Introduction A cholera epidemic began in Haiti over 8 years ago, prompting numerous, largely quantitative research studies. Assessments of local ‘knowledge, attitudes and practices’ relevant for cholera control have relied primarily on cross-sectional surveys. The voices of affected Haitians have rarely been elevated in the scientific literature on the topic.
Background: Refugees are at high risk for communicable diseases due to overcrowding and poor water, sanitation,
and hygiene conditions. Handwashing with soap removes pathogens from hands and reduces disease risk. A
hepatitis E outbreak in the refugee camps of Maban County, South Sudan in 2012 prompted increased hygiene
promotion and improved provision of soap, handwashing stations, and latrines. We conducted a study 1 year after
After the flood: an evaluation of in-home drinking water treatment with combined flocculent-disinfectant following Tropical Storm Jeanne — Gonaives, Haiti, 2004
Tropical Storm Jeanne struck Haiti in September 2004, causing widespread flooding which contaminated water sources, displaced thousands of families and killed approximately 2,800 people. Local leaders distributed PuR, a flocculent-disinfectant product for household water treatment, to affected populations. We evaluated knowledge, attitudes, practices, and drinking water quality among a sample of PuRw recipients. We interviewed representatives of 100 households in three rural communities who received PuR and PuR-related education.
Programmatic implications for promotionof handwashing behavior in an internally displaced persons camp in North Kivu, Democratic Republic of Congo
Background: Diarrhea and acute respiratory infections (ARI) account for 30% of deaths among children displaced due to humanitarian emergencies. A wealth of evidence demonstrates that handwashing with soap prevents both diarrhea and ARI.
Pilot testing and evaluation of a toolkit for menstrual hygiene management in emergencies in three refugee camps in Northwest Tanzania
Displaced adolescent girls and women face many challenges managing their monthly menstrual flow with dignity
and comfort in various challenging settings around the world, such as refugee camps, informal settlements, and
while in transit across geographies as they flee disaster or conflict. Menstrual hygiene management requires easy
access to safe, private water and sanitation facilities, along with appropriate menstrual materials and supplies, discreet
Legal principles and moral obligations that guarantee the basic needs of people living in humanitarian crisis situations (HCSs) predate inclusive development (ID). This review of the scholarly literature on access to water, sanitation and hygiene services (WASH) in HCSs links: (a) legal principles and moral obligations for WASH in HCSs, (b) technological, assessment and participatory instruments for WASH provision in HCSs, and (c) the social, relational and environmental dimensions of ID.
Measuring the Benefits of using market based approaches to provide water and sanitation in humanitarian contexts
The use of cash transfers and market based programming (CT/MBP) to increase the efficiency and effectiveness of emergency responses is gaining prominence in the humanitarian sector. However, there is a lack of existing indicators and methodologies to monitor activities designed to strengthen water and sanitation (WaSH) markets. Gender and vulnerability markers to measure the impact of such activities on different stakeholders is also missing.
Kabul and Monrovia, the respective capitals of Afghanistan and Liberia, have recently emerged from long-lasting armed conflicts. In both cities, a large number of organisations took part in emergency water supply provision and later in the rehabilitation of water systems. Based on field research, this paper establishes a parallel between the operations carried out in the two settings, highlighting similarities and analysing the two most common strategies.
Cholera has been eliminated as a public health problem in high-income countries that have implemented sanitation system separating the community’s fecal waste from their drinking water and food supply. These expensive, highly-engineered systems, first developed in London over 150 years ago, have not reached low-income high-risk communities across Asia.
Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program
Background. The Cholera-Hospital-Based-Intervention-for-7-Days (CHoBI7) is a handwashing with soap and water treatment intervention program delivered by a health promoter bedside in a health facility and through home visits to diarrhea patients and their household members during the 7 days after admission to a health facility.