SANIMAS Approach and ISSDP's City-wide Sanitation Strategy (CSS)

2010 ◽  
Vol 5 (4) ◽  
Author(s):  
J. Sinarko Wibowo ◽  
Handy B. Legowo
Keyword(s):  
Strategic Planning ◽  
Low Income ◽  
Urban Areas ◽  
Policy Making ◽  
National Level ◽  
Institutional Reform ◽  
Development Program ◽  
Population Densities ◽  
Sanitation Services ◽  
Urban Sanitation

Even tough decentralized wastewater treatment solutions have been initiated earlier by NGOs and individuals it was just around the year 2002 that it became a national program. It started with 7 pilot cities in Indonesia and is now (2010) expanded to more than 100 cities (kota) and regencies (kabupaten) in 22 provinces. This program is known as SANIMAS (Sanitasi oleh Masyarakat, or Sanitation by Communities). It can be considered as a response to the national policy for encouraging community involvement during planning and development of infrastructure facilities, including sanitation. As demand for urban sanitation services development is increasing, the SANIMAS approach is considered as an option for a quick response to the need of providing sanitation services for low income communities in peri urban areas with population densities between 25 and 100 people/ha. In residential areas with higher population densities the SANIMAS approach would be a feasible first step towards the gradual implementation of community based simplified or condominium sewer networks. In rural and peri-urban areas (with population densities below 25 people/ha) more individual solutions would be applied. For the identification and subsequent implementation of these basic facilities the community lead total sanitation (CLTS) approach is often used. The Indonesian Sanitation Sector Development Program (ISSDP) implemented in the period 2006 – 2010 established a framework for planning of sustainable poor-inclusive urban sanitation services in Indonesia through effective and coordinated policy-making, institutional reform, strategic planning and awareness building. The Citywide Sanitation Strategy (CSS) as prepared by the 12 cities involved in ISSDP takes into account lessons learned from the SANIMAS pilot cities and the results of the scaling-up of the SANIMAS program in recent years. In the context of PPSP (Percepatan Pembangunan Sanitasi Pemukiman – Acceleration of Sanitation Development for Human Settlements) in the period 2010 – 2014, the ISSDP approach for policy making, institutional reform, strategic planning and awareness building will be scaled-up at national level and implemented in 330 cities and regencies throughout Indonesia. This paper provides a brief introduction to urban sanitation development trends in Indonesia, a concise description of SANIMAS and the CSS-planning approach and it outlines experiences gained so far with the incorporation of the SANIMAS concept and its guiding principles into Citywide Sanitation Strategies. Main approaches taken from SANIMAS and incorporated into strategic sanitation planning at city level include; i) selection of systems and technical options, ii) addressing health and environmental impacts, community participation, social and institutional issues. These aspects are found to be crucial to ensure social, financial and technical sustainability of the systems.

scholarly journals “The Skill Is Using Your Big Head Over Your Little Head”

2013 ◽  
Vol 7 (4_suppl) ◽  
pp. 31S-42S ◽  
Author(s):  
Lisa Bowleg ◽  
Meaghan Mingo ◽  
Jenné S. Massie
Keyword(s):  
Hiv Prevention ◽  
Low Income ◽  
Urban Areas ◽  
Local Community ◽  
Development Program ◽  
Community Based ◽  
Prevention Messages ◽  
Community Based Organization ◽  
Hiv Aids

Although the disproportionate toll of HIV/AIDS among Black heterosexuals, particularly in low-income U.S. urban areas is well documented, Black heterosexual men are rarely the explicit focus of HIV prevention messages, research, and interventions. We conducted 4 focus groups with 28 Black men, aged 19 to 51 years, who were enrolled in the workforce and fatherhood development program of a local community-based organization to examine (a) the priority and role of HIV/AIDS in their lives and (b) their HIV prevention needs. Although none articulated HIV as a top life priority, respondents nonetheless prioritized educating their children about HIV prevention and protecting their main partners from HIV if they had other sexual partners. Analyses demonstrated that participants said they wanted and needed: to learn how to talk to partners about HIV testing and use condoms when tempted not to do so, and more discussion-oriented educational opportunities to learn and exchange prevention strategies.

scholarly journals Effects of an urban sanitation intervention on childhood enteric infection and diarrhoea in Mozambique

