A Sustainable Water Management Framework for Schools in Sub-Saharan Africa
Abstract
1. Introduction
- Nigeria: ~2300 children under five die daily, with 10% of deaths caused by diarrhea [20].
- Globally, about 88% of diarrhea cases are linked to poor sanitation and contaminated water [21].
- Ethiopia: Among the lowest in SSA for safe water access; water-related diseases are a top three cause of death [22].
- Uganda: Only 27% of schools have handwashing facilities, with unconfirmed functionality [25].
- Ethiopia (rural): Only 1% of schools have on-premises water, adequate sanitation, and handwashing facilities [27].
2. Materials and Methods
2.1. Study Area
2.2. Case Studies
2.3. Data Collection and Analyses
3. Results
3.1. Inspection of WASH Facilities in the Schools
3.1.1. The Boys School
3.1.2. The Girls School
3.2. Questionnaire Participant Demographics
3.3. Questionnaire Responses
3.4. Interview Participant Demographics
3.5. Interview Responses
4. Development of a Sustainable Water Management Framework for Schools
4.1. Validation of the Proposed Framework
4.2. Prioritization Matrix for Implementing the Sustainable Water Management Framework in Schools (Sub-Saharan Africa)
- High Priority (Score 6–9): Quick wins with high impact (e.g., repairs, handwashing stations).
- Medium Priority (Score 4–5): Important but require planning/resources (e.g., MHM programs).
- Low Priority (Score 1–3): Long-term systemic changes (e.g., infrastructure projects).
- Immediate Actions (Short-term):
- Repair wells, toilets, and leaks;
- Deploy handwashing stations;
- Launch awareness campaigns.
- Medium-term:
- Construct gender-sensitive toilets;
- Install water treatment systems.
- Long-term:
- Infrastructure upgrades (e.g., smart meters);
- Policy integration with government ministries.
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
WASH | Water, Sanitation, and Hygiene |
SSA | Sub-Saharan Africa |
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S/N | Hygiene Indicator | Girls’ School (%) | Boys’ School (%) |
---|---|---|---|
1 | Do you wash your hands after playing?—Yes | 87.2 | 73 |
—No | 12.8 | 25.4 | |
—No Response | 0 | 1.6 | |
2 | How often do you wash your hands after playing?—Always | 41.9 | 49.6 |
—Sometimes | 55.8 | 43.9 | |
—I do not wash my hands at all | 1.2 | 4.9 | |
—No Response | 1.2 | 1.6 | |
3 | How many times do you bath in a day?—Once | 18.6 | 22.1 |
—Twice | 79.1 | 70.1 | |
—More than twice | 2.3 | 6.1 | |
—No Response | 0 | 1.6 | |
4 | Do you wash your hands before eating?—Yes | 91.9 | 93 |
—No | 8.1 | 4.9 | |
—No Response | 0 | 2 | |
5 | Whenever you wash your hands, do you use soap?—Yes | 57 | 53.3 |
—No | 14 | 18 | |
—Sometimes | 29.1 | 26.2 | |
—No Response | 0 | 2.5 | |
6 | How do you wash your hands?—One hand at a time | 10.5 | 13.1 |
—Two hands in bowl | 24.4 | 38.5 | |
—Two hands under running tap | 65.1 | 46.7 | |
—No Response | 0 | 1.6 | |
7 | How many times do you wash your hands daily?—1–3 times | 62.8 | 54.5 |
—4–6 times | 23.3 | 22.1 | |
—7+ times | 12.8 | 21.7 | |
—No Response | 1.2 | 1.6 |
S/N | Health Indicator | Girls’ School (%) | Boys’ School (%) |
---|---|---|---|
1 | Absent from school due to health—Yes | 62.8 | 56.1 |
—No | 37.2 | 41.8 | |
—No Response | 0 | 2 | |
2 | Cause of ill-health—Fever | 74.4 | 66.4 |
—Worm infestation | 3.5 | 4.1 | |
—Head/body infection | 7 | 11.1 | |
—Others | 9.3 | 11.1 | |
—No Response | 5.8 | 7.4 | |
3 | Treatment method—Hospital/Clinic | 74.4 | 78.3 |
—Self-Medication | 17.4 | 16 | |
—No treatment | 2.3 | 2 | |
—No Response | 5.8 | 3.7 | |
4 | Absent from school during menstruation—Yes | 11.6 | – |
—No | 88.4 | – | |
—No Response | 0 | – | |
5 | Absent due to lack of menstrual facility—Yes | 10.5 | – |
—No | 87.2 | – | |
—No Response | 2.3 | – | |
6 | Disposal of menses—Flush it | 23.3 | – |
—Burn it | 67.4 | – | |
—Dump it | 8.1 | – | |
—No Response | 1.2 | – |
SDG#6 Targets | Target Description |
---|---|
T6.1 | Achieve universal and equitable access to safe and affordable drinking water for all. |
T6.2 | Achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations. |
T.6.3 | Improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally. |
T6.4 | Substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity; |
