Chronic poverty in urban informal settlements (slums) in Kenya is emerging as a critical area of humanitarian need in the country. Urban Margins, Volume 1, Issue 1 highlights the humanitarian consequences of urbanization in Kenya. The bulletin also presents current initiatives and strategies to respond to these needs.

Full-text: Urban Margins, Vol. 1 Issue 1, March 2010 (pdf. 2MB)

Contents:

  • Finding durable solution to Urban Vulnerability issues in Kenya
  • Generating Activities for Uban Informal Dwellers
  • Responsible Humanitarian Rsponse in Urban Informal Settlements
  • Promoting the Right to Free Quality Primary Education for all children

Water Sci Technol. 2010;61(6):1515-23.

Acceptability of the rainwater harvesting system to the slum dwellers of Dhaka City.

Islam MM, Chou FN, Kabir MR. Department of Hydraulic and Ocean Engineering, National Cheng Kung University, 1 University Road, Tainan 70101, Chinese Taiwan, China

E-mail: manzurul73@gmail.com; hyd4691@mail.ncku.edu.tw

Urban area like Dhaka City, in Bangladesh, has scarcity of safe drinking water which is one of the prominent basic needs for human kind. This study explored the acceptability of harvested rainwater in a densely populated city like Dhaka, using a simple and low cost technology.

A total of 200 random people from four slums of water-scarce Dhaka City were surveyed to determine the dwellers’ perception on rainwater and its acceptability as a source of drinking water. The questionnaire was aimed at finding the socio-economic condition and the information on family housing, sanitation, health, existing water supply condition, knowledge about rainwater, willingness to accept rainwater as a drinking source etc.

A Yield before Spillage (YBS) model was developed to know the actual rainwater availability and storage conditions which were used to justify the effective tank size.  Cost-benefit analysis and feasibility analysis were performed using the survey results and the research findings.

The survey result and overall study found that the low cost rainwater harvesting technique was acceptable to the slum dwellers as a potential alternative source of safe drinking water.

UN report: World’s biggest cities merging into ‘mega-regions

Trend towards ‘endless cities’ could significantly affect population and wealth in the next 50 years

The world’s mega-cities are merging to form vast “mega-regions” which may stretch hundreds of kilometres across countries and be home to more than 100 million people, according to a major new UN report.  

The phenomenon of the so-called “endless city” could be one of the most significant developments – and problems – in the way people live and economies grow in the next 50 years, says UN-Habitat, the agency for human settlements, which identifies the trend of developing mega-regions in its biannual State of World Cities report

The largest of these, says the report – launched at the World Urban Forum in Rio de Janeiro – is the Hong Kong-Shenhzen-Guangzhou region in China, home to about 120 million people. Other mega-regions have formed in Japan and Brazil and are developing in India, west Africa and elsewhere. 

The trend helped the world pass a tipping point in the last year, with more than half the world’s people now living in cities.  

The UN said that urbanisation is now “unstoppable”.  Anna Tibaijuka, outgoing director of UN-Habitat, said: “Just over half the world now lives in cities but by 2050, over 70% of the world will be urban dwellers. By then, only 14% of people in rich countries will live outside cities, and 33% in poor countries.”  

The development of mega-regions is regarded as generally positive, said the report’s co-author Eduardo Lopez Moreno: “They [mega-regions], rather than countries, are now driving wealth.”  

“Research shows that the world’s largest 40 mega-regions cover only a tiny fraction of the habitable surface of our planet and are home to fewer than 18% of the world’s population [but] account for 66% of all economic activity and about 85% of technological and scientific innovation,” said Moreno.  

“The top 25 cities in the world account for more than half of the world’s wealth,” he added. “And the five largest cities in India and China now account for 50% of those countries’ wealth.”  

The migration to cities, while making economic sense, is affecting the rural economy too: “Most of the wealth in rural areas already comes from people in urban areas sending money back,” Moreno said.  

The growth of mega-regions and cities is also leading to unprecedented urban sprawl, new slums, unbalanced development and income inequalities as more and more people move to satellite or dormitory cities.

“Cities like Los Angeles grew 45% in numbers between 1975-1990, but tripled their surface area in the same time. This sprawl is now increasingly happening in developing countries as real estate developers promote the image of a ‘world-class lifestyle’ outside the traditional city,” say the authors.  

Urban sprawl, they say, is the symptom of a divided, dysfunctional city. “It is not only wasteful, it adds to transport costs, increases energy consumption, requires more resources, and causes the loss of prime farmland.”  

