While the sanitation sector is gaining increased recognition in policy and research, its inherent inter-linkage with menstrual hygiene management remains an under-researched subject. This review explores knowledge about menstrual beliefs and behaviors, and how women and girls currently handle their monthly menses in relation to existing sanitation systems in low-income countries. It further explores how used menstrual materials are disposed of, and the consequences of different disposal practices for the functioning of sanitation systems. Conclusions point towards the inadequacy of research in the area of menstrual management. The lack of privacy and space for changing, cleaning, drying or discarding materials, as well as insufficient availability of water for personal hygiene stand out as important areas where sanitation systems often fail to cater to the needs of menstruating girls and women. Information on proper disposal of menstrual materials as well as the actual provision of disposal facilities are important for improving menstrual management and ensuring that absorption materials do not impair the functioning of sanitation systems. Training of sanitation system designers and planners with regard to menstrual management could lead to sanitation systems becoming more inclusive of the full needs of all people.
The SEI working paper series aims to expand and accelerate the availability of our research, stimulate discussion, and elicit feedback. SEI working papers are work in progress and typically contain preliminary research, analysis, findings, and recommendations. Many SEI working papers are drafts that will be subsequently revised for a refereed journal or book. Other papers share timely and innovative knowledge that we consider valuable and policy-relevant, but which may not be intended for later publication.
The levels of sanitation and water services coverage as well as health attainment are low among indigenous peoples. This exclusion from basic service has not been sufficiently studied. The present review has analyzed 185 articles dealing with indigenous peoples and the water, sanitation and hygiene complex. The literature is dramatically skewed towards water resources, and overwhelmingly focused on conflicts, at the expense of basic sanitation and hygiene. More initiatives towards the acknowledgement of indigenous peoples' world-views and institutions in all aspects of the water management cycle are needed. To this end, the development of effective intercultural dialogue mechanisms is crucial.
This research explores the use of psychometric techniques to improve understanding of psychological mechanisms underlying judgment of excreta as fertilizer in agriculture including other excreta-related activities. Participants consisted of environmental health students, smallholder farmers, and traders in rural and urban Rwanda and Uganda. The finding reveals an inverse relationship between risk and benefit judgments. This relationship holds for the three groups of participants with significant risk and benefit correlations of p < .0001. This finding is consistent with other studies in showing that affect plays a key role in risk perception, judgment, and decision-making. Building on this finding, we conclude that individuals with high risk and low benefit judgment for excreta-related practices would eschew them or emphasize strict standards. Individuals with a high benefit and low risk judgment would engage in excreta management practices regardless of the actual risks involved. This finding is relevant for risk communication and risk management as it indicates that individuals do not rely only on risk management information they receive concerning excreta and related risks but also depend, to an extent, on their feelings about these substances when making judgments and decisions regarding the purpose for using excreta as fertilizer and the level of exposure they can tolerate and manage.
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