COVID-19 water, sanitation, and hygiene response: Review of measures and initiatives adopted by governments, regulators, utilities, and other stakeholders in 84 countries.

The COVID-19 pandemic has shone a light on handwashing as an inexpensive, widely applicable response measure. In consequence, most governments have taken action to promote access to water and sanitation services for all. This paper documents an overview of initiatives and interventions that countries have implemented during the first months of the COVID-19 response. Initiatives have been identified across 84 countries worldwide, and categorized into those that aimed at securing water, sanitation, and hygiene (WASH) for all, and those that sought to provide technical and financial support to service providers. The pandemic has not hit countries in the same way. Accordingly, results show disparities in the response between and within regions, with the level of activity found in the countries varying largely in terms of ambition and scope. Hygiene promotion and infection prevention and control (IPC) has been widely adopted - at least one response measure found in 94% of mapped countries -, although not always matched in ambition with the assured availability of soap, water, and handwashing facilities. Support to vulnerable households to promote basic access to WASH services at scale was weak (38% of countries) or implemented locally (25%), and requiring additional focus, particularly in rural areas and small towns. In addition, parallel support needs to be extended to service providers or to households themselves in the form of cash transfers, in order to ensure the financial viability and the continuity of services. All lessons learned distilled from the pandemic should help strengthen the enabling environment for more resilient services in future emergencies. Areas for focus could include developing specific pandemic response strategies and plans; strengthening coordination; and establishing emergency financial support mechanisms for water operators, for example. Overall, findings presented herein contribute to enhance current and future pandemics prevention, mitigation, and recovery.

Data-driven Bayesian network modelling to explore the relationships between SDG 6 and the 2030 Agenda.

The Sustainable Development Goals (SDGs) are presented as integrated and indivisible. Therefore, for monitoring purposes, conventional indicator-based frameworks need to be combined with approaches that capture and describe the links and interdependencies between the Goals and their targets. In this study, we propose a data-driven Bayesian network (BN) approach to identify and interpret SDGs interlinkages. We focus our analysis on the interlinkages of SDG 6, related to water and sanitation, across the whole 2030 Agenda, using SDG global available data corresponding to 179 countries, 16 goals, 28 targets and 44 indicators. To analyze and validate the BN results, we first demonstrate the robustness of the BN approach in identifying indicator relationships (i.e. consistent results throughout different country sample sizes). Second, we show the coherency of the results by comparing them with an exhaustive study developed by UN-Water. As an added value, our data-driven approach provides further interlinkages, which are contrasted against the existing literature. We conclude that the approach adopted is useful to accommodate a thorough analysis and interpretation of the complexities and interdependencies of the SDGs.

Bayesian network modelling of hierarchical composite indicators.

The water, sanitation and hygiene (WaSH) sector has witnessed the development of multiple tools for multidimensional monitoring. Hierarchical and composite indicator (CI)-based conceptual frameworks provide one illustrative example. However, this approach does not address the existing interrelationship of the indicators they comprise. Bayesian networks (BNs) are increasingly being exploited to assess WaSH issues and to support planning and decision-making processes. Here, we aim to evaluate the validity, reliability and feasibility of BNs in replicating an existing CI-based conceptual framework. We adopt a data-driven approach and propose a semi-automatic methodology. As a pilot study, we used the regional monitoring initiative Rural Water Supply and Sanitation Information System (SIASAR). Data from two different countries are processed and analysed to calibrate and validate the model and the method. The major findings show: i) the model inference capacity improves when structure is provided to the networks (according to the CI-based framework); ii) key components that explain a pre-defined objective variable are reduced and quantified (implying important advantages in data updating); and iii) interlinkages among these components can be identified (which might enhance multi- and trans-disciplinary actions). We conclude that BNs accurately replicate the CI-based conceptual framework, with great potential for a wider application.

Monitoring sanitation and hygiene in the 2030 Agenda for Sustainable Development: A review through the lens of human rights.

International monitoring of drinking water and sanitation has been jointly carried out by WHO and UNICEF through their Joint Monitoring Programme (JMP). With the end of the Millennium Development Goals (MDGs) era in 2015, the JMP has proposed a post-2015 framework for integrated monitoring of water and sanitation targets included in the Sustainable Development Goal no. 6. This article discusses how each element of the proposed sanitation target and corresponding indicators can be understood from a human rights perspective. Building on the MDGs, and although some of the weaknesses and gaps persist, the discussion suggests that the post-2015 proposal is a step forward towards a monitoring framework where human rights elements related to sanitation are effectively promoted. In addition, to support the interpretation and implementation of the normative content of human rights obligations related to sanitation, the study proposes a reduced set of easy-to-assess indicators to measure the normative criteria of this right, which are then grouped in a multidimensional framework to describe increasing levels of sanitation service. To do this, the study combines literature review and specific local experience from three case studies. It is shown that the proposed monitoring tools, namely the indicators and the multidimensional indicator framework, provide guidance on monitoring the human right to sanitation. In doing so, they might ultimately help sector stakeholders in the realization of this right.

Water-sanitation-hygiene mapping: an improved approach for data collection at local level.

Strategic planning and appropriate development and management of water and sanitation services are strongly supported by accurate and accessible data. If adequately exploited, these data might assist water managers with performance monitoring, benchmarking comparisons, policy progress evaluation, resources allocation, and decision making. A variety of tools and techniques are in place to collect such information. However, some methodological weaknesses arise when developing an instrument for routine data collection, particularly at local level: i) comparability problems due to heterogeneity of indicators, ii) poor reliability of collected data, iii) inadequate combination of different information sources, and iv) statistical validity of produced estimates when disaggregated into small geographic subareas. This study proposes an improved approach for water, sanitation and hygiene (WASH) data collection at decentralised level in low income settings, as an attempt to overcome previous shortcomings. The ultimate aim is to provide local policymakers with strong evidences to inform their planning decisions. The survey design takes the Water Point Mapping (WPM) as a starting point to record all available water sources at a particular location. This information is then linked to data produced by a household survey. Different survey instruments are implemented to collect reliable data by employing a variety of techniques, such as structured questionnaires, direct observation and water quality testing. The collected data is finally validated through simple statistical analysis, which in turn produces valuable outputs that might feed into the decision-making process. In order to demonstrate the applicability of the method, outcomes produced from three different case studies (Homa Bay District-Kenya-; Kibondo District-Tanzania-; and Municipality of Manhiça-Mozambique-) are presented.