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气候变化背景下非家庭环境中供水、环境卫生和个人卫生(WASH)服务综合评估工具的开发

Development of integrated assessment tool for water, sanitation and hygiene (WASH) services in non-household settings under climate change context.

作者信息

Win Cho Zin, Daniel D, Dwipayanti Ni Made Utami, Jawjit Warit

机构信息

Health, Environment, and Safety Program, School of Public Health, Walailak University, 222 Thaiburi, Thasala District, Nakhon Si Thammarat, 80160, Thailand.

Department of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Heliyon. 2024 Sep 7;10(18):e37645. doi: 10.1016/j.heliyon.2024.e37645. eCollection 2024 Sep 30.

Abstract

Access to improved water, sanitation, and hygiene (WASH) services is crucial in recognizing human rights to water and sanitation and due to their impacts on education, livelihoods, and human health. However, these services are often inadequate in non-household settings such as prisons, refugee camps, schools, and healthcare facilities. Progress in monitoring to ensure sustainable services in these settings has been limited. Although several tools are available to assess WASH services in both household and non-household settings, they have limitations, and none has taken a holistic approach to evaluate WASH performance in all non-household settings. Furthermore, the impacts of climate change on WASH services are rarely considered in these evaluations, making the inadequacies of WASH services worse. To address these gaps, an integrated tool was developed to assess WASH performance in non-household settings, incorporating financial, institutional, environmental impact, technical, social, and climate change factors. The tool provides scores for indicators to solve the problem of a lack of final aggregated data to enable decision-makers to determine the level of WASH performance in a setting. Moreover, it provides qualitative explanations for each score, allowing decision-makers to identify areas for improvement. This tool offers valuable and insightful data for improving WASH facilities and ensuring sustainable services in non-household settings, particularly for WASH service providers and local governments.

摘要

获得改善的水、环境卫生和个人卫生(WASH)服务对于实现水和环境卫生方面的人权至关重要,并且因其对教育、生计和人类健康的影响而意义重大。然而,在监狱、难民营、学校和医疗设施等非家庭环境中,这些服务往往不足。在监测以确保这些环境中的可持续服务方面进展有限。尽管有几种工具可用于评估家庭和非家庭环境中的WASH服务,但它们存在局限性,而且没有一种工具采用整体方法来评估所有非家庭环境中的WASH绩效。此外,这些评估很少考虑气候变化对WASH服务的影响,这使得WASH服务的不足情况更加严重。为了填补这些空白,开发了一种综合工具来评估非家庭环境中的WASH绩效,纳入了财务、机构、环境影响、技术、社会和气候变化因素。该工具为各项指标提供分数,以解决缺乏最终汇总数据的问题,使决策者能够确定某一环境中的WASH绩效水平。此外,它为每个分数提供定性解释,使决策者能够确定改进领域。该工具为改善非家庭环境中的WASH设施和确保可持续服务提供了有价值且有见地的数据,特别是对于WASH服务提供商和地方政府而言。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/11416291/5a1cf36a6f0f/gr1.jpg

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