Challenges of Access to WASH in Schools in Low- and Middle-Income Countries: Case Study from Rural Central Kazakhstan
Abstract
:1. Introduction
1.1. Background
1.2. Review of Methods of Assessing Access in Schools
2. Materials and Methods
2.1. Survey Design
2.2. Description of the Area and Schools
2.3. WASH Assessment Elements
3. Results and Discussion
3.1. Drinking Water
3.1.1. Water: Availability and Functionality
3.1.2. Water: Physical Accessibility
3.1.3. Water: Quality of Services, Operation, and Maintenance
3.2. Sanitation
3.2.1. Sanitation: Availability and Functionality
3.2.2. Sanitation: Accessibility, Privacy, and Security
3.2.3. Sanitation: Quality of Services, Operation, and Maintenance
3.3. Hygiene
3.3.1. Hygiene: Availability and Functionality, Accessibility
3.3.2. Hygiene: Quality of Services, Operation, and Maintenance
3.4. WASH: Education and Practices
3.5. Data Collection Tool Assessment
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Description | School 1 | School 2 | School 3 | Total |
---|---|---|---|---|
Total pupils | 102 (61.5%) | 35 (21%) | 29 (17.5%) | 166 (100%) |
Gender: | ||||
Female | 50 (49%) | 23 (65.7%) | 12 (41.4%) | 85 (51.2%) |
Male | 48 (47%) | 12 (34.3%) | 17 (58.6%) | 77 (46.4%) |
Missing | 4 (3.9%) | - | - | 4 (2.4%) |
Mean age | 10.98 ± 3.3 (SD) | 11.6 ± 2.37 (SD) | 14.03 ± 2.16 (SD) | 11.67 ± 3.14 (SD) |
Minimum age | 7 | 7 | 10 | 7 |
Maximum age | 17 | 15 | 17 | 17 |
Classes: | ||||
The 2nd grade | 18 (17.6%) | 2 (5.7%) | - | 20 (12%) |
The 3rd grade | 21 (20.6%) | 3 (8.6%) | - | 24 (14.46%) |
The 4th grade | 15 (14.7%) | 4 (11.4%) | - | 19 (11.45%) |
The 5th grade | 4 (3.9%) | 5 (14.3%) | 3 (10.3%) | 12 (7.3%) |
The 6th grade | 5 (4.9%) | 5 (14.3%) | 3 (10.3%) | 13 (7.8%) |
The 7th grade | - | 6 (17.1%) | 2 (6.9%) | 8 (4.8%) |
The 8th grade | 4 (3.9%) | 4 (11.4%) | 3 (10.3%) | 11 (6.6%) |
The 9th grade | 7 (6.8%) | 5 (14.3%) | 7 (24.1%) | 19 (11.4%) |
The 10th grade | 4 (3.9%) | - | 5 (17.2%) | 9 (5.4%) |
The 11th grade | 17 (16.7%) | - | 5 (17.2%) | 22 (13.2%) |
Missing | 7 (6.8%) | 1 (2.9%) | 1 (3.4%) | 9(5.4%) |
Description | School 1 | School 2 | School 3 |
---|---|---|---|
Type of school management | public | public | public |
School program Short (4–6 h) long (7–10 h) | long | long | long |
Number of shifts per day | 2 | 2 | 2 |
The budget for the operation and maintenance of WASH services | less than 50% of needs of the school | more than 75% of needs of the school | No |
Responsibility for the provision, operation, and maintenance of WASH services on the school premises | school administration | local state organizations with school administration | local state organizations with school administration |
Total number of students | 182 | 40 | 58 |
male | 100 (54.9%) | 17 (42.5%) | 34 (58.6%) |
female | 82 (45.1%) | 23 (57.5%) | 24 (42.4%) |
Total number of staff | 66 | 30 | 45 |
teachers | 42 | 14(46.7%) | 17 (37.8%) |
administrative staff | 6 | 3 (10%) | 3 (8.9%) |
operation and maintenance staff | 18 | 13 (43.3%) | 25 (55.6%) |
The building was built-in | 2006 | 1961 | 1967 |
Renovation of WASH systems | 2019 | 2018 |
Interview | Observation | Pupil Questionnaire |
---|---|---|
Water: availability and functionality | ||
The main resource of drinking water | The main resource of drinking water | Availability of drinking water in school |
Availability of drinking water during the school year | Currently the availability of drinking water | The location of drinking-water points |
Alternative water source | The location of drinking-water points | Availability of water for handwashing |
Number of drinking-water points | ||
Water: accessibility | ||
Accessibility of drinking-water points for young students | Accessibility of drinking-water points for young students | |
Water: quality of services, operation, and maintenance | ||
Sufficiency of water for all needs | Quality characteristics of drinking water (color, odor, taste) | Reasons for not drinking water (bad smell, taste, odor) |
Quality of water resource | Measures providing water supply at the school level | |
Complaints about availability and quality | ||
Responsibility for drinking-water source | ||
Sanitation: availability | ||
Types of toilets/latrines at school | Types of toilets/latrines for pupils | Visiting the toilet in school |
