The University of California, Berkeley is now accepting applications for post-doctoral fellows and PhD students interested in studying slum-related health topics/challenges that include issues addressing the social determinants of health equity, such as

  • urban planning,
  • environmental exposures,
  • non-communicable diseases,
  • mental health, and others.

The fellowship is part of a new program at Berkeley funded by the NIH/Fogarty International Center, Global Health Program for Fellows and Scholars, which will be called the Global Health Equity Scholars (GHES) Fellowship at UC Berkeley.

  • Link to additional information,  including eligibility criteria, affiliated sites and on-line applications.

This program supports a one-year mentored research fellowship for trainees to study slum-related health topics/challenges. Fellows will spend eight to ten months in low-resource settings at one of the consortium’s ten program project sites. The first group of trainees is anticipated to be enrolled by September 2012. Applications must be completed and submitted online and are due May 28, 2012.

For further information, please contact Melaine Delcroix (program coordinator) at mdelcroix@berkeley.edu.

Adm. Sci. 2012, 2(2), 135-147; doi:10.3390/admsci2020135

Urban Governance of Disease

Rebecca Katz; et al. George Washington University, School of Public Health and Health Services

Rapid population growth, urbanization, and the growing challenges faced by the urban poor require redefining the paradigm for public health interventions in the 21st century, creating new approaches that take urban determinants of health into consideration. The widening disparity between the urban poor and the urban rich further exacerbates health inequities. Existing tools for global governance of urban health risks fall short, particularly in the lack of formal mechanisms to strengthen collaboration and communication among national and municipal agencies and between their local and international non-governmental partners. There is also a clear disconnect between governance strategies crafted at the international level and implementation on the ground. The challenge is to find common ground for global goods and municipal needs, and to craft innovative and dynamic policy solutions that can benefit some of the poorest citizens of the global urban network.

PLoS One. 2012;7(2):e32056. 2012 Feb 22.

Incidence of respiratory virus-associated pneumonia in urban poor young children of Dhaka, Bangladesh, 2009-2011.

Homaira N, Luby SP, Petri WA, Vainionpaa R, Rahman M, Hossain K, Snider CB, Rahman M, Alamgir AS, Zesmin F, Alam M, Gurley ES, Zaman RU, Azim T, Erdman DD, Fry AM, Bresee J, Widdowson MA, Haque R, Azziz-Baumgartner E.

International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh. nhomaira@icddrb.org

BACKGROUND: Pneumonia is the leading cause of childhood death in Bangladesh. We conducted a longitudinal study to estimate the incidence of virus-associated pneumonia in children aged <2 years in a low-income urban community in Dhaka, Bangladesh.

METHODS: We followed a cohort of children for two years. We collected nasal washes when children presented with respiratory symptoms. Study physicians diagnosed children with cough and age-specific tachypnea and positive lung findings as pneumonia case-patients. We tested respiratory samples for respiratory syncytial virus (RSV), rhinoviruses, human metapneumovirus (HMPV), influenza viruses, human parainfluenza viruses (HPIV 1, 2, 3), and adenoviruses using real-time reverse transcription polymerase chain reaction assays.

RESULTS: Between April 2009-March 2011, we followed 515 children for 730 child-years. We identified a total of 378 pneumonia episodes, 77% of the episodes were associated with a respiratory viral pathogen. The overall incidence of pneumonia associated with a respiratory virus infection was 40/100 child-years. The annual incidence of pneumonia/100 child-years associated with a specific respiratory virus in children aged < 2 years was 12.5 for RSV, 6 for rhinoviruses, 6 for HMPV, 4 for influenza viruses, 3 for HPIV and 2 for adenoviruses.

CONCLUSION: Young children in Dhaka are at high risk of childhood pneumonia and the majority of these episodes are associated with viral pathogens. Developing effective low-cost strategies for prevention are a high priority.

Issue 52 April 20>, 2012 | Focus on Small-Scale WASH Service Providers

This issue of the Weekly contains resources on small-scale providers of WASH services. It is only in recent years that partnerships with small operators have begun to receive serious attention from researchers, planners and policymakers. Several of the reports below conclude that small-scale providers can deliverdynamic and responsive services to communities. One UNDP report, however, argues that small-scale providers in Kenya are predators who charge high prices and supply poor quality water. The resources below include overviews, country studies from Benin, Cambodia, Kenya, Nigeria, Philippines and Tanzania, and videos.

Please let WASHplus know at any time if you have resources to share for future issues of WASHplus Weekly or if you have suggestions for future topics. An archive of past Weekly issues is available on the WASHplus website.

Optimising Africa’s megacities

Africa News, 20 April 2012, By Kaci Racelma

As African cities implode, leaders on the continent are intensifying efforts to address the challenges of urbanization. A forum bringing together Africa’s housing ministers was recently held in Nairobi, Kenya on 20 March 2012 under the auspices of the African Ministers Conference on Housing and Urban Development (AMCHUD).

