HYDERABAD: While slum belts in the Hyderabad district have been identified as likely to be the worst-hit in the case of heavy rainfall, besides the problems associated with water logging, a bevy of diseases are likely to to develop in the areas, unless necessary administrative checks are in place.

With the swine flu scare adding to the concerns of the health departments in the district, the possibility of epidemic outbreaks are keeping health officials on their toes.

In this connection, the District Medical Health authorities revealed on Sunday that while weekly meetings have been initiated with HMWSSB officials for monitoring sanitation issues, a number of additional measures are also being instituted.

Officials indicated that specific problem- prone areas in Hyderabad district have been identified, and an action plan is being formulated in this regard.

District Medical Health Officer for the Hyderabad district, Ch Jayakumari said on Sunday that the possibility of dengue fever is on the rise in the slums and low lying areas in the Twin Cities.

While officials have reportedly started initiating sanitation drives in low lying areas with bleaching powder and similar disinfectant substances as a deterrent for mosquito larvae, the GHMC officials meanwhile have been given the responsibility of initiating local level drives to alleviate the situation in areas prone to water stagnation. Sources indicated that measures regarding application of bleaching powder may not be adequate to cover all the areas at the local level in the district, and as such, individuals should exercise discretion to sanitise their locality on their own accord.

Jayakumari noted that a team from the Integrated Disease Surveillance Project (IDSP) along with the District Epidemic Cell is presently monitoring the situation in the district, with special regards to waterborne diseases. The central surveillance unit will coordinate the activities of the IDSP at the national level providing technical support, and guidance along with financial support. A number of medical and paramedical staff in Government hospitals have also been deployed to monitor the disease situation in the high risk areas.

Officials said that two mobile teams have been dispatched from the DHMO office, who along with officials from the GHMC have be instructed to keep a watch on individual areas. Mobile Treatment Centres (MTCs) are also being reportedly readied to tackle the likelihood of an outbreak, with special emphasis on schools and slum areas in the district.

Meanwhile, information regarding the administration of oral rehydrating solution (ORS) in the case of disease management is being conveyed at the local area level, in conjunction with Asha workers and medical officers.

The areas that have been identified so far include Aman Nagar, Azampura, Charminar, Barkas, Kishan Bag, Bholakpur, Asifnagar, Borabanda, Viveknagar, Agapura, Ramnagar, Mettuguda, Gudimalkapur among others in the district, informed the Health Officer.

Source, Aug. 24, 2009 – ExpressBuzz

Ancient class system haunts Yemeni shantytowns – Human rights activists say land rights are a key to helping an impoverished and often isolated minority group known as ‘akhdam’ in Yemen. The group often lives in settlements that do not receive city services like water, sewage pipes and electricity.

SANA’A, Aug. 23 – Nassra Mohammad has raised eight children and buried two daughters since she moved into her single room home 25 years ago, but she does not know who legally owns the property.

The room has a tin door, stone walls and a hot-plate on the floor. There is no running water or windows, and a naked light bulb hangs from a wire on the ceiling.

Her home is no larger than the inside of the back of a boxy delivery truck. She moved there after her family was evicted from a similar settlement on the other side of Sana’a city.

“People asked us to get out, so we came here,” she said.

The land was empty when her family started building in what became a dusty shantytown known as a “mahwa” that now houses thousands of people who don’t technically own the land.

But according to the law, they should, said Yasser Mubarak the Oxfam Coordinator for the Poverty Reduction Strategy Project in Yemen.

And with no land rights, he said, mahwa residents become victims of human rights abuses.

Islamic law and Yemeni civil law both say that a person who settles on unclaimed land is its owner, added lawyer Abdulazeez Al-Samawi.

Land ownership for settlers is also a part of Yemeni culture, according Khaled al-Anisi, the executive director of the National Organization for Defending Rights and Freedoms.

“If they had documents, no one could take their land,” he said.

And because they don’t have the deeds to their properties, Mubarak said, they are denied basic city services, like water, sewage, telephones and electricity.

Nassra also still fears that she and her family will one day be thrown out of their homes again.

“There were rumors that the government wanted to take the place from us,” she said.

She is part of a large, often isolated and impoverished minority group in Yemen known as “al-akhdam,” which literally means, “the servants.”

Surrounded by a pack of grandchildren, and her youngest child, 10-year-old Fatima, Nassra said that besides extreme poverty her family and neighbors are constant victims of racial discrimination.

