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Towards a participatory framework for improving water & health outcomes: A case study with Maasai women in rural Tanzania

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  • Venis, Robbie A.
  • Taylor, Virginia
  • Sumayani, Paulina
  • Laizer, Marie
  • Anderson, Troy
  • Basu, Onita D.

Abstract

Rural communities in sub-Saharan Africa (SSA) are disproportionately burdened by a pervasive lack of access to safe drinking water. Widespread programmatic failure in the water, sanitation, and hygiene (WaSH) sector has resulted in particularly slow progress in alleviating these challenges in the region. Drawing from decolonial and participatory methodological scholarship, this research demonstrates how geographically and demographically specific, locally controlled, and long-term educational programming can improve health and wellness outcomes when associated with a technological intervention. Specifically, consultations between January 2015 and August 2018 were followed by an iterative and community-driven program development process between January and July 2019. Fifty Maasai women were subsequently recruited to participate and were provided with a point-of-use water treatment technology in August 2019. These women engaged in a series of three 14-week WaSH education programs over an 18-month evaluation period. Results showed that 38% of participants reported regular diarrhea at baseline, decreasing to 8%, 0%, and 3% immediately after each of the three WaSH education programs were provided at 3, 12, and 18 months. Interim measurements taken between WaSH programs showed 35% of participants (at 6 months) and 5% of participants (at 15 months) reporting regular diarrhea. A trend of improvement was thus observed over the study period, though the increase in reported diarrhea at 6 months demonstrates the need for long-term commitment on the part of WASH practitioners when engaging with end users to achieve sustained change. Further, this research highlights the importance of participatory program development and pedagogical approaches in WaSH interventions, where local control of study objective determination and implementation, combined with consistent and long-term engagement, can facilitate sustained technology use and associated reductions in diarrhea.

Suggested Citation

  • Venis, Robbie A. & Taylor, Virginia & Sumayani, Paulina & Laizer, Marie & Anderson, Troy & Basu, Onita D., 2022. "Towards a participatory framework for improving water & health outcomes: A case study with Maasai women in rural Tanzania," Social Science & Medicine, Elsevier, vol. 301(C).
    • Handle: RePEc:eee:socmed:v:301:y:2022:i:c:s0277953622002726
    DOI: 10.1016/j.socscimed.2022.114966
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    References listed on IDEAS

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    1. Burt, Zachary & Njee, Robert M. & Mbatia, Yolanda & Msimbe, Veritas & Brown, Joe & Clasen, Thomas F. & Malebo, Hamisi M. & Ray, Isha, 2017. "User preferences and willingness to pay for safe drinking water: Experimental evidence from rural Tanzania," Social Science & Medicine, Elsevier, vol. 173(C), pages 63-71.
    2. Ambe J. Njoh & Erick O. Ananga & Ijang B. Ngyah-Etchutambe & Lucy E. Deba & Fotoh Jacob Asah & Elizabeth N. M. Ayuk-Etang & Fenda A. Akiwumi, 2018. "Electricity Supply, and Access to Water and Improved Sanitation as Determinants of Gender-Based Inequality in Educational Attainment in Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(2), pages 533-548, January.
    3. Parker Fiebelkorn, Amy & Person, Bobbie & Quick, Robert E. & Vindigni, Stephen M. & Jhung, Michael & Bowen, Anna & Riley, Patricia L., 2012. "Systematic review of behavior change research on point-of-use water treatment interventions in countries categorized as low- to medium-development on the human development index," Social Science & Medicine, Elsevier, vol. 75(4), pages 622-633.
    4. Guy J. Alaerts, 2019. "Financing for Water—Water for Financing: A Global Review of Policy and Practice," Sustainability, MDPI, vol. 11(3), pages 1-25, February.
    5. Rasmus Heltberg, 2009. "Malnutrition, poverty, and economic growth," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages 77-88, April.
    6. Marjorie Mbilinyi, 2016. "Analysing the history of agrarian struggles in Tanzania from a feminist perspective," Review of African Political Economy, Taylor & Francis Journals, vol. 43(0), pages 115-129, August.
    7. Corinthias P. M. Sianipar & Gatot Yudoko & Kiyoshi Dowaki & Akbar Adhiutama, 2013. "Design Methodology for Appropriate Technology: Engineering as if People Mattered," Sustainability, MDPI, vol. 5(8), pages 1-44, August.
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