Water, Sanitation And Hygiene Sector Research Articles

Locally Led Opportunities for Water, Sanitation and Hygiene, Climate Change and Gender Equality Partnerships in the Blue Pacific

Partnerships between water, sanitation and hygiene (WASH) and rights-holder organisations (RHOs) have become more common, important and impactful in the international development sector, and they have been driven by aligned agendas, mutual benefits and the pursuit of locally owned and inclusive development agendas. There are opportunities to broaden partnerships and coalitions to include climate change advocacy, adaptation and mitigation organisations given the increased focus on the links between WASH, resilience and climate change action. This article takes a first step in addressing the question: How can the experience of WASH, gender equality and climate organisation partnerships and coalitions in the Blue Pacific inform the WASH sector in its growing support of and investment in diverse partnerships in support of localism? We conducted a systematic scoping review to identify the literature on gender equality, WASH and climate change-related partnerships and coalitions in the Blue Pacific. Three key themes emerged from the systematic scoping review based on 23 studies published from 1996 to 2024. Firstly, partnerships and coalitions are part of a critical localism agenda, though care needs to be taken by potential partners and donors to understand and manage power dynamics between actors and organisations working within and across sectors. Secondly, a range of benefits and success factors have been documented on partnerships and coalitions in the Blue Pacific, including support for emerging leadership, leveraging policy outcomes, facilitating learning and the sharing of frameworks and tools between partners. Thirdly, like all parts of the community and governance ecosystem, gender dynamics and social norms inform and influence partnerships and coalitions. At the same time, partnerships are important for informing and driving gender equality and inclusion at the local and regional levels including within the WASH sector. This article is useful for local actors, donors and civil society organisations wishing to pursue the mutually beneficial goals of WASH, gender equality, climate change action and localisation in the Blue Pacific.

A Study on How Climate Change Affects the Water, Sanitation, and Hygiene (Wash) Sectors in Barguna Sadar Upazila, Bangladesh

Aims and Study Area: A study conducted to identify how climate change affects water, sanitation, and hygiene (WASH) sector for Barguna Sadar Upazila.
 Methodology: This study applied inductive reasoning methods with inductive and statistical generalization criteria. Used mixed method approach where both qualitative and quantitative data were collected from study areas. However, this study also triangulated findings from literature review and conducted Geo Spatial Analysis that enhanced the strength of the study findings.
 Results: From the quantitative findings it was identified that 32% reported they don’t even know what the risk factors of climate change are, among them 41% female which is very alarming for WASH. However, from the KII respondents reported to have waterlogging, increase of temperature, heavy rainfall, and scarcity of water in their locality. 37% of respondents reported to not available the drinking water in all year round and they mentioned it happens due to lower groundwater level, increase salinity in water, damage of water source and draught. 60% of the respondents reported that their latrines were destroyed by a cyclone/tidal surge/water lodging and 33% reported to experience water borne disease in the past three months. Only 10% of respondents agreed that they have sufficient knowledge of the result of climate changes in the WASH sector. Only 5% of women agreed they have access to WASH Management systems during cyclone/tidal surge/water lodging. A total of 30% respondents reported that climate change resulted in extra burden for women and girls in WASH sector.
 Conclusion: This study identified that mostly climate change impacts women and girls as have less knowledge on impacts of climate changes in WASH. From those findings this study identified some recommendations which can improve the conditions in WASH sector in Barguna as well as Coastal belt of Bangladesh.

Engaging the health sector in climate-resilient WASH development.

The impact of climate change on water, sanitation, and hygiene (WASH) has driven an increased focus on climate-resilient WASH development. Evidence suggests that adaptation in the WASH sector is underway, but the progress is limited in certain domains and the participation of the public health community may be lacking. Using the Lake Victoria Basin (LVB) as a climate vulnerability setting for this analysis, this study aimed to identify factors that impede full engagement of the health sector in climate-resilient WASH development. In-depth semi-structured interviews were conducted with 13 WASH sector stakeholders across lakeside urban centers in Kenya, Uganda, and Tanzania. Several barriers to health sector engagement were identified including factors related to donor-driven financing and priority setting, a relative neglect of climate vulnerabilities associated with sanitation and hygiene, ministerial siloes, and broader systems of adaptation governance which compromise health sector leadership in climate adaptation. These results suggest room for expansion of interdisciplinary collaborations and deepened involvement of the health sector in WASH-related climate adaptation, which starts with addressing these and other barriers to full health sector engagement.