She gently pinched Fatima’s cheek. “They call us akhdam, they call us black, but we are all creations of God,” she said.

Despite the fact that akhdam communities are Muslim with a Yemeni heritage older than Islam, they are often isolated, discriminated against and live in slums that are short of water, sewage, healthy food, available education and security.

Many of these injustices could be alleviated if families in mahwas like Nassra’s, were granted legal ownership of their homes, said Mubarak.

But because the land was settled as opposed to purchased, residents do not have deeds, and the lack of city services makes them vulnerable to host of other injustices.

They suffer poor health from inadequate sanitation, which also harms their educations, said Mubarak.

One family he knew in Aden lived five meters from the school in a mahwa with no running water. They wanted to send their daughter to school, but the teachers refused her because she was dirty.

With no water to wash, she was considered a health risk to other children.

“Access to land would solve everything,” he said.

Nassra’s 31-year-old son, Ali Al-Rousi, did not know he might be entitled to own his home. He is, however, keenly aware of the difference between living in the mahwa and living a few dozen meters away on Zubairi Street.

Thousands of residents share a single sewage pipe in the mahwa, while homes on the main road have running water.

More often than not, the pipe is stopped up, he said.

“It would be easy for the government to connect us with water and sewers,” he said, “But they don’t.”

With 10 children and two wives, Ali struggles to support his family as a day laborer carrying cases of sodas from trucks into shops. At best, his income provides his family with about YR 150 (75 cents) for each individual per day. Many days, however, he does not find work.

Ali, who laughs easily and uses animated gestures when he talks, leaned on a dirty yellow jerry can and joked.

“The only opportunity our government gives us is to carry,” he said.

Discrimination in the heart of Sana’a

Eighteen-year-old Rashad Hassan Al-Zabeedy’s lives in a settlement of about 30 families behind a black metal gate in the Old City.

The settlement has five bathrooms- one for about 50 people. His apartment is about 15 feet long and six feet wide.

When asked how many members of his large family sleep in the room, Rashad cocked his head while he counted silently.

“Twelve or thirteen,” he concluded.

He looked slightly embarrassed and laughed.

“Yeah, we sleep on top of each other,” he added

Yemen is one of the poorest countries in the world, according to a 2008 UN report and almost half of the people live on less than two dollars a day. But no group has suffered more- or longer- than the akhdam.

An ancient, fading class system unites the akhdam as a group. Their collective identity appears to originate from Ethiopians who conquered and settled in 6th Century Yemen. They have, however, been in Yemen as long as any other group, and self-identify as Yemenis.

But besides being isolated from mainstream society in separate neighborhoods, they mostly work in dangerous, dirty and insecure sanitation jobs, like sweeping streets, which can pay as little as YR 300 (USD 1.50) a day.

Mubarak said that there are about 20,000 to 30,000 akhdam in Sana’a but mahwas all over the country that have the same demographics and the same problems. Estimates of the total population of the group in Yemen range from 500,000 to 1 million.

Most akhdam children do not finish school, and many drop out around fourth or fifth grade because of mistreatment from teachers and other students, according to Rashad. Others leave because they need to go to work to help support their families.

Many, like Rashad, leave school before they are able to read and write.

Rashad also said teachers regularly fail akhdam children who deserve good marks.

“Even the teachers and students discriminate against us,” he added.

Police also do not properly investigate crimes against akhdam, he said. Six years ago, his sister, Saeeda, was stabbed to death by 10 men on the streets of the Old City. She was 15.

Rashad’s older brother, Saeed, witnessed the murder, and identified the killer to the police. The police came late, and accused the brother of the murder. The killer remains free.

“We are, in their opinion, just akhdam,” he said.

“We are Yemeni”

While akhdam is a common term, the group is also referred to as the main part of a larger group left over from the old class system. They are called “al-muhamasheen,” which means, “the marginalized ones.”

Many Yemenis prefer the term muhamasheen because it is not as stigmatizing as the inherently negative term, akhdam.

And according to one member of Nassra’s family, 19-year-old Khaled Sa’ad, akhdam is a cruel label.

But his family, he said, are not muhamasheen either.

“We are not marginalized,” he said. “We are Yemeni like other people.”

Ali agreed and said that the minority label is an excuse for racism.

“If somebody black is walking in any area, people call them akhdam.”

And across town in the Old City, Rashad and his family agreed.

Rashad’s sister, 17-year-old Hussnia Al-Zabeedy said the label was simply a way for charity groups and NGOs to solicit funding. Her family, she said, are not marginalized. They are Muslims, originally from Zabeed, famous for its ancient Islamic colleges and scholarship.

