Evaluation of the Portable Alternative Sanitation System (PASS) on In-Home Water Use and Quality of Life
便携式替代卫生系统 (PASS) 对家庭用水和生活质量的评估
基本信息
- 批准号:10437545
- 负责人:
- 金额:$ 30.17万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-05 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:12 year oldAddressAffectAlaskaAlaska NativeAmerican IndiansArctic RegionsCOVID-19 pandemicCategoriesChildCollectionCommunitiesDataDefecationDiseaseElderlyEngineeringEnrollmentEvaluationFecesFundingGoalsHandwashingHealthHomeHouseholdHumanHygieneImpact evaluationIncidenceIndigenousIndividualInfectionInfectious Skin DiseasesInfrastructureInterventionLongitudinal StudiesMaintenanceMeasuresMethodsNative American Research Center for HealthNative AmericansOutcomePersonal SatisfactionPersonsPilot ProjectsPlumbingPrevalencePrivacyProspective cohortPublic HealthQuality of lifeReportingRespiratory Tract InfectionsRunningSample SizeSanitationSeasonsSecurityServicesSmell PerceptionStressSymptomsSystemTestingTimeTribesUrineWaste ManagementWaterWomanWorkWorld Health Organizationbaseclimate changedesigndisease disparitydisparity reductionexperiencefollow-upfootgastrointestinal infectionhealth organizationhookahimprovedinfection ratemennovelportabilitypost-COVID-19responsetribal healthwastingwater treatment
项目摘要
PROJECT SUMMARY (ABSTRACT)
Water-washed diseases (infections related to inadequate water access and poor sanitation) are a preventable
public health issue that continues to affect the 1.4 million people in the U.S. who still lack access to basic water
and sanitation. The COVID-19 pandemic brought to the forefront a reminder that Native American households
are 19 times more likely to lack indoor plumbing than White households. Historically, AN communities with a
lower proportion of in-home piped water and sanitation services have disproportionately higher rates of
respiratory and skin infections compared to plumbed communities, and these infection rates decreased after the
installation of in-home water services in some communities. Inadequate funding, engineering challenges,
affordability, and now climate change have hindered the installation and maintenance of centralized piped water
and sewer systems in remote Alaska. There is therefore an urgent need to evaluate whether novel, targeted
water, sanitation, and hygiene (WASH) interventions reduce water-wash disease disparities. To address this
need, this study will evaluate the impact of a targeted WASH intervention developed specifically for American
Indian/Alaska Native (AI/AN) communities, known as the Portable Alternative Sanitation System (PASS), on
water use, waste management, water-wash disease and well-being (defined by both biomedical and locally-
defined categories) over time in AN households. We will do this through two Specific Aims: 1) Characterize the
lived experiences of household water- and sanitation security (HWSS), health, and well-being in remote AN
households across the water and sanitation service spectrum using community-based measures and 2) Evaluate
the impact of the PASS on in-home water storage and use, quality of life, water security and reliability, and
prevalence of water-washed diseases. Through this mixed methods, longitudinal study, we will provide evidence
that demonstrates how a targeted WASH intervention affects water-wash diseases, in-home water use and
waste management, and overall well-being in AIAN communities. This will also enable tribes, tribal health
organizations, and related stakeholders beyond Alaska to evaluate the PASS system to decide if it is appropriate
for their own communities. This study builds on our previous work in the community of Kivalina with a greater
sample size, comparison of data from piped and unpiped households, and longitudinal data from the post-COVID
era. To our knowledge, this is the first longitudinal evaluation of how an in-home point-of-use water treatment
and waterless toilet system affects household water and sanitation security, health, and well-being in an Arctic,
Indigenous context.
