Unintended socio-economic and health consequences of COVID-19 among slum dwellers in Kampala, Uganda

Background To reduce the spread of COVID-19, several countries in Africa instituted countrywide lockdowns and other public health measures. Whereas lockdowns contributed to the control of the pandemic, there were concerns about the unintended consequences of these measures especially in the most vulnerable populations. We assessed unintended socio-economic and health consequences due to the COVID-19 pandemic and the mitigation measures among slum dwellers in Kampala to inform the on-going and future pandemic response strategies. Methods This was a mixed methods cross-sectional study conducted in Bwaise I and Bwaise III slums of Kawempe division, Kampala Uganda from October to December 2020. We used systematic sampling to randomly select 425 household heads for the face-to-face quantitative interviews. We also conducted six focus group discussions (FGDs) with slum dwellers and used photovoice among eight Community Health Workers (CHWs) to document unintended socio-economic and health consequences. Quantitative data were imported into STATA version 14.0 for analysis, while qualitative data were analysed thematically using NVivo version 12. Modified Poisson regression analysis was conducted to establish factors associated with impact on access to food. Results Most respondents reported limited access to food (71.1%; 302/425); disruption in education (77.1%; 270/350); drop in daily income and wages (86.1%; 329/382) and loss of employment (63.1; 125/198). Twenty five percent of the respondents (25.4%; 86/338) reported domestic violence as one of the challenges. Seven themes emerged from the qualitative findings on the impact of COVID-19 including: limited access to food; negative impact on children’s rights (child labour and teenage pregnancies) and education; poor housing and lack of accommodation; negative social behaviours; negative impact on family and child care; reduced income and employment; and negative impact on health and access to health care services. Conclusion The slum dwellers of Bwaise I and Bwaise III experienced several negative socio-economic and health consequences of COVID-19 and its prevention measures that severely affected their wellbeing. Children experienced severe consequences such as child labour and teenage pregnancies among the girls. Response activities should be contextualised to different settings and protocols to protect the vulnerable groups in the community such as children and women should be developed and mainstreamed in response activities.

Understanding electricity nightmare and health implications among slum dwellers in Ghana

PurposeThe purpose of the study was to examine the electricity challenges confronting slums in order to understand the health implications thereof.Design/methodology/approachThe study utilized purposive sampling techniques supported by the convenience sampling method within the context of qualitative research to select 30 interviewees of varying demographics for in-depth interviews.FindingsThe findings revealed that slums faced various forms of challenges that are attributable to lack of government support, stringent procedures and financial hardship, among others. The study also found that a lack of health education in the slums has resulted in health problems, such as skin diseases, stomach aches, cholera, typhoid and childbirth complications.Research limitations/implicationsThe outcome of this study cannot be generalized to represent the whole population of slums within context due to the qualitative approach.Practical implicationsThe study advanced the frontiers of slum literature to understand contextual issues that are important to policymakers and practitioners.Originality/valueThis study revealed a country-specific understanding of the challenges confronting slum dwellers in accessing electricity through the perspective of the two-factor theory of motivation.

Deployment of service-learning as a pedagogy for social transformation

Teaching is not only a traditional role of universities, but it remains one of the most critical missions of them. The pedagogy used in teaching determines if learning will be transformational or just transactional. Transactional learning has continually increased university graduates who become a problem to the community instead of being a source of solutions to the community problems. This study introduces service-learning as a transformational learning pedagogy that empowers students to identify problems in their community and enables them to work with the community as co-creators to solve the myriad challenges that the communities battle with daily. The study provides empirical evidence of how the service-learning model is used as an education pedagogy in the informal settlements of Nairobi to train slum dwellers in civic education and development. The study adopted a qualitative approach. The study's findings demonstrate that service-learning enables students to acquire knowledge and skills to deploy in their communities. It provides evidence on how service-learning can be modelled for transformative education. The study results reveal how service-learning as a teaching pedagogy can contribute to students' personal transformation and the social transformation of the community.

