PARTICIPATION EFFECT FROM WATER PROJECTS ON EPI

被引:19
作者
ENG, E [1 ]
BRISCOE, J [1 ]
CUNNINGHAM, A [1 ]
机构
[1] WORLD BANK,WASHINGTON,DC 20433
关键词
community participation; immunizations; program evaluation; water supply;
D O I
10.1016/0277-9536(90)90315-J
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
It has been hypothesized that in addition to the direct health and amenity benefits of an improved water supply, there are other, more subtle, benefits to communities who participate in community-based water supply projects. A detailed empirical comparison of villages with and without community-based water projects in Indonesia and Togo suggests that such indirect benefits are substantial. Between 25 and 30% more children are immunized in villages with community-based water projects than in comparison villages which either have benefitted from non-participatory water projects, or have had no water project. From a comparison between the activities of villagers and workers in external agencies involved in water projects in the two countries, it is concluded that successful participatory water projects are best characterized as a partnership between the community and the external agency. Such projects require substantial inputs of time, resources, skill and persistence from both the community and the external agency. These inputs must be sustained by both parties in all phases-planning, construction and maintenance-if this partnership is to result in lasting improvements in water supply and other aspects of community life. © 1990.
引用
收藏
页码:1349 / 1358
页数:10
相关论文
共 15 条
[1]  
ARNSTEIN SR, 1969, AM I PLAN J JUL, P217
[2]  
BLUM D, 1983, INT J EPIDEMIOL, V12, P356
[4]  
Briscoe J, 1986, EVALUATING HLTH IMPA
[5]  
BRISCOE J, 1985, PUBL HLTH LOND, V99, P141
[6]   COMMUNITY PARTICIPATION IN APPROPRIATE WATER-SUPPLY AND SANITATION TECHNOLOGIES - THE MYTHOLOGY FOR THE DECADE [J].
FEACHEM, RG .
PROCEEDINGS OF THE ROYAL SOCIETY SERIES B-BIOLOGICAL SCIENCES, 1980, 209 (1174) :15-29
[7]  
OKUM DA, 1987, ANN M AM PUBLIC HLTH
[8]  
PRINS A, 1984, HLTH ASS PUBL HLTH R, V12, P323
[9]  
UPHOFF NT, 1979, FEASIBILITY APPLICAT
[10]   SELECTIVE PRIMARY HEALTH-CARE - INTERIM STRATEGY FOR DISEASE CONTROL IN DEVELOPING-COUNTRIES [J].
WALSH, JA ;
WARREN, KS .
NEW ENGLAND JOURNAL OF MEDICINE, 1979, 301 (18) :967-974