Share research - Equity

WASH and Women: A Story of Change

shareadmin — Thu, 02 Nov 2017 15:19:21 +0000

Stories of Change investigate how inputs have contributed to achieving specific outcomes through pathways of expected or unexpected change. This Story of Change focuses on SHARE’s contribution to research, policy and practice change related to menstrual hygiene management (MHM) and gender based violence (GBV) as well as the linked theme of psychosocial stress. SHARE-funded research and resources have had broad sectoral uptake and have influenced national policies and emergency responses in Fiji, India and the Solomon Islands.

Download (981.4 KB) Menstrual Hygiene Management in Schools Menstrual Hygiene Matters Menstrual Hygiene Systematic Review MHM Absorbents in Malawi Psychosocial Impact of Limited Access Sanitation & Adverse Pregnancy Outcomes Violence, Gender & WASH Toolkit WASH Coping Strategies Women's Sanitation Vulnerabilities Emily Balls India Malawi Tanzania

Stories of Change

shareadmin — Tue, 31 Jan 2017 12:47:08 +0000

These Stories of Change (SoC) seek to capture and better understand impacts from Phase I of the SHARE consortium, and also include some related work conducted in Phase II. There are on the themes of WASH and nutrition, WASH in healthcare facilities and WASH and inequalities.

Download (1.55 MB) Emily Balls

Intra-Household Access to WASH in Uganda and Zambia - Do Variations Exist?

shareadmin — Tue, 14 Jun 2016 13:29:43 +0000

This paper was produced for the 39th WEDC Conference held in Ghana in July 2016. It analyses baseline data from the SHARE-funded Undoing Inequity project to explore whether differences exist between heads of household and ‘vulnerable’ individuals’ reports on access and use of WASH at the household level.

Download (329.66 KB) Undoing Inequity Uganda Zambia

Hygiene Needs of Incontinence Sufferers

shareadmin — Mon, 23 May 2016 10:56:17 +0000

This report documents the findings of a WaterAid and SHARE-funded desk-based review on how WASH actors can better address the hygiene needs of people living with urinary and/or faecal incontinence in developing countries. Conducted by Chelsea Giles-Hansen, a public health/WASH consultant, in late 2015, the report outlines what incontinence is, how people generally manage their incontinence, experiences/guidance from within the development and humanitarian settings, and provides recommendations on how to better support the hygiene and WASH needs of those suffering from incontinence.

Download (2.29 MB)

Inclusive WASH Infrastructure Design

shareadmin — Tue, 03 Nov 2015 17:02:13 +0000

This briefing note was produced by WaterAid Uganda and their partner the Church of Uganda Teso Diocese Development Office and features testimonials from those involved in the SHARE-funded Undoing Inequity project.

Download (3.4 MB) Undoing Inequity Uganda

Information and Guidance for Inclusive WASH Designs in Uganda

shareadmin — Tue, 27 Oct 2015 10:36:36 +0000

This video, targeted at WASH practitioners, features several WASHpublications intended to assist practitioners in facilitating inclusive WASH. Amongst other resources, it highlighs the SHARE-funded Compendium of Accessible WASH Technologies produced as a core output of the Undoing Inequity project.

Undoing Inequity Uganda External link

Undoing Inequity: Water, Sanitation and Hygiene Programmes that Deliver for All in Uganda and Zambia

shareadmin — Thu, 15 Oct 2015 11:28:09 +0000

This paper was produced for the 38th WEDC Conference held in Loughborough in July 2015. It summarises the mid-term results of the SHARE-funded Undoing Inequity project.