项目概要(摘要)
水洗疾病(与供水不足和卫生条件差有关的感染)是可以预防的。
这一公共卫生问题继续影响着美国140万仍然无法获得基本用水的人
和卫生设施。2019冠状病毒病大流行提醒人们,
缺乏室内管道的可能性是白色家庭的19倍。从历史上看,
家庭自来水和卫生服务比例较低,
呼吸道和皮肤感染相比,管道社区,这些感染率下降后,
在一些社区安装家庭供水服务。资金不足,工程挑战,
负担能力,现在气候变化阻碍了集中自来水的安装和维护
和下水道系统因此,迫切需要评估是否新颖,有针对性,
水、环境卫生和个人卫生(WASH)干预措施减少了用水冲洗疾病的差异。为了解决这个
需要,这项研究将评估专门为美国人开发的有针对性的WASH干预措施的影响
印第安人/阿拉斯加原住民(AI/AN)社区,被称为便携式替代卫生系统(PASS),
水的使用、废物管理、水洗疾病和福祉(由生物医学和当地-
定义的类别)。我们将通过两个具体目标来做到这一点:1)描述
生活经验的家庭用水和卫生安全(HWSS),健康和福祉在偏远的AN
(a)利用基于社区的措施,对所有家庭的水和卫生服务进行评估;
PASS对家庭水储存和使用、生活质量、水安全和可靠性的影响,以及
水洗疾病的流行。通过这种混合方法的纵向研究,为我们提供证据
这表明,有针对性的WASH干预措施如何影响水洗疾病,家庭用水,
废物管理和AIAN社区的整体福祉。这也将使部落,部落的健康
组织和阿拉斯加以外的相关利益相关者评估PASS系统,以决定它是否合适
为他们自己的社区。这项研究建立在我们以前在Kivalina社区的工作基础上,
样本量,管道和非管道家庭的数据比较,以及COVID后的纵向数据
时代据我们所知,这是第一次纵向评估如何在家庭使用点水处理
无水厕所系统影响北极地区的家庭用水和卫生安全、健康和福祉,
土著背景。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Laura P Eichelberger其他文献
MANUFACTURING INSECURITY: POWER, WATER, WASTE, AND THE SILENCES OF SUSTAINABILITY AND SUFFERING IN NORTHWEST ALASKA
制造业不安全:电力、水、废物、可持续发展的沉默和阿拉斯加西北部的苦难
- DOI:
- 发表时间:
2011 - 期刊:
- 影响因子:0
- 作者:
Laura P Eichelberger - 通讯作者:
Laura P Eichelberger
Pathways to the successful function and use of mid-tech household water and sanitation systems
中型家庭供水和卫生系统成功运行和使用的途径
- DOI:
10.2166/washdev.2021.107 - 发表时间:
2021 - 期刊:
- 影响因子:0
- 作者:
Kaitlin J. Mattos;J. Warren;Laura P Eichelberger;J. Kaminsky;K. Linden - 通讯作者:
K. Linden
Lack of in-home piped water and reported consumption of sugar-sweetened beverages among adults in rural Alaska
阿拉斯加农村地区成年人缺乏家庭自来水,据报告饮用含糖饮料
- DOI:
- 发表时间:
2019 - 期刊:
- 影响因子:3.2
- 作者:
E. Mosites;S. Seeman;A. Fenaughty;Karol Fink;Laura P Eichelberger;P. Holck;T. Thomas;M. Bruce;T. Hennessy - 通讯作者:
T. Hennessy
Recognizing the dynamics of household water insecurity in the rapidly changing polar north: Expected uncertainties in access, quality, and consumption patterns in Niugtaq (Newtok), Alaska
认识到快速变化的极地北部家庭用水不安全的动态:阿拉斯加纽格塔克(纽托克)的获取、质量和消费模式的预期不确定性
- DOI:
10.1016/j.wdp.2019.100148 - 发表时间:
2019 - 期刊:
- 影响因子:1.9
- 作者:
Laura P Eichelberger - 通讯作者:
Laura P Eichelberger
Remembering the Foundations of Health: Everyday Water Insecurity and Its Hidden Costs in Northwest Alaska
牢记健康的基础:阿拉斯加西北部的日常用水不安全及其隐性成本
- DOI:
- 发表时间:
2016 - 期刊:
- 影响因子:0
- 作者:
Laura P Eichelberger - 通讯作者:
Laura P Eichelberger
Laura P Eichelberger的其他文献
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