Urban Environmental Health And Hygiene In Sub Saharan Africa

This volume creates a platform to showcase health geography research from countries in sub-Saharan Africa (SSA), and draws on theoretical and methodological innovations to initiate a discussion on the complexities of the issues impacting health in the region. Through theoretically and empirically grounded contributions from a variety of researchers working across SSA, the book addresses a wide range of topics that are usually treated separately when discussing health geography in the region. By bridging the social science and health disciplines, the book introduces new ways of thinking temporally and spatially about these topics in non-geography contexts as well. In 4 sections, the text will broadly appeal to students, researchers, teachers, policy makers, and global health professionals. Section 1 addresses the social determinants of health, including gender, disability, and other inequities and inequalities associated with healthcare access. Section 2 discusses the environmental determinants of health such as food security, water and sanitation, mining, and climate change. Section 3 focuses on current and emerging challenges to health in SSA, including ageing, non-communicable disease, and infectious diseases. Section 4 concludes the text by discussing the need to develop social and environmental intervention policies and strategies to address health challenges in SSA.

Established indicators of development suggest that, as a group, African countries lag behind their counterparts in other regions with respect to public health. Particularly noteworthy is the fact that the public health problems of these countries are rooted in preventable causes associated with hygiene and sanitation. It is customary to attribute the problems that ail Africa to the lack of financial resources. This book deviates from convention by suggesting non-financial factors as the source of sanitation problems on the continent, and argues the need to re-connect urban planning to public health. These two professions are consanguine relatives and emerged to combat the negative externalities of the industrial revolution and concomitant urbanization. However, with the passage of time, the professions drifted apart. Today, more than ever, there is a need for the two to be re-connected. This need is rooted in the increasing complexity of urban problems whose resolution requires interdisciplinary initiatives. To this end, there is hardly any question that urban public health initiatives are unlikely to succeed without the collaboration of both public health and urban planning experts. The book recognizes this truism, and stands as the first major academic work to demonstrate the inextricably intertwined nature of urban planning and urban public health in Africa.

Sub-Saharan Africa grapples with many public health issues such as food insecurity, increased prevalence of infectious diseases, limited access to clean water supply, poor nutrition and lack of improved health services for its populace (IMF, 2021). Of all these challenges, the inaccessibility of clean water supply for both the rural and urban populace is the most pressing challenge, which has been exacerbated by extensive pollution and climate change crises. The issue of water access and supply affects both rural and urban populations. At rural areas water is accessed in yard taps and in arid regions through water kiosks managed by private owners. Among the urban poor, water access is compromised by poor supply infrastructure especially among informal settlers and risks such as contamination during the supply chain are imminent This book therefore seeks to close this knowledge gap by 1) generating a water resources inventory for Sub-Saharan Africa region, 2) exploring the water crises in both its urban and rural settings, 3) understanding the causatives of the crises and 4) suggesting viable solutions to manage the water challenges using named case studies. The aim is to improve understanding on the region’s water problems and advise scholars and policymakers on priority research areas and action plans to better water management for sustainable development.

The Third African Sanitation and Hygiene Conference was held in Kigali, Rwanda in July 2011. It was hosted by the Government of the Republic of Rwanda, and the African Ministers Council on Water. The meeting attracted extraordinary interest: over 1000 people registered and nearly 900 people attended from a total of 67 countries, including representatives of 42 African countries. The content of AfricaSan 3 was aligned with the needs of countries as defined in country preparation meetings which took place in advance. AfricaSan 3 looked to address the country needs and to commitments and country action planning. Different groups (ministers, civil society, local government, utilities, and donors) committed to actions to support the goals of AfricaSan. The goal of the AfricaSan process is to support countries to achieve the Millennium Development Goal, (MDG) for sanitation and hygiene. This book is freely available to download electronically from the IWA Publishing site Sanitation and Hygiene in Africa: Where do We Stand? takes stock of progress made by African countries through the AfricaSan process since 2008 and the progress needed to meet the MDG on sanitation by 2015 and beyond. This book addresses priorities which have been identified by African countries as the key elements which need to be addressed in order to accelerate progress. • Reviews progress on implementing the eThekwini Declaration to meet the MDG for sanitation and progress generally in Africa. It analyses what is needed to accelerate the rate of access to sanitation in Africa. • Shares advances in the evidence base on sanitation and hygiene in Africa to be able to assist decision-makers to overcome key blockages in implementing large-scale sanitation and hygiene programs. • Raises the profile of sanitation and hygiene as a determinant of sustainable development in order to strengthen leadership and advocacy for sustained sanitation and behavior changes. This book is essential reading for government staff from Ministries responsible for sanitation, sector stakeholders working in NGOs, CSOs and agencies with a focus on sanitation and hygiene and water and Sanitation specialists. It is also suitable for Masters courses in water and sanitation and for researchers and the donor community.