Trust in physicians seems to not depend on any of the assessed factors and largely seems to be implicit in the physician-patient relationship. Trust in physician is associated with patient satisfaction. Further studies are needed to assess trust in physicians in developing country settings.

No abstract

Climate change presents a major threat to water and sanitation services. There is an urgent need to understand and improve resilience, particularly in rural communities and small towns in low- and middle-income countries that already struggle to provide universal access to services and face increasing threats from climate change. To date, there is a lack of a simple framework to assess the resilience of water and sanitation services which hinders the development of strategies to improve services. An interdisciplinary team of engineers and environmental and social scientists were brought together to investigate the development of a resilience measurement framework for use in low- and middle-income countries. Six domains of interest were identified based on a literature review, expert opinion, and limited field assessments in two countries. A scoring system using a Likert scale is proposed to assess the resilience of services and allow analysis at local and national levels to support improvements in individual supplies, identifying systematic faults, and support prioritisation for action. This is a simple, multi-dimensional framework for assessing the resilience of rural and small-town water and sanitation services in LMICs. The framework is being further tested in Nepal and Ethiopia and future results will be reported on its application.

Although Nepal has made remarkable progress in the water, sanitation, and hygiene (WASH) sector from past few decades, the status of WASH, in terms of climate change, is poorly documented and thus less known. This review aims to sum up WASH in climate change perspectives by reviewing available secondary data from published and gray literature. Climate change, and its impact on the WASH sector, is undeniable. Though many policies and laws are enforced to address climate change issues, very few policies and laws have incorporated climate change-resilient WASH as a priority. It is of current need to carry out action-based research studies on adaptation and mitigation of impact on the WASH sector, due to climate change, along with future eco-region interventions.