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Hydraulic ram pumps and Sling Pumps

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GARNET - Global Applied Research Network - Hygiene Behaviour Network Newsletter Issue no. 2: June 1995Abstract:This paper reviews the application of epidemiological underst<strong>and</strong>ing ofdiarrhoeas disease to interventions in water <strong>and</strong> sanitation. Over the past20 years, great efforts have been made to elucidate the relationshipsbetween water supply, sanitation <strong>and</strong> diarrhoeal disease. At the outset, itwas hoped that improved underst<strong>and</strong>ing of these relations could provide arational f<strong>ram</strong>ework for the planning of public health engineeringinterventions. This paper also reviews historical <strong>and</strong> recent perceptions ofwater, sanitation, <strong>and</strong> diarrhoea disease, <strong>and</strong> summarises progress todate. On the one h<strong>and</strong>, some fundamental ideas about the relativeimportance of water quality <strong>and</strong> quantity in the transmission of diarrhoealdisease have changed, <strong>and</strong> there is increased recognition of the complexinterrelationships between interventions, hygiene behaviour <strong>and</strong> health.On the other h<strong>and</strong>, our underst<strong>and</strong>ing of the impact of interventions ispainfully incomplete, <strong>and</strong> is unlikely to improve d<strong>ram</strong>atically in the nearfuture. While further research can usefully illustrate a variety of interactionsin specific contexts, globally applicable planning guidelines <strong>and</strong> designcriteria appear a dangerous will-o'-the-wisp. While we know more thanever before about water, sanitation <strong>and</strong> diarrhoea, much remainsunknown, <strong>and</strong> is perhaps unknowable.Address:London School of Hygiene <strong>and</strong> Tropical Medicine,UK.5. Wilson-JM; Ch<strong>and</strong>ler-GN. (1993) Sustained improvements in hygienebehaviour amongst village women in Lombok, Indonesia. Trans-R-Soc-Trop-Med-Hva. 87(6): 615-6.Abstract:Fifty-seven mothers in Indonesia were involved in a face-to-face healtheducation prog<strong>ram</strong>me which encouraged h<strong>and</strong>-washing with soap. Theintervention spanned 4 months <strong>and</strong> comprised fortnightly visits by 2community organisers, who supplied free soap. Two years after theintervention, 79% of mothers were still using h<strong>and</strong> soap, despite the factthat they now had to buy it themselves. The community seemed to bebenefiting from a sustained reduction in diarrhoea episodes due toimproved hygiene practices.Address ?6. Baltazar-JC; Tiglao-TV; Tempongko-SB. (1993) Hygiene behaviour <strong>and</strong>hospitalised severe childhood diarrhoea: a case-control study. Bull-Worldhttp://www.lboro.ac.uk/departments/cv/wedc/garnet/hybnews.html(13 of 20) [1/13/2005 12:50:12 PM]

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