T6.5 | Implement integrated water resources management at all levels, including through transboundary cooperation as appropriate. |
T6.6 | Protect and restore water-related ecosystems, including mountains, forests, wetlands, rivers, aquifers and lakes. |
SDG#6 Targets Linked to This Study | ||
---|---|---|
Target 6.1: Achieve Universal and Equitable Access to Safe and Affordable Drinking Water for All | ||
Evidence of Shortfalls or Failings in the Schools | Proposed Short-Term Actions (Days/Weeks) | Proposed Long-Term Actions (Months/Years) |
Insufficient Infrastructure and Maintenance (e.g., Incessant exposure of water sources to contaminants as a result of well lid damage, or eroded well environment) | Repair and maintenance campaign. | Infrastructure development projects. |
Inadequate funding and Resources | Temporary water supply solutions. | Regular maintenance schedule (e.g., monthly inspection and maintenance). |
Lack of awareness and Education | Fundraising and donations (from school owners/administrators or associations like alumni or other charitable groups). | Resource allocation policies (integration with ministry of environment). |
Gender Inequality and Accessibility Issues (lack of adequate provision of sanitary materials for female pupils) | Partnership with local organizations. | Curriculum integration (to create awareness amongst pupils). |
Water conservation workshops. | Community engagement programs (e.g., collaboration with non-governmental organizations). | |
Awareness campaigns. | Inclusive infrastructure design. | |
Inclusive water access solutions. | Gender equality policies. | |
Gender-sensitive training. | ||
Target 6.2: Achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations | ||
Evidence of Shortfalls or Failings in the Schools | Proposed Short-term Actions (days/weeks) | Proposed Long-term Actions (months/years) |
Insufficient Number of Toilets and urinals. (i.e., number of functional toilets to school community population) | Distribute menstrual hygiene kits. | Construct permanent sanitation facilities to meet the growing population. |
Lack of Menstrual Hygiene Management | Provision of temporary toilet facilities, sited closer to the classrooms to ensure proximity and security. | Establish menstrual hygiene management programs and build washrooms for schoolgirls. |
Inadequate Handwashing Facilities | Install basic handwashing stations, with adequate water supply. | Install durable and permanent handwashing stations with adequate water supply and soap. |
Exclusion of Vulnerable Population | Identify vulnerable populations within the school and ensure they have access to all sanitation facilities. | Develop and enforce policies that ensure all students, including those with disabilities, have equal access to sanitation facilities. |
Long distance between the classrooms and toilet blocks | ||
Insufficient water points | ||
Target 6.3: Improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally | ||
Evidence of Shortfalls or Failings in the Schools | Proposed Short-term Actions (days/weeks) | Proposed Long-term Actions (months/years) |
Insufficient Water Treatment Facilities, e.g., water filters for treatment or treatment plants in some cases. | Implement portable water purification systems. | Build a sustainable water treatment facility and design a proper maintenance schedule tailored to the school’s needs. |
Inadequate Waste Management Systems | Draw a detailed SOP for water treatment. | Implement a robust waste management system that includes collection, sorting, and proper disposal of waste. |
Lack of Recycling and Reuse programs | Establish a basic waste collection system with designated bins for different types of waste (organic, recyclable, non-recyclable). | Create a structured recycling program, including the installation of recycling bins and partnerships with recycling facilities. |
Inadequate Infrastructure and Maintenance | Launch recycling awareness campaigns. | Invest in the construction and maintenance of durable water and sanitation infrastructure including toilets, handwashing stations, and waste management facilities (e.g., water storage tanks cleaning schedules). |