Download (406.93 KB) Undoing Inequity Uganda Zambia

Sanitation in Dar es Salaam

shareadmin — Thu, 24 Sep 2015 16:24:52 +0000

This research, led by the University of California Davis in collaboration with the London School of Hygiene & Tropical Medicine, examines sanitation conditions among the urban poor in Dar es Salaam and the extent of unsafe, unhygienic and inadequate sanitation facilities and practices based on data collected in an extensive survey of residential demand for sanitation services across 35 unplanned low-income subwards in Dar Es Salaam in 2008 from 660 randomly sampled residential properties. It documents the range of on-site facility designs, fecal sludge management practices, the functional state of facilities, and usage, sharing, cleaning, operating, and maintenance practices and costs across the study areas of Dar. It also measures access to hygienic fecal sludge management services and existing pit emptying methods, preferences, frequency and costs; the motivations, facilitators and barriers to hygienic pit emptying among the urban poor in Dar are identified; variations in preference for pit emptying method in terms of sanitation facility design, access to services, and income; and the determinants of demand for and willingness to pay for new hygienic pit emptying service.

The study was conducted through an equity lens, exploring the relationship between indicators of household situation and wealth (e.g. household income, expenditures, occupancy type, gender of household-head, tenancy, neighbourhood access conditions), levels of investment made in current sanitation facilities, and access to, expenditures and costs of hygienic pit emptying.

Equity Urban Sanitation Tanzania London School of Hygiene & Tropical Medicine Completed mwjenkins@ucdavis.edu 2013 to 2014

Disease Burden Inequities & Pro-Poor Targeting

shareadmin — Thu, 24 Sep 2015 16:19:42 +0000

This study, carried out by LSHTM in partnership with the University of Florida, sought to estimate inequities in sanitation-related disease burden and the potential impacts of pro-poor targeting. As such, it modelled the distribution of sanitation-related health burden and health benefits by wealth quintile, and looked at the spatial distribution of these for 10 low-income countries in sub-Saharan Africa and South Asia.

The results of this modelling exercise, which is based on existing information sources, suggest the following:

The health burden of poor sanitation falls disproportionately on children living in the poorest households
This increased health burden is the result of both greater exposure to infection and increased susceptibility among children in these households
The increased exposure among these children is a function of their increased likelihood of having no access to a private facility, having to use shared facilities and being more likely to live in an area with a high density of people without sanitation
Children in poor households are more likely to be susceptible (resulting from lower nutritional status) to diarrhoeal diseases and suffer higher mortality
Improvements in sanitation for households in the poorest quintile may bring significantly greater health benefits than improvements in the richest quintiles
The sanitation-related burden differs between rural and urban settings, but children in poor households in both settings consistently suffer disproportionately
While rural populations generally have lower levels of access, the sanitation associated risk may be greater for the urban poor due to the increased likelihood of these households being in areas with a high density of people without sanitation.

Equity

University of Florida/Rick Rheingans

London School of Hygiene & Tropical Medicine Completed oliver.cumming@lshtm.ac.uk 2013 ...

Undoing Inequity

shareadmin — Thu, 03 Sep 2015 13:49:19 +0000

This action-research project, undertaken by WaterAid, the Water Engineering and Development Centre (WEDC) at Loughborough University and Leonard Cheshire Disability (LCD), investigated the environmental, attitudinal and institutional barriers that disabled, older and chronically ill people face when accessing water, sanitation and hygiene (WASH). Using the findings, the project designed and tested an inclusive WASH approach to address those barriers in a number of districts in Uganda and Zambia. A mid-term review in 2015 assessed the early impacts of the intervention and tested and refined the baseline data collection tools.

The initial findings from this project, documented in two mid-term reviews and an accompanying provcess review, revealed that the inclusive WASH approach improved vulnerable groups' access to WASH in the intervention sites. It also appeared to have conferred the additional benefits of increasing self-esteem and social inclusion for those vulnerable to exclusion, and to have positively impacted on stigma and discrimination.

The findings of this project so far have influenced policy and practice. They made a crucial contribution to DFID’s new Disability Framework, by forming part of the evidence base for the International Development Committee’s recommendations to DFID on mainstreaming disability in development. Furthermore, SHARE, through its partner WaterAid, has contributed to providing practical guidance for health workers, community volunteers and WASH practitioners working directly with disabled and older people and their families in rural areas of sub-Saharan Africa.

The project evaluation is due to take place in 2016.

Equity Other Countries Zambia

WaterAid/Stephen Segawa

WaterAid Completed janewilbur@wateraid.org 2011 to 2016 Project took place in: Uganda and Zambia