Leaving no one behind? Analysis of trends in access to water and sanitation services in the slum areas of Nairobi, 2003-2015
Leaving no one behind? Analysis of trends in access to water and sanitation services in the slum areas of Nairobi, 2003-2015
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DOI：
10.2166/washdev.2019.174
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发表时间：
2019-09-01
影响因子：
1.7
通讯作者：
Orindi, Benedict O.
中科院分区：
文献类型：
--
作者：
Chikozho, Claudious;Kadengye, Damazo T.;Orindi, Benedict O.
在获得经改善的水和卫生服务方面的服务供应积压，仍然是生活在内罗毕贫民窟地区的人们的健康和福祉的一个主要障碍。在本文中，我们使用定量数据从内罗毕城市健康和人口监测系统分析的程度，内罗毕的贫民窟地区的居民已经能够获得改善的水和卫生服务，从2003年至2015年。这一趋势分析表明，获得改善的卫生设施和垃圾处理服务的机会缓慢但明显增加，而获得改善的水源的机会减少。我们的结论是，最好的情况是所有三个指标在审议期间都有显著改善，而不是只有其中一些指标改善，而其他指标停滞或下降。我们建议，内罗毕市理事会和部门发展伙伴应将注意力重新集中在增加城市低收入地区获得经改善的水和卫生服务的机会，因为无法获得这些基本服务可能会使人们感染水传播疾病。在该国努力实现与水和环境卫生有关的可持续发展目标时，这也有可能使大量人口被抛在后面。
Service provision backlogs in access to improved water and sanitation services remain a key barrier to the health and well-being of people living in Nairobi's slum areas. In this paper, we use quantitative data from the Nairobi Urban Health and Demographic Surveillance System to analyze the extent to which residents of Nairobi's slum areas have been able to access improved water and sanitation services from 2003 to 2015. This trend analysis reveals a slow but observable increase in access to improved sanitation facilities and garbage disposal services, while access to improved sources of water decreased. We conclude that the best scenario is the one in which all the three indicators have significantly improved during the period under consideration rather than having only some of them improving, while the others stagnate or decline. We recommend that Nairobi City Council and sector development partners refocus their attention towards increasing access to improved water and sanitation services in the urban low-income areas because lack of access to these essential services may expose people to waterborne diseases. It also threatens to leave behind a substantial number of people as the country moves towards the attainment of the water and sanitation-related sustainable development goals.