical Action en matière de programmes de microcentrales hydroélectriques et vise à établir un lien entre les débats mondiaux sur le nexus (liens) et les solutions et expériences des communautés isolées hors réseau et des petits exploitants agricoles. Par...