Environmental enteropathy and its association with water sanitation and hygiene in slum areas of Jimma Town Ethiopia.

Environmental Enteropathy is an inflammatory condition of the gut that leads to intestinal barrier dysfunction. It is a common problem in resource-limited countries and results from exposure to larger quantities of fecal bacteria to poor personal hygiene and environmental sanitation. Due to poor intestinal permeability, there is a problem with absorption of nutrients, which in turn leads to growth faltering, poor cognitive development, and oral-vaccine failure. The aim of this study was to identify the children with an elevated lactulose to mannitol ratio (indicative of possible environmental enteropathy) and its association with water sanitation and hygiene in slum areas of Jimma Town so as to mitigate the problem of malnutrition in under-five children. A community-based cross-sectional study was carried out from January to April 2021. A Lactulose mannitol test was performed to determine the prevalence of elevated lactulose to mannitol ratio (possibly environmental enteropathy) in children aged 12 to 59 months. A pretested questionnaire was used to collect data on water sanitation and hygiene (WASH) indicators and sociodemographic characteristics. A multivariable logistic regression analysis was used to isolate independent predictors for possible environmental enteropathy. All tests were two-sided and statistical significance was declared at P<0.05. The results of this study showed that 19.3% (95%CI: 14.8-23.7) of children had an increased lactulose to mannitol ratio (>0.15). On multivariable logistic regression analysis, the variables drinking water from unimproved water sources (AOR 3.741; 95%CI: 0.914-15.310,p = 0.048), unsafe coverage of water storage (AOR 0.363; 95%CI: 0.169-0.777, P = 0.009), public latrine utilization (AOR 0.139 95%CI: 0.024-0.816, P = 0.029),and hand washing less than 3 critical time of hand washing practices (AOR 4.369;95%CI: 1.411-13.524,P = 0.011) were significantly associated with an increased in lactulose mannitol ratio (possible indicative of intestinal permeability/environmental enteropathy). This study showed that one fifth of under-five children in Jimma Town had an elevated lactulose to mannitol ratio (possibly environmental enteropathy). The WASH sectors and other governmental organizations should give emphasis to areas with poor water sanitation and hygiene to mitigate the problem of environmental enteropathy and related consequences like growth faltering, poor cognitive development, and oral-vaccine failure in the study area.

When vulnerabilities are exploited—The role of sextortion in the WASH sector in Bangladesh

It has long been acknowledged that many aspects of Water, Sanitation, and Hygiene (WASH) are highly gendered and that women face an increased risk of violence when access to WASH services is not adequate. However, not enough studies explore where these incidents of violence occur or document the different forms of violence. This research paper will add to the newly emerging research on sextortion as a form of violence that women and girls encounter disproportionately in accessing WASH. This form of violence that takes place at the intersection of corruption and sexual violence has dire social, economic and health consequences, yet little is known as of what increases vulnerability to sextortion. Analyzing original data from a standardized survey with adult women (n = 1,200), interviews (n = 21) and focus group discussions (n = 5), this paper examines the factors that make women vulnerable to sextortion in accessing WASH services. The study was conducted in 2 rural and 2 urban areas in Bangladesh between September and December 2021. The analysis shows that those women living in poverty, in water insecure households and in rural areas are especially vulnerable to experiencing sextortion. The research also shows that the vulnerability factors, while overlapping are not the same as those making women vulnerable to experiencing sexual and gender-based violence, highlighting the importance of studying sextortion separately. The findings contribute to an emerging evidence-base around sextortion, which remains an understudied phenomenon posing an obstacle to the achievement of safe access to water and sanitation for all.

Principles for increasing equity in WASH research: understanding barriers faced by LMIC WASH researchers

IntroductionThere have long been critiques of colonial legacies influencing global health. With growing public awareness of unjust systems in recent years, a new wave of calls for antiracist and decolonisation...

