scholarly journals A Traditional Closed-Loop Sanitation System in a Chronic Emergency: A Qualitative Study from Afghanistan

Water ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 298 ◽  
Author(s):  
Sayed Mohammad Nazim Uddin ◽  
Jean Lapegue ◽  
Jutta Gutberlet ◽  
Jan Franklin Adamowski ◽  
Caetano C. Dorea ◽  
...  

The use of closed-loop sanitation systems (CLSS), or reuse-oriented sanitation systems, has increased in recent years, and such systems have been successfully implemented in many parts of the world. However, no research has explored Traditional CLSS (T-CLSS) for a long-term humanitarian situation. This study explores the strengths, weaknesses, opportunities and threats (SWOT) of T-CLSS in peri-urban and rural contexts in three different provinces in Afghanistan (the first study of its kind in Afghanistan). Participatory research tools, such as transect walks, focus group discussions, smart community gatherings and interactive workshops, were applied to assess the SWOT associated with T-CLSS. The results indicate that T-CLSS has been practiced historically in both peri-urban and rural areas using local and traditional knowledge, skills and technologies. The socio-cultural acceptance of the system in both rural and peri-urban areas is an important strength of this established system. However, due to chronic development challenges in the study regions, T-CLSS may possibly lead to exposure to microbial contaminants. It is recommended that the feasibility of an improved CLSS be assessed and implemented in light of the issues that are inherent in the use of T-CLSS in Afghanistan.

2020 ◽  
Author(s):  
◽  
Mpumelelo Dolo

Water is regarded as the most important substance found on earth. There is no substitute for it. The daily running of production businesses, industrial firms and agricultural production that help sustain the economy of countries are largely dependent on the availability of water for them to function. The importance of water cannot be over emphasised. The food which is consumed daily depends on water; it can therefore be safely concluded that without water there would be no food, and without food there would be no life. Despite the importance of water in relation to human life, animals and plants, research studies show that the its availability becoming increasingly deficient around the globe. Water levels of major dams and rivers around the world are dropping, limiting the supply of potable water to those dependent on them. Global warming is one factor that is influencing the dropping of water levels, through evaporation. Other factors include climate change, drought and population growth. In South Africa, the government has been fighting a continuous battle of trying to address the backlog of water infrastructure, particularly in the areas which were disadvantaged by the apartheid government. These areas include rural areas, small towns (semi-urban) and townships. The Eastern Cape province in South Africa is top of the list from a backlog point of view. Rural dwellers migrate to urban areas for various reasons such as better education, better health care, job opportunities and more efficient services. Water supply is one of the services which is more adequately supplied in the cities compared to the rural areas. Even though the supplied water in the urban areas of the Eastern Cape is not the best standard when compared to other cities around the country or the world, it is still at an acceptable standard. Thus, this study was conducted to seek ways of improving the supply of water in the urban and rural areas of the Eastern Cape. The availability and the quality of water differs between the urban and rural areas. The purpose of this study was to seek ways of bridging the gap between these areas while improving the standard of water supply in both rural and urban areas. While working towards improving the lives of the Eastern Cape people, the study also seeks to promote water preservation and awareness to the people of the province. In order to find better alternatives which have been tested in various places around the world, an in-depth literature review was conducted in the study. This functioned as an effective comparison of what is obtained in different places around the world and the context of this study, which is the Eastern Cape. A survey method was used to gather data regarding the problems surrounding water supply and options that could be adopted to remedy those problems. The survey was conducted in the form of a self-observation assessment, questionnaire for households in urban and rural areas and interview sessions with prominent government entities and local technical service providers. The survey covered the whole spectrum of individuals and groups that play a major role in the supply and usage of water. The study was conducted within three municipalities of the Eastern Cape. These municipalities cover approximately two-third of the Eastern Cape considering the size of population in those areas. The municipalities covered by the study were: Amathole District Municipality (ADM), Buffalo City Metropolitan Municipality (BCMM) and OR Tambo District Municipality (ORTDM). The findings from the study showed that indeed the standard of water supply between urban and rural areas was not equal. This relates to the purification methods, the convenience of collecting water by users, the quality of infrastructure being constructed (due to good or poor monitoring during construction) and the quality of the water as well as operation and maintenance response from the various service providers. Moreover, it was found that there was an acceptable level of awareness by citizens when it comes to using water, and precautions to save it were being taken by some. However, some dominant factors such as poor management, poor infrastructure resulting in leaks, climate change, run-offs and population growth were putting a strain on the existing water resources which is not coping with the increasing demand by people. Recommendations made in the study to balance the supply of water in rural areas and urban areas include: improving the purification of water so as to achieve a standard quality within the Eastern Cape; that rural areas be allowed to have an option of having yard or house connections, particularly those who are willing to pay rates at a scale suiting their class or standard; and that water service providers make it their responsibility to extend reticulation networks if there is expansion or development of more houses in rural areas in order to keep the distance minimal to standpipes