“The more unequal that cities become, the higher the risk that economic disparities will result in social and political tension. The likelihood of urban unrest in unequal cities is high. The cities that are prospering the most are generally those that are reducing inequalities,” said Moreno.  

In a sample survey of world cities, the UN found the most unequal were in South Africa. Johannesburg was the least equal in the world, only marginally ahead of East London, Bloemfontein, and Pretoria.  

Latin American, Asian and African cities were generally more equal, but mainly because they were uniformly poor, with a high level of slums and little sanitation. Some of the most the most egalitarian cities were found to be Dhaka and Chittagong in Bangladesh.  

The US emerged as one of the most unequal societies with cities like New York, Chicago and Washington less equal than places like Brazzaville in Congo-Brazzaville, Managua in Nicaragua and Davao City in the Phillippines.  

“The marginalisation and segregation of specific groups [in the US] creates a city within a city. The richest 1% of households now earns more than 72 times the average income of the poorest 20% of the population. In the ‘other America’, poor black families are clustered in ghettoes lacking access to quality education, secure tenure, lucrative work and political power,” says the report.  

The never-ending city
Cities are pushing beyond their limits and are merging into new massive conurbations known as mega-regions, which are linked both physically and economically. Their expansion drives economic growth but also leads to urban sprawl, rising inequalities and urban unrest.

The biggest mega-regions, which are at the forefront of the rapid urbanisation sweeping the world, are:

• Hong Kong-Shenhzen-Guangzhou, China, home to about 120 million people;

• Nagoya-Osaka-Kyoto-Kobe, Japan, expected to grow to 60 million people by 2015;

• Rio de Janeiro-São Paulo region with 43 million people in Brazil.

The same trend on an even larger scale is seen in fast-growing “urban corridors”:

• West Africa: 600km of urbanisation linking Nigeria, Benin, Togo and Ghana, and driving the entire region’s economy;

• India: From Mumbai to Dehli;

• East Asia: Four connected megalopolises and 77 separate cities of over 200,000 people each occur from Beijing to Tokyo via Pyongyang and Seoul.

Source – http://www.guardian.co.uk/world/2010/mar/22/un-cities-mega-regions

Environmental Health Perspectives, ahead of print, 2010

Full-text: Urban area disadvantage and under-five mortality in Nigeria: The effect of rapid urbanization

Diddy Antai, Tahereh Moradi

Background: Living in socio-economically disadvantaged areas is associated with increased childhood mortality risks. As city-living becomes the predominant social context in low- and middle-income countries, the resulting rapid urbanization together with the poor economic circumstances of these countries greatly increase the risks of under-five mortality.

Objective: This study examined the trends in urban population growth and urban under-five mortality between 1983 and 2003 in Nigeria. We assessed whether urban area socio-economic disadvantage has an impact on under-five mortality.

Methods: Urban under-five mortality rates were directly estimated from the 1990, 1999 and 2003 Nigeria Demographic and Health Surveys. Multilevel logistic regression analysis was performed on data containing 2118 children nested within 1350 mother, who were in turn nested within 165 communities.

Results: Urban under-five mortality increased as urban population steadily increased between 1983 and 2003. Urban area disadvantage was significantly associated with under-five mortality after adjusting for individual child- and mother-level demographic and socio-economic characteristics.

Conclusions: Significant relative risks of under-five deaths both at the individual and community levels underscore the need for interventions tailored towards community- and individual-level interventions. We stress the need for further studies on community-level determinants of under-five mortality in disadvantaged urban areas.

High-density housing that works for all.

Full-text – http://www.iied.org/pubs/pdfs/17079IIED.pdf (pdf, 158KB)

Arif Hasan. Published: Mar 2010 – IIED

In an urbanising world, the way people fit into cities is vastly important – socially, economically, environmentally, even psychologically. So density, or the number of people living in a given area, is central to urban design and planning.

Both governments and markets tend to get density wrong, leading to overcrowding, urban sprawl or often both. A case in point are the high-rise buildings springing up throughout urban Asia – perceived as key features of that widely touted concept, the ‘world-class city’.

While some may offer a viable solution to land pressures and density requirements, many built to house evicted or resettled ‘slum’ dwellers are a social and economic nightmare – inconveniently sited, overcrowded and costly.

New evidence from Karachi, Pakistan, reveals a real alternative. Poor people can create liveable high-density settlements as long as community control, the right technical assistance and flexible designs are in place. A city is surely ‘world-class’ only when it is cosmopolitan – built to serve all, including the poorest.