Climate adaptation and WASH behavior change in the Lake Victoria Basin

AbstractAs climate change disrupts the global hydrological cycle, bringing extremes of flooding and drought, many communities will experience changes in water and sanitation quality and access, requiring adaptive behavior changes. This study set out to map the adaptation patterns – namely, the strategies employed to cope with water, sanitation, and hygiene (WASH)-related impacts of climate change – within the Mabinju community, located along the banks of Lake Victoria in Western Kenya. Qualitative methods were employed, involving 17 semi-structured individual interviews and seven focus groups with village members. Insights derived from direct conversations with village members were deepened through qualitative interviews with an additional 13 WASH sector stakeholders working in the wider Lake Victoria Basin region. Through this study, various WASH-specific community adaptation measures were identified, with both positive and negative impacts on long-term local climate resilience. While many positive coping strategies were found to be spurred by the creative faculties of local residents, capacities for adaptation were found to be restrained by broader forces of poverty and resource access, resulting in the adoption of certain maladaptive coping mechanisms. These findings highlight the need for climate adaptation interventions in the WASH sector to simultaneously build on existing resilience-enhancing measures while addressing the root causes of maladaptation.

Decolonising mental health interventions in the humanitarian system

Mental health is an increasing concern around the world, but there is a substantial gap between Western and non-Western countries in terms of access to quality mental healthcare. To help close this gap and improve the delivery of mental health and psychosocial support services (MHPSS), the UN’s 2016 Grand Bargain declared a new approach of prioritising the localisation of these services. This paper examines the effects of the Grand Bargain on the localisation of mental health and psychosocial support services in non-Western countries, as a means to decolonise mental health. An outcome evaluation was carried out to measure the amount of funding received by local and national agencies that provide MHPSS services in less economically developed countries. All data was gathered from the UN Financing Track System (FTS) and looked at financial contributions over time in six humanitarian sectors: health; water, sanitation and hygiene (WASH); gender-based violence; nutrition; protection, and shelter. The results show that local and national agencies received only 3% of international donors' MHPSS-related humanitarian funding between 2017 and 2021. Most localised MHPSS-related funding is driven by country-based pooled funds, with Middle Eastern countries as the primary beneficiaries, and localised MHPSS funding predominantly went to the health, WASH, and protection sectors. The study found limited localisation of MHPSS services in less economically developed countries, and a limited focus on community capacity building through associated humanitarian sectors. Based on this study, it is recommended that humanitarians should advocate for increased localisation and culturally competent practices in the MHPSS space.

Water, Sanitation, and Hygiene of Nepal: Status, Challenges, and Opportunities

Access to water, sanitation, and hygiene (WASH) has been a challenge to south Asia’s rapidly growing and climate change-sensitive region. Nepal, a water-abundant country, faces obstacles to fulfilling the highly prioritized WASH Sustainable Development Goal 6 (SDG 6). This review offers details about Nepal’s WASH status from 2000 to 2020 with regard to the challenges Nepal had in delivering reliable WASH services to the people, as well as opportunities for a sustainable way forward, and provides insights that can be applied to other developing countries. From analysis of national-level assessments, estimates point toward healthy progress in extending WASH access to the population. However, large inequalities persist at the subnational level between urban and rural residents, between poor and rich residents, and between genders. Many local constraints such as a lack of long-term infrastructural capacity to provide and maintain WASH services, financial issues, and institutional and policy incompatibilities are some of the key factors that technical considerations and private sector involvement could address. We also propose roles for Nepal’s central, provincial, and local governments for identification and adaptation to the undeniable risks of climate change. Furthermore, there is a need to capitalize on the potential opportunities for developing a much-needed robust and climate-resilient WASH sector in Nepal, safeguarding the rights of future generations to safe and clean water.

Convergence of Social Marketing and Engineering: A Lead Mitigation Study in Madagascar

