Effectiveness of interventions to reduce indoor air pollution and/or improve health in homes using solid fuel in lower and middle income countries: protocol for a systematic review

Quansah, Reginald; Ochieng, Caroline; Semple, Sean; Juvekar, Sanjar; Emina, Jacques; Armah, Frederick Ato; Luginaah, Isaac

doi:10.1186/s13643-015-0012-8

Cited by 8 publications

(3 citation statements)

References 23 publications

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“… 21 Another review focusing on all interventions to reduce household air pollution and improve health in developing countries is in progress. 22 Here we pinpoint the challenges, suggest improvements to existing interventions and identify new opportunities for addressing household air pollution in relation to the sustainable development goals (SDGs). 23…”

Section: Introductionmentioning

confidence: 99%

Household air pollution and the sustainable development goals

Amegah

Jaakkola

2016

Bull. World Health Organ.

140

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Globally, 41% of households, over 2.8 billion people, rely on solid fuels (coal and biomass) for cooking and heating. In developing countries in Asia and sub-Saharan Africa where these fuels are predominantly used, women who are customarily responsible for cooking, and their young children, are most exposed to the resulting air pollution. Solid fuels are still in widespread use and it appears that intervention efforts are not keeping pace with population growth in developing countries. Here we pinpoint the challenges and identify opportunities for addressing household air pollution while mitigating global climate change and promoting the sustainable development goals. We recommend the following actions: implementation of the WHO indoor air quality guidelines on household fuel combustion; effective promotion and dissemination of improved cookstoves through formation of country alliances for clean cookstoves; expansion of liquefied petroleum gas production facilities and distribution networks; harnessing renewable energy potential; promotion of biogas production at both household and community level; ensuring improved ventilation of homes through education and enforcement of building standards; and exploiting opportunities in the health and other sectors for changing health-damaging cooking behaviour.

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Section: Introductionmentioning

confidence: 99%

Household air pollution and the sustainable development goals

Amegah

Jaakkola

2016

Bull. World Health Organ.

140

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“…Unfortunately, most of these interventions have followed a top-down approach, ignoring the social and cultural context which perpetuates a one-size-fits-all mentality 37–39. As a result, various initiatives which have been attempting to distribute improved cooking stoves over the past few decades demonstrated little evidence of health benefits40 41 mainly due to incomplete adoption and stove staking (concurrent use of traditional and improved stoves) 28 42 43. Poor understanding of the sociocultural context is the main factor identified for the poor adoption of stoves 16 44 45.…”

Section: Introductionmentioning

confidence: 99%

Health risk perceptions of household air pollution and perceived benefits of improved stoves among pregnant women in rural Ethiopia: a mixed method study

Habtamu,

Abebe,

Seid

2023

BMJ Open

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ObjectiveSince community perceptions of the risk of biomass smoke and the benefits of improved stoves play a critical role in behaviour change to the uptake and sustainable utilisation of improved stoves, we aimed to assess the level of health risk perception on kitchen smoke and benefits of using improved stoves among pregnant women.DesignA community-based cross-sectional mixed method study.SettingIn six kebeles of a low-income rural community of South Gondar Zone, Northwestern Ethiopia.ParticipantsAll 455 households with pregnant women aged 18–38 years, in their first-trimester or second-trimester gestation, exclusively use traditional biomass-fuelled or locally modified mud stoves, and the primary cook in her household were included. But completed data were obtained only from 422 households.ResultFrom 422 completed data, more than half, 63% (95% CI 58% to 68%) had high-level health risk perception of household air pollution, and nearly three-fourths, 74% (95% CI 70% to 79%) of the respondents perceived that using improved stove had benefits for their families. Participants in the 32–38 years age group, rich in asset index, presence of under-five children, being a member of any women group and large family size were positively associated with high-level health risk perception. Whereas respondents in the 18–24 years age group, presence of under-five children, husbands of primary or higher education, high health risk perception and not happy with the current stove were positively associated with perceived benefits of using an improved stove.ConclusionThe observed level of health risk perception of biomass smoke and the benefits of using improved stoves may help to adopt effective intervention measures. This study also suggests that for successful intervention, clean cooking programmes and policies must consider many local factors influencing health risk perception and benefits of using improved stoves.Trial registration numberACTR202111534227089.

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“…IAP arises from a combination of the choice of fuel by a household, the way that the household uses the fuel, and the characteristics of the living environment. Thus, interventions to reduce IAP can be categorized into three types: (1) Interventions affecting the source of pollution; (2) Interventions affecting the living environment; and (3) Interventions that change users' behavior [14,15]. In the first type of intervention, IAP can be reduced by switching from solid fuel to cleaner fuels.…”

Section: Introductionmentioning

confidence: 99%

Interventions to mitigate indoor air pollution: A cost-benefit analysis

2021

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Globally, around three billion people depend upon solid fuels such as firewood, dry animal dung, crop residues, or coal, and use traditional stoves for cooking and heating purposes. This solid fuel combustion causes indoor air pollution (IAP) and severely impairs health and the environment, especially in developing countries like Pakistan. A number of alternative household energy strategies can be adopted to mitigate IAP, such as using liquefied petroleum gas (LPG), natural gas, biogas, electric stoves, or improved cook stoves (ICS). In this study, we estimate the benefit-cost ratios and net present value of these interventions over a ten-year period in Pakistan. Annual costs include both fixed and operating costs, whereas benefits cover health, productivity gains, time savings, and fuel savings. We find that LPG has the highest benefit-cost ratio, followed by natural gas, while ICS has the lowest benefit-cost ratio. Electric stoves and biogas have moderate benefit-cost ratios that nevertheless exceed one. To maximize the return on cleaner burning technology, the government of Pakistan should consider encouraging the adoption of LPG, piped natural gas, and electric stoves as means to reduce IAP and adopt clean technologies.

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Effectiveness of interventions to reduce indoor air pollution and/or improve health in homes using solid fuel in lower and middle income countries: protocol for a systematic review

Cited by 8 publications

References 23 publications

Household air pollution and the sustainable development goals

Household air pollution and the sustainable development goals

Health risk perceptions of household air pollution and perceived benefits of improved stoves among pregnant women in rural Ethiopia: a mixed method study

Interventions to mitigate indoor air pollution: A cost-benefit analysis

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