Edward J. Bloustein School of Planning and Public Policy, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Am J Public Health. 2012 Feb;102(2):256-61. doi: 10.2105/AJPH.2011.300399. Epub 2011 Dec 15.
Water, sanitation, and hygiene challenges in the global south require analyses that capture more than urban-rural differences. A new taxonomy is required to help systematize and respond to basic sanitary needs. My aim was to test a new framework for understanding these concerns in periurban spaces.
I conducted semistructured qualitative interviews with a randomized sample, stratified by settlement density, of mostly female-headed households in KaTembe, the largest municipal district of Maputo, Mozambique. The survey included questions on the adequacy, accessibility, and affordability of water, sanitation facilities, and waste management as well as awareness of illnesses and safe hygiene practices.
Despite being part of a capital city, KaTembe residents face a diverse mixture of sanitary challenges, as revealed through an analysis of adequacy, accessibility, affordability, and awareness issues. The interaction of these 4 lenses provides insight into residents' behaviors and the obstacles they face in securing adequate provisions.
International water, sanitation, and hygiene studies continue to depend on urban-rural distinctions. However, an adequacy, accessibility, affordability, and awareness framework can improve the utility of their data.
全球南方的水、环境卫生和个人卫生挑战需要进行分析,不仅要考虑城乡差异。需要一种新的分类法来帮助系统地满足基本的卫生需求。我的目的是测试一个新框架,以了解城市周边地区的这些问题。
我在莫桑比克马普托最大的市区卡坦贝,对随机抽取的、以女性为户主的家庭进行了半结构式定性访谈,这些家庭的居住密度各不相同。调查包括有关水、环境卫生设施和废物管理的充足性、可及性和可负担性以及对疾病的认识和安全卫生习惯的问题。
尽管卡坦贝是首都的一部分,但居民面临着各种各样的卫生挑战,这从充足性、可及性、可负担性和意识问题的分析中可以看出。这 4 个方面的相互作用提供了对居民行为和他们在获得足够供应方面面临的障碍的深入了解。
国际水、环境卫生和个人卫生研究仍然依赖于城乡区分。然而,充足性、可及性、可负担性和意识框架可以提高其数据的效用。