Improving community health through marketing exchanges: A participatory action research study on water, sanitation, and hygiene in three Melanesian countries

Diseases related to poor water, sanitation and hygiene (WaSH) are major causes of mortality and morbidity. While pursuing marketing approaches to WaSH to improve health outcomes is often narrowly associated with monetary exchange, marketing theory recognises four broad marketing exchange archetypes: market-based, non-market-based, command-based and culturally determined. This diversity reflects the need for parameters broader than monetary exchange when improving WaSH. This study applied a participatory action research process to investigate how impoverished communities in Melanesian urban and peri-urban informal settlements attempt to meet their WaSH needs through marketing exchange. Exchanges of all four archetypes were present, often in combination. Motivations for participating in the marketing exchanges were based on social relationships alongside WaSH needs, health aspirations and financial circumstances. By leveraging these motivations and pre-existing, self-determined marketing exchanges, WaSH practitioners may be able to foster WaSH marketing exchanges consistent with local context and capabilities, in turn improving community physical, mental and social health

Building Partnerships for Sustainable Water and Sanitation Services in Africa

This briefing note provides a rapid scan of partnership initiatives by the World Bank, the African Development Bank (AfDB) and the Water and Sanitation Program (WSP) to improve the state of water and sanitation services in Africa. The note aims to highlight the gains and challenges of the major collaborative initiatives, focusing on where progress has been made or activities are ongoing at a strategic, thematic, and regional or country level. The collaboration is now focusing on: a) intensifying operational cooperation and joint work in additional African countries, including fragile and post-conflict countries; b) continuing to share information and to participate in capacity-building activities, with an emphasis on training in operational contexts; c) intensifying joint work in water supply, and particularly sanitation and hygiene; and, d) developing a monitoring system focused on results rather than inputs

Evolving policies and the roles of public and private stakeholders in wastewater and faecal-sludge management in India, China and Ghana

In this article the authors document evolving attitudes, policies and roles of stakeholders in wastewater and faecal-sludge management in India, China and Ghana. In each country there is momentum for expanding not just access to sanitation at the household/community levels, but also for greater treatment and safe end-of-life management of human excreta. Governments are increasingly looking to engage the private sector, but models of engagement that make a compelling business case and instil confidence in cost recovery will have to emerge before the private sector takes an active role in wastewater and faecal sludge treatment in low-income countries