Recent WASH research | IWMI & UNC Water Institute reports | Global Waters updates

In addition to the studies and reports listed below, be sure to check out the latest Global Waters issue, Global Waters, July 2019. The latest update to includes the blog post, The State of Women and WASH in Textile Manufacturing Communities in India, and there were 15 posts to Sanitation Updates in July 2019.


Assessing longer-term effectiveness of a combined household-level piped water and sanitation intervention on child diarrhoea, acute respiratory infection, soil-transmitted helminth infection and nutritional status: a matched cohort study in rural Odisha, India. International Journal of Epidemiology, July 2019. An intervention where on-premise piped water coverage was contingent on full community sanitation coverage was associated with improvements in infrastructure coverage and use several years after implementation. Although there was no evidence the intervention impacted acute conditions such as diarrheal disease or respiratory infection, it was associated with a reduction in soil-transmitted helminth infection and improvements in height-for-age that may require longer-term reductions in fecal exposure.

Reassessing the projections of the World Water Development Report. NPJ Clean Water, July 2019. The aim of this paper is to highlight the inter-linkage in between population and economic growth and water demand, resources and pollution, that ultimately drive water scarcity, and the relevance of these aspects in local, rather than global, perspective, with a view to stimulating debate.

‘It’s like a burden on the head’: Redefining adequate menstrual hygiene management throughout women’s varied life stages in Odisha, India. PLoS One, August 2019. The purpose of this research is to examine detailed accounts of menstruation for women in rural Odisha, India at various life stages with a view toward improving international monitoring of MHM.

Predictors of Enteric Pathogens in the Domestic Environment from Human and Animal Sources in Rural Bangladesh. Environ. Sci. Technol. July 29, 2019. Domestic animals were important contributors to enteric pathogens in these households.

Touch for Health: Use of Pavlovian Processes with Physical Touch as a Means to Improve Menstrual Hygiene Management Initiatives, Measured by Willingness to Pay. PharmacoEconomics, July 23, 2019. Results show a statistically significant difference between the WTP figures of those females allowed interaction with the kits prior to being surveyed and those who did not. This confirms the positive impact of physical presence/touch on motivations to use/acquire hygiene-related tools.

Formative research for the design of a scalable mobile health program water, sanitation, and hygiene: CHoBI7 mobile health program. BMC Public Health, July 2019. This study presents a theory- and evidence-based approach that can be implemented for the development of future water, sanitation, and hygiene mHealth programs in low-resource settings.


UNC Water Institute WaSH Policy Research Digest, July 2019 – Health Effects of Carrying Water – Fetching water is associated with a variety of negative health outcomes in water carriers, and also with physical, sexual or emotional abuse. In areas where water fetching must continue, strategies should focus on reducing the distance to water sources, providing alternatives to carrying water on the head, such as wheelbarrows, and eliminating gender-based violence.

Determinants of Nutritional Status among Children under Age 5 in Ethiopia: Further Analysis of the 2016 Demographic and Health Survey. DHS Working Paper, July 2019. The study found that child, maternal, and household characteristics were significantly associated with stunting and wasting among children under age 5. The health sector should encourage positive behaviors toward childcare and infant feeding practices. More should be done to help households adopt improved types of toilet facilities and modern types of cooking fuels.

Unpacking the water-energy-environment-food nexus: Working across systems. IWMI, 2019. This paper tries to look at various frameworks and unpacks the concept of nexus in order to develop matrices to help quantify and understand the interlinkages between the nexus systems.

Small Reservoirs in Africa: A Review and Synthesis to Strengthen Future Investment. IWMI, 2019. Small reservoirs are a critical coping mechanism in water-stressed rural areas in Africa, providing immense livelihood benefits that include improved food and water security, entrepreneurial activities and climate resilience.

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