2019 ◽  
Vol 4 (4) ◽  

Diabetes mellitus metabolic cum vascular syndrome of multiple aetiologies characterized by chronic hyperglycemia with disturbances of CHO, Fat and Protein metabolism resulting from defects in insulin secretion, insulin action or both. This disorder is frequently associated with long term disease, which can lead to failure of organs like eyes, kidneys, nerves, heart, and blood vessel. In recent years India has witnessed a rapidly exploding epidemic of Diabetes. Indeed, India today leads the world with its largest number of Diabetic people in any given country. WHO estimates there are 32 million with Diabetes in India with Diabetes in 2000, which is projected to rise by 80 million by the year 2030? Increase in prevalence is rapid in urban areas from 2% 1970s to 12% in 2000 and in rural areas also it is now beginning to increase. Nutrition is often said to be the cornerstone of diabetes care. The goal for nutritional management is optimal metabolic control through a balance between food intake, physical activity, and if necessary, medication to avoid complications.


Author(s):  
Uttam Kumar Paul ◽  
Pramukh Bhattacharyya ◽  
Rituparna Bhattacharyya ◽  
Arup Bandyopadhyay

Background: In a tropical country like India, malaria is a major vector borne disease ranging from highly urbanised to deep rural areas. Though lots of health activities are going on against it in urban areas it is difficult to penetrate the deep rural areas particularly the tribal based interior villages because of lack of initiative, huge illiteracy, gross poverty and language problems. Therefore, a study was ventured in a rural community in North Dinajpur district of West Bengal, India occupied by members of scheduled tribe called 'Bedia' whose mother tongue is a tribal language called 'Nagori'- to understand their knowledge and perceptions about malaria so that future actions can be taken to uplift their health status and awareness particularly in relation to malaria.Methods: Present study have conducted three focus group discussions (FGDs), one with male participants, one with females and the third one involving both the sexes. There were 9-11 participants per FGD and total of 28 participants were included in the study.Results: The transcripts were at first coded and then categories were framed. Total six categories, which are: perceived causes of malaria, perceived features of malaria, mode of spread, treatment, difficulties and modes of prevention. After the content analysis of the transcripts conclusion was drawn.Conclusions: Through our field work and the focus group discussions on the Bedia tribes we understood several misconceptions and lack of awareness of the tribal community about malaria. However, it was possible to create awareness and confidence among them that they could take all preventive measures and positive approaches towards malaria.


2020 ◽  
Author(s):  
Leni Kang ◽  
Juan Liang ◽  
Chunhua He ◽  
Lei Miao ◽  
Xiaohong Li ◽  
...  

Abstract Background Breastfeeding is vital to children’s lifelong health and reduces costs for families and societies. Basic data on breastfeeding practices in China are crucial for understanding how to advance health-related goals. Methods This was an observational study. We used data from the Under-5 Child Nutrition and Health Surveillance System in China for the period 2013–2018. The prevalence of EIBF and EBF were calculated for each year for urban and rural areas and for East, Central and West China. The Cochran-Armitage test was used to explore the time trends. The annual percent of change (APC) were calculated by log-linear regression followed by exp transformation. Results The prevalence of EIBF and EBF increased significantly from 44.57% (95% CI: 44.07, 45.07) and 16.14% (95% CI: 15.10, 17.18) in 2013 to 55.84% (95% CI: 55.29, 56.38) and 34.90% (95% CI: 33.54, 36.26) in 2018 (Ptrend<0.001). The respective APCs were 4.67% (95% CI: 3.51, 5.85) and 14.90% (95% CI: 9.97, 20.04). Increases were observed in both urban and rural areas, with urban areas showing greater APCs for EIBF (6.05%; 95% CI: 4.22, 7.92 v.s. 2.26%; 95% CI: 1.40, 3.12) and EBF (18.21%; 95% CI: 11.53, 25.29 v.s. 9.43%; 95% CI: 5.52, 13.49). Disparities existed among different geographic regions in China. Conclusion Breastfeeding practices in China are improving in recent years, though with disparities between urban and rural areas and among East, Central and West China. More efforts should be made to protect and promote breastfeeding to achieve near- and long-term goals in child health.


