在社区主导的整体卫生 (CLTS) 实施下建造的设施的可持续性:从基本到安全的设施在卫生阶梯上移动
Hemez Ange Aurélien Kouassi1, Harinaivo Anderson Andrianisa1, Seyram Kossi Sossou1
1Laboratoire Eaux, Hydro-Systèmes et Agriculture (LEHSA), Institut International d'Ingénierie de l'Eau et de l'Environnement (2iE), Ouagadougou, Burkina Faso.
PloS one
|November 16, 2023
概括
在布基纳法索,社区主导的整体卫生 (CLTS) 显著增加了所覆盖面,但无法获得安全的卫生设施. 大多数建成的所未经改善,易崩,突出了需要更好的技术和卫生计划的可持续性.
科学领域:
- 公共卫生 公共卫生
- 环境科学 环境科学
- 发展研究 发展研究 研究
背景情况:
- 监测可持续发展目标 (SDG) 目标6.2的进展需要了解家庭至少获得基本的卫生服务.
- 社区主导的整体卫生 (CLTS) 旨在通过行为改变消除露天排便,鼓励家庭在没有补贴的情况下建造自己的设施.
- 家庭在没有具体指导方针的情况下建造的卫生设施的可持续性和类型,以及CLTS对SDG 6.2的贡献,仍未得到充分研究.
研究的目的:
- 评估CLTS对西西里省,布基纳法索省的所覆盖率和卫生设施接入的影响.
- 根据CLTS方法调查家庭建造的卫生设施的类型和可持续性.
- 确定导致所覆盖率增加和卫生设施使用率之间差异的因素.
主要方法:
- 在布基纳法索的西西里省采用混合方法方法.
- 数据收集包括采访CLTS实施者,政府官员和社区利益相关者.
- 进行了家庭调查,并使用SPSS和Excel软件分析了数据.
主要成果:
- 2016年至2020年间,西西里省的洗手间覆盖率从29.51% (CLTS前) 升至90.44% (CLTS后).
- 然而,97.53%的修建所是未经改进的坑所,其中19.76%在雨季崩.
- 在同一时期,卫生设施接入率仅从11.9%上升到17.00%,这表明存在很大的差距.
结论:
- 由于不完善的设施普遍存在,CLTS有效地增加了所覆盖面,但并没有相应地改善获得适当和安全的卫生设施的机会.
- 卫生干预措施的可持续性取决于已建设施的稳定性和弹性,需要综合技术和工程考虑.
- 进一步研究结合技术和工程方面的社会方法对于实现SDG 6.2和确保可持续的卫生设施获得至关重要.
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