“There is no difference between black and white,” she said, “Only in worship.”

Source – http://yementimes.com/article.shtml?i=1288&p=front&a=1

Study of 16 developing countries shows climate change could deepen poverty

WEST LAFAYETTE, Ind. – Urban workers could suffer most from climate change as the cost of food drives them into poverty, according to a new study that quantifies the effects of climate on the world’s poor populations.

A team led by Purdue University researchers examined the potential economic influence of adverse climate events, such as heat waves, drought and heavy rains, on those in 16 developing countries. Urban workers in Bangladesh, Mexico and Zambia were found to be the most at risk.

“Extreme weather affects agricultural productivity and can raise the price of staple foods, such as grains, that are important to poor households in developing countries,” said Noah Diffenbaugh, the associate professor of earth and atmospheric sciences and interim director of Purdue’s Climate Change Research Center who co-led the study. “Studies have shown global warming will likely increase the frequency and intensity of heat waves, drought and floods in many areas. It is important to understand which socioeconomic groups and countries could see changes in poverty rates in order to make informed policy decisions.”

The team used data from the late 20th century and projections for the late 21st century to develop a framework that examined extreme climate events, comparable shocks to grain production and the impact on the number of impoverished people in each country.

Thomas Hertel, a distinguished professor of agricultural economics and co-leader of the study, said that although urban workers only contribute modestly to total poverty rates in the sample countries, they are the most vulnerable group to changes in grains production.

“Food is a major expenditure for the poor and, while those who work in agriculture would have some benefit from higher grains prices, the urban poor would only get the negative effects,” said Hertel, who also is executive director of Purdue’s Center for Global Trade Analysis. “This is an important finding given that the United Nations projects a continuing shift in population concentrations from rural to urban areas in virtually all of these developing countries.”

With nearly 1 billion of the world’s poor living on less than $1 a day, extreme events can have a devastating impact, he said.

“Bangladesh, Mexico and Zambia showed the greatest percentage of the population entering poverty in the wake of extreme drought, with an additional 1.4 percent, 1.8 percent and 4.6 percent of their populations being impoverished by future climate extremes, respectively,” Hertel said. “This translates to an additional 1.8 million people impoverished per country for Bangladesh and Mexico and an additional half million people in Zambia.”

A paper detailing the work will be published in Thursday’s (Aug. 20) issue of Environmental Research Letters. In addition to Diffenbaugh and Hertel, Syud Amer Ahmed, a recent Purdue graduate and a member of the development research group for The World Bank, co-authored the paper. The World Bank’s Trust Fund for Environmentally and Socially Sustainable Development funded the research.

The team identified the maximum rainfall, drought and heat wave for the 30-year periods of 1971-2000 and 2071-2100 and then compared the maximums for the two time periods.

The global climate model experiments developed by the Intergovernmental Panel on Climate Change, or IPCC, were used for the future projections of extreme events. The team used an IPCC scenario that has greenhouse gas emissions continuing to follow the current trend, Diffenbaugh said.

“The occurrence and magnitude of what are currently the 30-year-maximum values for wet, dry and hot extremes are projected to substantially increase for much of the world,” he said. “Heat waves and drought in the Mediterranean showed a potential 2700 percent and 800 percent increase in occurrence, respectively, and extreme rainfall in Southeast Asia was projected to potentially increase by 900 percent.”

In addition, Southeast Asia showed a projected 40 percent increase in the magnitude of the worst rainfall; central Africa showed a projected 1000 percent increase in the magnitude of the worst heat wave; and the Mediterranean showed a projected 60 percent increase in the worst drought.

A statistical analysis was used to determine grain productivity shocks that would correspond in magnitude to the climate extremes, and then the economic impact of the supply shock was determined. Future predicted extreme climate events were compared to historical agricultural productivity extremes in order to assess the likely impact on agricultural production, prices and wages. Because the projected changes in extreme rainfall and heat wave events were too large for the current model to accept, only the extreme drought events were incorporated into the economic projections, making the projected poverty impacts a conservative estimate, he said.

To assess the potential economic impact of a given change in wages and grains prices, the team used data from each country’s household survey. The estimates of likely wage and price changes following an extreme climate event were obtained from a global trade model, called the Global Trade Analysis Project, or GTAP, which is maintained by Purdue’s agricultural economics department.

Purdue’s GTAP framework is supported by an international consortium of 27 national and international agencies and is used by a network of 6,500 researchers in 140 countries.

