Equity in access to water supply and sanitation in Ethiopia: an analysis of EDHS data (2000–2011)

2016 ◽  
Vol 6 (2) ◽  
pp. 320-330 ◽  
Author(s):  
Selamawit Seyoum ◽  
Jay P. Graham

Significant efforts to improve water supply and sanitation (WS&S) in Ethiopia have been made over the past decade, yet it is unclear how progress has affected different segments of the population. This study used data from Ethiopia's Demographic and Health Survey (2000, 2005, and 2011) to assess trends in: 1) access to improved water supplies; 2) use of improved sanitation; 3) use of untreated surface water as a primary source for drinking water; 4) open defecation; and 5) water transport times greater than 30 minutes. Trends were assessed by urban/rural residence, administrative region and education. The study found increases in access to improved water supplies and reductions in open defecation; however, no progress was observed in the use of improved sanitation. Rural households that reported drinking untreated surface water went from nearly one-third in 2000 to one-fifth in 2011. No improvements were found regarding the reported time spent collecting water. Inequities in WS&S remained high across the country, highlighting the need to focus on these differences and target resources towards sub-populations that lack this fundamental necessity.

2019 ◽  
Vol 9 (2) ◽  
pp. 258-280 ◽  
Author(s):  
Benson Ajisegiri ◽  
Luis A. Andres ◽  
Samir Bhatt ◽  
Basab Dasgupta ◽  
Juan A. Echenique ◽  
...  

Abstract The paper presents the development and implementation of a geo-spatial model for mapping populations’ access to specified types of water and sanitation services in Nigeria. The analysis uses geo-referenced, population-representative data from the National Water and Sanitation Survey 2015, along with relevant geo-spatial covariates. The model generates predictions for levels of access to seven indicators of water and sanitation services across Nigeria at a resolution of 1 × 1 km2. Overall, the findings suggest a sharp urban–rural divide in terms of access to improved water, basic water, and improved water on premises, a low availability of piped water on premises and of sewerage systems throughout the country, a high concentration of improved sanitation in select states, and low rates of nationwide open defecation, with a few pockets of high rates of open defecation in the central and southern non-coastal regions. Predictions promise to hone the targeting of policies meant to improve access to basic services in various regions of the country. This article has been made Open Access thanks to the generous support of a global network of libraries as part of the Knowledge Unlatched Select initiative.


2020 ◽  
Vol 53 (1) ◽  
pp. 108-120 ◽  
Author(s):  
Bevin Vijayan ◽  
Mala Ramanathan

AbstractDiarrhoeal disease is one of the major causes of morbidity and mortality in children and is usually measured at individual level. Shared household attributes, such as improved water supply and sanitation, expose those living in the same household to these same risk factors for diarrhoea. The occurrence of diarrhoea in two or more children in the same household is termed ‘diarrhoea clustering’. The aim of this study was to examine the role of improved water supply and sanitation in the occurrence of diarrhoea, and the clustering of diarrhoea in households, among under-five children in India. Data were taken from the fourth round of the National Family and Health Survey (NFHS-4), a nationally representative survey which interviewed 699,686 women from 601,509 households in the country. If any child was reported to have diarrhoea in a household in the 2 weeks preceding the survey, the household was designated a diarrhoeal household. Household clustering of diarrhoea was defined the occurrence of diarrhoea in more than one child in households with two or more children. The analysis was done at the household level separately for diarrhoeal households and clustering of diarrhoea in households. The presence of clustering was tested using a chi-squared test. The overall prevalences of diarrhoea and clustering of diarrhoea were examined using exogenous variables. Odds ratios, standardized to allow comparison across categories, were computed. The household prevalence of diarrhoea was 12% and that of clustering of diarrhoea was 2.4%. About 6.5% of households contributed 12.6% of the total diarrhoeal cases. Access to safe water and sanitation was shown to have a great impact on reducing diarrhoeal prevalence and clustering across different household groups. Safe water alone had a greater impact on reducing the prevalence in the absence of improved sanitation when compared with the presence of improved sanitation. It may be possible to reduce the prevalence of diarrhoea in households by targeting those households with more than one child in the under-five age group with the provision of safe water and improved sanitation.