Background and Situation Analysis The importance of Water Sanitation and Hygiene (WASH) projects for the protection of health is embedded in the sustainable development goals. However, within the development and humanitarian fields sustainability of WASH projects is still a challenge with 30–50% of projects failing within two to five years of implementation. Though failure is not linked to any one source, a common theme speaks to a greater need for community engagement and integration of the wants and needs of the end-user in the design process. Social marketing, with its focus on the consumer and use of commercial marketing strategies to achieve behavior change is a promising approach that can be integrated into ongoing WASH initiatives to meet program outcomes and to achieve long-term sustainability. Priority audience Primary audience includes technicians who manufacture and repair pitcher pumps. Secondary audience includes community members in Toamasina, Madagascar, who will experience a decrease in exposure to lead through their water supply. Behavioral objectives Decrease exposure to lead (Pb) introduced through the use of a decentralized, self-supply water system, the pitcher pump. Specifically, decrease use of leaded components in the manufacturing and repair of pitcher-pumps Strategy/Intervention Development of the intervention followed the social marketing process including conducting a situational analysis, identification and selection of a behavioral focus and priority population, formative research, development of an integrated marketing strategy, pretesting the strategy, followed by campaign implementation, and monitoring and evaluation. An intervention focused on building a sense of community and introducing the element of professionalism for the pump manufacturers was developed, consisting of personalized one-on-one outreach to raise awareness of the health topic, followed by skill building trainings on how to make the switch to non-leaded components. This was coupled with tangible products that created a new professional network, documentation of work, and backing of work by trusted government entities. Evaluation Methods and Results Using the theory of planned behavior, a pre/post-test summative evaluation was developed. Preliminary results indicate that pump technicians no longer use lead in pumps unless specifically requested by the pump owners. These results indicate a positive shift towards the use of lead-free components with project follow-up and analysis ongoing. Recommendations for Social Marketing Practice Use of social marketing within the WASH sector is lacking. This paper demonstrates the integration of social marketing in an ongoing WASH project. Through a description of each step of the process, our experiences in implementing it and the lessons learned, we hope to guide future integration. Additionally, this paper demonstrates the convergence of engineers and social marketers working collaboratively on an interdisciplinary team and how this served to enhance project understanding, aid in building local partnerships and help with long-term sustainability.

The Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (ARISE) Scales: Development and validation of measures of women’s empowerment in urban sanitation for low- and middle-income countries

Sustainable Development Goal 6 aims to ensure access to water and sanitation for all, and target 6.2 emphasizes “paying special attention to the needs of women and girls”. Research documenting how water, sanitation and hygiene (WASH) conditions impact women’s and girls’ lives is growing. However, no rigorously validated survey instruments exist for measuring empowerment within the WASH sector. The objective of our study was to develop and validate survey instruments to measure sub-domains of women’s empowerment in relation to sanitation in urban areas of low- and middle-income countries. We followed a multi-phased, theory-informed approach that included factor analysis and item response theory methods, as well as reliability and validity testing, to analyze cross-sectional data collected from women in two cities: Tiruchirappalli, India (N = 996) and Kampala, Uganda (N = 1,024). Through rigorous evaluation of conceptually grounded question (item) sets, we identify a set of valid, comprehensive scales. The Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (ARISE) scales represent 16 sub-domains of sanitation-related empowerment, each of which can be used alone or in combination with others, as needed. The ARISE scales are the only set of psychometrically validated metrics for the measurement of women’s empowerment in WASH. In addition to the scales, we provide six indices to assess women’s direct experiences with sub-domains of sanitation-related empowerment, as well as validated item sets related to menstruation, which are available as optional add-on measures for those who menstruate. The ARISE scales and associated survey modules respond to an established need for an increased focus on empowerment in WASH. We provide researchers and implementers with tools to measure sub-constructs of empowerment in a valid and reliable way, to generate data for better targeting, design, implementation, and evaluation of strategies to improve women’s empowerment in the context of urban sanitation at the program and policy level.

Systematic mapping of gender equality and social inclusion in WASH interventions: knowledge clusters and gaps

IntroductionPoor access to water, sanitation and hygiene (WASH) services threatens population health and contributes to gender and social inequalities, especially in low-resource settings. Despite awareness in the WASH sector of...

Qualities of transformative leaders in WASH: A study of gender-transformative leadership during the COVID-19 pandemic

