Search Results (7)

Background: Sustainable sanitation underpins Sustainable Development Goal (SDG) 6.2, which mandates safe, equitable services and the elimination of open defecation by 2030. Rural South African communities continue to face significant Water, Sanitation and Hygiene (WASH) challenges driven by economic, environmental and governance constraints. Methods: An explanatory sequential mixed-methods design was conducted in King Sabata Dalindyebo Local Municipality, Eastern Cape. Quantitative data comprised household surveys (n = 246) and structured observations of VIP latrines (n = 50). Qualitative data were gathered from 20 semi-structured interviews with community representatives and four focus groups (n = 32). Results: While 63% of households owned VIP latrines, only 22% of the inspected facilities were in good working condition and 20% were abandoned; 58% required major maintenance. Major barriers to sustainable sanitation included limited financial capacity, structural damage related to a high-water table, gendered safety risks, and low community engagement in sanitation planning and maintenance. Conclusions: Achieving SDG 6.2 in rural South Africa requires co-productive governance that integrates infrastructure maintenance with community leadership. Recommended actions include delegated WASH committees, targeted subsidies for vulnerable households, routine gender and safety audits, and enforcement of environmental protection measures to secure long-term sanitation sustainability. Full article

The current paper provides a review and meta-analysis of the practical implications of disaster risk management related to the ventilated improved latrines in South Africa. This technology is evaluated through its legacy and novel challenges of disaster risk reduction. In the current article, the methodology adopted was a literature review and meta-analyses. The results indicate that the in-situ treatment and breakdown of faecal sludge in the ventilated improved pit latrines is not always taking place and that anaerobic digestion might not always be feasible. New strategies are proposed to manage the sanitation-related risks in South Africa by specifying more exact dimensions for the newly built ventilated improved pit latrines by suggesting the use of novel sanitation additives such as fly ash to enhance on-site and in situ treatment, as well as ex situ treatment of the pit latrine faecal sludge. Regular maintenance can lead to prevention of the dysfunctional character of the ventilated improved pit latrines as a functional sanitation technology and a user-friendly hygiene barrier to the spread of sanitation/WASH-related epidemics or infectious diseases. The implementation of the novel strategies should be enhanced by the application of the (Environmental) Technology Assessment in sanitation service delivery in South Africa. Full article

Rural households have latrine preferences and unique sanitation needs. An assessment of how rural households adapt their sanitation needs to a nationally encouraged latrine design was done. A cross-sectional survey was conducted among 790 households in a rural district of Zimbabwe from November 2020 to May 2021. Data were analysed using logistic regression. Qualitative data were collected using focus groups and analysed using thematic analysis. Analyses were done in STATA 16 and considered significant at p < 0.05. There was low adoption of the Blair ventilated improved pit latrine and its upgradable models. Significant predictor variables of BVIP latrine adoption were mainly contextual and psychosocial at the individual and household levels. They included source and level of household income, residence period, nature of homestead, number of cattle owned, knowledge of sanitation options and perceived high latrine cost. The latrine design was considered not a pro-poor option as it was unaffordable by many rural households resulting in its non-completion, poor-quality designs, alternative options, sharing and open defaecation. Poverty appears the main barrier for latrine ownership. However, a window of opportunity to improve access to sanitation in rural Zimbabwe exists by considering alternative sanitation options and financial investment mechanisms. Full article

In this paper, an expedited multi-criteria decision analysis framework, capable of tackling several dimensions for the choice of sanitation services, at an early planning stage is presented. The approach combines geographic information systems aided analysis for onsite solutions, with a multi-criteria decision analysis tool capable of suggesting and ranking several viable offsite treatment alternatives, according to the desired criteria. The framework was applied to four coastal cities in Northern Angola, one of the sub-Saharan countries of the west coast of Africa, thus obtaining an indication for city-wide solutions, as an aid to achieve the goal of ensuring full sanitation coverage in those four locations. It included possible onsite collection and storage interfaces, namely Ventilated Improved Pit latrines, fossa alterna, septic tanks or conventional sewer systems. The study also contributed to an informed decision regarding optimal offsite treatment facility type, namely based on dedicated or combined wastewater and faecal sludge treatment (co-treatment), as well as different options for locations and sanitation technologies. Alternatives were compared and ranked according to ten main criteria concerning social, economic, technological and environmental aspects. This work helped demonstrate the usefulness of decision-aiding tools in the multi-stakeholder and complex context of sanitation in a developing country. Full article