2007 ◽  
Vol 5 (4) ◽  
pp. 481-502 ◽  
Author(s):  
Guy Hutton ◽  
Laurence Haller ◽  
Jamie Bartram

The aim of this study was to estimate the economic benefits and costs of a range of interventions to improve access to water supply and sanitation facilities in the developing world. Results are presented for eleven developing country WHO sub-regions as well as at the global level, in United States Dollars (US$) for the year 2000. Five different types of water supply and sanitation improvement were modelled: achieving the water millennium development goal of reducing by half in 2015 those without improved water supply in the year 1990; achieving the combined water supply and sanitation MDG; universal basic access to water supply and sanitation; universal basic access plus water purification at the point-of-use; and regulated piped water supply and sewer connection. Predicted reductions in the incidence of diarrhoeal disease were calculated based on the expected population receiving these interventions. The costs of the interventions included estimations of the full investment and annual running costs. The benefits of the interventions included time savings due to easier access, gain in productive time and reduced health care costs saved due to less illness, and prevented deaths. The results show that all water and sanitation improvements are cost-beneficial in all developing world sub-regions. In developing regions, the return on a US$1 investment was in the range US$5 to US$46, depending on the intervention. For the least developed regions, investing every US$1 to meet the combined water supply and sanitation MDG lead to a return of at least US$5 (AFR-D, AFR-E, SEAR-D) or US$12 (AMR-B; EMR-B; WPR-B). The main contributor to economic benefits was time savings associated with better access to water and sanitation services, contributing at least 80% to overall economic benefits. One-way sensitivity analysis showed that even under pessimistic data assumptions the potential economic benefits outweighed the costs in all developing world regions. Further country case-studies are recommended as a follow up to this global analysis.


Water ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2062 ◽  
Author(s):  
Botero-Mesa ◽  
Roca-Servat

Situated at the margins of the urban–rural perimeter of the city of Medellín in Colombia, El Faro is a neighborhood in constant construction where life flourishes despite limited access to a formal water supply. By means of everyday practices, El Faro’s residents have claimed their right to water and mobilized to defend their self-managed community water supply. This article attempts to understand how these everyday water practices defy mainstream ideas on universal coverage, standardized mechanisms for access to water, and water rights. Based on an interdisciplinary theoretical framework combining political ecology, critical studies of law, and decolonial theory of everyday practice, this study applies an ethnographic approach in an effort to overcome exclusionary binaries in social theory. First, it recognizes the interdependent and bidirectional relationship between society and nature, allowing for the emergence of new ways of understanding water. Second, it challenges monolithic views of power, revealing the coexistence of multiple normative systems that interact with the state and its laws and, thus, the need for new ways of understanding the law. Third, it gives space for the expression of ch´ixi ways of being of those who live on borderlands. For these reasons, this article represents a contribution to the study of how everyday water practices affect equitable access to water and just water governing structures.


2008 ◽  
Vol 58 (4) ◽  
pp. 887-891 ◽  
Author(s):  
Jenna Davis ◽  
Gary White ◽  
Said Damodaron ◽  
Rich Thorsten

This article summarises initial findings of a study to explore the potential of providing micro-financing for low-income households wishing to invest in improved water supply and sanitation services. Through in-depth interviews with more than 800 households in the city of Hyderabad in India, we conclude that, even if provided with market (not concessional) rates of financing, a substantial proportion of poor households would invest in water and sewer network connections.


2021 ◽  
Vol 15 (9) ◽  
pp. e0009644
Author(s):  
Thomas Ayalew Abebe ◽  
Gudina Terefe Tucho

Background Trachoma is a worldwide infectious disease causing blindness. Trachoma continued as a public health problem in Ethiopia due to a lack of sanitation and inadequate prevention strategies. This study aimed to identify the impact of water supply and sanitation intervention on preventing active trachoma among children. Methods Systematic literature searches were performed from 4 international databases. The search involved articles published from January 1995 up to March 2019. The Cochran Q and I2 statistical tests were used to check heterogeneity among the studies. A random-effect meta-analysis was employed to determine the pooled estimates with a 95% confidence interval (CI). Data analysis was performed using the CMA V.3 and RevMan 5 software program, and the result of the systematic review was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Findings Out of 211 studies screened for the analysis, only 29 studies were finally included in this systematic review and meta-analysis. The result revealed factors that are significantly associated with increased odds of active trachoma. Accordingly, households with no access to toilet facilities (odds ratio [OR]: 2.04, 95% CI: 1.75–2.38), no access to improved water (OR: 1.58, 95% CI: 1.27–1.96), and do not practice regular face washing for children (OR: 4.19, 95% CI: 3.02–5.81) have shown increased odds of active trachoma. Besides, the results show a higher prevalence of active trachoma among children who did not wash their faces with soap and frequently. Conclusions The study found strong evidence that lack of access to water, sanitation, and hygiene (WASH) was associated with increased prevalence of active trachoma among children. Therefore, a comprehensive and partnership-oriented program is needed to tackle the problem, but further study will be required to strengthen its implementation.