Number of currently available toilets | Number of currently available toilets | |
Toilet facilities for staff | Toilet facilities for staff | |
Location of the school toilets | ||
Sanitation: accessibility, privacy, security | ||
Toilet facility for girls | Accessibility of toilets for young students | Separate toilets for boys and girls |
Privacy of the toilet | Not separate toilets for boys and girls as a problem | |
Issues with the functionality of toilets | Classmate’s bad experience in school toilet | |
Accessible toilets for all | Personal bad experience in school | |
The specified time for visiting the toilet | Accessibility of school toilet for smaller pupil | |
Permanently accessible toilets | ||
Sanitation: operation and maintenance | ||
Cleanliness of the school toilet | Cleanliness of the school toilet | Cleanliness of the school toilet |
Lighting in the toilet facilities | Lighting in the toilet facilities | Lighting in the toilet facilities |
Ventilation in the toilet facilities | Ventilation in the toilet facilities | Opinion about toilet facilities |
Heated toilet facility | Heated toilet facility | Toilet paper in the toilet cubicle |
Availability of culturally appropriate means for anal cleansing | Availability of culturally appropriate means for anal cleansing | |
Waste bins in the toilet facilities | Waste bins in the toilet facilities | |
Cleaning and maintenance schedule records | ||
Hygiene: availability and functionality, accessibility | ||
The location of handwashing facilities | The location of handwashing facilities | Washing hands after using the toilet |
Availability of soap for handwashing | Availability of soap for handwashing | Availability of soap for handwashing |
Number of handwashing facilities | Availability of handwashing materials | |
Availability of warm running water | Accessibility of handwashing facilities for smallest pupil | |
Accessibility of handwashing facilities for smallest pupil | ||
Hygiene: quality of services, operation, and maintenance | ||
Cleaning and maintenance schedule records | Cleaning and maintenance schedule records | Opinion about handwashing facilities |
Cleanliness of handwashing facilities | ||
Hand drying materials | ||
Water: education and practices | ||
Allowed time to drink water | Educational materials | Prevalence of drinking water during studying |
Location of drinking-water points | Permission to drink water during the classes | |
Time for access to drinking water | ||
Talking about the importance of the drinking water | ||
Sanitation: education and practices | ||
Reported episodes of bullying or violence in the school toilet facilities | Posters promoting healthy and/or hygienic use of the toilets | Time for visiting the school toilet |
Complaints procedure encouraging pupils to report issues in the school toilet facilities | Talking about toilet hygiene and proper hygiene behaviors | |
Hygiene: education and practices | ||
Activities for hygiene promotion at the school | Information about handwashing/hand hygiene | The usual time for washing your hands |
The habit of washing your hands, if both water and soap are available | ||
Talking about the importance of handwashing | ||
The practice of handwashing with teachers and/or in a group with other pupils |
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Bolatova, Z.; Tussupova, K.; Toleubekov, B.; Sukhanberdiyev, K.; Sharapatova, K.; Stafström, M. Challenges of Access to WASH in Schools in Low- and Middle-Income Countries: Case Study from Rural Central Kazakhstan. Int. J. Environ. Res. Public Health 2021, 18, 9652. https://doi.org/10.3390/ijerph18189652
Bolatova Z, Tussupova K, Toleubekov B, Sukhanberdiyev K, Sharapatova K, Stafström M. Challenges of Access to WASH in Schools in Low- and Middle-Income Countries: Case Study from Rural Central Kazakhstan. International Journal of Environmental Research and Public Health. 2021; 18(18):9652. https://doi.org/10.3390/ijerph18189652
Chicago/Turabian StyleBolatova, Zhanerke, Kamshat Tussupova, Berik Toleubekov, Kanat Sukhanberdiyev, Kulyash Sharapatova, and Martin Stafström. 2021. "Challenges of Access to WASH in Schools in Low- and Middle-Income Countries: Case Study from Rural Central Kazakhstan" International Journal of Environmental Research and Public Health 18, no. 18: 9652. https://doi.org/10.3390/ijerph18189652