IntroductionEqual access to water, sanitation and hygiene (WASH) for all requires leadership that prioritises and drives inclusion. Inclusive WASH also presents opportunities to advance equality more widely, with WASH a pathway to meaningful participation and empowerment for diverse groups. The concept of gender-transformative leadership-which connects ideas of leadership to transformative models of gender equality in development theory that challenge prevailing power structures-is a relevant lens for exploring inclusive WASH. This article shares findings and reflections from a positive deviance study that aimed to investigate gender-transformative leadership in the WASH sector to explore (i) the factors shaping gender-transformative leadership and the characteristics of gender-transformative leaders; (ii) actions taken by gender-transformative leaders; (iii) the types of outcomes achieved; and (iv) ways to strengthen gender-transformative leadership.MethodsThe study was undertaken during the COVID-19 pandemic and consisted of interviews with 19 leaders in Bhutan, Lao People's Democratic Republic, and Nepal. We developed a conceptual framework which considers leaders' (i) personal values and traits; (ii) leadership styles; (iii) actions; and (iv) outcomes, influenced by a range of (v) enabling factors and barriers.ResultsLeaders' personal values and traits included a strong learning orientation, social justice values, humility, courage, and altruism. Leadership styles were primarily empathetic, with leaders guided by a mission to lead by example and pursue equality in their professional and personal lives. Exploration of actions and outcomes revealed a range of inclusion-oriented WASH activities responding to pandemic-related challenges, with associated potential outcomes in shifting norms. However, validation of outcomes was not possible due to the study timeframe and complexity of tracing complex social change in a positive deviance study reliant on self-reporting. Analysis of enablers and barriers to gender-transformative leadership respectively emphasized the importance of educational opportunities and the persistence of traditional gender norms.ConclusionFindings contribute to the body of knowledge on gender-transformative leadership, being the first study to connect this concept to WASH. Future research could build further evidence by applying the conceptual framework to analyze additional contexts or sectors, and by more fully articulating and validating outcomes in terms of their potential for gender-transformative leadership to drive equality both in and beyond WASH.

Mapping social accountability actors and networks and their roles in water, sanitation and hygiene (WASH) in childcare centres within Nairobi's informal settlements: A governance diaries approach.

Despite many institutions gaining access to improved water sanitation and hygiene (WASH) services, childcare centres in informal settlements have low access and poor condition of WASH services. It is imperative to understand how existing actors and social networks operate in the WASH sector in childcare centres in Nairobi's informal settlements. To empirically map and understand how different actors within informal settlements influence the provision of adequate and quality water, sanitation and hygiene services within childcare centres in Nairobi's informal settlements. This was a qualitative study. We conducted an ethnographic study using governance diaries with 24 participants from Korogocho and Viwandani informal settlements in Nairobi, Kenya. The governance diaries approach involved conducting bi-weekly governance in-depth interviews (IDIs) with study participants for 4 months, complemented with observations, reflections, participant diaries and informal discussions. We used a framework analysis which is partly deductive, informed by the governance framework and stakeholder framework. Social accountability actors were individuals or groups involved in WASH service provision in childcare centres. The actors included both key actors (actors who are primary to meeting the day-to-day WASH service needs of children) and non-key actors (actors operating in the WASH sector but not always present for day-to-day provision in childcare centres). The key actors were unanimously identified as childcare centre owners/teachers and parents/guardians as they had a more direct role in the provision of WASH services in childcare centres. The actors had direct, possible or desired networks, with the direct networks portrayed more by the parents and childcare centre owners, whose roles included acting as a voice and responding to the WASH service needs of children as it relates to access and quality. Centre owners had more power/authority over WASH services for children in childcare centres than the parents. Key actors derived power by their discretion depending on whether a decision was beneficial to children or not. Lastly, the interest of key actors were diverse ranging from income generation, access to WASH services by children, compliance with government regulations, and promotion of child health, to the prevention of the spread of diseases. Our study highlights that parents and childcare owners play an important role in WASH service provision. While service providers and other players may be statutorily given primary responsibilities for WASH provision, and more visible in official standing, among study participants they are not seen as primary actors but secondary players with ancillary responsibilities. We conclude that WASH service provision in child care centres may be realised when key actors have a voice and work within networks to demand WASH services from desired networks including the government. We also conclude that developing more direct networks and converting desired and potential networks into direct networks in WASH service provision is critical for the success of WASH service delivery. Lastly, actors in WASH services in childcare centres may need to collaborate in identifying potential avenues for strengthening existing networks that enhance access and quality of WASH services in childcare centres.

