Developing stakeholder participation to address lack of safe water as a community health concern in a rural province in South Africa.
Developing stakeholder participation to address lack of safe water as a community health concern in a rural province in South Africa.
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DOI：
10.1080/16549716.2021.1973715
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发表时间：
2021-01-01
影响因子：
2.6
通讯作者：
Witter S
中科院分区：
文献类型：
--
作者：
Hove J;D'Ambruoso L;Twine R;Mabetha D;van der Merwe M;Mtungwa I;Khoza S;Kahn K;Witter S
尽管南非对参与性水治理作出了立法和政策承诺，并取得了一些显著成就，但在改善边缘化农村社区的供水基础设施服务方面进展有限。大约500万南非人仍然无法获得安全用水。本文旨在了解和推进多部门利益相关者参与的进程，以应对缺乏安全用水作为南非农村社区提名的卫生优先事项。我们与普马兰加省卫生部（MDoH）、农村社区、其他政府部门和非政府组织（NGO）的代表合作，共同产生、解释和采取行动，以解决社区提名的优先事项。举办了一系列参与性讲习班，各利益攸关方作为共同研究人员共同努力，对问题提出共同看法，并提出解决问题的建议，通过集体学习过程中的小组讨论，促进就问题达成共识，规划现有规划和政策前景，并启动建设性对话。社区利益攸关方将缺乏安全饮用水列为当地的优先公共卫生问题，并提供了关于原因和促成因素以及健康和社会影响的证据。与政府和非政府组织利益相关者一起，这一证据得到了证实。利益攸关方通过协商一致和可行性评估制定了地方行动计划。致力于改变行为和重组现有服务的行动与当地社区的需要有关，并在制定时考虑到了当前的政策和战略。对这一进程进行了积极的集体反思。报告的最大收获是在“安全空间”开展对话，通过对话实现相互理解、深入了解其他部门的运作情况和边干边学。我们的进程反映了利益攸关方共同努力解决当地水资源挑战的意愿和承诺。设在一个已建立的公共卫生观察站有助于创造中立、调解的参与空间。
Despite legislative and policy commitments to participatory water governance in South Africa, and some remarkable achievements, there has been limited progress to improve the water infrastructure servicing in marginalized rural communities. Around five million South Africans still do not have access to safe water. This paper seeks to understand and advance processes to engage multisectoral stakeholders to respond to lack of safe water as a community-nominated health priority in rural South Africa. We engaged representatives from Mpumalanga Department of Health (MDoH), rural communities, other government departments and non-governmental organisations (NGOs) to cooperatively generate, interpret and act on evidence addressing community-nominated priorities. A series of participatory workshops were conducted where stakeholders worked together as co-researchers to develop shared accounts of the problem, and recommendations to address it. Consensus on the problem, mapping existing planning and policy landscapes, and initiating constructive dialogue was facilitated through group discussions in a collective learning process. Community stakeholders nominated lack of safe water as a local priority public health issue and generated evidence on causes and contributors, and health and social impacts. Together with government and NGO stakeholders, this evidence was corroborated. Stakeholders developed a local action plan through consensus and feasibility appraisal. Actions committed to behavioural change and reorganization of existing services, were relevant to the needs of the local community and were developed with consideration of current policies and strategies. A positive, collective reflection was made on the process. The greatest gain reported was the development of dialogue in ‘safe spaces’ through which mutual understanding, insights into the functioning of other sectors and learning by doing were achieved. Our process reflected willingness and commitment among stakeholders to work together collectively addressing local water challenges. Location in an established public health observatory helped to create neutral, mediated spaces for participation.
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影响因子：
3.7
作者：
Dungumaro, EW;Madulu, NF
通讯作者：
Madulu, NF
影响因子：
7.2
作者：
Hullur, Nitya;D'Ambruoso, Lucia;Byass, Peter
通讯作者：
Byass, Peter
DOI：
10.1016/s2214-109x(18)30059-7
发表时间：
2018-05
期刊：
The Lancet. Global health
影响因子：
--
作者：
Chao F;You D;Pedersen J;Hug L;Alkema L
通讯作者：
Alkema L
影响因子：
2.3
作者：
Bulled N
通讯作者：
Bulled N
影响因子：
7.7
作者：
Kahn K;Collinson MA;Gómez-Olivé FX;Mokoena O;Twine R;Mee P;Afolabi SA;Clark BD;Kabudula CW;Khosa A;Khoza S;Shabangu MG;Silaule B;Tibane JB;Wagner RG;Garenne ML;Clark SJ;Tollman SM
通讯作者：
Tollman SM