A model for government-community partnership in building sewage systems for urban areas: The experiences of the Orangi Pilot Project – Research and Training Institute (OPP-RTI), Karachi

2002 ◽  
Vol 45 (8) ◽  
pp. 199-216 ◽  
Author(s):  
Arif Hasan

Over 20 years the Orangi Pilot Project has been working to understand the problems of Orangi, a district of Karachi largely characterised by high-density informal settlement, and enable its residents to develop and implement solutions. Sanitation was identified as the major problem and a sewerage system was built. From this work was developed the “internal-external” concept for sanitation, which has 4 levels: sanitary latrines in houses; underground sewer in lane; neighbourhood collector sewer; and trunk sewer and treatment plant. The first three components are “internal” and can be undertaken by low-income communities; the “external” fourth component has to be funded and carried out by government or similar agency. Successful and unsuccessful attempts elsewhere to replicate this model have both confirmed the effectiveness and practicality of such community-based action and shown the – largely organisational – pitfalls that must be avoided.

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049564
Author(s):  
Mary Abboah-Offei ◽  
Akosua Gyasi Darkwa ◽  
Andrews Ayim ◽  
Adelaide Maria Ansah-Ofei ◽  
Delanyo Dovlo ◽  
...  

IntroductionWith rapid urbanisation in low-income and middle-income countries, health systems are struggling to meet the needs of their growing populations. Community-based Health Planning and Services (CHPS) in Ghana have been effective in improving maternal and child health in rural areas; however, implementation in urban areas has proven challenging. This study aims to engage key stakeholders in urban communities to understand how the CHPS model can be adapted to reach poor urban communities.Methods and analysisA Participatory Action Research (PAR) will be used to develop an urban CHPS model with stakeholders in three selected CHPS zones: (a) Old Fadama (Yam and Onion Market community), (b) Adedenkpo and (c) Adotrom 2, representing three categories of poor urban neighbourhoods in Accra, Ghana. Two phases will be implemented: phase 1 (‘reconnaissance phase) will engage and establish PAR research groups in the selected zones, conduct focus groups and individual interviews with urban residents, households vulnerable to ill-health and CHPS staff and key stakeholders. A desk review of preceding efforts to implement CHPS will be conducted to understand what worked (or not), how and why. Findings from phase 1 will be used to inform and co-create an urban CHPS model in phase 2, where PAR groups will be involved in multiple recurrent stages (cycles) of community-based planning, observation, action and reflection to develop and refine the urban CHPS model. Data will be managed using NVivo software and coded using the domains of community engagement as a framework to understand community assets and potential for engagement.Ethics and disseminationThis study has been approved by the University of York’s Health Sciences Research Governance Committee and the Ghana Health Service Ethics Review Committee. The results of this study will guide the scale-up of CHPS across urban areas in Ghana, which will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content. This study is also funded by the Medical Research Council, UK.


2005 ◽  
Vol 30 (4) ◽  
pp. 51-55
Author(s):  
Perween Rahman

The Orangi Pilot Project-Research and Training Institute's (OPP-RTI) work is based on the observation that poor people everywhere when faced by problems do not sit idle, but take initiatives, from lobbying to self help, be it for housing, infrastructure, education, security, health or employment. Some technical and organisational guidance and in some cases, credit is needed to strengthen people's work leading to confidence building and a process of partnerships in development. What began from supporting self-help sewers and housing in the informal settlement of Orangi in Karachi has now extended to many cities and sectors, influencing government policy.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S583-S583
Author(s):  
Philip A Rozario ◽  
Emily Greenfield ◽  
Nancy Kusmaul

Abstract Social networks provide opportunities for engagement with others and structure the receipt and provision of emotional, instrumental, informational and appraisal support. Indeed scholars in this field have documented the importance of having strong social networks in influencing older adults’ well-being and quality of life. The three papers in this symposium draw on the convoy model of social relations and ecological model to examine and better understand the micro, mezzo, macro contexts that shape and influence how older people engage with and benefit from their networks in three areas: low-income senior housing communities, urban areas specifically targeting older Latinos with dementia, and disaster preparedness in micropolitan counties in eastern Iowa. The first paper, a cross-sectional study focusing on social connections in senior housing communities, examines levels of social networks, engagement, support and loneliness and their relationship with well-being outcomes. The second paper, a community-based participatory research project, reports an intervention that seeks to train natural helpers in a predominantly Latino urban neighborhood to identify and refer older Latinos with dementia to bilingual assessment services. The third paper, synthesizing findings from interventions targeting network building at the individual and state levels as well as a community-based network analysis, presents ways to strengthen networks at the mezzo and macro levels as well as environmental contexts that enable better disaster preparedness for community-based older adults. These papers will consider practice, policy and research implications in strengthening social networks and engagement to optimize older adults’ well-being in various settings.