Large reductions in grains productivity due to extreme climate events are supported by historical data. In 1991 grains productivity in Malawi and Zambia declined by about 50 percent when southern Africa experienced a severe drought.

Diffenbaugh said this is an initial quantification of how poverty is tied to climate fluctuations, and the team is working to improve the modeling and analysis system in order to enable more comprehensive assessments of the link between climate volatility and poverty vulnerability.

Water and sanitation in urban Malawi: Can the Millennium Development Goals be met? A study of informal settlements in three cities, August 2009.

Full-text – http://www.iied.org/pubs/pdfs/10569IIED.pdf

This paper assesses the quality and extent of provision for water and sanitation in urban areas in Malawi – where over 60% of the population lives in informal settlements. It also considers whether the Millennium Development Goals (MDGs) for water and sanitation are likely to be met in Malawi, and examines the current and potential role of community-led sanitation improvements. It includes recommendations for interventions needed by governmental, international and civil-society organizations to improve living conditions of communities to contribute to the realization of the MDGs.

New England Journal of Medicine, Volume 361:741-743 August 20, 2009 Number 8

Urbanization — An Emerging Humanitarian Disaster

Ronak B. Patel, M.D., M.P.H., and Thomas F. Burke, M.D.

Full-text: http://content.nejm.org/cgi/content/full/361/8/741

Although many expect urbanization to mean an improved quality of life, this rising tide does not lift all boats, and many poor people are rapidly being absorbed into urban slums. Urbanization, in fact, is a health hazard for certain vulnerable populations, and this demographic shift threatens to create a humanitarian disaster. The threat comes both in the form of rising rates of endemic disease and a greater potential for epidemics and even pandemics. To protect global health, governments and international agencies need to make commensurate shifts in planning and programs, basing all changes on solid epidemiologic and operational research.

Guidance Notes on Services for the Urban Poor: A Practical Guide for Improving Water Supply and Sanitation Services, August 2009. (pdf, 1.8MB)

Water and Sanitation Program

WASHINGTON, August 18, 2009—Giving poor people a say in the water and sanitation services they receive, and allowing alternative documentation to prove residence are some of the simple solutions that can bring sustainable water and sanitation services to the hundreds of millions currently living without, according to a new report today released by the Water and Sanitation Program (WSP).

According to UNICEF and WHO, 900 million do not drink safe water and 2.5 billion people live without access to improved sanitation, leading to millions of deaths every year, mostly of children under five.

The report, Guidance Notes on Services for the Urban Poor: A practical guide for improving water and sanitation services, identifies barriers to service delivery for poor people living in urban areas in Africa, East and South Asia, and Latin America and recommends practical solutions to overcome them.

“Hundreds of millions of people are living in these conditions, but the underlying reasons preventing service delivery can vary depending on whether a person lives in the city or in the countryside,” said WSP Program Manager Jae So. “To identify appropriate solutions, we must identify these contexts, examine the barriers, and formulate logical and practical steps that can be implemented to overcome them.”

Citing an example from the report, Senior Water and Sanitation Specialist Dennis Mwanza said “Project designers and service providers often assume they know what type of services the poor want and are willing to pay for. Their assumptions are not always correct and often result in costly and unsustainable, supply-driven public programs. Giving the poor the opportunity to participate in planning and design can mean the difference between success and failure.”

Among other solutions, the study added that simplified, client-friendly procedures for billing, collection, and connection help the poor to gain and retain access to water and sanitation services.

The report includes a compilation of 19 case studies from 12 countries as well as consultations with urban poor communities to analyze similar barriers and propose solutions.

YEMEN: Unprecedented water rationing in cities

SANAA, 16 August 2009 (IRIN) – Water and sanitation companies in Yemen are adopting unprecedented water rationing in major cities including the capital Sanaa, Taiz, Mukalla, al-Beidha, al-Dhalea and Lahj, local council officials said.

Urgent action is needed to halt depletion of the country’s water resources, Abdulqader Hanash, deputy minister for water affairs, told IRIN. Some 90 percent of available water is used for agriculture, leaving just 10 percent for industrial and household use, he said. Specialists have said before that 40 percent of Yemen’s agricultural water consumption can be attributed to the cultivation of Qat – a mild narcotic plant.

Hanash explained that the ministry was taking steps to stop the proliferation of wells which exacerbated groundwater depletion; it was also helping citizens to switch to less water-dependent produce and farming techniques.