2018 ◽  
Vol 8 (6) ◽  
pp. 3652-3656 ◽  
Author(s):  
A. A. Mahessar ◽  
A. L. Qureshi ◽  
A. N. Laghari ◽  
S. Qureshi ◽  
S. F. Shah ◽  
...  

Safe drinking water is a basic need. Surface water bodies are the primary source of safe water. Drain water, industries, urban/rural effluents, and waste materials are often disposed into surface water bodies without any treatment. All major water bodies of Sindh province are thus more or less polluted. These water bodies are interconnected with the Indus River like the artery system for blood circulation in bodies of living things. The main source of contamination of Hamal Lake is the disposal of the effluents of Hairdin drain, Miro Khan drain, and Shahdad Kot drain. This lake’s main source of fresh water is rained from Khirthar mountains. Hamal lake is connected through the Main Nara Valley drain (MNVD) to Manchar lake that eventually outfalls into Indus River. Hence, drain water pollutes not only Hamal and Manchar lakes but also Indus River due to their interconnection. Presently, right bank outfall drains (RBOD I-III) have been constructed for safe disposal of drain effluents thus avoiding the polluting of freshwater bodies.


2014 ◽  
Vol 4 (3) ◽  
pp. 499-508 ◽  
Author(s):  
Betsy Eagin ◽  
Jay P. Graham

Peru has made significant progress in increasing access to water supply and sanitation (WS&S). It is unclear, however, if improvements have been equitable and whether certain sub-populations are making equivalent progress. This study explored trends in access to WS&S throughout Peru using data from Demographic and Health Surveys. The study focused on the worst forms of household-level WS&S access, including use of untreated surface water and the practice of open defecation (OD). The prevalence of access and the average annual percentage point change in access were analyzed by quintiles of wealth, urban and rural residence, political regions of Peru, and language for the years 2000, 2004, and 2008. The findings indicate that significant progress in access to WS&S has been made in Peru, but that several sub-populations remain underserved. Regions experiencing high levels of OD made dramatic improvements between 2000 and 2008. The poorest urban populations showed an increasing prevalence of OD, and in some cases surpassed poor, rural populations. The use of untreated surface water was reduced between 2000 and 2008, and remained below 5% for the country. An increased focus on targeting high risk populations to improve equity in access is recommended.


Author(s):  
Ashlynn S. Stillwell ◽  
Carey W. King ◽  
Michael E. Webber

Energy and water are interrelated. We use water for energy, for example to cool thermoelectric power generation and produce liquid fuels. Conversely, we use energy for the collection, treatment, disinfection, and distribution of water and wastewater. In the water sector, strain on existing water supplies, population growth, and the push toward stricter water and wastewater treatment standards potentially leads to more energy-intensive water. Treating water to more stringent potable standards requires additional energy beyond conventional treatment. Additionally, as existing water supplies become increasingly strained in some locations, water planners turn to alternative options to quench cities’ thirst. Among these options for inland cities is desalination of seawater followed by long-haul water transfer. Though many desalination technologies exist to treat seawater to potable standards, reverse osmosis membranes are the most common technology in use because of their cost-effectiveness and productivity as compared with more traditional techniques such as multi-effect distillation. [1] However, the high pressures required for reverse osmosis make desalination a very energy-intensive water supply option. The subsequent conveyance of desalinated water through long-haul pipelines also requires large amounts of energy. Even for local water production, 85% of the energy required for standard surface water treatment goes toward water distribution, and so adding in long-haul will only increase this requirement. [2] To examine desalination and long-haul transfer as a drinking water supply option, Texas was chosen as a test-bed with desalination near Houston and long-haul transfer to the rapidly-growing Dallas-Fort Worth metroplex. Various pipeline routes were modeled to simulate options for long-haul desalinated water transfer. Elevation change over the route of the long-haul transfer pipeline was determined using a digital elevation model of the state of Texas. These elevation data were then used to calculate energy requirements for water pumping with standard assumptions for pump performance, efficiency, and rating. Combining these energy requirements with the energy demands for desalination provides an estimate of this option as a water supply for Dallas-Fort Worth. Results suggest that desalination and long-haul transfer as a drinking water supply is 9 to 23 times more energy-intensive per unit of water than conventional treatment of local surface water sources, an increase of 230 to 630 megawatt-hours per day for 20 million gallons. Ensuring adequate water supplies for the future is important, as is developing these water supplies in a sustainable manner. The energy-intensity of desalination and long-haul transfer as a drinking water supply suggests this option is not a sustainable water or energy policy decision if other less energy-intensive options exist.


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