Alternative sanitation specialists Enviro Options
has been awarded a two-year tender by the City of Cape Town to provide informal settlements with a dry sanitation system. This system does not use water or electricity, is odourless and is designed with the user’s health, as well as respectability, 
in mind, says Enviro Options MD Mark la Trobe.

The Enviro Loo

Enviro Options has installed the first series of Enviro Loo dry sanitation units for the City of Cape Town. The unit is 
designed to separate solid and liquid waste as it enters the system. The separate waste is 
exposed to continuous airflows 
that dry it. Air is drawn in through the toilet bowl and inlet pipes and out at the top of the vent pipe. The system uses wind and heat to maintain airflows only into the bottom and out the top of the system, making it odourless. It does not use water so waste volumes are kept to manageable levels. When the waste is removed, it is about 5% of its original volume.

Water-borne sanitation is commonly installed in municipalities that have existing sewerage systems. Rural and periurban municipalities that do not have existing sewerage systems are the principal markets for the stand-alone system. The Department of Education and Limpopo province’s Department of Health use the Enviro Loo system in
their rural schools and clinics 
respectively, and are the biggest clients of the company. Currently, the dry loos are being installed in schools in Limpopo, he says.

The recession and the loss of orders to Dubai have meant that sales of Enviro Loos have 
decreased during the past year. However, the company received an increased number of contracts to operate and maintain the units during the same time. The City of Cape Town’s tender included a maintenance contract for the system with Enviro Options.

The company usually creates a small business within the community to operate and maintain the system. This creates employment and keeps the system operating and maintained. Users and owners of the system are 
educated in its use and the people employed by the small company to maintain the systems supplement this through regular interaction with users and owners.

“Where we established formal maintenance crews, we find that users are very positive about the product because it operates 
continually and is not another failure,” La Trobe says.

Enviro Options communications manager Wendy Mdaki says that maintenance of the system is critical. She says that municipalities must follow up on infrastructure projects that they have completed to ensure that main-
tenance is done on existing infra-
structure. Maintaining the infrastructure creates jobs but also keeps the infrastructure effective.

La Trobe agrees and adds that, if maintenance is not done, the public sees the failure of the system as a problem with the product and not as result of lack of maintenance.

The Enviro Loo system cannot use chemical detergents and the company provides an organic detergent with which to clean the system. Biodegradable substances can safely be used in the toilet.

Enviro Options received the Intel Environment Award in 2005
from the Tech Museum, in the US, for its waterless dehydration/evaporation Enviro Loo. Fifty thousand units are in use throughout the world and the company recently exported a number of systems to France and one to the US in March 2010.

Interest in the system has 
increased since the award was 
received. La Trobe says that Enviro Options is part of the drive to halve the number of people without access to sanitation by 2015. 
The company plans to expand its sales into provinces where its products have not been installed before. There are new inquiries from the Middle East region with the easing of the global recession.

Source  – Envineering News

JOHANNESBURG, 23 March 2010 (IRIN) – A lack of clean water and sanitation in burgeoning slums could trigger a complex set of humanitarian crises says a new paper, Urban Catastrophes: The Wat/San Dimension, by the Humanitarian Futures Programme (HFP) of King’s College London, which keeps an eye on possible crises that could emerge in the not too distant future.

Using plausible but fictitious scenarios set in the slums of Dhaka, capital of Bangladesh, and the city of Sao Paulo, Brazil, the paper shows how water scarcity brought on by climate change and large numbers of people in urban areas could lead to water stress, especially in slums, where shortages can stoke conflicts and an outbreak of a new and virulent influenza.

Simultaneously, the new biennial report by UN-HABITAT, the State of the World Cities 2010/2011: Bridging the Urban Divide, notes that around 3.49 billion people – more than half the world’s population – now live in urban areas, of which 827.6 million are slum-dwellers. The global slum population will probably grow by six million each year, pushing the total number to 889 million in another 10 years.

Urbanization can also provoke water-quality problems, leading to outbreaks of waterborne diseases like cholera. An outbreak that began in the slums of Luanda, the Angolan capital, killed over 2,800 people in 2006, when only 66 percent of Angola’s urban population has access to safe drinking water, according to the UN.

Water shortages in slums could open the door to corruption, conflict and an increased risk of disease, setting off a range of complex humanitarian crises. Many of these factors are already evident and operating in slums across the world, the authors of the HFP report note.

Corruption

“As with any valuable good, the provision of clean water and sanitation facilities in slums is an attractive target for corruption, greed, collusion and exploitation,” the HFP researchers pointed out.