There are considerable challenges to achieving the Sustainable Development Goals’ target of universal access to basic sanitation in schools. Schools require safe, clean, and sex-segregated facilities for a large number of students. Robust and affordable solutions are needed to address the economic, spatial, social, institutional, and political factors which contribute to poor sanitary conditions in informal settlements. In 2015, we undertook a randomized controlled trial to assess the feasibility of private sector sanitation delivery (PSSD) in 20 primary schools, in informal settlements of Nairobi, Kenya. Our preliminary evaluation after one year of service delivery suggested that PSSD of urine-diverting dry latrines with routine waste collection and maintenance provided a feasible, lower-cost alternative to the government standard delivery (GSD) of cistern-flush toilets or ventilated improved pit latrines. We conducted a mixed-methods follow-up study to assess sanitation delivery over 3–4 years and investigate prevailing drivers and barriers that may influence the scalability of PSSD. The conditions of newly constructed and rehabilitated GSD facilities diminished quickly, reverting to the conditions of existing facilities, indicating lower sustainability compared to sanitation delivered from the private sector. Barriers in financial aspects related to the ongoing implementation of PSSD emerged, particularly among public schools, and few were able to pay for continued service. Our study demonstrates that the engagement of the private sector may lead to improvements in affordable, safely managed sanitation for schools and their students. Yet, to reach a sustained scale, additional guidance is needed on how to develop these partnerships, streamline procurement and contracting processes, and incorporate appropriate financing mechanisms. Full article

Improved sanitation for all is a daunting task for low-income countries, and shared toilets often provide an alternative to private household sanitation for most urban residents. This study sought to provide better understanding of the existing barriers and opportunities for improved management of shared sanitation. The study used focus group discussions and in-depth interviews with 70 users (landlords and tenants) of shared sanitation in Kumasi, Ghana to assess barriers and opportunities of “high-quality” shared sanitation. The commonly used toilet facilities were dry toilets—Kumasi Ventilated Improved Pit latrine and Ventilated Improved Pit latrines; and flush systems—water closet and pour flush connected to septic tanks. Between 2 and 21 households, or 4 and 84 people, shared one facility. Participants’ description of “high-quality” (Ideal) shared sanitation was centred on cleanliness, user behaviour, smell, and user crowding. They also identified challenges of shared sanitation as overcrowded users, poor user behaviours, conflicts among users, and high cost associated with frequent desludging. However, opportunities for improvement included users’ preference for shared toilets due to enjoyed benefits, existing facility management practices, and mutual understanding among users (tenants and landlords). Interventions and policy guidelines to influence behaviour change of shared sanitation users are proposed and are intended to be delivered by local government and users. Full article

The provision of safely managed sanitation in informal settlements is a challenge, especially in schools that require durable, clean, sex-segregated facilities for a large number of children. In informal settlements in Nairobi, school sanitation facilities demand considerable capital costs, yet are prone to breakage and often unhygienic. The private sector may be able to provide quality facilities and services to schools at lower costs as an alternative to the sanitation that is traditionally provided by the government. We conducted a randomized trial comparing private sector service delivery (PSSD) of urine-diverting dry latrines with routine waste collection and maintenance and government standard delivery (GSD) of cistern-flush toilets or ventilated improved pit latrines. The primary outcomes were facility maintenance, use, exposure to fecal contamination, and cost. Schools were followed for one school year. There were few differences in maintenance and pathogen exposure between PSSD and GSD toilets. Use of the PSSD toilets was 128% higher than GSD toilets, as measured with electronic motion detectors. The initial cost of private sector service delivery was USD 2053 (KES 210,000) per school, which was lower than the average cost of rehabilitating the government standard flush-type toilets (USD 9306 (KES 922,638)) and constructing new facilities (USD 114,889 (KES 1,169,668)). The private sector delivery of dry sanitation provided a feasible alternative to the delivery of sewage sanitation in Nairobi informal settlements and might elsewhere in sub-Saharan Africa. Full article