Tag Archives: India

Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural India

Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural indigenous communities of Jharkhand and Odisha, Eastern India: a cross-sectional study. Maternal & Child Nutrition, June 2016.

Authors: Jennifer Saxton, Shibanand Rath, et. al.

The World Health Organisation has called for global action to reduce child stunting by 40% by 2025. One third of the world’s stunted children live in India, and children belonging to rural indigenous communities are the worst affected. We sought to identify the strongest determinants of stunting among indigenous children in rural Jharkhand and Odisha, India, to highlight key areas for intervention.

We analysed data from 1227 children aged 6–23.99 months and their mothers, collected in 2010 from 18 clusters of villages with a high proportion of people from indigenous groups in three districts. We measured height and weight of mothers and children, and captured data on various basic, underlying and immediate determinants of undernutrition. We used Generalised Estimating Equations to identify individual determinants associated with children’s height-for-age z-score (HAZ; p < 0.10); we included these in a multivariable model to identify the strongest HAZ determinants using backwards stepwise methods.

In the adjusted model, the strongest protective factors for linear growth included cooking outdoors rather than indoors (HAZ +0.66), birth spacing ≥24 months (HAZ +0.40), and handwashing with a cleansing agent (HAZ +0.32). The strongest risk factors were later birth order (HAZ −0.38) and repeated diarrhoeal infection (HAZ −0.23).

Our results suggest multiple risk factors for linear growth faltering in indigenous communities in Jharkhand and Odisha. Interventions that could improve children’s growth include reducing exposure to indoor air pollution, increasing access to family planning, reducing diarrhoeal infections, improving handwashing practices, increasing access to income and strengthening health and sanitation infrastructure.

Peeing in public still a concern, Modi seeks changes in Swachh Bharat campaign

Peeing in public still a concern, Modi seeks changes in Swachh Bharat campaign | Source: Hindustan Times, June 23 2016 |

Prime Minister Narendra Modi has spotted a gap in his Swachh Bharat campaign: the grotesque but common sight of men urinating in public places.

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The PM’s point was that the earlier tagline – “Making Cities Open Defecation Free” – did not adequately reflect the challenge of public urination across the country. (HT file photo)

Modi has told the Union urban development (UD) ministry to ensure that the government’s outreach doesn’t just focus on open defecation in cities but target urination in public places as well. As the first step, the PM has asked the ministry to change the nomenclature of the campaign’s tagline. In line with the PM’s directive following a meeting on June 1 to review the progress of Swachh Bharat Mission, the ministry has set the ball rolling to call its campaign “Open Urination and Defecation Free Cities by 2019”.

The PM’s point, a senior government official who attended the meeting said, was that the earlier tagline – “Making Cities Open Defecation Free” – did not adequately reflect the challenge of public urination across the country.

Read the complete article.

From waste-picker to waste professional: A Bengaluru organisation recycles livelihoods

From waste-picker to waste professional: A Bengaluru organisation recycles livelihoods | Source: The News Minute, June 17 2016 |

Hasiru Dala also creates awareness about segregating dry waste and wet waste.

Thirty-eight-year-old Lakshmi has been working as a waste-picker in Bengaluru for five years. “We are called thieves when we are collecting waste. Some have even gone to the extent of calling the police,” said Lakshmi lamenting the state of waste-pickers in the city. Hasiru (1)

However, all that changed when Hasiru Dala, a social enterprise that organise waste-pickers came forward and provided Lakshmi with an ID card. “The green card from Hasiru Dala helps us avoid such problems,” she said.

Hasiru Dala, an organisation that turn waste-pickers to waste professionals aids the Bruhat Bengaluru Mahanagara Palike (BBMP) in managing Bengaluru’s massive waste production by providing waste management services for homes, apartments, commercial set-ups and events.. From a family wedding to a city-wide marathon, Hasiru Dala (Green Army in Kannada) provides waste management services for all kinds of events.

Along with recycling waste, Hasiru Dala has also managed to recycle the livelihoods of thousands of waste pickers in the city like that of Lakshmi. Shekhar Prabhakar, Managing Director of Hasiru Dala said, “Waste-picking is a job totally dependent on luck. It is not an easy job. Waste pickers bend down hundreds of times in covering a 10 km stretch. We are aiming to create dignified labour by providing waste-pickers with ID cards.” Hasiru Dala has helped around 7500 waste-pickers obtain an ID card.

Read the complete article.

Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverage

Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverageWater Research, Volume 100, 1 September 2016, Pages 232–244.

