IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i19p12776-d934643.html
   My bibliography  Save this article

Methodology for a Comprehensive Health Impact Assessment in Water Supply and Sanitation Programmes for Brazil

Author

Listed:
  • Débora Cynamon Kligerman

    (Departamento de Saneamento e Saúde Ambiental (DSSA)(ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21041-210, Brazil)

  • Telma Abdalla de Oliveira Cardoso

    (Núcleo de Biossegurança (NUBIO) (ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21040-361, Brazil)

  • Simone Cynamon Cohen

    (Departamento de Saneamento e Saúde Ambiental (DSSA)(ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21041-210, Brazil)

  • Déborah Chein Bueno de Azevedo

    (Núcleo de Tecnologia e Logística em Saúde (NUTEC) (ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21040-361, Brazil)

  • Graziella de Araújo Toledo

    (Departamento de Saneamento e Saúde Ambiental (DSSA)(ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21041-210, Brazil)

  • Ana Paula Chein Bueno de Azevedo

    (Departamento de Saneamento e Saúde Ambiental (DSSA)(ENSP), Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21041-210, Brazil)

  • Susanne M. Charlesworth

    (Centre for Agroecology, Water and Resilience, Coventry University, Coventry CV8 3LG, UK)

Abstract

Based on the broader concept of health proposed by the Pan-American Health Organization/World Health Organization (PAHO/ WHO), 2018, and the absence in the literature of indices that translate the causal relationship between sanitation and health, a methodology for assessing the health impact of a water and sanitation programmes, known as a Health Impact Assessment (HIA), was developed, specifically in the Brazilian context, and focused on a school in the northeast of the country. Through exploratory and descriptive evidence, and using documentary research as a method, a retrospective survey was carried out from 2000 to 2022 using documents proposing evaluation methodologies. A single document was found to fit the research objective, which was used to develop the proposed HIA methodology. Development of the methodology consisted of two stages: definition of the health dimensions and selection of the indicators making up each dimension. The HIA methodology was then applied to a school in northeast Brazil to test its use, before a water-efficient management intervention was going to be used. The overall score of 46% indicated that there was room for improvement, which the new management approach could facilitate. This methodology is therefore proposed to be an instrument for the evaluation of public water and sanitation policies, thus assisting managers in the decision-making process and in guiding sanitation programs and plans.

