Using Feedback to Improve Accountability in Global Environmental Health and Engineering
Using Feedback to Improve Accountability in Global Environmental Health and Engineering
复制标题
利用反馈提高全球环境健康和工程的问责制
DOI：
10.1021/acs.est.0c04115
复制
发表时间：
2021
影响因子：
11.4
通讯作者：
Brown, Joe
中科院分区：
文献类型：
--
作者：
Thomas, Evan;Brown, Joe
在低收入和资源有限的环境中，经过设计的环境卫生干预措施和服务-例如供水和水处理、环境卫生和清洁家庭能源服务-的可持续性记录低于预期，有时也没有发挥其改善健康的潜力。这些干预措施既需要有效运作的技术，也需要支持金融、政治和人力资源系统，还可能取决于用户行为和专业化的服务提供，以减少有害的接触。从这个角度来看，我们建议，应用更智能，更可行的监测和决策支持系统和一致的财政激励措施可以加强捐助者，实施者，服务提供者，政府和人民之间的问责制谁是发展规划的预期受益者。由于新的测量技术，包括新兴的传感器技术、快速影响评估、公民科学和基于绩效的合同，这种系统有可能推动制定长期有效的解决方案，通过加强利益攸关方之间的信任和相互问责，使环境健康改善的惠益在最关键的环境中得以持续。
Engineered environmental health interventions and services in low-income and resource-limited settings—such as water supply and treatment, sanitation, and cleaner household energy services—have had a less than expected record of sustainability and have sometimes not delivered on their potential to improve health. These interventions require both effectively functioning technologies as well as supporting financial, political, and human resource systems, and may depend on user behaviors as well as professionalized service delivery to reduce harmful exposures. In this perspective, we propose that the application of smarter, more actionable monitoring and decision support systems and aligned financial incentives can enhance accountability between donors, implementers, service providers, governments, and the people who are the intended beneficiaries of development programming. Made possible in part by new measurement techniques, including emerging sensor technologies, rapid impact evaluation, citizen science, and performance-based contracting, such systems have the potential to propel the development of solutions that can work over the long-term, allowing the benefits of environmental health improvements to be sustained in settings where they are most critical by improving trust and mutual accountability among stakeholders.