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发展中国家的卫生设施挑战——以埃塞俄比亚14个城镇的研究为证

Challenges of sanitation in developing counties - Evidenced from a study of fourteen towns, Ethiopia.

作者信息

Adugna Dagnachew

机构信息

Ethiopian Institute of Architecture, Building Construction and City Development, Addis Ababa University, Ethiopia.

出版信息

Heliyon. 2023 Jan 20;9(1):e12932. doi: 10.1016/j.heliyon.2023.e12932. eCollection 2023 Jan.

DOI:10.1016/j.heliyon.2023.e12932
PMID:36747957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898597/
Abstract

Rapid urbanization and population growth in the past few decades has been worsening the water supply and sanitation problems in Ethiopia putting the current water supply deficit of the country at a staggering 41%. Using Ethiopia as a case of rapidly growing countries in the Global South and struggling with water supply and sanitation management, the objective of this study was to examine the challenges of sanitation in Ethiopia by selecting 14 towns located under different climatic conditions and administrative regions with diversified culture, ethnicity, and religion. Data from these towns were collected through household survey, Focus Group Discussion (FGD), Key Informant Interview (KII) and site visits. The field observation was conducted with representatives from the municipality who have knowledge on the existing sanitation and associated problems. Analysis of the collected data shows that poor water supply, inadequate toilet facilities, poor toilet facility emptying practices, poor community perceptions on sanitation management and inadequate emptying services were major challenges associated with sanitation. Moreover, absence of wastewater dumping site, lack of integration among the different components of sanitation, insufficient collaboration among potential stakeholders and gaps between the existing population and sanitation services were the other key challenges of sanitation exacerbated by inadequate financial resources. From the 14 studied towns the average water deficit was found 35%, and the average households with no toilet facilities were 17%. Only about 20% households have flushed toilets and about 5% practiced open defecation. While 42% of the households use vacuum trucks for emptying wastewaters and about 37% of the households dump wastewater outside of their premises. Among the studied 14 towns, only four towns have their own vacuum trucks, no town possesses wastewater dumping site. The different components of sanitation were managed separately without integration. Moreover, the collaboration among the potential stakeholders of sanitation management was found poor and fragmented. Also, sanitation services have not developed along with the population growth as the finance allocated to sanitation management is much lower compared to other municipal services. Thus, sanitation in the studied towns is poor, though there are progresses when compared with previous decades. To improve the sanitation condition in these towns the water supply should be improved together with raising the perception of the local community. The present study recommends further studies to be conducted on the feasibility of sustainable sanitation and "country-wide comprehensive" study on water supply, sanitation and open defecation in Ethiopian in particular and in developing countries as a whole.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/c36dd576e408/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/b5722fd1bc8d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/64c8d9420235/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/c36dd576e408/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/b5722fd1bc8d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/64c8d9420235/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1a/9898597/c36dd576e408/gr3.jpg
摘要

在过去几十年里,快速的城市化和人口增长使埃塞俄比亚的供水和卫生问题日益恶化,该国目前的供水缺口高达惊人的41%。以埃塞俄比亚作为全球南方快速发展且在供水和卫生管理方面面临困境的国家为例,本研究的目的是通过选取位于不同气候条件、行政区域,有着多元文化、种族和宗教的14个城镇,来审视埃塞俄比亚的卫生挑战。这些城镇的数据通过家庭调查、焦点小组讨论(FGD)、关键 informant 访谈(KII)以及实地考察收集。实地观察由对现有卫生设施及相关问题有了解的市政当局代表进行。对收集到的数据进行分析后发现,供水不足、厕所设施匮乏、厕所设施排空做法不当、社区对卫生管理的认知不足以及排空服务不足是与卫生相关的主要挑战。此外,缺乏废水倾倒场地、卫生设施不同组成部分之间缺乏整合、潜在利益相关者之间协作不足以及现有人口与卫生服务之间的差距,是因财政资源不足而加剧的其他关键卫生挑战。在所研究的14个城镇中,平均缺水率为35%,没有厕所设施的家庭平均占17%。只有约20%的家庭有冲水马桶,约5%的家庭仍露天排便。42%的家庭使用真空卡车排空废水,约37%的家庭将废水倾倒在自家房屋外。在所研究的14个城镇中,只有4个城镇有自己的真空卡车,没有一个城镇有废水倾倒场地。卫生设施的不同组成部分是分开管理的,没有整合。此外,发现卫生管理潜在利益相关者之间的协作很差且分散。而且,由于分配给卫生管理的资金比其他市政服务低得多,卫生服务没有随着人口增长而发展。因此,尽管与前几十年相比有进步,但所研究城镇的卫生状况仍然很差。为改善这些城镇的卫生状况,应在提高当地社区认知的同时改善供水。本研究建议进一步开展关于可持续卫生可行性的研究,以及特别是针对埃塞俄比亚、乃至整个发展中国家的供水、卫生和露天排便的“全国性综合”研究。

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