Hutton Guy, Chase Claire
United Nations Children's Emergency Fund (UNICEF), New York, NY 10017, USA.
Water and Sanitation Program, The World Bank, Washington, DC 20433, USA.
Int J Environ Res Public Health. 2016 May 27;13(6):536. doi: 10.3390/ijerph13060536.
Safe drinking water, sanitation, and hygiene (WASH) are fundamental to an improved standard of living. Globally, 91% of households used improved drinking water sources in 2015, while for improved sanitation it is 68%. Wealth disparities are stark, with rural populations, slum dwellers and marginalized groups lagging significantly behind. Service coverage is significantly lower when considering the new water and sanitation targets under the sustainable development goals (SDGs) which aspire to a higher standard of 'safely managed' water and sanitation. Lack of access to WASH can have an economic impact as much as 7% of Gross Domestic Product, not including the social and environmental consequences. Research points to significant health and socio-economic consequences of poor nutritional status, child growth and school performance caused by inadequate WASH. Groundwater over-extraction and pollution of surface water bodies have serious impacts on water resource availability and biodiversity, while climate change exacerbates the health risks of water insecurity. A significant literature documents the beneficial impacts of WASH interventions, and a growing number of impact evaluation studies assess how interventions are optimally financed, implemented and sustained. Many innovations in behavior change and service delivery offer potential for scaling up services to meet the SDGs.
安全饮用水、环境卫生和个人卫生(水卫设施)是提高生活水平的根本。2015年,全球91%的家庭使用了改善后的饮用水源,而改善后的卫生设施使用率为68%。贫富差距明显,农村人口、贫民窟居民和边缘化群体明显落后。考虑到可持续发展目标(SDGs)下新的水和卫生目标,即追求更高标准的“安全管理”水和卫生设施,服务覆盖率要低得多。无法获得水卫设施会产生经济影响,高达国内生产总值的7%,这还不包括社会和环境后果。研究指出,水卫设施不足会对营养状况、儿童成长和学业表现产生重大的健康和社会经济后果。地下水过度开采和地表水体污染对水资源可用性和生物多样性有严重影响,而气候变化加剧了水不安全带来的健康风险。大量文献记录了水卫设施干预措施的有益影响,越来越多的影响评估研究评估了如何以最佳方式为干预措施提供资金、实施和维持。行为改变和服务提供方面的许多创新为扩大服务以实现可持续发展目标提供了潜力。