In areas where there is a lack of accountability and political oversight, “resulting in collusion between government officials and private-sector water providers”, slum dwellers have to pay a very high price for water, and sanitation falls by the wayside.

The result is that the civil society is weakened and ability of slum dwellers and external players to change the system and help the residents out of poverty is curtailed, the HFP report commented.

Conflict

There is also evidence that water shortages threaten increased violence and conflict, especially in “high-density, multi-ethnic, politically unequal environments of concentrated poverty, as is often found in many slums,” the HFP report said, citing reports of water-related protests and conflicts in Bolivia, Pakistan and India.

Risk of disease

As larger numbers of people move into already crowded areas, they are often forced to live in unacceptably poor sanitary conditions, sometimes even at close quarters with animals, giving rise to opportunities for new disease vectors, noted the report. In slums located in tropical climates, the chances of new forms of diseases evolving are high.

What to do

Randolph Kent, who heads HFP, pointed out that the projections were for 20 to 30 years in the future, “but the idea is to provide enough time to countries to plan ahead”.

He suggested setting up low-tech, cheap service delivery systems – for instance, to provide water, use segmented flexible rubber hoses that can be easily connected and disconnected. The hoses are produced by several independent companies, can be serviced and maintained by unskilled technicians, and offer plenty of design options.

For waste removal, the report suggested an improvement on the traditional chamber pot – use antibacterial plastic buckets that can be fitted with mechanically sealing covers, as on commercial compost bins. The bucket can be carried either by hand or taken by cart to a dumping point like a municipal sewer, then cleaned by hand or at a semi-automatic hot water and bleach station, and delivered to the family for re-use.

Source – http://www.irinnews.org/Report.aspx?ReportId=88533

MONGOLIA: ULAANBAATAR GRAPPLES WITH SMOG PROBLEM

Mongolia calls itself the land of blue sky, but for seven long months each year, a thick cloud of smog hangs over the capital, Ulaanbaatar. Seeking to improve the quality of life for the city’s approximately 1 million inhabitants, local bankers and development organizations are striving to combat pollution at its main source – suburban family homes.

From October to April each year, 60 percent of Ulaanbaatar‘s air pollution is generated by residents of the city’s sprawling ger districts, according to World Bank data. These residential areas on the outskirts of Ulaanbaatar are home to an estimated 150,000 households, with most living in traditional Mongolian gers, also known as yurts, and single-family homes that can resemble log cabins. These neighborhoods are not linked to the city’s central system that heats apartments and office buildings. Thus, most families in the ger districts burn a combination of wood and coal for heating and cooking. The poorest burn tires, trash, and whatever else they can find to stay warm during Mongolia’s frigid winters.

Coal-fired ger stoves release high levels of ash and other particulate matter (PM). When inhaled, these particles can settle in the lungs and respiratory tract and cause health problems. At two to 10 times above Mongolian and international air quality standards, Ulaanbaatar’s PM rates are among the worst in the world, according to a December 2009 World Bank report. The Asian Development Bank (ADB) estimates that health costs related to this air pollution account for as much as 4 percent of Mongolia’s GDP.

At the government’s urging, several major development organizations, including the World Bank and GTZ, the development arm of the German government, joined by Mongolian institutions, including micro-finance lender Xac Bank, have launched a project to improve ger stove designs. The aim is to make new stoves widely available, thereby reducing fuel consumption and emissions.

In the past, similar programs have met with mixed success. Some fuel-efficient stoves required specific fuel types; those fuels were often expensive or subject to unreliable availability. Others simply were not an improvement. “In 2006, 2007, there were not good stoves on the market,” says Ruth Erlbeck, GTZ’s Integrated Urban Development Program Manager.

GTZ developed a new ger stove model, which includes insulating bricks to retain heat – and thus use less fuel – and two air intake channels to raise the combustion temperature and cut emissions. The stoves can burn all types of fuel, even high quality semi-coke coal.

Last year, Xac Bank adopted the fifth generation of GTZ’s stove design for an eco-loan program. Xac Bank and GTZ claim that the stove cuts fuel use by more than 50 percent, although customer feedback indicates a less stellar performance, admits Matthew Kuzio, an American who works on the project in Xac Bank’s consumer banking department. “Most [customers] are saying it’s a 30 to 40 percent reduction of fuel,” he told EurasiaNet.org.

A traditional stove can use up 40 percent of a family’s monthly income in winter, according to Xac Bank estimates. Less fuel used means less spending. Even so, high consumer costs appear to be hindering the spread of the improved stoves, which cost 152,000 tugrik (approximately $110). GTZ’s Erlbeck suggested that many Mongolians cannot afford the new stoves.

