Shared sanitation is widely proposed as a means to increase access to improved sanitation. There are few reports of a causal relationship between the use of shared sanitation and community-acquired diarrhoea. This paper presents an analytical review of studies that have investigated the relationship between the use of shared sanitation and the prevalence of (1) diarrhoeal disease and (2) soil-transmitted helminth (STH) infections. Data were extracted from the reviewed literature to calculate odds ratios (ORs) and confidence intervals (CIs). The use of shared sanitation showed a significant increase in diarrhoeal diseases, with an overall OR of 2.39 (85% CI 1.15–8.31). Children under 5 years were slightly less affected with a prevalence ratio of 1.09 (95% CI 1.06–1.12). The number of published reports on STH infections in relation to shared sanitation was limited, but the few that do exist report on ‘improved sanitation’, showing a positive and protective impact with an overall OR of 0.49 (95% CI 0.28–0.89), which is contrary to the negative impact related to diarrhoea. Despite the limited information on the direct link between shared sanitation and incidence of diarrhoeal/STH infections, this literature review demonstrates that the relationship deserves close attention in future practice and research.
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Background: South Africa is characterised by high levels of biodiversity and species endemism alongside critical levels of socio-economic vulnerability, demonstrating potential for conservation practices that provide both environmental and social benefits. It is argued that communitybased conservation (CBC) practices can be strategically positioned to achieve environmental conservation objectives as well as promote local-level socio-economic development. The KwaZulu-Natal Sandstone Sourveld (KZNSS) vegetation type is classified as endemic (to KZN, South Africa), and is at present listed as endangered. Additionally, one of the KZNSS grassland patches occurs adjacent to the low-income peri-urban community of iNanda. The study examined local community uses and perceptions of the vegetation type. Objectives: To examine the uses, perceptions and attitudes displayed by the iNanda community towards the KZNSS grassland patch. Furthermore, it is hoped that the results of this study can be utilised to inform the potential use of CBC strategies within socio-economic contexts such as iNanda. Method: A mixed methodological approach was adopted, focusing on iNanda as the case study. One hundred households were purposively interviewed. Descriptive and chi-square statistical tests were carried out to examine main data trends. Results: Respondents displayed alarming levels of unemployment (61%) and 34% relied on state grants as a source of household income. Households used the grassland for subsistence (51%), grazing (14%), recreational (13%) and cultural purposes (12%). Respondents displayed limited awareness of conservation and the ecological importance of the grassland. However, respondents recognised the need to conserve the grassland based on their perception of changes to the adjacent patch. Conclusion: Potential grassland conservation plans should consider the current use displayed by respondents. Participatory approaches to conservation such as CBC initiatives could provide much-needed socio-economic and conservation benefits.
The history of the world has always been punctuated by cycles of violence, regardless of time, region or race. Genocide, which is one of the worst forms of violence, has always led to horrific socioeconomic and environmental impacts. The last decade of the 20 th century was the most turbulent Rwanda has ever experienced in its history. The country was ravaged by civil war, genocide, mass migrations, economic crisis, diseases, return of refugees and environmental destruction. Rwandan families were affected by and are still dealing with impacts such as death, disease, disability, poverty, loss of dignity and imprisonment. This paper uses a geographical perspective, more specifically the geography of conflict, to assess the environmental causes and impacts of the genocide in Rwanda, more than a decade after the genocide. Primary data used in this article were obtained from fieldwork undertaken in Cyangugu and Butare Towns, case studies chosen not only because of their particular history
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