A framework for targeting water, sanitation and hygiene interventions in pastoralist populations in the Afar region of Ethiopia.
A framework for targeting water, sanitation and hygiene interventions in pastoralist populations in the Afar region of Ethiopia.
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DOI：
10.1016/j.ijheh.2019.08.001
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发表时间：
2019-09
影响因子：
6
通讯作者：
L. Whitley;P. Hutchings;S. Cooper;A. Parker;A. Kebede;Solome Joseph;J. Butterworth;Barbara Van Koppen;Adolph Mulejaa
中科院分区：
文献类型：
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作者：
L. Whitley;P. Hutchings;S. Cooper;A. Parker;A. Kebede;Solome Joseph;J. Butterworth;Barbara Van Koppen;Adolph Mulejaa
在全球范围内，许多人口在获得安全饮用水、环境卫生和个人卫生服务方面面临结构性和环境障碍。这些人口中有2亿牧民，他们的生计模式和极端环境对传统的讲卫生方案拟订办法构成挑战。在本文中，我们研究了埃塞俄比亚的阿法尔牧民，以确定WASH干预措施，主要可以减轻公共卫生风险，人口的结构和环境生活的限制。对148名个人进行了调查，并对12户家庭进行了观察评估，作为牧民社区讲卫生运动风险评估的一部分。结果表明，与水的控制、储存和运输有关的风险行为进一步加剧了基础设施利用率低的问题。还确定了与环境卫生、个人卫生和畜牧业有关的其他行为风险因素。牧民社区饮水、环卫和个人卫生风险评估直观地说明了风险的严重性和解决问题的难度。评估建议通过小规模的教育干预措施，对家庭行为、环境清洁、水储存、治疗和手部卫生进行干预。该框架提供了一种评估其他边缘人群风险的方法，这些人群通过传统方法了解和服务很少。
Globally, many populations face structural and environmental barriers to access safe water, sanitation and hygiene (WASH) services. Among these populations are many of the 200 million pastoralists whose livelihood patterns and extreme environmental settings challenge conventional WASH programming approaches. In this paper, we studied the Afar pastoralists in Ethiopia to identify WASH interventions that can mostly alleviate public health risks, within the population's structural and environmental living constraints. Surveys were carried out with 148 individuals and observational assessments made in 12 households as part of a Pastoralist Community WASH Risk Assessment. The results show that low levels of access to infrastructure are further compounded by risky behaviours related to water containment, storage and transportation. Additional behavioural risk factors were identified related to sanitation, hygiene and animal husbandry. The Pastoralist Community WASH Risk Assessment visually interprets the seriousness of the risks against the difficulty of addressing the problem. The assessment recommends interventions on household behaviours, environmental cleanliness, water storage, treatment and hand hygiene via small-scale educational interventions. The framework provides an approach for assessing risks in other marginal populations that are poorly understood and served through conventional approaches.