Food, water, and sanitation insecurities: Complex linkages and implications for achieving WASH security
Food, water, and sanitation insecurities: Complex linkages and implications for achieving WASH security
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粮食、水和卫生设施不安全：复杂的联系和对实现 WASH 安全的影响
DOI：
10.1080/17441692.2021.1971735
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发表时间：
2021
影响因子：
3.3
通讯作者：
Mapunda, Kenneth M.
中科院分区：
文献类型：
--
作者：
Workman, Cassandra L.;Stoler, Justin;Harris, Angela;Ercumen, Ayse;Kearns, Joshua;Mapunda, Kenneth M.
粮食、水和环境卫生不安全是复杂的多层面现象，不仅涉及供应和获取;粮食、水和环境卫生资源必须是安全的，在文化上是适当的。关注这些不安全感的研究人员和实施者已经证明，它们之间存在显着的相互作用，导致显着的心理和生物后果。最近在孟加拉国，肯尼亚（WASH Benefits）和津巴布韦（SHINE）进行的随机对照试验（RCT）表明，水，环境卫生和个人卫生（WASH）干预措施对线性增长没有影响，并且关于幼儿肠道病原体负担和腹泻风险的证据不一。这些数据表明，需要更全面地了解讲卫生运动的安全问题。多种资源不安全所带来的风险会根据个人、他们一天中的活动、他们在经济和社会上的角色以及季节性和降水量等生态特征而变化。通过更充分地将粮食、水和卫生安全纳入干预措施和随后的影响评估，我们可以实现WASH安全-一个解决无数传播途径和共同发生的疾病的安全-最终将改善全世界的卫生成果。在这篇重要的评论中，我们概述了综合资源不安全的复杂性，作为迈向变革性WASH的一步。
Food, water and sanitation insecurities are complex, multi-dimensional phenomena that entail more than availability and access; food, water, and sanitation resources must be safe and culturally appropriate. Researchers and implementers concerned with these insecurities have demonstrated that there are notable interactions between them resulting in significant psychological and biological outcomes. Recent randomised controlled trials (RCTs) in Bangladesh, Kenya (WASH Benefits) and Zimbabwe (SHINE) demonstrated no effect from water, sanitation and hygiene (WASH) interventions on linear growth, and mixed evidence on enteropathogen burden and risk of diarrhoea in young children. These data suggest a need for a more comprehensive understanding of WASH security. The risks posed by multiple resource insecurities shift depending on the individual, their movement throughout their day, their economically and socially prescribed roles, and ecological features such as seasonality and precipitation. By more fully integrating food, water and sanitation security in interventions and subsequent impact evaluations, we can achieve WASH security—one that addresses myriad transmission pathways and co-occurring diseases—that ultimately would improve health outcomes throughout the world. In this critical review, we outline the complexity of combined resource insecurities as a step towards transformative WASH.
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DOI：
10.1080/07900627.2017.1322941
发表时间：
2018-11-02
影响因子：
3.1
作者：
Adams, Ellis Adjei
通讯作者：
Adams, Ellis Adjei
影响因子：
2.2
作者：
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影响因子：
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DOI：
10.1093/cid/ciy320
发表时间：
2018-10-30
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
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通讯作者：
Luby SP
影响因子：
1.9
作者：
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