Luwe Kondwani, Sindall Rebecca C, Garcia-Becerra Flor Y, Chinyama Annatoria, Lohiya Huda, Hope Caitlin, Paczkowski Fryderyk, Komakech Hans C, Morse Tracy
Centre for Water, Sanitation, Health, and Appropriate Technology Development, Malawi University of Business and Applied Sciences, Blantyre, Malawi.
Water, Sanitation & Hygiene Research & Development Centre, University of KwaZulu-Natal, South Africa.
Environ Health Insights. 2022 Nov 29;16:11786302221139964. doi: 10.1177/11786302221139964. eCollection 2022.
Citywide Inclusive Sanitation (CWIS) calls for sustainable urban sanitation services for all, but the definitions of "inclusion" and "sustainability" within the framework leave room for interpretation. This study aims to provide an initial understanding of how these terms are currently interpreted by a range of sanitation actors in six cities of the Global South. Urban sanitation professionals from private (n = 16), public (n = 28), non-governmental (n = 43), and academic (n = 10) institutions were interviewed using a standardized tool, and data was analyzed to identify themes and trends. Terms such as "everyone" or "for all" shed little light on how to ensure inclusion, though disabled people, women, children, and the poor were all highlighted when probed. Greater specificity of beneficiary groups in policy is likely to enhance their visibility within sanitation service provision. All three pillars of sustainability identified within CWIS were referenced, with different stakeholders focusing more closely on environmental, social, or economic sustainability, based on their organizational goals and interests. Greater collaboration may foster a balanced view across the pillars, with different organizations acting as champions for each one. The findings can facilitate discussions on a shared understanding of multi-stakeholder engagement in achieving inclusive and sustainable sanitation service provision.
全市包容性卫生设施（CWIS）呼吁为所有人提供可持续的城市卫生服务，但该框架内“包容性”和“可持续性”的定义仍有待解读。本研究旨在初步了解全球南方六个城市的一系列卫生设施相关行为者目前如何解读这些术语。使用标准化工具对来自私营机构（n = 16）、公共机构（n = 28）、非政府组织（n = 43）和学术机构（n = 10）的城市卫生专业人员进行了访谈，并对数据进行了分析以确定主题和趋势。诸如“每个人”或“为所有人”等术语对于如何确保包容性并无太多指导意义，不过在深入探讨时，残疾人、妇女、儿童和贫困人口都被提及。政策中受益群体的定义更加具体，可能会提高他们在卫生服务提供中的可见度。CWIS中确定的可持续性的三大支柱都被提及，不同的利益相关者根据其组织目标和利益，更密切地关注环境、社会或经济可持续性。加强合作可能会促进对各支柱形成平衡的看法，不同组织可分别充当各支柱的倡导者。这些研究结果有助于推动关于多利益相关者参与实现包容性和可持续卫生服务提供的共同理解的讨论。