COVID-19 Testing: Perceived Barriers Among the Urban Slum Dwellers of Dhaka, Bangladesh

Background: Urban slum dwellers are unduly affected by COVID-19, and low testing rates among them are worsening their situation. This study aimed to explore the perceived barriers to COVID-19 testing in the slums, which is crucial to its surveillance, tracking, and allocating resources to combat the pandemic. Methods: A quantitative study with a cross-sectional design was conducted among 149 urban slum dwellers (≥11 years of age), who had previously experienced COVID-19 like symptoms. They were identified from an existing slum cohort at Bauniabadh, Dhaka. Information related to their testing status and perceived barriers was acquired by a telephone survey from October to November 2020. Results: The mean age of the respondents was 34.4±15.6 years, and 58.4% of them were female. Fever (79.2%) and cough (74.5%) were the most common symptoms mentioned. Only 6.7% of the respondents had undergone COVID-19 testing. Fast relief (within 1-3 days) from symptoms (87.6%) was the most prevailing barrier to testing, seen across all age and education groups. Negative advocacy regarding the testing from family and friends (46.7%), participants uncertainty about the guidelines, site, cost, and schedule of testing (15.3%), and a general belief that ‘COVID-19 is not a disease of slum people instead, it is an affliction of the rich folk’ (20.4%), were the other cited barriers. Conclusions: The COVID-19 testing rate remained very low among the urban slum dwellers. To remove the barriers to testing, tailored behavioral change communication and augmenting the resources for testing are necessary to curb the spread in the slums.

Mediatizing Slum Relocation in Egypt: Between Legitimization and Stigmatization

In Egypt, the relocation of residents of informal areas of housing into “proper” living environments is presented as a major political achievement offering citizens a much-improved quality of life. Therefore, it is not surprising that, following the Arab Uprisings, the current regime is widely publicizing relocation projects as success stories on TV and social media. As a way of garnering legitimization and securing stability, this official representation is reshaping the residents’ urban life and evoking narratives of slum dwellers’ transformation into respected citizens. Tackling a new area of interdisciplinary research between urban studies and media and communication studies, this article investigates the portrayal in mainstream media channels and social media platforms of two relocation projects (Al-Asmarat in Cairo and Al-Max in Alexandria), contrasting them with the residents’ perceptions of their new homes and their efforts to produce counter-imagery. The authors argue that both the state-dominated representation of the Al-Asmarat resettlement as an ideal solution to the crisis of informal settlements, as well as the more bottom-up construction of the Al-Max community as a picturesque fishing community, do not reflect the material experience of the inhabitants—despite it being presented as such in nationwide reporting. The effective centering of the public debate around the mediatized images has thus deflected criticism and enabled urban development projects to be positioned to legitimize the current rule despite the shortcomings of their implementation.

Anxiety and Insomnia Among Urban Slum Dwellers in Bangladesh: The Role of COVID-19 and Its Associated Factors

Background: Although mental health is an important part of health and wellbeing, very little is known about the impact of the COVID-19 pandemic on the mental health of marginalized communities like urban slum dwellers. Our study estimated the prevalence of generalized anxiety disorder and insomnia among the residents of the informal settlements of Dhaka, Bangladesh, during the COVID-19 pandemic.Methods: A cross-sectional phone-based survey was conducted from October to November 2020 among adult residents of five informal settlements of Dhaka city randomly chosen from an existing Urban Health and Demographic Surveillance Systems (UHDSS) run by icddr,b. Data on Generalized Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI) were collected. A multinomial logistic regression was performed to assess the associated factors of anxiety and insomnia.Results: Of the total 586 participants, the prevalence of mild to severe anxiety and insomnia were 53% and 43%, respectively. As per the multinomial regression analysis, participants with mild anxiety were significantly more likely to be older (>50 years) and afraid of COVID-19 infection. Likewise, participants with moderate/severe anxiety were significantly more likely to share less household facilities (e.g., toilet, kitchen, water) (OR: 2.23; 95% CI: 1.31–3.79), to have difficulties in food availability (OR: 2.76; 95% CI: 1.10–6.93), to be afraid of self (OR: 5.27; 95% CI: 2.82–9.88), and to worry about the family members (OR: 2.26; 95% CI: 1.23–4.17) getting infected. Participants with mild insomnia were significantly more likely to share fewer household facilities and be afraid of being infected with COVID-19 infection. Moreover, participants with moderate/severe insomnia were significantly more likely to be female (OR: 1.90; 95% CI: 1.02–3.56), to receive food aid (OR: 0.50; 95% CI: 0.29–0.88), to be afraid of self (OR: 3.85; 95% CI: 1.81–8.19), and to worry about someone like friends or neighbors (OR: 2.45; 95% CI: 1.07–5.58) getting infected with COVID-19.Conclusions: We found elevated prevalence of both anxiety and insomnia among the urban poor of Bangladesh in the context of COVID-19. This indicates the importance of integrating mental health in the mitigation and recovery efforts related to similar crises for the urban poor in the future.