Inadequate consultation of experts in the construction of water wells and/or borehole, e.g., installations in low lands or close to the ground making the water sources susceptible to infiltration. | Immediate infrastructure repairs. | |
Launch a waste management awareness addressing the knowledge, attitude, and practice (KAP) of the school community. | ||
Target 6.4: Substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity | ||
Evidence of Shortfalls or Failings in the Schools | Proposed Short-term Actions (days/weeks) | Proposed Long-term Actions (months/years) |
Inefficient Water Use Practices | Install water-saving fixtures such as low-flow taps and toilets to reduce water wastage. | Develop sustainable water management plans, e.g., embracement of water saving facilities like urinals, and water saving water closets. |
Leakage and Poor Infrastructure through damaged pipe network or insufficient storage. | Identify and repair leaks in the water supply system and infrastructure to prevent water loss. | Invest in modernizing and upgrading water supply and sanitation infrastructure to prevent leaks and ensure efficient water distribution. |
Lack of Water Conservation Education | Initiate water conservation awareness campaigns. | Integrate water conservation into curriculum. |
Absence of Water Monitoring Systems (e.g., flow meters) | Establish temporary water monitoring systems. | Install advanced water monitoring systems that provide real-time data on water usage, leaks, and efficiency, e.g., flow and water meters. |
Inconsistent supply of electricity | Installation of power-saving plumbing appliances. |
SDG 6 Target | Proposed Action | Impact (1–3) | Feasibility (1–3) | Priority (Impact × Feasibility) | Implementation Timeline |
---|---|---|---|---|---|
Target 6.1 (Safe water access) | Repair damaged well lids to prevent contamination | 3 | 3 | 9 | Short-term (days/weeks) |
Install handwashing stations with soap/water supply | 3 | 2 | 6 | Short-term (weeks) | |
Curriculum integration (water safety awareness) | 2 | 2 | 4 | Medium-term (months) | |
Infrastructure development (new wells/tanks) | 3 | 1 | 3 | Long-term (years) | |
Target 6.2 (Sanitation) | Construct gender-segregated toilets with menstrual hygiene management (MHM) facilities | 3 | 2 | 6 | Medium-term (months) |
Establish menstrual hygiene management programs | 3 | 2 | 6 | Medium-term (months) | |
Repair/relocate toilets closer to classrooms | 3 | 3 | 9 | Short-term (weeks) | |
Inclusive sanitation policies for disabled students | 2 | 1 | 2 | Long-term (years) | |
Target 6.3 (Water quality) | Install water treatment filters | 3 | 2 | 6 | Medium-term (months) |
Launch waste management/recycling programs | 2 | 2 | 4 | Medium-term (months) | |
Repair leaking pipes/storage tanks | 3 | 3 | 9 | Short-term (weeks) | |
Partner with NGOs for recycling bins | 2 | 1 | 2 | Long-term (years) | |
Target 6.4 (Efficiency) | Fix leaks in water supply systems | 3 | 3 | 9 | Short-term (weeks) |
Install water-saving devices (e.g., low-flow taps) | 2 | 2 | 4 | Medium-term (months) | |
Water conservation awareness campaigns | 2 | 3 | 6 | Short-term (weeks) | |
Modernize infrastructure (e.g., smart meters) | 3 | 1 | 3 | Long-term (years) |
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Achi, C.G.; Ariyo, O.F.; Coker, A.O.; Abbey, S.J.; Agyekum, K.; Booth, C.A.; Horry, R.E. A Sustainable Water Management Framework for Schools in Sub-Saharan Africa. Green Health 2025, 1, 8. https://doi.org/10.3390/greenhealth1020008
Achi CG, Ariyo OF, Coker AO, Abbey SJ, Agyekum K, Booth CA, Horry RE. A Sustainable Water Management Framework for Schools in Sub-Saharan Africa. Green Health. 2025; 1(2):8. https://doi.org/10.3390/greenhealth1020008
Chicago/Turabian StyleAchi, Chibueze G., Oluwafemi F. Ariyo, Akinwale O. Coker, Samuel J. Abbey, Kofi Agyekum, Colin A. Booth, and Rosemary E. Horry. 2025. "A Sustainable Water Management Framework for Schools in Sub-Saharan Africa" Green Health 1, no. 2: 8. https://doi.org/10.3390/greenhealth1020008
APA StyleAchi, C. G., Ariyo, O. F., Coker, A. O., Abbey, S. J., Agyekum, K., Booth, C. A., & Horry, R. E. (2025). A Sustainable Water Management Framework for Schools in Sub-Saharan Africa. Green Health, 1(2), 8. https://doi.org/10.3390/greenhealth1020008