Radebe Lindokuhle C, Mokgobu Matlou I, Molelekwa Gomotsegang F, Mokoena Matodzi M
Department of Environmental Health, Tshwane University of Technology, Private Bag X680, Pretoria Campus, Pretoria 0001, South Africa.
Regional Water and Environmental Sanitation Centre, Department of Civil Engineering, Kwame Nkrumah University of Science and Technology, Kumasi AK-039-5028, Ghana.
Int J Environ Res Public Health. 2025 Feb 28;22(3):360. doi: 10.3390/ijerph22030360.
This study assessed the status of water, sanitation, and hygiene (WASH) services at (49) selected primary schools in uMfolozi Local Municipality, which is situated in the province of Kwa-Zulu Natal in South Africa. Data were collected using an observational checklist tool and by conducting a walk-through survey to inspect the conditions of sanitary facilities, observe the hand-washing practices of the school learners, and analyse the accessibility to safe drinking water in school premises. The data were analysed with the Statistical Package for Social Science Version 29. This study revealed that there is easy access to safe drinking water in all but one school. The dependability of the water supply seemed to be one of the most urgent problems in every school, even though all of them have some kind of drinking water infrastructure on their grounds. Municipal water ( = 25, 36%) and rainwater ( = 25, 36%) were the most common type of water used in schools compared to borehole ( = 15, 22%) and tanker truck water ( = 4, 6%). Schools must have a reserved water supply because of the inconsistent supply of municipal water, and because rainwater is a seasonal harvest while borehole water may be affected by factors like load-shedding. The UNICEF-described ratio of one tap or disperser per fifty learners suggests that the water taps in the schoolyard were insufficient in some schools ( = 25, 36%). Rainwater is collected through a gutter system in the school building roofs and stored in 5000-10,000 Jojo tanks. Borehole water is pumped into Jojo tanks at an elevated position where it is stored, and learners receive the water through taps connected to the borehole tanks. During an emergency when there is no water supply from other sources, tanker trucks are hired to fill tanks that are also used to store rainwater. The borehole and rainwater quality appeared to be clear, but water treatment had not been performed, and the microbial quality was unknown. This shows that the Sustainable Development Goal (SGD) 6, clean water and sanitation, is still far from being met. According to national norms and standards for domestic water and sanitation services, people who do not use water treatment or purification techniques fall in the 'no service' category and contribute to the water backlog. Pit latrines ( = 46, 94%) and flush toilet ( = 3, 6%) were found to be the only convenient toilet systems used. The number of toilets is not sufficient according to the guidelines. There are ( = 46, 94%) of the schools in the study area using pit latrine due to insufficient or no water supply. In 89.8% of primary schools, sanitation facilities are in working condition in terms of repair and hygiene, while 10.2% are not usable in terms of hygiene, and these are mostly boy's toilets. All schools ( = 46, 94%) that have flush toilets is because they received sponsorship from non-government stakeholders that funded them in achieving piped water systems that permit the functionality of flush toilets. For the purposes of this study, hygiene was evaluate based on the items found in toilets and handwashing practices. The hygiene aspects of toilets included tissues, cleanness, and toilet seat. For handwashing practices we looked the number of washing basins, the colour of water, and having soaps to use. In the schools that did provide handwashing facilities, some of the toilets were broken, there was no water, or there was no drainage system in place to allow them to function. However, according to the school act, the handwash basins should be inside the facilities. A total of ( = 7, 14%) of handwash basins were inside the toilets. Only ( = 2, 4%) of schools had handwashing facilities which were Jojo tanks with taps near toilets, which were outside of the toilet, with no soap provided. Additionally, ( = 40, 82%) of learners used drinking points for handwashing, which can possibly transmit microbes among them. The findings revealed that, in general, ( = 32, 64%) of school toilets were clean, while, in general, the girls' toilets were cleaner than the boys' toilets. In all the schools, the cleaning services were from the people who were involved in school nutrition. In conclusion, there were water sources available for access to water inside schools; however, the situation can be improved by increasing the number of water source points. Pit latrines were the main used toilets, which were in a majority of the schools, and did not have the necessary terms for hygiene such as handwashing basin, tissues, and others. The lack of the main aspect, i.e., access to water and sanitation items, results in an impact on hygiene to learners as they will fail to practice proper hygiene. However, improvement can still be made by keeping the boys' toilets clean while increasing the number of handwashing basins inside the toilets, so that they do not use taps outside the toilets. Schools should work towards meeting the required number of handwashing basins to increase access to handwashing facilities.
