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Balancing responsibility for sanitation.

Maria Clasina Allison1

  • 1School of Health and Social Studies, The University of Warwick, Coventry, UK. maria.allison@warwick.ac.uk

Social Science & Medicine (1982)
|September 26, 2002
PubMed
Summary

Governance frameworks for sanitation provision are crucial. This study found that institutional capacity, political will, and cultural diversity significantly impact the balance of rights and responsibilities between government and community-based organizations (CBOs) in sanitation services.

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Area of Science:

  • Environmental Health Policy
  • Public Health Governance
  • Sanitation Services

Background:

  • Existing service provision models have limitations, leading to the adoption of governance frameworks for sanitation.
  • Governance involves interactions between civil society and government across political, institutional, technical, and cultural dimensions.
  • Partnerships in sanitation provision imply a balance of joint responsibility, requiring careful consideration of various societal factors.

Purpose of the Study:

  • To explore factors inhibiting or promoting the involvement of community-based organizations (CBOs) in sanitation provision.
  • To examine the extent of shared responsibility between local government and CBOs in sanitation provision.
  • To analyze the influence of a bill of rights on sanitation provision and environmental health.

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Main Methods:

  • A multiple-case study with an embedded design was conducted in Cape Town, South Africa.
  • The study involved two community-based organizations (CBOs) from October 1996 to March 1997.
  • The research focused on the dynamics of governance in sanitation provision within a rights-based framework.

Main Results:

  • Institutional and technical capacity emerged as key factors influencing sanitation provision.
  • Political will was identified as a significant determinant in the success of sanitation initiatives.
  • Cultural diversity impacts the balance between rights and responsibilities in environmental health governance.

Conclusions:

  • The four-dimensional governance framework (political, institutional, technical, cultural) is effective for analyzing environmental health dynamics.
  • Understanding the interplay of these dimensions is crucial for effective sanitation service provision.
  • Addressing capacity, political will, and cultural diversity is essential for equitable and sustainable sanitation solutions.