“We expect the international community and donors to provide further funding to allow the ministry to implement its water strategies,” he added.

A report by the UN Economic and Social Commission for Western Asia (UN-ESCWA) says Yemen is under “serious water stress”.

The World Bank considers a country to be water scarce if there are less than 1,000 m³ of renewable internal freshwater resources available per capita. The global average is about 6,750 m³ of water per capita. All Arab countries bar Lebanon and Comoros are well below the water scarcity level. Yemen has about 200 m³ per capita – just 3 percent of the global average.

UNDP study

A UN Development Programme (UNDP) study of Arab countries in 2007 said Yemen had the second highest percentage of population without access to safe water (after Comoros) – 33 percent – just over double the Arab average.

Environmental specialist Mohammed al-Ariqi said Yemen’s water deficit was growing at 5 percent per year – the same rate as annual population growth. A new water source has been discovered recently in Hadhramaut but its impact on the country’s overall water needs has not yet been assessed.

In al-Ariqi’s book Water: Reality & Vision, al-Ariqi said Yemen’s water deficit in 2000 was 900 million m³; 700 million m³ in 1995; and 400 million m³ in 1990. His latest figures, for 2005, put the country’s water deficit at 1.28 billion m³.

Worst province, city

Al-Beidha, with a population of 300,000, is the country’s most water-scare province, according to Mohammed al-Aidarous, a local councillor there. Water in al-Beidha costs more because it takes three to four hours to transport it by truck from the nearest water source. “The majority of the province’s artesian wells have dried up because of frequent droughts coupled with excessive consumption by farmers growing qat,” he said.

Abdulwahab Almujahed, head of water and environment at the Social Fund for Development, said that Taiz city suffers the worst water shortages in the country with citizens receiving municipal water once every 45 days on average. Compounding the shortages problem was the fact that having long intervals without water running through the pipes causes contamination, he said.

“The Taiz-based Local Water and Sanitation Corporation continues to connect more households to an empty supply network. However, it should first look for water sources before expanding the network,” Almujahed told IRIN. “The corporation should provide tanks to citizens to harvest rainwater, which they can use during the drought season.”

Almujahed added that Dhamar, 100km south of Sanaa and with a population of nearly 120,000, has the cleanest water supply in Yemen because it is available almost every day.

Price hikes

To get a large truck-load of water (3,600 litres) delivered in Sanaa has gone up in the past month from US$7.5 to US$12.5, according to Abdulkarim Al-Ghashm, an employee at the Ministry of Industry and Trade.

“Our household has received no water for 21 days, so I turned to buying water from trucks. In the past month, I bought water four times, costing me YR10,000 [$50] – nearly one-third of my monthly salary.”

Mahdi al-Sukhaini, owner of an artesian well near al-Saleh mosque in Sanaa, attributed the problem to severe drought: “Many artesian wells have dried up,” he told IRIN.

He also complained of a lack of fairness in the water rationing system, with some parts of Sanaa not getting water for up to 15-20 days at a time.

Khalid al-Kharbi, a water resources manager in the Sanaa-based Local Water and Sanitation Corporation, admitted there was a problem, saying “houses near the main tanks receive water at more frequent intervals than houses further away.”

He said the company was looking at ways of alleviating the situation: the digging of 1,000-metre deep wells around the city, desalination projects in the Red Sea, and tapping into new water sources in the Empty Quarter. The main problem in all cases was lack of funding, he said.

“Thirty years ago water was found in the Sanaa basin at a depth of 20-30 metres, but now we have to go down 300-400 metres,” al-Kharbi said, warning that Sanaa could run out of water in the next 15-20 years.

According to al-Kharbi, only 52 percent of Sanaa’s two million people are connected to the municipal water supply network.

Source – IRINnews, August 16, 2009

The website KidFriendlyCities.org is a resource which allows the following:

- Lists of cities which are rated as ‘kid-friendly’
- Top attractions nationwide, including theme parks, museums, and beaches
- Demographics information vital to parents (crime rates, education profiles, diversity, etc)
- Lists of activities, for age groups ranging from infants to teenagers

Below are links to the full-text of 11 2009 reports from USAID, WaterAid, WSP and others on urban water and sanitation issues. I found these when responding to an information request and searching IRC’s Digital Library which is a great resource.

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1 – Rogers, J; Karp, A.; Nicholls, R.; Sukarma, R.; Bimo and Andharyati M., P.