Suggested Citation

  • Débora Cynamon Kligerman & Telma Abdalla de Oliveira Cardoso & Simone Cynamon Cohen & Déborah Chein Bueno de Azevedo & Graziella de Araújo Toledo & Ana Paula Chein Bueno de Azevedo & Susanne M. Charle, 2022. "Methodology for a Comprehensive Health Impact Assessment in Water Supply and Sanitation Programmes for Brazil," IJERPH, MDPI, vol. 19(19), pages 1-26, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12776-:d:934643
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/19/12776/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/19/12776/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Susanne M. Charlesworth & Debora C. Kligerman & Matthew Blackett & Frank Warwick, 2022. "The Potential to Address Disease Vectors in Favelas in Brazil Using Sustainable Drainage Systems: Zika, Drainage and Greywater Management," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    2. France Portrait & Maarten Lindeboom & Dorly Deeg, 2001. "Life expectancies in specific health states: Results from a joint model of health status and mortality of older persons," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 525-536, November.
    3. Sclar, G.D. & Penakalapati, G. & Caruso, B.A. & Rehfuess, E.A. & Garn, J.V. & Alexander, K.T. & Freeman, M.C. & Boisson, S. & Medlicott, K. & Clasen, T., 2018. "Exploring the relationship between sanitation and mental and social well-being: A systematic review and qualitative synthesis," Social Science & Medicine, Elsevier, vol. 217(C), pages 121-134.
    4. Alvaro Cavalcanti & Arthur Teixeira & Karen Pontes, 2020. "Evaluation of the Efficiency of Basic Sanitation Integrated Management in Brazilian Municipalities," IJERPH, MDPI, vol. 17(24), pages 1-29, December.
    5. Meelan Thondoo & David Rojas-Rueda & Joyeeta Gupta & Daniel H. de Vries & Mark J. Nieuwenhuijsen, 2019. "Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries," IJERPH, MDPI, vol. 16(11), pages 1-21, June.
    6. Karina Camasmie Abe & Simone Georges El Khouri Miraglia, 2016. "Health Impact Assessment of Air Pollution in São Paulo, Brazil," IJERPH, MDPI, vol. 13(7), pages 1-10, July.
    7. Murphy, Heather M. & McBean, Edward A. & Farahbakhsh, Khosrow, 2009. "Appropriate technology – A comprehensive approach for water and sanitation in the developing world," Technology in Society, Elsevier, vol. 31(2), pages 158-167.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zhan S. Kalel & Gabriel Gulis & Altyn M. Aringazina, 2023. "Implementation of Health Impact Assessment in the Healthcare System of the Republic of Kazakhstan," IJERPH, MDPI, vol. 20(3), pages 1-12, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Meelan Thondoo & David Rojas-Rueda & Joyeeta Gupta & Daniel H. de Vries & Mark J. Nieuwenhuijsen, 2019. "Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries," IJERPH, MDPI, vol. 16(11), pages 1-21, June.
    2. Margarita Garfias Royo & Elinor Parrott & Emily-Marie Pacheco & Imaduddin Ahmed & Ella Meilianda & Intan Kumala & Rina Suryani Oktari & Helene Joffe & Priti Parikh, 2022. "A Structured Review of Emotional Barriers to WASH Provision for Schoolgirls Post-Disaster," Sustainability, MDPI, vol. 14(4), pages 1-20, February.
    3. Jocelyne K. Mwabi & Bhekie B. Mamba & Maggy N. B. Momba, 2012. "Removal of Escherichia coli and Faecal Coliforms from Surface Water and Groundwater by Household Water Treatment Devices/Systems: A Sustainable Solution for Improving Water Quality in Rural Communitie," IJERPH, MDPI, vol. 9(1), pages 1-32, January.
    4. Dario Meili & Vasco Schelbert & Mahbub-Ul Alam & Prince Antwi-Agyei & Sheillah Simiyu & Kwaku Amaning Adjei & Bismark Dwumfour-Asare & Mahbubur Rahman & Christoph Lüthi & Isabel Günther, 2022. "Indicators for Sanitation Quality in Low-Income Urban Settlements: Evidence from Kenya, Ghana, and Bangladesh," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(2), pages 683-720, July.
    5. Davies-Colley, Christian & Smith, Willie, 2012. "Implementing environmental technologies in development situations: The example of ecological toilets," Technology in Society, Elsevier, vol. 34(1), pages 1-8.
    6. Isaac Lyatuu & Georg Loss & Andrea Farnham & Goodluck W. Lyatuu & Günther Fink & Mirko S. Winkler, 2021. "Associations between Natural Resource Extraction and Incidence of Acute and Chronic Health Conditions: Evidence from Tanzania," IJERPH, MDPI, vol. 18(11), pages 1-12, June.
    7. Fernando Filgueiras & Pedro Palotti & Graziella G. Testa, 2023. "Complexing Governance Styles: Connecting Politics and Policy in Governance Theories," SAGE Open, , vol. 13(1), pages 21582440231, March.
    8. Caroline Fernanda Hei Wikuats & Thiago Nogueira & Rafaela Squizzato & Edmilson Dias de Freitas & Maria de Fatima Andrade, 2023. "Health Risk Assessment of Exposure to Air Pollutants Exceeding the New WHO Air Quality Guidelines (AQGs) in São Paulo, Brazil," IJERPH, MDPI, vol. 20(9), pages 1-17, May.
    9. Michela Accerenzi & Pablo Brañas-Garza & Diego Jorrat, 2022. "Parents’ knowledge and predictions about the age of menarche: Experimental evidence from Honduras," Working Papers 132, Red Nacional de Investigadores en Economía (RedNIE).
    10. Dominik Dietler & Ruth Lewinski & Sophie Azevedo & Rebecca Engebretsen & Fritz Brugger & Jürg Utzinger & Mirko S. Winkler, 2020. "Inclusion of Health in Impact Assessment: A Review of Current Practice in Sub-Saharan Africa," IJERPH, MDPI, vol. 17(11), pages 1-20, June.
    11. van den Berg, Gerard J. & Lindeboom, Maarten & Portrait, France, 2011. "Conjugal bereavement effects on health and mortality at advanced ages," Journal of Health Economics, Elsevier, vol. 30(4), pages 774-794, July.
    12. Sri Irianti & Puguh Prasetyoputra, 2021. "Rural–Urban Disparities in Access to Improved Sanitation in Indonesia: A Decomposition Approach," SAGE Open, , vol. 11(3), pages 21582440211, July.
    13. Brewis, Alexandra & Choudhary, Neetu & Wutich, Amber, 2019. "Household water insecurity may influence common mental disorders directly and indirectly through multiple pathways: Evidence from Haiti," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    14. Sania Ashraf & Cristina Bicchieri & Upasak Das & Tanu Gupta & Alex Shpenev, 2024. "Learning from diversity: ``jati" fractionalization, social expectations and improved sanitation practices in India," Discussion Papers 24-01, Indian Statistical Institute, Delhi.
    15. Zhichao Li, 2022. "Forecasting Weekly Dengue Cases by Integrating Google Earth Engine-Based Risk Predictor Generation and Google Colab-Based Deep Learning Modeling in Fortaleza and the Federal District, Brazil," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    16. Zhan S. Kalel & Gabriel Gulis & Altyn M. Aringazina, 2023. "Implementation of Health Impact Assessment in the Healthcare System of the Republic of Kazakhstan," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    17. Jun Hu & Xuecai Xie & Xueming Shu & Shifei Shen & Xiaoyong Ni & Lei Zhang, 2022. "Fire Risk Assessments of Informal Settlements Based on Fire Risk Index and Bayesian Network," IJERPH, MDPI, vol. 19(23), pages 1-18, November.
    18. Hupfeld, Stefan, 2009. "Rich and healthy--better than poor and sick?: An empirical analysis of income, health, and the duration of the pension benefit spell," Journal of Health Economics, Elsevier, vol. 28(2), pages 427-443, March.
    19. Nelson Gouveia, 2016. "Addressing Environmental Health Inequalities," IJERPH, MDPI, vol. 13(9), pages 1-3, August.
    20. Adriaan Kalwij & Rob Alessie & Marike Knoef, 2013. "Pathways to Retirement and Mortality Risk in The Netherlands," European Journal of Population, Springer;European Association for Population Studies, vol. 29(2), pages 221-238, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12776-:d:934643. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.