Putting the “A” into WaSH: a call for integrated management of water, animals, sanitation, and hygiene. Lancet Planetary Health, August 2019. The first step—putting the “A” into WASH—is to shift the thinking to accelerate progress towards transformative WASH by considering pathways of enteropathogen transmission that are not currently central to WaSH strategies. We believe more substantial reductions in household and environmental fecal contamination are possible through concerted efforts to collectively improve the health of animals, humans, and the environment, while maintaining the benefits of livestock ownership.
The association of water carriage, water supply and sanitation usage with maternal and child health. A combined analysis of 49 Multiple Indicator Cluster Surveys from 41 countries. International Journal of Hygiene and Environmental Health, 2 September 2019. Fetching water is associated with poorer maternal and child health outcomes, depending on who collects water. The percentage of people using improved sanitation seems to be more important than type of toilet facility, and must be high to observe an association with reduced child deaths and diarrhea. Water access on premises, and near universal usage of improved sanitation, is associated with improvements to maternal and child health.
Theory-driven formative research to inform the design of a national sanitation campaign in Tanzania. PLoS One, August 2019. The resulting Theory of Change recommended that the intervention should surprise people with a novel conversation about toilets, promote toilets as a means of conferring status, and introduce a perceived urgency to ‘act now’.
Behaviour settings theory applied to domestic water use in Nigeria: A new conceptual tool for the study of routine behavior. Social Science & Medicine, August 2019. Improving public health will require the disruption of settings, for example, through bringing water infrastructure directly to the home, through the sale of new props that facilitate hygienic routines, or in the disruption of gender roles via the promotion of new norms.
Evaluating the viability of establishing container-based sanitation in low-income settlements. Waterlines, July 2019. Drawing on an initial review of existing CBS services, this paper identifies and evaluates these factors in relation to establishing CBS in a new service location. By applying a weighted scoring matrix to these factors, the potential viability of CBS services has been assessed for urban informal settlements in Kathmandu Valley, Nepal.
How does water-reliant industry affect groundwater systems in coastal Kenya? Science of The Total Environment, 1 December 2019. The results show that the lack of aquifer systems data can be overcome, at least partly, by integrating different sources of information.