“The people who are creating the mass of the pollution are [living] in poverty,” added Munkhbaatar Tsagaadai, a Xac Bank product officer.

Proponents of the fuel-efficient stoves are now searching for ways to improve distribution. Xac Bank maintains that its eco-loan borrowers who receive their loans and buy their stoves directly from bank branches save money from reduced fuel consumption, even while re-paying the loan.

The bank’s sales pitch does not focus on the environmental benefits. “We don’t even talk about the environment – just money and warmth,” says Kuzio.

But the environmental benefits nevertheless help the bank finance the program: Xac sells carbon credits based on stove sales on the voluntary carbon offset market via an American company called MicroEnergy Credits.

Only a few hundred families have obtained loans for the stoves, along with other eco-products, from Xac Bank since the lending program began last December. The bank and GTZ officials have opposing views on how to get enough stoves into Ulaanbaatar’s ger districts to make an environmental difference. GTZ’s Erlbeck says a subsidy program is necessary to cut consumer costs to reasonable levels; Xac Bank’s Kuzio argues that NGO programs often end before they become sustainable.

Despite the differences, both institutions are optimistic that progress can be made, in part because $30 million in Mongolia’s Millennium Challenge Account is earmarked for clean energy initiatives over the next three years. “We can solve the ger problem in two years if donors work together,” says Erlbeck. “The problem is manageable.”

The chances of success are greater if the people creating the problem start to see themselves as a viable part of the solution as well, says Gomb, a 76-year-old retired finance administrator. After purchasing a fuel-efficient stove with a Xac Bank eco-loan, he seemed pleased that his ger, located far from the city center, was warmer and less smoky. And he welcomed the fact that he was saving money on fuel. “Individuals need to be responsible for air pollution,” he said.

Source – http://www.eurasianet.org/departments/civilsociety/articles/eav022310a_pr.shtml

From the African Population and Health Research Centre website:

One hundred girls from Viwandani slums are assured they will not miss school for the next 12 months –at least not for reasons that they lack the means to manage their menstrual flow. This was after Doshi group of companies donated a one-year supply of sanitary pads to girls attending schools in the slum. The schools are under a project on promoting proper hygiene practices in schools within Korogocho and Viwandani slums that is being implemented by The African Population and Health Research Center.

Some of the girls present to receive the supply recounted experiences of how they have missed school during their periods. “Many of us miss school during that time of the month because we use pieces of cloth that often stain our dresses and it is so embarrassing,” said one of the girls from a community school in Viwandani. The Israeli Ambassador to Kenya H.E Jacob Keidar was the chief guest at the handover ceremony and noted that education is one important asset that guarantees a better life and girls should not miss out on their school days because they have periods.

Read More – http://www.aphrc.org/insidepage/?articleid=459

Journal of Urban Health, Feb 2010.

Women’s Reproductive Health in Slum Populations in India: Evidence From NFHS-3

Indian Institute of Public Health, Delhi, India

The urban population in India is one of the largest in the world. Its unprecedented growth has resulted in a large section of the population living in abject poverty in overcrowded slums. There have been limited efforts to capture the health of people in urban slums. In the present study, we have used data collected during the National Family Health Survey-3 to provide a national representation of women’s reproductive health in the slum population in India.

We examined a sample of 4,827 women in the age group of 15–49 years to assess the association of the variable slum with selected reproductive health services. We have also tried to identify the sociodemographic factors that influence the utilization of these services among women in the slum communities. All analyses were stratified by slum/non-slum residence, and multivariate logistic regression was used to analyze the strength of association between key reproductive health services and relevant sociodemographic factors.

We found that less than half of the women from the slum areas were currently using any contraceptive methods, and discontinuation rate was higher among these women. Sterilization was the most common method of contraception (25%). Use of contraceptives depended on the age, level of education, parity, and the knowledge of contraceptive methods (p < 0.05). There were significant differences in the two populations based on the timing and frequency of antenatal visits. The probability of ANC visits depended significantly on the level of education and economic status (p < 0.05).

We found that among slum women, the proportion of deliveries conducted by skilled attendants was low, and the percentage of home deliveries was high. The use of skilled delivery care was found to be significantly associated with age, level of education, economic status, parity, and prior antenatal visits (p < 0.05). We found that women from slum areas depended on the government facilities for reproductive health services. Our findings suggest that significant differences in reproductive health outcomes exist among women from slum and non-slum communities in India. Efforts to progress towards the health MDGs and other national or international health targets may not be achieved without a focus on the urban slum population.