(2009). USAID Indonesia – Support on water and sanitation sector analysis and program. Washington, DC, USA, USAID

The purpose of this report is to provide input for the water and sanitation portion of USAID’s five year development assistance strategy for Indonesia, including a proposed set of programmatic technical assistance activities that could constitute a USAID Water and Sanitation portfolio for the next five year period (2009-2014). Interventions would include PDAM capacity building; Finance activities including microfinance and utility/local government finance; Community Mobilization for water, sanitation, and hygiene; National and sub-national Advocacy Strategies to increase political and financial commitment; Strategies to address Sanitation (advocacy, infrastructure, and behavioural); Increase Access to water services among poor households in urban/peri-urban areas; Rural approaches to improving access to drinking water; Sanitation in coastal areas including technology and behavioural innovations; Household alternative POU methods; Watershed activities impacting water quality and quantity ; Water Quality Testing and reporting. The authors recommend that seventy percent of the USAID funded project budget be directed to water, with thirty percent applied to sanitation and hygiene promotion. It is also recommended that the sanitation and hygiene promotion activities be implemented in a manner that will reduce associated risks, beginning with selection of communities where the likelihood of successfully benefiting the poor is greatest.

2 – Water and Sanitation Program

(2009). Global experiences on expanding services to the urban poor. (pdf, 1.73MB)

Report on the research initiated by the Water and Sanitation Program–South Asia in 2006–2007 to identify barriers to service delivery for the urban poor. The research included a review of various initiatives from across the globe that have resulted in improved service delivery for the urban poor and consultations with the urban poor communities. This report supports the Guidance Notes on Improving Water Supply and Sanitation Services for the Urban Poor in India. It is divided into two sections: Case studies of 18 initiatives from South Asia, Africa, and Latin America and Consultations with urban poor communities across four major Indian cities, namely, Mumbai, Bengaluru, Vadodara, and Delhi.

3 – Triche, T. and McIntosh, A.

(2009). Improving water supply and sanitation services for the urban poor in India. New Delhi, India, Water and Sanitation Program – South Asia. (pdf, 3.76MB)

Findings of the research to identify barriers to service delivery for the urban poor, initiated by the Water and Sanitation Program–South Asia in 2006–07. The Guidance Notes provide a systematic analysis of the barriers to service delivery for the urban poor and recommend practical solutions and strategies for overcoming these barriers. The Guidance Notes are based on an in-depth research of various initiatives from across the world (including South Asian, African, and Latin American countries) and consultations with urban poor communities across four major Indian cities (Mumbai, Bengaluru, Vadodara, and Delhi). An accompanying volume, Global Experiences on Expanding Services to the Urban Poor, is a documentation of ‘Global and Indian Case Studies’ and ‘Consultations with Urban Poor Communities’.

4 – Colin, J.

(2009). Urban sanitation in Indonesia : planning for progress. (Field note / WSP). (pdf, 1.14MB)

Urban sanitation planning needs to be more than a voluntary activity if it is to be undertaken nationwide. Government needs to develop both incentives and obligations for municipalities to adopt comprehensive strategies, by linking funding to the adoption of city-wide sanitation plans.

5 – WaterAid -Kathmandu, NP

(2009). Nepal: Is menstrual hygiene and management an issue for adolescent school girls? Kathmandu, Nepal, WaterAid. (pdf, 2.05MB)

This small scale study was undertaken with the objective of determining the prevailing knowledge and experiences of menstrual hygiene and management, and their implications, among adolescent school girls in rural and urban settings of Nepal. This is a descriptive cross-sectional study in which mixed methods were applied. Data was collected from 204 adolescent school girls from four government secondary schools, one in each of Dhading, Morang, Lalitpur and Kathmandu districts, using self-administered structured close-ended questionnaires, focus group discussions (FGD), and semi-structured in-depth interviews. Four main recurrent themes have been identified in the analysis: a) knowledge and beliefs b) experiences during menstruation c) seclusion, exclusion and absenteeism and d) hygiene practices. Restrictions during menstruation that limit daily activities and routine are widely practiced. Further, lack of small things required for maintaining basic hygiene during menstruation, like privacy, water supply and waste disposal compound the situation. Conscious efforts need to be made to address lack of privacy, which is an important determinant for proper practice of menstrual hygiene and also school attendance.

6 – Castro, V.; Msuya, N. and Makoye, C.

(2009). Tanzania: Sustainable community management of urban water and sanitation schemes : (a training manual). Nairobi, Kenya, Water and Sanitation Program.