Public procurement law, political economy of the lowest responsive bidding, and the development of the water, sanitation and hygiene sector in Nigeria

ABSTRACT This study challenges the argument that the non-enforceability of the procurement law is the bane of infrastructural development in Nigeria. Focusing on the water, sanitation and hygiene (WASH) sector, the article argues that various attempts at procurement regulation were in fact moves to expand capital accumulation in the service delivery sector. Highly placed individuals leverage the lowest responsive bidding mechanism to engage in sharp practices which undermine the development of the WASH sector in the country. Given the prevailing scenario which presents the state, its institutions and laws – including the procurement legislation – as instruments in the hands of the dominant social forces, any investments in and attempts at rule enforcement tend to produce only minimal outcomes.

A qualitative cross-sectional study exploring the implementation of disability-inclusive WASH policy commitments in Svay Reing and Kampong Chhnang Provinces, Cambodia

BackgroundThe Government of Cambodia references core concepts of human rights of people with disabilities in their water, sanitation and hygiene (WASH) policies and guidance. However, few references clearly articulate activities to achieve these.MethodsThis cross-sectional study in Cambodia explores the implementation of core concepts of human rights referenced in Cambodia's WASH policies in Kampong Chhnang and Svay Reing Provinces: Individualized services, Entitlement/affordability, Participation, Family resource, Access. Seven government officials and 10 service providers working in Phnom Penh and the two provinces, 16 women and men with disabilities (aged 18–65+), and four caregivers living in the study sites were included. Purposive sampling was applied to select participants. In-depth interviews were conducted via Zoom and over the telephone and analyzed data thematically using Nvivo 12.ResultsThe Three Star Approach for WASH in Schools was noted as a promising approach for implementing policy commitments to make school WASH services accessible. However, policy commitments to disability-inclusive WASH were not always enacted systematically at all levels. Organizations of Persons with Disabilities faced challenges when advocating for disability rights at WASH sector meetings and people with disabilities were inconsistently supported to participate in commune WASH meetings. Poor access to assistive devices (e.g., wheelchair) and inaccessible terrain meant few people with disabilities could leave home and many had inadequate WASH services at home. Few could afford accessible WASH services and most lacked information and knowledge about how to improve WASH access for people with disabilities. Caregivers had no guidance about how to carry out the role and few had assistive devices (e.g., commodes, bedpans) or products (i.e., lifting devices), so supporting WASH for people with disabilities was physically demanding and time-consuming.ConclusionThis study has noted several areas where Cambodia's WASH systems are focusing efforts to ensure people with disabilities gain access to WASH, but it has also highlighted aspects where implementation of policy commitments could be strengthened. A more comprehensive and cross-sectoral approach to progressively realizing the rights to water and sanitation for people with disabilities and challenging disability discrimination more broadly could significantly disrupt the vicious cycle of poverty and disability.

Acceptability measures of water, sanitation and hygiene interventions in low- and middle-income countries, a systematic review

BackgroundInadequate access to water, sanitation, and hygiene (WASH) is an environmental risk factor for poor health outcomes globally, particularly for children in low- and middle-income countries (LMIC). Despite technological advancements, many interventions aimed at improving WASH access return less than optimal results on long term impact, efficacy and sustainability. Research focus in the ‘WASH sector’ has recently expanded from investigating ‘which interventions work’ to ‘how they are best implemented’. The ‘acceptability’ of an intervention is a key component of implementation that can influence initial uptake and sustained use. Acceptability assessments are increasingly common for health interventions in clinical settings. A broad scale assessment of how acceptability has been measured in the WASH sector, however, has not yet been conducted.Methods/Principal findingsWe conducted a systematic literature review of intervention studies published between 1990 and 2021 that evaluated the acceptability of WASH interventions in LMIC settings. Using an implementation science approach, focused outcomes included how acceptability was measured and defined, and the timing of acceptability assessment. We conducted quality assessment for all included studies using the Cochrane Risk of Bias tool for randomised studies, and the Newcastle-Ottawa Scale for non-randomised studies.Of the 1238 records; 36 studies were included for the analysis, 22 of which were non-randomized interventions and 16 randomized or cluster-randomized trials. We found that among the 36 studies, four explicitly defined their acceptability measure, and six used a behavioural framework to inform their acceptability study design. There were few acceptability evaluations in schools and healthcare facilities. While all studies reported measuring WASH acceptability, the measures were often not comparable or described.ConclusionsAs focus in WASH research shifts towards implementation, a consistent approach to including, defining, and measuring acceptability is needed.

