Related Experiment Video
Updated: Jan 12, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Power and interest levels in safely managed sanitation services in Zambia: A stakeholder mapping
Beatrice Chiwala1, Mpundu Makasa2, Joseph Mumba Zulu1
1Department of Health Policy and Management, School of Public Health, University of Zambia, Lusaka, Zambia.
Background:
Access to safely managed sanitation (SMS) in sub-Saharan Africa including Zambia remains a challenge. Variations in power and interest among stakeholder significantly influence access to SMS. However, there is limited contextualization of how power and interest levels among stakeholders influenced access to SMS. The study aimed to explore and analyze how stakeholders perceived their power and interest in the context of providing SMS. The study applied the Mendelow Stakeholder Matrix to identify, characterize and analyze the actors involved in the provision of SMS in peri-urban areas in Lusaka, Zambia.
Methods:
A narrative qualitative research design was employed in this study. Ninety-four (94) respondents participated in the study - 25 key informants who were representatives from Government Institutions/Departments, Cooperating Partners, NGOs and community level stakeholders; 60 discussants who participated in focus group discussions, while nine (9) community leaders took part in transect walks conducted in the target areas of Kanyama, Chawama and George. Nvivo14 was utilized for data management and analysis.
Results:
The main results suggested that stakeholders displayed interrelationships that were symbiotic as they depended on each other to deliver their mandates. Stakeholders categorized into Mendelow quadrants displayed varying levels of homogeneity in power and interest. In addition, some stakeholders such as the Local Authority shifted quadrants when seen to perform dual roles for example to implement and enforce the policies aimed at improved public health.
Conclusion:
The stakeholders' quadrant position coupled with persisted changes in their positions influenced their capacity to contribute effectively to the implementation of strategies to enhance access to SMS. This equally meant that implementers of SMS interventions have to regularly assess their engagement mechanisms to foster dialogue and coordination among stakeholders. Policy implications, especially to Government, may mean allocation of adequate resources to key players to enable them deliver on their respective mandates. Similarly, implications to practitioners might be the need to periodically review stakeholders and forge alliances coupled with conducting multi-sectoral meetings aimed to streamline their functions for the successful delivery of SMS.
Related Concept Videos
Design Example: Analyzing Capacity Contours for Flood Risk Assessment
Applications of GIS: Disaster Management and Emergency Response
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Levels of Use of a GIS
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...

