Abstract

The main purpose of the study was to deepen the understanding of gender and social inclusion in the context of water, sanitation, and hygiene (WASH) in the Oromia region of Ethiopia. An explorative qualitative study was conducted in three districts of the Oromia region using gender analysis frameworks. Twenty-one key informant interviews and nine focus group discussions were conducted. Findings showed 52% of households in the study area have basic service level water, 29% have basic service level sanitation, and 14% have basic service level hygiene. Women, girls, and people living with disability disproportionately experience poor access to quality WASH services. Women and girls participate in unequal domestic labor related to water management which often exposes them to discrimination and violence such as rape, abduction, and assault. Overall, women, girls, and other socially excluded groups are rarely consulted and engaged by local actors. This results in incongruent policy and political commitment which limits action at the grassroots level. Integrating gender equality and inclusion efforts into local governance agendas can help to increase access to and the quality of WASH services. These efforts must advocate for moving beyond gender parity to promote gender transformative approaches and inclusion to realize better WASH services for the communities they serve.

Highlights

  • One group was composed of people living with HIV (PLHIV) from both sexes, one group exclusively with women, one group exclusively with men, two groups of elderly, and three groups of schoolgirls

  • Over 52% (6% safely managed, 46% basic) of households in the study area have a basic service level of water, which means the water is coming from an improved source and collecting the water takes less than 30 min [40]

  • The findings suggest that women, children, people living with disability (PLWD), and PLHIV are more affected by the implications of water access compared to men and boys who have limited roles and responsibilities related to water collection, handling, and use, in the lowlands

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Summary

Introduction

It is critical that sub-Saharan African countries actively mobilize resources to attain universal WASH services by 2030 to improve health outcomes and achieve Sustainable Development Goal (SDG) 6-related targets [3,4,5]. This approach should target socially excluded groups (SEG), such as women and people living with disability (PLWD) who disproportionately experience poor health outcomes and risks related to WASH. This has resulted in WASH service delivery being insensitive to the needs of women and other SEGs at both the community and societal levels

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