Fostering the transformative potential of participatory photography: Insights from water and sanitation assessments

Transformative research and evaluation both aim to foster social change as part of the inquiry process, often leveraging participatory and tactile methods with an advocacy objective. One such approach is participatory photography which engages marginalized individuals in image creation and includes activities such as photovoice and photo-elicitation. This article considers opportunities to strengthen the transformative potential of participatory photography activities within the water, sanitation, and hygiene (WASH) sector. The research comprised two components: 1) a systematic literature review of participatory photography activities in the WASH sector (n = 32) and 2) an empirical case of a photovoice evaluation of a staff-focused gender mainstreaming intervention in Cambodia (n = 20), including a structured survey, structured observations of the evaluation process, and three participatory reflection workshops with program leadership. Drawing on the two components, we reflect on the extent to which photography-based approaches in the WASH-sector have been transformative. Our findings indicate that transformative potential can arise from participatory photography’s process and outcomes. The research identified opportunities for the WASH-sector to strengthen participatory photography by 1) purposefully recruiting participants, 2) creating engaging orientation opportunities, 3) supporting participants in ethical image creation, 4) facilitating image interpretation, and 5) progressing photo-stories into advocacy. The study also considers how participatory photography can address gender inequalities inherent in photography, hence seeking gender-transformation. While these insights were derived for participatory photography activities in the WASH sector, the findings and implications have relevance in other sectors that seek to investigate complex change and foster transformations.

Policy Brief on Inclusion of Water, Sanitation and Hygiene in Zambia`s Nationally Determined Contributions

The Paris Agreement aims to reduce Greenhouse Gas (GHG) emissions, thus contributing to sustainable development goals through building climate-resilient communities and industries. Water is the primary medium through which climate change influences the earth’s ecosystem and thus the livelihood and well-being of societies. Extreme weather conditions impact many sectors such as health, tourism, agriculture, and industry where water plays a key role. The climate effect is first and foremost through water systems as highlighted by the World Economic Forum (2016) Global Risks Report. Hence the Water, Sanitation, and Hygiene (WASH) sector plays a pivotal role in addressing climate change. &#x0D; In the last decade, Zambia has experienced the impacts of climate change in the form of extreme weather conditions and rising temperatures. In light of this, the Zambian government developed NDCs in accordance with the Paris agreement that aims to reduce Greenhouse Gas (GHG) emissions and develop sustainable climate-resilient communities and industries. The impacts of climate change are felt through its influence on water. WASH is not only affected by climate change, but also a contributing factor to GHG emissions. Therefore, the WASH sector should play a pivotal role in contributing to the climate change targets. &#x0D; There are gaps among state and non-state actors and with affected communities in acknowledging the critical role of WASH in making real the NDC that need bridging. These include awareness and knowledge of WASH in contributing to NDC; the need to go beyond water to include sanitation and hygiene elements in the NDCs as holistic approach; inclusive participation of civil society and other non-state actors in addressing the gaps; integration of sectors and programmes in the NDCs; and enhanced governance and accountability mechanisms.

Sector Perspectives on the Attributes of System Approaches to Water, Sanitation, and Hygiene Service Delivery

This study sought to coalesce sector knowledge on the use of systems approaches for sustainable water, sanitation, and hygiene (WASH) service delivery in low-income countries. To accomplish this objective, we remotely convened a panel of WASH sector experts within a multiround survey to identify, characterize, and prioritize the necessary attributes of WASH systems approaches. The first survey round asked experts to comment on the conceptual differences between traditional approaches and systems approaches to WASH. Emerging within responses from the first survey round were attributes of WASH systems (i.e., factors, actors) and attributes of WASH systems approaches (i.e., flexible, scalable). A three-round Delphi survey was then administered to reach consensus on these emerging attributes. By the final round of the Delphi, consensus was reached on every attribute of WASH systems, indicating alignment between the experts on the fundamental characteristics and implications of WASH systems. Consensus was also reached on the majority of attributes of WASH systems approaches, including the inherent interconnected and complex nature of WASH systems. However, consensus was not achieved on attributes related to mapping WASH system interconnections, convening stakeholders in collective action, and the appropriateness and feasibility of applying systems approaches at scale. This indicates a need for future research that explores practical and scalable tools and techniques to map and evaluate WASH system interactions, and ways to engage relevant actors in these approaches to collectively apply systems knowledge.