Athena Infonomics, Rockville, MD 20850, USA.
Department of Environmental Health Sciences, University of California, Berkeley, CA 94720, USA.
Int J Environ Res Public Health. 2019 Nov 27;16(23):4738. doi: 10.3390/ijerph16234738.
Kigali, Rwanda lacks a centralized sewer system, which leaves residents to choose between on-site options; the majority of residents in informal settlements use pit latrines as their primary form of sanitation. When their pits fill, the pits are either sealed, or emptied; emptying is often done by hand and then dumped in the environment, putting the residents and the broader population at risk of infectious disease outbreaks. In this paper, we used revealed and stated preference models to: (1) estimate the demand curve for improved emptying services; and, (2) evaluate household preferences and the willingness to pay (WTP) for different attributes of improved emptying services. We also quantify the costs of improved service delivery at different scales of production. The study included 1167 households from Kigali, Rwanda across 30 geographic clusters. Our results show that, at a price of US$79 per pit, 15% of all the pits would be emptied by improved emptying services, roughly the current rate of manual emptying. Grouping empties by neighborhood and ensuring that each truck services an average of four households per day could reduce the production costs to US$44 per empty, ensuring full cost coverage at that price. At a lower price of US$24, we estimate that the sealing of pits might be fully eliminated, with full coverage of improved emptying services for all pits; this would require a relatively small subsidy of US$20 per empty. Our results show that households had strong preferences for fecal sludge (FS) treatment, formalized services (which include worker protections), and distant disposal. The results from the study indicate a few key policies and operational strategies that can be used for maximizing the inclusion of low-income households in safely managed sanitation services, while also incorporating household preferences and participation.
卢旺达基加利缺乏集中式污水系统,这使得居民只能在现场选择解决方案;大多数非正规住区的居民将坑式厕所作为主要卫生设施。当坑洼填满时,要么将其密封,要么清空;清空通常是手动完成的,然后倾倒在环境中,使居民和更广泛的人群面临传染病爆发的风险。在本文中,我们使用揭示偏好和陈述偏好模型来:(1)估计改善清空服务的需求曲线;(2)评估家庭对不同改进清空服务属性的偏好和支付意愿(WTP)。我们还量化了不同生产规模下改进服务交付的成本。该研究包括来自卢旺达基加利的 1167 户家庭,分布在 30 个地理集群中。我们的研究结果表明,在每个坑洞 79 美元的价格下,将有 15%的坑洞通过改善清空服务进行清空,这大致相当于目前的手动清空率。按邻里分组清空,并确保每辆卡车每天为平均四个家庭提供服务,可以将生产成本降低至 44 美元/次,从而在该价格下实现完全成本覆盖。在价格较低的 24 美元下,我们估计坑洞的密封可能会被完全消除,所有坑洞都可以使用改善后的清空服务;这需要每个清空服务补贴 20 美元左右。我们的研究结果表明,家庭对粪便污泥(FS)处理、正式服务(包括工人保护)和远距离处理有强烈的偏好。研究结果表明了一些关键的政策和运营策略,可用于最大限度地让低收入家庭纳入安全管理的卫生服务,同时纳入家庭偏好和参与。