Potable Water Accessibility in the Slums of Douala IV Municipality, Cameroon

The proliferation of slums in sub-Saharan Africa validates the need for renewed interest on access to basic services–potable water in this case. In the context of Bonaberi Douala, recent evidence on potable water accessibility is lacking, amidst rising population growth. To close this knowledge gap, this paper draws from a sample of 1115 households in 8 neighborhoods of Bonaberi to: (1) assess potable water accessibility and (2) examine the regularity of water flow. The results revealed that only 51.3% of slum dwellers have pipe water connections, while 33.4% rely on public standpipes. Furthermore, 28.4% make use of boreholes, while 46% use rainwater. About 12.5% of the population cover a distance of more than 200 m to fetch water. The pattern of water flow in several neighbourhoods is irregular; this precipitates the spread of waterborne diseases. The paper recommends that a control committee should be set aside to check water quality and reduce the spread of water-related diseases. The government and other local stakeholders should promote community water projects that can supply potable water in these slums.

Spatial analysis of the phenomenon of random gatherings in Thi Qar Governorate for the year 2020

The phenomenon of slums of the most negative phenomena which most cities suffer in developing countries and many of the major cities in the world to what caused this phenomenon of the burden of economic problems, social, demographic, environmental and security and others, as well as a distortion of the visual landscape of the cities due to lack of aesthetic values in design and engineering buildings, roads and services and its neighborhood, and different reasons and implications of the emergence of these gatherings and forms and results of its processors and from one country to another according to the reality and the level of each of them . This study addressed the statement and analysis of the phenomenon of slums in the province of Dhe Qar levels and find out the reasons and motives that led to the spread of this phenomenon and aggravated taken from data and statistics issued by the official authorities room for them in the light of the human geography curriculum that deals with the analysis and distribution of population phenomena and find out the reasons and the factors behind them. It was found through the study, said the size of the slum dwellers is closely linked with population size to eliminate Valemratb first numbers slums in the province are the same as the first rank in terms of population size and this applies specifically to spend Nasiriyah Center, which accounted ranked first, accounting for more than half of the slums occupied (56.3 %) were from the share, either the districts of al-Rifai and market the Senate has came second ranks third by (13, 11.5%), respectively, while it did not apply to the districts of Chabaish Shatrah where he finished Chabaish spend ranked fourth in the preparation of squatter registered ratio (10.2%) and numbers approximate what the case in the district of Suq despite a decline in its size and population Mqarndta with the rest of the districts, on the contrary spend Shatra, which held the last place in spite of its size and population high registered ratio (9%).

Snack Food Consumption across the Pune Transect in India: A Comparison of Dietary Behaviors Based on Consumer Characteristics and Locations

This study examines patterns of snack food consumption (SFC) in the rural-urban-slum transect (RUST) of a large city Pune and its precincts (population 10 million) in India. The transect structure aims to mimic a representative survey for the location capturing differences by age, gender, urbanicity, and socio-economic levels. Dietary data from 1405 individuals were used to describe snacking patterns and other food consumed at different frequencies; extent of physical activity; and Body Mass Index (BMI) and waist circumference of children, adolescents, and adults. Our results indicate high incidence of SFC across all population age groups, gender, socio-economic levels, and locations. A distinctive finding in relation to studies in high income countries is the prevalence of hunger snacking with 70% identifying hunger as the primary reason for SFC. Apart from hunger, particularly for adolescents, peer influence and social interactions played a significant role in SFC. Dietary behaviors of slum dwellers were characterized by three-quarters of them having SFC together with family members at home. SFC supplemented calories for low-income consumers and complemented calorie intake for high income ones. No significant association with BMI is possibly due to obesogenic SFC being likely offset by lower consumption of non-snack food and higher physical activity among poor and slum dwellers. Promoting awareness about diets and lifestyles, improving physical and economic access to healthier snacks and nutrient dense foods can improve diet quality in a large and heterogeneous population such as Pune.