2020 ◽  
Author(s):  
Jackie Knee ◽  
Trent Sumner ◽  
Zaida Adriano ◽  
Claire Anderson ◽  
Farran Bush ◽  
...  
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Critical Infrastructure ◽  
Controlled Trial ◽  
Prevalence Ratio ◽  
Low Income Countries ◽  
Enteric Infection ◽  
Urban Sanitation ◽  
Protozoan Infection ◽  
The Impact

Background. Onsite sanitation serves more than 740 million people in urban areas, primarily in low-income countries. Although this critical infrastructure may play an important role in controlling enteric infections in high-burden settings, its health impacts have never been evaluated in a controlled trial. Methods. We conducted a controlled before and after trial to evaluate the impact an onsite urban sanitation intervention on the prevalence of bacterial and protozoan infection (primary outcome), soil transmitted helminth (STH) re-infection, and seven-day period prevalence of diarrhoea among children living in informal neighborhoods of Maputo, Mozambique. A non-governmental organization replaced existing shared latrines in poor condition with engineered pour-flush toilets with septic tanks serving household clusters. We enrolled children aged 1-48 months at baseline and measured outcomes before the intervention and at 12 and 24 months following intervention. We measured outcomes concurrently among children served by the sanitation improvements and those in a comparable control arm served by existing poor sanitation. The trial was registered at ClinicalTrials.gov, number NCT02362932. Findings. At baseline, we enrolled 454 children from 208 intervention clusters and 533 children from 287 control clusters. We enrolled or re-visited 462 intervention and 477 control children 12 months 60 after intervention and 502 intervention and 499 control children 24 months after intervention. Despite nearly exclusive use of the intervention, we found no evidence that engineered onsite sanitation affected the overall prevalence of any measured bacterial or protozoan infection (12-month adjusted prevalence ratio 1.05, 95% CI [0.95-1.16]; 24-month adjusted prevalence ratio 0.99, 95% CI [0.91-1.09]), any STH re-infection (1.11 [0.89-1.38]; 0.95 [0.77-1.17]), or diarrhoea (1.69 [0.89-3.21]; 0.84 [0.47-1.51]) after 12 or 24 months of exposure. Among children born into study sites after the intervention and measured at the 24-month visit, we observed a reduced prevalence of any STH re-infection of 49% (adjusted prevalence ratio 0.51 [95% confidence interval 0.27 - 0.95]), Trichuris of 76% (0.24 [0.10 - 0.60]), and Shigella infection by 51% (0.49 [0.28-0.85]) relative to the same age group at baseline. Interpretation. The intervention did not reduce the overall prevalence of enteric infection and diarrhoea among all enrolled children but may have substantially reduced the prevalence of STHs and Shigella among children born into clusters with sanitary improvements.

Sanitation service delivery in smaller urban areas (Mzuzu and Karonga, Malawi)

2018 ◽  
Vol 30 (2) ◽  
pp. 597-612 ◽  
Author(s):  
Rochelle H Holm ◽  
Alinafe Kamangira ◽  
Mavuto Tembo ◽  
Victor Kasulo ◽  
Hastings Kandaya ◽  
...  
Keyword(s):  
Private Sector ◽  
Solid Waste ◽  
Low Income ◽  
Urban Areas ◽  
Local Governments ◽  
Service Providers ◽  
Small Scale ◽  
Business Opportunity ◽  
Sanitation Services ◽  
Adequate Coverage

This paper assesses the provision of sanitation services in two urban areas in northern Malawi, both with populations under 150,000, to determine the potential for private sector enterprises to contribute to longer-term self-reliance as part of the overall sanitation situation. The paper shows that most households in the two study areas use pit latrines and remain unserved with regard to both faecal sludge management and solid waste removal. Local governments have been unable to offer adequate coverage of sanitation services, and community-based organizations are doing very little that is relevant to the issue. This gap offers a viable business opportunity for private sanitation service providers. Of these two urban areas, Karonga Town has no formal private sector services, but Mzuzu City has pit emptying and solid waste collection services, plus some small-scale manufacturers of pre-made pit latrine slabs. The paper explores these activities, considering their accessibility to low-income customers. It closes with suggestions regarding the potential for building on what is currently available.

