Awunyo-Akaba Y, Awunyo-Akaba J, Gyapong M, Senah K, Konradsen F, Rheinländer T
School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
BMC Public Health. 2016 Jul 18;16:594. doi: 10.1186/s12889-016-3283-7.
Ghana's low investment in household sanitation is evident from the low rates of improved sanitation. This study analysed how land ownership, tenancy security and livelihood patterns are related to sanitation investments in three adjacent rural and peri-urban communities in a district close to Accra, Ghana's capital.
Qualitative data was gathered for this comparative ethnographic study over seven months, (June, 2011-January, 2012) using an average of 43 (bi-weekly) participant observation per community and 56 in-depth interviews. Detailed observational data from study communities were triangulated with multiple interview material and contextual knowledge on social structures, history of settlement, land use, livelihoods, and access to and perceptions about sanitation.
This study shows that the history of settlement and land ownership issues are highly correlated with people's willingness and ability to invest in household sanitation across all communities. The status of being a stranger i.e. migrant in the area left some populations without rights over the land they occupied and with low incentives to invest in sanitation, while indigenous communities were challenged by the increasing appropriation of their land for commercial enterprises and for governmental development projects. Interview responses suggest that increasing migrant population and the high demand for housing in the face of limited available space has resulted in general unwillingness and inability to establish private sanitation facilities in the communities. The increasing population has also created high demand for cheap accommodation, pushing tenants to accept informal tenancy agreements that provided for poor sanitation facilities. In addition, poor knowledge of tenancy rights leaves tenants in no position to demand sanitation improvements and therefore landlords feel no obligation or motivation to provide and maintain domestic sanitation facilities.
The study states that poor land rights, the history of settlements, in-migration and insecure tenancy are key components that are associated with local livelihoods and investments in private sanitation in rapidly changing rural and peri-urban communities of Ghana. Sanitation policy makers and programme managers must acknowledge that these profound local, ethnic and economic forces are shaping people's abilities and motivations for sanitation investments.
从改善卫生设施的低比率可以明显看出加纳在家庭卫生设施方面投资不足。本研究分析了土地所有权、租赁保障和生计模式与加纳首都阿克拉附近一个地区三个相邻的农村和城郊社区的卫生设施投资之间的关系。
在2011年6月至2012年1月的七个月时间里,通过对每个社区平均进行43次(每两周一次)参与观察以及56次深入访谈,收集了用于这项比较人种学研究的定性数据。来自研究社区的详细观察数据与关于社会结构、定居历史、土地使用、生计以及卫生设施的获取和认知的多份访谈材料及背景知识进行了三角互证。
本研究表明,定居历史和土地所有权问题与所有社区居民投资家庭卫生设施的意愿和能力高度相关。在该地区作为外来者(即移民)的身份使一些人对其所占用的土地没有权利,且缺乏投资卫生设施的动力,而土著社区则面临着其土地被越来越多地用于商业企业和政府开发项目的挑战。访谈回复表明,移民人口的增加以及在可用空间有限的情况下对住房的高需求,导致社区普遍不愿意且无力建立私人卫生设施。人口的增加也对廉价住房产生了高需求,促使租户接受提供简陋卫生设施的非正式租赁协议。此外,对租赁权的了解不足使租户无法要求改善卫生条件,因此房东没有义务或动力提供和维护家庭卫生设施。
该研究指出,土地权利薄弱、定居历史、移民迁入和租赁不安全是与加纳快速变化的农村和城郊社区的当地生计及私人卫生设施投资相关的关键因素。卫生政策制定者和项目管理者必须认识到,这些深刻的地方、种族和经济力量正在塑造人们投资卫生设施的能力和动机。