1979 ◽  
Vol 13 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Jerzy Krupinski

Australia is one of the most urbanized countries in the world with over 85% of the population living in metropolitan and other urban areas. More important, the change from a predominantly rural society to an urbanized society has occurred within the last 100 years. To assess the effects of urbanization on mental health, rates of admissions to psychiatric institutions, suicides and violent crime in Victoria have been analysed for the last hundred years. Data on admissions to psychiatric facilities in Victoria from metropolitan, other urban and rural areas, as well as results of community health surveys carried out in metropolitan and rural areas were compared to examine for evidence of urban-rural differences in psychiatric morbidity. The findings do not support the notion that the level of psychiatric and psychosocial disorders in Victoria are related to urbanization or to urban living.


2021 ◽  
Vol 11 (1) ◽  
pp. 1-13
Author(s):  
Tauseef Iqbal Khan ◽  
Syed Ali Raza ◽  
Mahesh Devji

Learning outcomes The learning objectives of this case study are listed below: • What is corporate social responsibility (CSR)? • The role of CSR in creating opportunities to growth. • Distinguish the ways in which social marketing evolved differently in urban and rural areas. • Obstacles in CSR • CSR beyond the competition. Case overview/synopsis The case of CSR by Reckitt Benckiser (RB) follows the marketing practices through purpose-led marketing through CSR. RB Pakistan Limited is a fast-moving consumer goods provider in Pakistan following a vision of the world where people are healthier and live well. The purpose is to make a difference by giving people innovative solutions for healthier lives and happier homes. This means they are expending their capabilities and investing in innovation to stay ahead of the game. RB is trying to achieve this vision by following the strategy of health and hygiene awareness in rural marketing through various types of communications, by introducing low price products to reduce diarrhea and open defecation. In urban areas, the young generation is the trend creators and they are much involved in awareness of state of the world. RB is committed in providing innovative solutions with the help of well-organized programs such as reaching new moms, educating them and providing awareness sessions in schools to students for handwashing practices. RB carries these activities with the help of non-government organizations and small support of Government of Pakistan. Complexity academic level This case is appropriate for MBA (Marketing) courses. The case explains the significance of CSR in capitalizing the growing trend and unleashing untapped areas and remaining competitive by providing innovative solutions. The case can be taught to the strategic marketing students. Subject code CSS 8: Marketing. Supplementary materials Teaching Notes are available for educators only.


Resources ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 36
Author(s):  
Glauco Gallotti ◽  
Marco Antonio Santo ◽  
Ilektra Apostolidou ◽  
Jacopo Alessandri ◽  
Alberto Armigliato ◽  
...  

The adoption of Nature-Based Solutions (NBSs) represents a novel means to mitigate natural hazards. In the framework of the OPERANDUM project, this study introduces a methodology to assess the efficiency of the NBSs and a series of Open-Air Laboratories (OALs) regarded as a proof-of-concept for the wider uptake of NBSs. The OALs are located in Finland, Greece, UK, Italy, and Ireland. The methodology is based on a wide modeling activity, incorporated in the context of future climate scenarios. Herein, we present a series of models’ chains able to estimate the efficiency of the NBSs. While the presented models are mainly well-established, their coupling represents a first fundamental step in the study of the long-term efficacy and impact of the NBSs. In the selected sites, NBSs are utilized to cope with distinct natural hazards: floods, droughts, landslides, salt intrusion, and nutrient and sediment loading. The study of the efficacy of NBSs to mitigate these hazards belongs to a series of works devoted to the implementation of NBSs for environmental purposes. Our findings prove that land management plays a crucial role in the process. Specifically, the selected NBSs include intensive forestry; the conversion of urban areas to grassland; dunes; marine seagrass; water retention ponds; live cribwalls; and high-density plantations of woody vegetation and deep-rooted herbaceous vegetation. The management of natural resources should eventually consider the effect of NBSs on urban and rural areas, as their employment is becoming widespread.


Author(s):  
Katarzyna Zatońska ◽  
Piotr Psikus ◽  
Alicja Basiak-Rasała ◽  
Zuzanna Stępnicka ◽  
Maria Wołyniec ◽  
...  

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.


The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.


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