Health

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

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.

Behaviour Change for WASH: Policy Brief

Since 2010, the SHARE Consortium has prioritised behaviour change in WASH interventions, championing the importance of identifying novel and creative approaches to changing behaviours across many countries. This policy brief documents SHARE’s contribution to understanding behaviour change and associated health impacts. It provides recommendations for researchers and intervention implementers, policy makers and funders.

Date: 26 July 2018

Urban sanitation coverage and environmental fecal contamination: Links between the household and public environments of Accra, Ghana

Exposure to faecal contamination in public areas, especially in dense, urban environments, may significantly contribute to gastrointestinal infection risk. This study examined associations between sanitation and faecal contamination in public environments in four low-income neighbourhoods in Accra, Ghana. Soil and open drain samples were tested for E. coli, adenovirus, and norovirus. Sanitation facilities in surveyed households were categorised by onsite faecal sludge containment (“contained” vs. “uncontained”) using previous Joint Monitoring Program infrastructure guidelines.

Date: 26 July 2018
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Reflections on the West and Central Africa Regional Rural Sanitation Workshop

Flying into Dakar, Senegal, for the start of the four day West and Central Africa Regional Rural Sanitation Workshop, hosted by the CLTS Knowledge Hub, Institute of Development Studies (IDS), I was struck by the arid landscape that we flew over. The vast vista was dominated by dry red soils and parched vegetation; a timely reminder of the water scarcity and food security problems faced by many countries in West and Central Africa (despite an abundance of human and natural resources).

Reduction of stunting by CLTS in Mali: a case study to learn from

Mali is renowned as the location of the one of the few Community-Led Total Sanitation (CLTS) programmes that has managed to demonstrate a reduction in stunting from increased community-level sanitation coverage. There is much to learn and share from this programme, especially across the West and Central Africa region where similar sanitation challenges are faced and open defecation rates generally remain high.

(Photo: Children outside school in Koulikoro, Mali)

Community-Level Sanitation Coverage More Strongly Associated with Child Growth and Household Drinking Water Quality than Access to a Private Toilet in Rural Mali

This article is an overview of a study that investigated the effect of community sanitation coverage versus individual household sanitation access on child health and drinking water quality. Using a census of 121 villages in rural Mali, the research team analysed the association of community latrine coverage (defined by a 200 meter radius surrounding a household) and individual household latrine ownership with child growth and household stored water quality.

Date: 11 July 2018
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Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial

This article provides a brief overview of the method and findings from a cluster-randomised trial that was conducted in 2011-2013 in Koulikoro, Mali, to assess a government implemented Community-Led Total Sanitation (CLTS) programme’s effect on child health.

Date: 11 July 2018
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