2014 ◽  
Vol 5 (1) ◽  
pp. 89-99 ◽  
Author(s):  
K. Okurut ◽  
R. N. Kulabako ◽  
P. Abbott ◽  
J. M. Adogo ◽  
J. Chenoweth ◽  
...  

Throughout Africa, the population in urban areas is increasing rapidly, often exceeding the capacity and the resources of the cities and towns to accommodate the people. In sub-Saharan Africa, the majority of urban dwellers live in informal settlements served by inadequate sanitation facilities. These settlements present unique challenges to the provision of sustainable and hygienic sanitation, and there is insufficient information on access to improved facilities. This paper reports findings of a study undertaken in low-income informal settlements using a mixed methods approach to assess access to sanitation and identify the barriers to household uptake of improved sanitation facilities. More than half of the respondents (59.7%) reported using sanitation facilities that are included in the WHO/UNICEF Joint Monitoring Programme definition of improved sanitation. However, a high proportion of these facilities did not provide access to basic sanitation. Less than 5% of all the respondents did not report problems related to sustainable access to basic sanitation. The findings highlight the urgent need to develop specific and strategic interventions for each low-income informal settlement, to upscale the sustainable access and use of improved sanitation in urban centres.


2013 ◽  
Vol 7 (4_suppl) ◽  
pp. 31S-42S ◽  
Author(s):  
Lisa Bowleg ◽  
Meaghan Mingo ◽  
Jenné S. Massie

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.


Author(s):  
Ali asghar Pilehvar

AbstractThe development of urbanization and urbanism in Iran has created a wide socioeconomic gap in urban areas. Rapid population growth along with the lack of socioeconomic growth programs and urban development strategies have deteriorated unemployment, inflation, housing price, traffic congestion, and marginalization in cities, particularly in metropolises of Iran. This paper, using a descriptive-analytic research method and a meta-analysis technique, addresses the urbanization and urbanism changes in Iran. Using GIS technique and CV formula, the spatial distribution of urbanization and its rapid growth in Iran are depicted. The research data was derived from a systematic review of documents and techniques over 40 years. The results of the study demonstrated that Iranian cities have undergone an unsustainable growth trend and urbanization has overtaken urbanism. Over the past 4 decades, cities have been struggling with rapid growth and development. In this regard, development-oriented governments can play a significant role in tackling growth and urbanization problems. These problems are especially evident in the socio-economic, urban planning and urban ecology. The rapid growth of urbanization (74% in 2016) has resulted in the emergence of metropolitan areas in an unstable process. Also, in metropolitan areas of Iran, environmental and ecological threats, rural–urban migration and marginalization have posed serious national–regional and local challenges. The structural–functional reforms in Iran, along with skeletal–spatial and socio-economic changes in cities, have given rise to a new social class (low-income people), which is characterized with non-formal businesses and informal settlements in the outskirts of cities, especially metropolitan areas. This has prompted unsustainability in main indicators of urban development such as security, building density, environmental threats, and centralization, among other things. This analysis is based on indicators such as density and centralization, informal settlement, and urban security.


2019 ◽  
Vol 29 (3) ◽  
pp. 271-305
Author(s):  
Michael Hillebrecht ◽  
Stefan Klonner ◽  
Noraogo A Pacere ◽  
Aurélia Souares

Abstract Targeting of governmental welfare programmes in low-income countries commonly relies on statistical procedures involving household-level data, while smaller-scale programmes often employ community-based targeting, where village communities themselves identify beneficiaries. Combining original data from community-based targeting exercises in Burkina Faso with a household survey we compare the targeting accuracy of community-based targeting with four common statistical targeting methods when the objective is to target consumption-poor households. We find that community-based targeting is substantially less accurate than statistical targeting in villages, while it is as accurate as the much more costly statistical methods in semi-urban areas. We show that this difference is due to differences in poverty concepts held by rural and urban communities. Its large cost advantage makes community-based targeting far more cost-effective than statistical targeting for common amounts of welfare programme benefits.


Sign in / Sign up

Export Citation Format

Share Document