孟加拉国的种族和获得水,卫生和卫生条件:使用MICS数据和政策审查的研究
Md Zakiul Alam1,2, Isna Haque Sheoti3
1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, 21205, USA. zakiul.alam@du.ac.bd.
孟加拉国的少数民族在获得安全饮用水,卫生设施和卫生 (WASH) 方面面临着严重的差异. 政策变化是必要的,以确保公平的WASH服务,并实现所有人的可持续发展目标.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 健康 公平 卫生 公平
背景情况:
- 安全饮用水,环境卫生和卫生 (WASH) 对人类健康和实现可持续发展目标至关重要.
- 在全球范围内,在WASH接入方面的不平等仍然存在,不成比例地影响到边缘化人口.
- 少数民族群体在获得基本的WASH服务方面经常遇到独特的挑战.
研究的目的:
- 在孟加拉国少数民族人口中量化WASH服务的获取.
- 确定影响这些社区内WASH实践的因素.
- 审查国家WASH政策,评估其对少数民族的包容性.
主要方法:
- 利用2019年多重指标集群调查 (MICS) 的数据进行定量分析.
- 采用千平方测试和多层混合效应物流回归来确定种族对WASH的影响.
- 对孟加拉国与WASH相关的政策和计划进行了系统审查.
主要成果:
- 与孟加拉人相比,少数民族获得基本饮用水 (60.6%与98.5%相比),改善的卫生设施 (42.3%与64.6%相比) 和洗手设施 (50%与75%) 的机会要低得多.
- 种族是WASH接入的重要预测因素,少数民族在所有WASH组件中获得的机会要少得多.
- 对政策的审查显示,针对少数民族的WASH权利的具体行动很少.
结论:
- 孟加拉国少数民族和多数人口之间存在显著的WASH差异.
- 目前的WASH政策不充分代表少数民族群体的需求.
- 需要紧急的政策干预来解决这些不平等问题,并确保普遍的WASH接入,符合可持续发展目标的"不让任何人落后"原则.
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