This manual is intended to provide a trainer with the tools and information to build management capacity in the target communities in Tanzania to improve water supply and sanitation management practices. The courses in this training manual are based on participatory training methodologies, an important feature of which is to draw on the experiences of all the participants, under the guidance of an experienced facilitator. The participants will likely range from those with extensive experience to those with no experience managing a water supply and /or sanitation scheme. However, where possible, the trainer should encourage sharing of ideas and experiences throughout the training. The seven modules are meant to equip communities with the tools to eliminate or reduce the major constraints in managing infrastructure and providing services. The manual also enables the clarification of the roles and responsibilities of all stakeholders. It covers technical issues such as operations and maintenance activities—but also has a strong focus on institutional, managerial, and financial issues. The material is especially relevant for communities who have a relationship with the main water services provider and who are also committed to hiring an Operations Manager. The Operations Manager, the report says, should be a paid employee and their performance should be reviewed by beneficiaries. Although the manual is geared for trainers, it has also been designed to serve as a reference tool for communities who may wish to review the material on an on-going basis. Government, planners and donors will also find the manual useful for helping to ensure that communities have the appropriate skills to manage their infrastructure schemes.

7 – Locussol, A.R. and Fall, M.

(2009). Guiding principles for successful reforms of urban water supply and sanitation sectors. (Water working notes; no. 19). Washington, DC, USA, World Bank.

This report focuses primarily on improving the service provided by official water supply and sanitation (WSS) service providers, which because of limited coverage or poor performance do not always have the monopoly of provision usually associated with WSS in urban areas. Chapter 1 rapidly analyzes the data published by the UNICEF/WHO Joint Monitoring Program (JMP) for monitoring the evolution of access to urban WSS infrastructure. It also reviews the indicators developed by the International Benchmarking Network for Water and Sanitation Utilities (IBNET) for measuring efficiency, reliability, financial sustainability, environmental sustainability, and affordability of piped WSS service. Chapter 2 summarizes the methodology proposed for assessing the accountability framework of urban WSS sectors, defined as the set of mandates of its key actors, contractual arrangements that clarify both interaction between actors and the instruments used by each actor to implement their mandates. Chapter 3 summarizes recommendations for designing and implementing reforms of WSS sectors and focuses on Involving stakeholders in WSS reforms; Revisiting WSS policies; Changing the culture of public WSS service providers; Optimizing WSS asset management and infrastructure development; Improving WSS service provision through internally developed programs; Improving WSS service provision through partnerships with the private sector; Financing WSS operations in a sustainable and affordable manner; Regulating the WSS service in a transparent and predictable manner; and Implementing WSS reforms.

8 – Wodon, Q.; Diallo, A.B. and Foster, V.

(2009). Is low coverage of modern infrastructure services in African cities due to lack of demand or lack of supply?. (Policy research working paper series / World Bank; no. 4881). (pdf, 1.5MB)

The aim of this paper is to show how to measure the contributions of both demand and supply-side obstacles to better coverage of infrastructure services using household survey data. Some households may live in an area where there is access to the service, but may still be located too far from the water pipe to be able to be connected. This paper suggests how, to some extent, this type of biases can be dealt with by using regression techniques and shows that using an econometric as opposed to a statistical approach to the estimation can make a significant difference in the results. Section 2 of the paper describes and formalizes in simple mathematical notations the methodology for assessing the relative role of demand and supply-side problems to explain lack of coverage of modern infrastructure services. Results obtained with this methodology for African countries in the case of urban coverage of piped water are then provided. The next section presents an alternative econometric approach to assessing the magnitude of demand and supply-side constraints to coverage, as well as the results obtained from this alternative method

9 – Tettey-Lowor, F.

(2009). Closing the loop between sanitation and agriculture in Accra, Ghana : (improving yields in urban agriculture by using urine as a fertilizer and drivers & barriers for scaling-up). (pdf, 2.4MB)

Urban agriculture is now a predominate feature within the urban ecological system but it is confronted with many challenges key amongst them is the high cost of mineral fertilizers which has led to the search for alternative fertilizers. Meanwhile the majority of the city’s populace uses the public toilet as their main means of sanitation making these places a potential source of nutrients production for urban agriculture in Accra in the form of human excreta and urine. The value of human urine as nutrient is well known amongst some of the farmers and its application has been advocated on many platforms on sustainable sanitation worldwide but its implementation on a wide scale virtually remains unknown.

10 – Ondieki, T. and Mbegera, M.