scholarly journals Financial innovations and sanitation services: the battle between low-income users and shareholders

2020 ◽  
Vol 47 (47) ◽  
pp. 63-74
Author(s):  
Alberto De Oliveira
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
State Action ◽  
Sanitation Services ◽  
Financial Innovations ◽  
Basic Sanitation ◽  
Low Income Families ◽  
Sanitation Systems ◽  
The Impact ◽  
The City

AbstractThis article aims to show how changes in the model for financing basic sanitation affect social inequality and urban segregation, and to discuss alternatives that minimise the impact these changes have on low-income populations. The investigation focuses on mediations between sanitation policy and general urban policies in the more ample process of valorising capital, involving different scales of geography and forms of state action. Widespread privatisation and public–private partnerships have altered the role that rates charged to users play in financing sanitation systems. This, in turn, has an impact on low-income populations’ access to these systems. The study concludes that new models of financing tend to privilege spaces in the city that are attractive to private capital, and that investments in sanitation are supported by financial innovations that depend on the collective force of remunerating shareholders and maintaining investors’ expectations. Finally, the article approaches solutions that ensure low-income families’ access to public services, with special emphasis on subsidised rate systems based on the stratification of urban areas adopted in Colombia. The article concludes that this experiment presents both positive and negative aspects that may serve as starting points toward potential solutions for Brazil.

Planetary gentrification and urban (re)development

2019 ◽  
Vol 61 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Loretta Lees
Keyword(s):  
Low Income ◽  
Policy Making ◽  
Large Scale ◽  
Urban Redevelopment ◽  
Urban Transformation ◽  
Small Scale ◽  
Income Groups ◽  
Low Income Groups

Abstract Gentrification is no-longer, if it ever was, a small scale process of urban transformation. Gentrification globally is more often practised as large scale urban redevelopment. It is state-led or state-induced. The results are clear – the displacement and disenfranchisement of low income groups in favour of wealthier in-movers. So, why has gentrification come to dominate policy making worldwide and what can be done about it?

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

Ecosan Can Provide Sustainable Sanitation in Emergency Situations with Benefits for the Millennium Development Goals

2006 ◽  
Vol 1 (2) ◽  
Author(s):  
E. v. Münch ◽  
G. Amy ◽  
J. F. Fesselet
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Millennium Development Goals ◽  
Net Present Value ◽  
Soil Conditions ◽  
Value Analysis ◽  
Emergency Situations ◽  
Long Time ◽  
Development Goals ◽  
Sanitation Systems

This paper describes the potential of ecological sanitation (ecosan) to provide sustainable excreta disposal in emergency situations and in peri-urban areas or slums in developing countries. At the present time, pit latrines are the most common form of excreta disposal both for emergency situations and in low-income peri-urban areas or slums. Although not intended to be a long-term solution, pit latrines provided during emergencies are often used for a long time (more than six months to years). This practice is not sustainable if the area is prone to flooding or there are soil conditions that allow groundwater pollution in areas where groundwater is used for drinking water, to name but two of the main factors. We propose eight criteria for the applicability of ecosan based on analysis of three case studies representing different types of emergency situations. The two most important criteria are awareness and expertise in ecosan within the aid agencies, and availability of standardised, lightweight toilet units that are quick to assemble and easy to transport (e.g. container for faeces, and urine diversion squatting pan made of impact-resistant molded polypropylene). Such toilets could be moved to, or replicated in, other areas in need after the emergency (peri-urban areas or slums). This would provide benefits for Millennium Development Goals achievements (targets on hunger, child mortality, sanitation and slum dwellers) at lower cost than conventional sanitation systems. Costs for sanitation systems should be compared based on the entire system (toilet, transport, treatment, reuse in agriculture), using Net Present Value analysis for capital, and operating and maintenance costs.

