Objective Access to improved sanitation is a fundamental human right and an important aspect of Public Health.However,an estimated thousands of people in Ghana especially,the West Mamprusi Municipal Assembly(WMMA)stil...Objective Access to improved sanitation is a fundamental human right and an important aspect of Public Health.However,an estimated thousands of people in Ghana especially,the West Mamprusi Municipal Assembly(WMMA)still have no access to adequate toilet facilities.This has brought untold health repercussions to the inhabitants,the community,and the environment at large.To address this menace,the community-led total sanitation(CLTS)was implemented.This study aimed to assess communities’perspectives on the implementation of CLTS and to understand the factors influencing its success and failures.Methods A mixed-method approach involving sequential qualitative and quantitative methods was employed in this study.Participants for the quantitative study were randomly selected and surveyed using questionnaires.The qualitative study employed focus group discussion involving purposively sampled participants including assembly members,opinion leaders,and assembly staff.Results The CLTS program in WMMA realized an apparent use of construction and proper use of household latrines leading to a reduction of open defecation free(ODF)and two communities achieving sanitized status in the history of the study area,enabling the training of latrine artisans and natural leaders to facilitate the CLTS expansion and sustainability,improved sanitation and hygiene,strengthened the enforcement of community rules and regulations and many others.Conclusion The CLTS program has received more widespread acceptance in the study area than the previous government policy of constructing public toilets,which was greeted with massive failures due to poor implementation.To ensure that gains achieved through CLTS implementation are sustained longer,it is recommended that chiefs and opinion leaders should be involved in the CLTS programs to ensure checks and enforcement.The entrenchment of bylaws and more education to address enduring myths and misconceptions will sustain the program.Subsidies in the form of sanitation loans for latrine construction materials by the government and supporting non-governmental organizations(NGOs)will be paramount in sustaining ODF.展开更多
Community-pioneered Nature-based Solutions(NbS)have become the main strategies in climate adaptation,although the evidence of their effectiveness and the governing conditions is still fragmented across hazards,ecosyst...Community-pioneered Nature-based Solutions(NbS)have become the main strategies in climate adaptation,although the evidence of their effectiveness and the governing conditions is still fragmented across hazards,ecosystems,and disciplines.The current review is a synthesis of the worldwide empirical research based on the concept of community-led NbS,meaning those interventions where communities have significant decision-making power and responsibility concerning the design,stewardship,sharing of benefits,and learning.On a taxonomy that differentiates between proximal ecosystem functionality and hazard modulation and distal human vulnerability reduction,and procedural,distributional,and recognition justice,we systematize the evidence-based findings according to hazardecosystem-intervention type(coastal storms and sea-level rise,flooding,drought and water insecurity,urban heat,and emerging compound risks)and we compare the outcomes.The results are reported to have the co-benefits of biodiversity gain,livelihood diversification,and better well-being,though they can be neutralized by elite capture,exclusion,tenure insecurity,as well as,in cities,green gentrification and displacement.The analysis of governance indicates repeating bundles related to longer-lasting and fairer results:hedge rights and tenure,community-enforceable and legitimizing representation institutions,financing institutions with longer horizons of maintenance and active adaptation,protection,and grievance,ethical supervision,and data governance.Our findings conclude that to scale community-led NbS,we need to switch the targets of areas to the target of governance quality and design of evaluation that would connect a change in the ecosystem to lived risk reduction and distributional change.展开更多
文摘Objective Access to improved sanitation is a fundamental human right and an important aspect of Public Health.However,an estimated thousands of people in Ghana especially,the West Mamprusi Municipal Assembly(WMMA)still have no access to adequate toilet facilities.This has brought untold health repercussions to the inhabitants,the community,and the environment at large.To address this menace,the community-led total sanitation(CLTS)was implemented.This study aimed to assess communities’perspectives on the implementation of CLTS and to understand the factors influencing its success and failures.Methods A mixed-method approach involving sequential qualitative and quantitative methods was employed in this study.Participants for the quantitative study were randomly selected and surveyed using questionnaires.The qualitative study employed focus group discussion involving purposively sampled participants including assembly members,opinion leaders,and assembly staff.Results The CLTS program in WMMA realized an apparent use of construction and proper use of household latrines leading to a reduction of open defecation free(ODF)and two communities achieving sanitized status in the history of the study area,enabling the training of latrine artisans and natural leaders to facilitate the CLTS expansion and sustainability,improved sanitation and hygiene,strengthened the enforcement of community rules and regulations and many others.Conclusion The CLTS program has received more widespread acceptance in the study area than the previous government policy of constructing public toilets,which was greeted with massive failures due to poor implementation.To ensure that gains achieved through CLTS implementation are sustained longer,it is recommended that chiefs and opinion leaders should be involved in the CLTS programs to ensure checks and enforcement.The entrenchment of bylaws and more education to address enduring myths and misconceptions will sustain the program.Subsidies in the form of sanitation loans for latrine construction materials by the government and supporting non-governmental organizations(NGOs)will be paramount in sustaining ODF.
文摘Community-pioneered Nature-based Solutions(NbS)have become the main strategies in climate adaptation,although the evidence of their effectiveness and the governing conditions is still fragmented across hazards,ecosystems,and disciplines.The current review is a synthesis of the worldwide empirical research based on the concept of community-led NbS,meaning those interventions where communities have significant decision-making power and responsibility concerning the design,stewardship,sharing of benefits,and learning.On a taxonomy that differentiates between proximal ecosystem functionality and hazard modulation and distal human vulnerability reduction,and procedural,distributional,and recognition justice,we systematize the evidence-based findings according to hazardecosystem-intervention type(coastal storms and sea-level rise,flooding,drought and water insecurity,urban heat,and emerging compound risks)and we compare the outcomes.The results are reported to have the co-benefits of biodiversity gain,livelihood diversification,and better well-being,though they can be neutralized by elite capture,exclusion,tenure insecurity,as well as,in cities,green gentrification and displacement.The analysis of governance indicates repeating bundles related to longer-lasting and fairer results:hedge rights and tenure,community-enforceable and legitimizing representation institutions,financing institutions with longer horizons of maintenance and active adaptation,protection,and grievance,ethical supervision,and data governance.Our findings conclude that to scale community-led NbS,we need to switch the targets of areas to the target of governance quality and design of evaluation that would connect a change in the ecosystem to lived risk reduction and distributional change.