UN Photo

The 4th annual meeting focused on territorial planning and access to basic services for all. It also looked to integrate climate change issues for a smarter more sustainable urban development. In the last 7 years, the conference has allowed members to share ideas and discuss effective strategies in line with the “cities without slums” initiative that was originally adopted in 2005.

For some slum dwellers on the continent, it’s just talk. “I am only interested in being removed from here, to live in a more decent environment,” says Rachid Lashab, who lives in the Essekouila slum in Casablanca. “I am not interested in the many conferences that our leaders attend.”

Crowding and disease

According to estimates by UN-Habitat, 200 million people in sub-Saharan Africa were living in slums in 2010, or 61.7 per cent of the region’s urban population, the highest rate in the world. North Africa had another 12 million slum dwellers; that was just 13.3 per cent of its urban residents, the lowest rate in the developing world.

The lack of adequate sanitation, potable water and electricity, in addition to substandard housing and overcrowding, aggravates the spread of diseases and avoidable deaths, according to a recent report of the International Federation of Red Cross and Red Crescent Societies. Slums contribute to low life expectancy. In Mali, for example, more than 80 per cent of the population lacks good housing and average life expectancy is just 51 years, according to the UN Development Programme.

Mali’s situation reflects that of much of sub-Saharan Africa. Fofana Gakou Salamah, Mali’s former minister of housing, land affairs and planning, urged urgent measures from Africa’s housing ministers. “We must take decisive action,” she said. “Otherwise there is the risk of having an urban population [in Mali] of about 6 million souls still living in informal settlements by 2020,” or nearly twice the current number.

Jugurtha Ait El Hadj, an Algeria-based urban planner, believes that African ministers are on the right course. “Such meetings are especially helpful in that they allow exchange of experiences. But these meetings must be accompanied by concrete steps.”

There are many roadblocks to achieving the dream of cities without slums. Algerian Minister for Housing and Urban Development Nouredine Moussa noted that the expansion of cities in Africa limits the ability of national and local governments to provide security and supply basic social services in health, education, water and sanitation.

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Urban Water Supply and Sanitation in Andhra Pradesh, 2012.

Dr. M. Rammohan Rao, Dr. M. Venkataswamy, Dr. C. Ramachandraiah, Dr. G. Alivelu

WASHCost (India) Project, CENTRE FOR ECONOMIC AND SOCIAL STUDIES

The Public Health and Municipal Engineering Department (PHED) in Andhra Pradesh (AP) is the nodal agency for planning, design and implementation of water supply and sanitation facilities in the urban local bodies (ULBs). There are different norms for water supply depending on the size of the town and the level of sewage/drainage facilities. The norms are 40 lpcd (litres per capita per day) in case of public stand posts, 70 lpcd in case of towns without underground drainage and 135 lpcd in case of towns with underground sewerage system and 150 lpcd in case of metropolitan cities having population more than one million. The present water supplies in majority of urban local bodies in AP are far below the prescribed norms. Adequacy and equitable distribution are the major problems. The present installed capacity of all the ULBs put together is 1060 MLD (million litres per day) as against the demand of 1358 MLD and the gap is 298 MLD. There are only three ULBs (Vizianagaram, Narsaraopet and Tirupati) in which water supply is at the rate of 135 lpcd and above. In 73 ULBs the supply is between 70 to 135 lpcd while 45 ULBS are supplying less than 70 lpcd. To the areas which do not have the piped systems and bore wells, about 627 water tankers are supplying water in 96 ULBs.

Daily water supplies are provided in 83 ULBs while the supplies are only once in two days in 22 ULBs. In 10 ULBs water supply is done once in three days, in 5 ULBs once in four days, and once in five days in 2 ULBs. The water supply distribution is intermittent in urban areas and the hours of supply vary from one and half hours to 6-8 hours/day in some cities depending upon the availability of raw water and electricity. The majority of ULBs have less than two hours of water supply in a day. Water losses due to leakage, pilferage etc. is estimated to be of the order of 20-50 percent of the total flow in the systems.

The ULBs are supposed to generate adequate revenue to be self sufficient in order to have both physical and financial sustainability of the existing facilities, as well as for current maintenance and future improvement of water supply systems and sanitation facilities. The rates fixed are also not revised periodically, thus, widening the gap between the cost of production and distribution and recoveries from tariff. In many cases, water utilities themselves are not interested in raising water tariff and in other cases approval of the State Government is not easy to come by. Thus, the water supply projects remain commercially unviable and difficult to sustain.

About 31 per cent of urban households did not have access to sanitation (latrine) facilities in the state as per the National Sample Survey (NSS) data in 1998. The Low Cost Sanitation Programme (LCSP) has been going on in AP since 1982-83 in many municipalities in AP with the main objective of conversion of dry latrines as sanitary latrines. In the LCSP phase-III, the progress achieved in terms of construction of the units as a percentage of the sanctioned units is 81 per cent upto the end of April 2009.

