持续失败的水,环境卫生和卫生规划:一个定性研究
Dani J Barrington1,2, Rebecca C Sindall3,4, Annatoria Chinyama5,6
1School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia dani.barrington@uwa.edu.au.
水,环境卫生和卫生 (WASH) 计划往往由于基于项目的资金和不切实际的期望而失败. 转向长期投资和以用户为中心的方法对于可持续的WASH服务至关重要.
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:
- 不安全的水,环境卫生和卫生 (WASH) 每年导致数百万人的死亡和健康损失.
- 尽管全球都在努力,但许多WASH计划未能实现可持续的健康成果或满足绩效指标.
- 当地利益相关者的福祉有时会受到当前WASH编程方法的负面影响.
研究的目的:
- 为了调查持续的WASH程序失败的地面层原因.
- 捕捉前线WASH专业人员对WASH实施挑战的观点.
- 确定导致WASH倡议缺乏可持续性的因素.
主要方法:
- 在马拉维,南非,坦桑尼亚和津巴布韦招募了108名前线WASH专业人员进行96次深入采访.
- 使用了参与式分析,包括带有轴向编码和成员检查的框架分析.
- 该研究的重点是了解参与者对WASH失败的核心原因.
主要成果:
- 导致WASH失败的关键因素包括最终用户参与度较低,资助者/实施者期望不切实际,以及人力/财务能力不足.
- 卫生卫生卫生计划的"项目化"导致问责制减少,并专注于产出而不是结果.
- 最终用户对项目后的持续服务和行为变化有很高的期望.
结论:
- 洗计划必须从短期项目过渡到长期投资,对地方政府负责.
- 对WASH访问的纵向测量和现实的用户需求评估是必不可少的.
- 资助者必须调整他们的系统,以支持WASH服务的长期可持续性.
更多相关视频
09:02A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
08:09Wastewater Irrigation Impacts on Soil Hydraulic Conductivity: Coupled Field Sampling and Laboratory Determination of Saturated Hydraulic Conductivity
Published on: August 19, 2018
相关概念视频
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Handwashing I: Introduction and Types of Equipment
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
