Health

Key resource: Atelier régional sur l’assainissement rural en Afrique de l’Ouest et du Centre : Note d’apprentissage

Le CLTS Knowledge Hub, basé à l’Institute of Development Studies, WaterAid, le WSSCC et l’UNICEF ont co-organisé un atelier régional à Saly, au Sénégal, du 25 au 28 juin 2018, avec l’aide de l’AGETIP. L’événement a réuni les personnes impliquées dans la programmation de l’eau, l’assainissement et l’hygiène (EAH) en milieu rural dans 14 pays de la région (Bénin, Burkina Faso, Cameroun, Gambie, Ghana, Libéria, Mali, Mauritanie, Niger, Nigéria, République Démocratique du Congo (RDC), Sénégal, Tchad et Togo) aux côtés d’experts travaillant aux niveaux régional et mondial.

Date: 1 October 2018

Key resource: CLTS Knowledge Hub Learning Brief: West and Central Africa Regional Rural Sanitation Workshop

The CLTS Knowledge Hub, based at the Institute of Development Studies, WaterAid, WSSCC and UNICEF co-convened a regional workshop in Saly, Senegal, 25th-28th June 2018 with support from AGETIP. The event brought together those engaged in rural WASH programming from 14 countries across the region (Benin, Burkina Faso, Cameroon, Chad, Democratic Republic Congo (DRC), Gambia, Ghana, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, and Togo) alongside experts working at regional and global levels.

Date: 17 September 2018

Key resource: Re-framing Undernutrition: Faecally-Transmitted Infections and the 5 As (IDS Working Paper 450)

In this IDS Working Paper, Robert Chambers (CLTS Knowledge Hub, IDS) and Gregor von Medeazza (UNICEF) argue for a more inclusive framework for thinking about and dealing with undernutrition.  One concept is FTIs (faecally-transmitted infections).  This is designed to avoid the reductionisms of faecal-oral infections, waterborne diseases, and the focus on the diarrhoeas to the neglect of less dramatic and less measurable FTIs especially environmental enteropathy.  A second concept is the 5 As – availability and access which both have oral associations, and absorption, antibodies and allopath

Date: 31 October 2014

Impact of social capital, harassment of women and girls, and water and sanitation access on premature birth and low infant birth weight in India

Globally, preterm birth (PTB) and low infant birth weight (LBW) are leading causes of maternal and child morbidity and mortality. Inadequate water and sanitation access (WASH) are risk factors for PTB and LBW in low-income countries. Physical stress from carrying water and psychosocial stress from addressing sanitation needs in the open may be mechanisms underlying these associations. If so, then living in a community with strong social capital should be able to buffer the adverse effects of WASH on birth outcomes.

Date: 12 November 2018
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Blog: Ways forward for rural sanitation in Africa

The CLTS Knowledge Hub  has had a busy year! We have hosted and facilitated two regional rural sanitation workshops in Africa.

Read this blog on the approach, challenges and sucsesses of the two events  - including learning briefs on both events available in Enlgish and French.

(This blog is published on the Institute of Develoment Studies (IDS) website.)

New WHO Guidelines on Sanitation and Health

The World Health Organisation have developed new guidelines on sanitation and health because current sanitation programmes are not achieving anticipated health gains and there is a lack of authoritative health-based guidance on sanitation. The new guidelines summarise the evidence on the effectiveness of a range of sanitation interventions and provide a comprehensive framework for health-protecting sanitation, covering policy and governance measures, implementation of sanitation technologies, systems and behavioural interventions, risk-based management, and monitoring approaches.

Date: 15 October 2018

State of Hygiene in Southern Africa

Without good hygiene practices, such as toilet use, handwashing with soap, water treatment, food hygiene, and menstrual hygiene, the benefits of other poverty reduction strategies will be undermined, and human dignity will be compromised.

The State of Hygiene in Southern Africa study was commissioned to gather evidence regarding: the status of hygiene practice in the region; the enabling environment and institutional arrangements for the promotion of hygiene behavior change; and key policy and programme bottlenecks for the prioritisation of hygiene.

Date: 15 October 2018

A Systematic Review and Meta-Analysis of the Association between Water, Sanitation, and Hygiene Exposures and Cholera in Case–Control Studies

Case–control studies are conducted to identify cholera transmission routes, and Water, sanitation, and hygiene (WASH) exposures can facilitate or interrupt cholera transmission. Up until now there had been no systematic analysis of the association between WASH exposures and cholera from case–control studies. Seeing this gap, researchers from Tufts University Civil and Environmental Engineering Department, Medford, Massachusetts undertook a systematic review.

Date: 14 September 2018

'I hated the stench and filth': India's scavengers escape dirty work

A project in Delhi is retraining people who clean human excrement with their bare hands to find work as housekeepers. The training is the result of Shahdara district magistrate Kumar Mahesh’s determination to end manual scavenging. The project team found it hard to identify manual scavengers in Shahdara as many (most of whom are Dalits) are too ashamed to admit their occupation. But they finally managed to persuade 28 people to enrol for the part-time course where they learn housekeeping skills enabling them to leave the dehumanising work of scavenging behind.

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