However, due to lack, or insufficient quantity, of water availability and low levels of hygiene consciousness many individual toilets in poor households remain unutilized. There are a number of problems which need to be addressed to make the water supply and sanitation sector viable and more citizen-friendly in Andhra Pradesh.

Sanitation in Developing Countries: Innovative Solutions in a Value Chain Framework, 2011.

Meine Pieter van Dijk, UNESCO-IHE Institute for Water Education

There are a number of new ways to look to sanitation issues in developing countries, which will be discussed in this paper:

1. Look as shit as an asset, the beginning of a whole sanitation value chain
2. Emphasize the role of the private sector in sanitation, in particular small scale private
enterprises
3. Pay attention to the economics of investing in sanitation
4. Increase the efficiency of the sanitation value chain
5. Look at advantages of small scale decentralized versus large scale centralized waste water
treatment (WWT) plants
6. Considering sanitation as a multi-governance challenge
7. Consider the economics of different technological options for sanitation
8. Incorporating informality in the sanitation sector
9. Tap alternative sources of finance for sanitation
10. Be aware of the politics of sanitation

The Journal of Environment Development, March 2012, vol. 21 no. 1 98-119

Participatory Decision Making for Sanitation Improvements in Unplanned Urban Settlements in East Africa

Astrid Hendriksen, et al. Wageningen University, Wageningen, Netherlands

Solving the problem of inadequate access to sanitation in unplanned settlements in East Africa needs to combine social and technical dimensions in such a manner that they fit the local context. The modernized mixtures approach offers an analytical framework for identifying such solutions, but this approach requires effective methods for participatory decision making.

This article intends to contribute to filling this gap by identifying and further elaborating an appropriate multicriteria decision-making tool. The multicriteria decision analysis methodology, Proact 2.0, offers an adequate solution as it creates the possibility to connect knowledge, experiences, and preferences from scientists, experts, and policy makers with those of the end users.

We show in particular that users not always prefer the most optimal sanitation system, defined from an “expert” point of view. This article concludes that using Proact 2.0 can lead to substantial improvements in decision making in the field of sanitation in unplanned settlements in East Africa.

Water Policy. March 2012 | doi:10.2166/wp.2012.093

Analyzing sanitation characteristics in the urban slums of East Africa

Gábor L. Szántóa,*, S. C. Letemaa,d, J. T. Tukahirwaa,e, S. Mganac, P. J. M. Oosterveera and J. C. L. van Buurenb

Corresponding author. E-mail: gbrsznt@gmail.com

Urban slums in East Africa exhibit deplorable sanitary conditions. Despite (inter)national efforts, slum sanitation provision remains inadequate and the projected population growth forecasts a worsening of this crisis. The core of the problem is that available knowledge about the local feasibility of the currently applied sanitary methods is limited. This paper analyses the interface of sanitation policy and technology domains by reviewing the distribution and local characteristics of current centralized and decentralized sanitation options.

The findings confirm that conventional, centralized sanitation is an unrealistic solution for application in slums. Simplified sewerage may prove appropriate, but the reported initiatives are in the planning phase only. At present, only decentralized sanitation options are found to be viable in the assessed slums, but their servicing is increasingly neglected by the municipal authorities. The quasi-monopoly of pit latrines implies that improved sanitation technologies are not sufficiently rooted yet.

Public toilets are crucial to these slums, especially where land tenure issues prevail. Although the potential of ecological sanitation is currently negligible, novel biocenter initiatives are promising. Municipal authorities are advised to prioritize the implementation of elsewhere successful slum sanitation technologies and to integrate appropriate decentral solutions into their predominantly centralized sanitation scheme.

International Journal of Water Resources and Environmental Engineering Vol. 4(2), pp. 35-43, February 2012

Well water contamination by pit latrines: A case study of Langas, Kenya

Clement Kiprotich Kiptum, Department of Civil and Structural Engineering, Moi University

In many peri-urban areas of Kenya, potable piped water does not exist and where it does, it is rarely reliable. Thus, in such areas, residents heavily rely on groundwater sources for their daily survival. Therefore, it is common to find individual wells in each plot within such a peri-urban dwelling. Furthermore, in most cases, such dwellings lack municipal sewers, hence forcing residents to construct pit latrines at close proximity to their wells. Indeed, it is not uncommon to find a well located just a few metres from an un-lined pit latrine.

A study was carried out on the well water contamination by pit latrines in Langas which is peri-urban settlement of Eldoret town, Kenya. The study sought to establish the safety (quality) of water in wells located near pit latrines on individual plots of the settlement. The results show that most wells were contaminated and posed a health risk to the dwellers of the settlement. From the results it is recommended that a safe well-pit latrine separation distance of 48 m be maintained which will avoid contamination of well water from pit latrines.