(2009). Impact assessment report on the PeePoo bag, Silanga village, Kibera, Nairobi-Kenya. (pdf, 2.57MB)

This study report is intended to be an informational tool that help project designers understand better the problems encountered in improving sanitation in Kibera Slums, Nairobi, Kenya and provide sustainable solutions. It is not meant to be a technical design manual, nor is it a comprehensive reference document on existing technologies.

The primary objective of this study is to find out if the Peepoo bag meets the objectives, expectations and perceptions of beneficiaries/end users in meeting their sanitation needs and demands, and if the product is designed in such a way that it not only biodegradable but economically viable in terms of generating organic manure for sale.

There were many women interviewed during this study and thus showing the overall high number of women to men who participated in the use of the Peepoo bag. This ratio indicates that the peepoo bag would greatly assist women and children’s sanitation in Silanga Village, Kibera, Nairobi, Kenya.

About 40% of the respondents live on less than a dollar a day as indicated by the monthly income distribution while the high monthly rent further explains the high poverty levels thus exerting pressure on the already strained sanitation services. At least 90% of the users of the Peepoo bag strongly recommended it as the absolute sanitation solution within Kibera and the same percentage also felt that the Peepoo bag is safe and clean to handle. More than 80% of the respondents were of the opinion that the Peepoo bag be sold for less than Ksh.5 (USD 0.0625) to make it affordable to the majority of the slum dwellers.

There was a significant need for Peepoo bag usage in Silanga Village because more than 50% of the respondents admitted that they throw their waste using the flying toilet approach. On the distribution of the Peepoo bag, the majority of the respondents were of the opinion that group leaders, community based organizers, church leaders, youth and village elders be used in coordinating the distribution process.

The size of the Peepoo bag ellicited concern among the respondents. Over 60% suggested a bigger bag to fit both urine and feaces at the same time. The use of the Peepoo bag would save valued time that is otherwise spent queing to access toilet facilities. It was noted that the fertilizer benefit seemed most valuable for the majority of respondents because of the implied financial benefits that such a venture would bring to the community.

The Kibera Slum areas present unique challenges to sanitation improvement. Most challenging are the characteristics that set these areas apart from the urban and rural sectors: poor site conditions, unreliable water availability, high population density, the heterogeneous nature of the population, and the lack of legal land tenure.

These characteristics are much more complex than those typifying rural and formal urban areas.

The standard technical and social solutions for low-cost sanitation currently used in rural communities are not necessarily appropriate for improving community sanitation in slum areas. Conventionally, most community sanitation problem assessments and project design efforts focus primarily on the technical feasibility of the various technical options. Experience to date suggests that these technology-driven projects often fail to meet their objectives.

This report suggests that the complexities of peri-urban settlements require that a more comprehensive interdisciplinary approach be used to understand the problem before attempting to design a project that will address peri-urban community sanitation needs. This report reviews the key public health, environmental, social, financial, economic, legal, and institutional issues that many of these settlements face which must be understood before developing a program designed to improve a peri-urban community sanitation service.

To address these problems, the project designer must deal not only with engineers but also with legal experts, financial analysts, social scientists, urban planners, and a wide range of institutions, such as the water and sanitation utility, the Ministry of Health, urban development authorities and the municipalities.

11 – Platz, D.

(2009) Infrastructure finance in developing countries—the potential of sub-sovereign bonds. United Nations.

This paper sets out to explore the potential of sub-sovereign bonds in financing infrastructure in developing countries. Taking into account the historical experience of the US, it develops a supply and demand side framework for analysis of the market for sub-sovereign bonded debt in developing countries and applies this framework to Mexico, India and South Africa. Finally, it draws lessons for countries seeking to promote markets for sub-sovereign bonds. Evidence suggests that the regulatory environment, a diversified financial sector and increased capacity for debt support and management matter most for the development of the sub-sovereign bond market.

A new foundation is established to bring forward innovation through the merging of science and industrial design to the benefit of the sanitation cause. Our goal is to participate in the creation of solutions to the sanitation problems of urban slums and schools in Uganda.

Our web pages are up and running – please do take a look! (The school and emergency work is not published on the web yet – soon to be expanded)
http:www.susan-design.org
For Facebook users please do take part in our presentations and discussions:
http://www.facebook.com/s.php?ref=search&init=quick&q=Gaim%20Kebreab#/pages/Sustainable-Sanitation-Design/94883771645?ref=ts

Karsten Gjefle
Sustainable Sanitation Design
Oslo, Norway