Authors: Mitsunori Odagiri, Alexander Schriewer, et al.

Highlights

  • Application of Bacteroidales MST to evaluate improved sanitation impacts
  • Widespread human and animal fecal contamination detected in homes.
  • Pathogens detected in drinking sources associated with subsequent child diarrhea.
  • Public ponds used domestically were heavily contaminated with multiple pathogens.
  • No decrease in human fecal or pathogen contamination from increased latrine coverage.

In conclusion, the study demonstrates that

  • (1) improved sanitation alone may be insufficient and further interventions needed in the domestic domain to reduce widespread human and animal fecal contamination observed in homes,
  • (2) pathogens detected in tubewells indicate these sources are microbiologically unsafe for drinking and were associated with child diarrhea,
  • (3) domestic use of ponds heavily contaminated with multiple pathogens presents an under-recognized health risk, and
  • (4) a 27 percentage point increase in improved sanitation access at village-level did not reduce detectable human fecal and pathogen contamination in this setting.

 

Approaches to Capital Financing and Cost Recovery in Sewerage Schemes Implemented in India: Lessons Learned and Approaches for Future Schemes

Approaches to Capital Financing and Cost Recovery in Sewerage Schemes Implemented in India: Lessons Learned and Approaches for Future Schemes, 2016. Water and Sanitation Program.

This report aims to highlight some of the successful financial management practices adopted by Urban Local Bodies (ULBs) in India when implementing sewerage schemes. The findings are presented in two parts – the first part of the report discusses the approach adopted for capital financing of sewerage schemes in the state of Tamil Nadu, and the second part presents the findings from a review of the operational expenditure and revenue generation of various ULBs across the country.

The aim of the report is to share successful capital financing and cost recovery practices adopted by ULBs in India and enable improvement in provisioning of sewerage systems (only where feasible and economically viable, typically only in larger towns with a population greater than 50,000) and ensure availability of sufficient funds for proper Operation and Maintenance (O&M) of the schemes implemented.

 

Community Slum Sanitation in India A Practitioner’s Guide

Community Slum Sanitation in India: A Practitioner’s Guide, 2016. Water and Sanitation Program.

Based on the experience of slum sanitation initiatives implemented in a number of urban centers in India, over the last decades, this Guide draws out the critical drivers that appear to explain some facets of successful community slum sanitation initiatives.

Initiatives from the cities of Ahmedabad, Pune, Mumbai, Bhopal, Trichy, and Kalyani are used as the examples to learn from (based on convenience and easy availability of information).

A set of generic steps are identified and described thereafter for the preparatory, planning, implementation, and monitoring and evaluation stages of community sanitation initiatives.

Impact of Community-led Total Sanitation on Women’s Health in Urban Slums: A Case Study from Kalyani Municipality

Impact of Community-led Total Sanitation on Women’s Health in Urban Slums: A Case Study from Kalyani Municipality, 2016.

Authors: Prabhakaran, P., Kar, K., Mehta, L. and Chowdhury, S.R. Institute of Development Studies.

This Evidence Report seeks to understand the health and other impacts of slum women’s access to sanitation through the Community-led Total Sanitation (CLTS) approach. It also examines the process through which open defecation free (ODF) status was attained in two different slum colonies, the resulting health impacts and the collective action that took place around both sanitation and other development benefits.

The study was conducted in the slums of Kalyani, a Municipality town located 55km north of Kolkata, the capital city of West Bengal state in India. From an area plagued with rampant open defecation, the slums of Kalyani were transformed into the first ODF town in India in 2009. This was achieved through the CLTS model that focused on motivating the community to undertake collective behaviour change to achieve ‘total’ sanitation and an ODF environment. This was in sharp contrast to earlier, top-down approaches to the provision of toilets, which had failed to ensure ownership or usage by the community.

The benefits of CLTS to the community were not limited to changed sanitation behaviour and an end of open defecation – there were significant development and health gains beyond sanitation. Women’s health in this study has been viewed not just in terms of the presence or absence of disease burden on the physical health of women but also in terms of their socio-psychological wellbeing resulting from reduced risks and a wide range of benefits accruing from better sanitation and hygiene practices and facilities.

The study also focused on exploring the extent to which the CLTS process can be said to have empowered women. As experiences of good health and wellbeing are affected by factors in the external environment, namely the role of the local government, women’s access to health services and the involvement of multiple sectors, these issues were also considered, in order to understand the overall health status and experiences of women in Kalyani slums.