Water for Life

2017 ◽  
Author(s):  
Madeline Baer
Keyword(s):  
Human Rights ◽  
Citizen Participation ◽  
Urban Areas ◽  
Water Policy ◽  
State Capacity ◽  
National Level ◽  
Human Right ◽  
Political Will ◽  
Water And Sanitation ◽  
The Right

Chapter 5 provides a case study of the human rights-based approach to water policy through an analysis of the Bolivian government’s attempts to implement the human right to water and sanitation. It explores these efforts at the local and national level, through changes to investments, institutions, and policies. The analysis reveals that while Bolivia meets the minimum standard for the human right to water and sanitation in some urban areas, access to quality water is low in poor and marginalized communities. While the Bolivian government expresses a strong political will for a human rights approach and is increasing state capacity to fulfill rights, the broader criteria for the right to water and sanitation, including citizen participation and democratic decision-making, remain largely unfulfilled. This case suggests political will and state capacity might be necessary but are not sufficient to fulfill the human right to water and sanitation broadly defined.

Designing, Implementing, and Managing a National Emergency Medical Service in Sierra Leone

2020 ◽  
pp. 1-6
Author(s):  
Luca Ragazzoni ◽  
Marta Caviglia ◽  
Paolo Rosi ◽  
Riccardo Buson ◽  
Sara Pini ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medical Service ◽  
Sierra Leone ◽  
Low Income ◽  
Medical Service ◽  
Joint Venture ◽  
National Level ◽  
Emergency Medical ◽  
National Emergency ◽  
Operation Center

Abstract Sierra Leone is one of the least developed low-income countries (LICs), slowly recovering from the effects of a devastating civil war and an Ebola outbreak. The health care system is characterized by chronic shortage of skilled human resources, equipment, and essential medicines. The referral system is weak and vulnerable, with 75% of the country having insufficient access to essential health care. Consequently, Sierra Leone has the highest maternal and child mortality rates in the world. This manuscript describes the implementation of a National Emergency Medical Service (NEMS), a project aiming to create the first prehospital emergency medical system in the country. In 2017, a joint venture of Doctors with Africa (CUAMM), Veneto Region, and Research Center in Emergency and Disaster Medicine (CRIMEDIM) was developed to support the Ministry of Health and Sanitation (MOHS) in designing and managing the NEMS system, one of the very few structured, fully equipped, and free-of-charge prehospital service in the African continent. The NEMS design was the result of an in-depth research phase that included a preliminary assessment, literature review, and consultations with key stakeholders and managers of similar systems in other African countries. From May 27, 2019, after a timeframe of six months in which all the districts have been progressively trained and made operational, the NEMS became operative at national level. By the end of March 2020, the NEMS operation center (OC) and the 81 ambulances dispatched on the ground handled a total number of 36,814 emergency calls, 35,493 missions, and 31,036 referrals.

scholarly journals Where Do I Allocate My Urban Allotment Gardens? Development of a Site Selection Tool for Three Cities in Benin

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 318
Author(s):  
B. G. J. S. Sonneveld ◽  
M. D. Houessou ◽  
G. J. M. van den Boom ◽  
A. Aoudji
Keyword(s):  
Food Insecurity ◽  
Urban Agriculture ◽  
Low Income ◽  
Urban Areas ◽  
Urban Poor ◽  
Site Suitability ◽  
Rapid Urbanization ◽  
Middle Income ◽  
Support Tool ◽  
Allotment Gardens

In the context of rapid urbanization, poorer residents in cities across low- and middle-income countries increasingly experience food and nutrition deficiencies. The United Nations has highlighted urban agriculture (UA) as a viable solution to food insecurity, by empowering the urban poor to produce their own fresh foods and make some profit from surplus production. Despite its potential role in reducing poverty and food insecurity, there appears to be little political will to support urban agriculture. This is seen in unclear political mandates that are sustained by information gaps on selection criteria for UA sites. The research reported here addresses this issue in the form of a decision-making support tool that assesses the suitability of cadastral units and informal plots for allotment gardens in urban and peri-urban areas. The tool was developed and tested for three rapidly expanding cities in Benin, a low-income country in West Africa, based on an ordered logit model that relates a set of 300 expert assessments on site suitability to georeferenced information on biophysical and socio-economic characteristics. Soil, land use, groundwater depth, vicinity to market and women’s safety were significant factors in the assessment. Scaled up across all cadastral units and informal sites, the tool generated detailed baseline maps on site suitability and availability of areas. Its capacity to support policymakers in selecting appropriate sites comes to the fore by reporting changes in site suitability under scenarios of improved soil fertility and enhanced safety for women.

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