本研究评估了南非夸祖鲁 - 纳塔尔省乌姆福洛齐地方市政当局49所选定小学的水、环境卫生和个人卫生(WASH)服务状况。通过使用观察清单工具并进行巡查来收集数据,以检查卫生设施状况、观察学校学生的洗手习惯,并分析学校内安全饮用水的可及性。数据使用社会科学统计软件包第29版进行分析。本研究表明,除一所学校外,其他所有学校都能方便地获取安全饮用水。尽管所有学校都在校园内有某种饮用水基础设施,但供水的可靠性似乎是每所学校最紧迫的问题之一。与井水(15所,占22%)和水车供水(4所,占6%)相比,市政供水(25所,占36%)和雨水(25所,占36%)是学校最常用的水源类型。由于市政供水不稳定,且雨水是季节性收获,井水可能会受到诸如停电等因素影响,学校必须有储备水源。联合国儿童基金会规定的每五十名学生配备一个水龙头或分散器的比例表明,一些学校的校园水龙头不足(25所,占36%)。雨水通过学校建筑屋顶的排水系统收集,并储存在5000 - 10000升的储水箱中。井水被泵入高处的储水箱储存,学生通过连接到井水水箱的水龙头取水。在没有其他水源供水的紧急情况下,会租用水车来填充也用于储存雨水的水箱。井水和雨水看起来清澈,但未进行水处理,微生物质量未知。这表明可持续发展目标6(清洁水和卫生设施)仍远未实现。根据国内水和卫生服务的国家规范和标准,未采用水处理或净化技术的人群属于“无服务”类别,这加剧了用水积压问题。发现坑式厕所(46所,占94%)和冲水厕所(3所,占6%)是仅有的使用的便利厕所系统。根据指导方针,厕所数量不足。由于供水不足或无供水,研究区域内46所(占94%)学校使用坑式厕所。在89.8%的小学中,卫生设施在维修和卫生方面处于可用状态,而10.2%在卫生方面无法使用,且这些大多是男厕所。所有拥有冲水厕所的学校(46所,占94%)是因为它们获得了非政府利益相关者的赞助,这些赞助为它们实现了允许冲水厕所正常运行的管道供水系统。在本研究中,卫生状况是根据厕所内发现的物品和洗手习惯来评估的。厕所的卫生方面包括卫生纸、清洁度和马桶座圈。对于洗手习惯,我们考察了洗手盆的数量、水的颜色以及是否有肥皂可用。在确实提供了洗手设施的学校中,一些厕所损坏、没有水或没有排水系统以使其正常运行。然而,根据学校法案,洗手盆应设置在设施内。总共7所(占14%)学校的洗手盆在厕所内。只有2所(占4%)学校的洗手设施是靠近厕所的带有水龙头的储水箱,且位于厕所外,未提供肥皂。此外,40所(占82%)学校的学生使用饮水点进行洗手,这可能会在他们之间传播微生物。研究结果显示,总体而言,32所(占64%)学校厕所干净,而总体上女生厕所比男生厕所更干净。在所有学校中,清洁服务由参与学校营养工作的人员提供。总之,学校内有水源可供取水;然而,通过增加水源点数量可以改善这种情况。坑式厕所是大多数学校主要使用的厕所,且没有诸如洗手盆、卫生纸等必要的卫生条件。缺乏获取水和卫生用品这一主要方面,会对学生的卫生状况产生影响,因为他们无法保持适当的卫生习惯。然而,通过保持男生厕所清洁并增加厕所内洗手盆的数量,使他们不使用厕所外的水龙头,仍可做出改进。学校应努力达到所需的洗手盆数量,以增加洗手设施的可及性。