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Water, sanitation, hygiene and rural poverty: issues of sector monitoring and the role of aggregated indicators

机译：水，环境卫生，卫生和农村贫困：部门监测问题和综合指标的作用

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摘要

Water and sanitation improvements together with hygiene (WASH) are central to health. However, progress in ensuring access to these basic services remains inadequate, particularly in the rural developing world. To remedy this appalling situation, decision-makers need reliable data on which to base planning, targeting and prioritization. However, the challenges of collecting such data and producing consistent evidence are diverse. To influence policy, data have to be easily and meaningfully interpreted. In addition, the evaluation framework needs to capture the complexity inherent in the delivery of rural services. And with limited resources, the neediest must be prioritized. In this paper we compare three different monitoring and evaluation approaches: health impact indicators, standard indicators of the World Health Organization (WHO)/United Nations Children's Fund (UNICEF) Joint Monitoring Programme (JMP), and one multidimensional, WASH-focused indicator. From a policy-making perspective, the likely utility of the outcomes produced by each approach is discussed. The epidemiological study produces misleading results, which do not help draw relevant conclusions. JMP indicators provide reasonable quality basic estimates of coverage across different contexts, but are inappropriate to build up a complete picture of such context. The index approach takes into account a broader view of service level, and proves useful as a policy tool to guide action towards improved service delivery.
机译：改善水和环境卫生以及卫生（WASH）对健康至关重要。但是，确保获得这些基本服务的进展仍然不足，特别是在农村发展中国家。为了纠正这种令人震惊的情况，决策者需要可靠的数据，以其为基础进行规划，确定目标和确定优先次序。但是，收集此类数据和提供一致证据的挑战是多种多样的。为了影响政策，必须轻松，有意义地解释数据。此外，评价框架需要把握农村服务提供中固有的复杂性。在资源有限的情况下，最需要的必须被优先考虑。在本文中，我们比较了三种不同的监测和评估方法：健康影响指标，世界卫生组织（WHO）/联合国儿童基金会（UNICEF）联合监测计划（JMP）的标准指标以及一个以WASH为重点的多维指标。从决策角度，讨论了每种方法产生的结果的可能效用。流行病学研究产生误导性结果，无助于得出相关结论。 JMP指标提供了在不同情况下覆盖范围的合理质量基本估计，但不适用于完整描述此类情况。索引方法考虑了更广泛的服务水平，并被证明是指导采取行动改善服务交付的政策工具。

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  • 来源
    《Water Policy》 |2013年第6期|1018-1045|共28页
  • 作者

    R. Gine Garriga; A. Perez Foguet;

  • 作者单位

    Research Group on Cooperation and Human Development (GRECDH), Universitat Politecnica de Catalunya, Barcelona (UPC), Spain and University Research Institute for Sustainability Science and Technology (IS. UPC), Universitat Politecnica de Catalunya (UPC), Spain;

    Research Group on Cooperation and Human Development (GRECDH), Universitat Politecnica de Catalunya, Barcelona (UPC), Spain and University Research Institute for Sustainability Science and Technology (IS. UPC), Universitat Politecnica de Catalunya (UPC), Spain;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Aggregated indicators; Health impact; Joint monitoring programme; Kenya; Water, sanitation and hygiene;

    机译：综合指标;对健康的影响;联合监测方案;肯尼亚;水;卫生与卫生;

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