Ahmad.pdf (69.79 kB)
Download file

Health impact of water supply and sanitation projects in Northern Pakistan

Download (69.79 kB)
conference contribution
posted on 12.02.2018, 15:11 by Tameez Ahmad, Karim Alibhai
It is well established that lack of access to safe water, inadequate sanitation, and poor hygiene practices are responsible for the high prevalence of preventable diseases in developing countries. According to WHO/UNICEF, 4 billion cases of diarrhoea are reported in the world every year, with 2.2 million deaths annually, mostly among children under five. However, it has always been a major challenge to quantify the extent of impact of water, sanitation, and hygiene education interventions due to methodological complexities and confounding variables (Briscoe, Feachem, and Rahman, 1985; Cairncross, 1990; Esrey et al., 1991; Gorter and Sandiford, 1997). Major methodological flaws identified included the problems of (i) comparability of treatment and control groups, (ii) sample size required, (iii) misclassification bias, and (iv) recall bias in ascertaining disease status amongst others. Measurement of the impact of water, sanitation, and hygiene interventions becomes even more difficult, when implementing agencies set objectives/targets based on health impact e.g., reduction of water and sanitation related diseases. These difficulties stem from lack of resources both human and financial, operational difficulties, time limitation, and inability in implementing proposed plans due to factors falling beyond organisational control. The Water and Sanitation Extension Programme (WASEP) of the Aga Khan Planning and Building Service (AKPBS) is one implementing agency in Pakistan whose major objective is to reduce diarrhoeal diseases. WASEP has been implementing water and sanitation projects in northern Pakistan since 1998. This paper will describe how health impact is being measured at WASEP, and share issues and problems encountered in the process.

History

School

  • Architecture, Building and Civil Engineering

Research Unit

  • Water, Engineering and Development Centre (WEDC)

Published in

WEDC Conference

Citation

AHMAD, T. and ALIBHAI, K., 2001. Health impact of water supply and sanitation projects in Northern Pakistan. IN: Scott, R. (ed). People and systems for water, sanitation and health: Proceedings of the 27th WEDC International Conference, Lusaka, Zambia, 20-24 August 2001, pp. 47-50.

Publisher

© WEDC, Loughborough University

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2001

Notes

This is a conference paper.

Other identifier

WEDC_ID:9842

Language

en

Usage metrics

Categories

Keywords

Exports