Re-conceptualizing sustainable urban sanitation in Uganda: why the roots of 'Slumification' must be dealt with.

Sustainable urban sanitation Uganda Urban livelihoods Urban poverty Urbanization ‘Slumification/slumify’

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
26 05 2021
Historique:
received: 31 08 2020
accepted: 11 05 2021
entrez: 27 5 2021
pubmed: 28 5 2021
medline: 3 6 2021
Statut: epublish

Résumé

Country-wide urbanization in Uganda has continued amidst institutional challenges. Previous interventions in the water and sanitation sector have not addressed the underlying issues of a poorly managed urbanization processes. Poor urbanisation is linked to low productivity, urban poverty, unemployment, limited capacity to plan and offer basic services as well as a failure to enforce urban standards. This ethnographic study was carried out in three urban centres of Gulu, Mbarara and Kampala. We explored relationships between urban livelihoods and sustainable urban sanitation, using the economic sociology of urban sanitation framework. This framework locates the urbanization narrative within a complex system entailing demand, supply, access, use and sustainability of slum sanitation. We used both inductive and deductive thematic analysis. More than any other city in Uganda, Kampala was plagued with poor sanitation services characterized by a mismatch between demand and the available capacity for service provision. Poor slum sanitation was driven by; the need to escape rural poverty through urban migration, urban governance deficits, corruption and the survival imperative, poor service delivery and lack of capacity, pervasive (urban) informality, lack of standards: 'to whom it may concern' attitudes and the normalization of risk as a way of life. Amidst a general lack of affordability, there was a critical lack of public good conscience. Most urbanites were trapped in poverty, whereby economic survival trumped for the need for meeting desirable sanitation standards. Providing sustainable urban livelihoods and meeting sanitation demands is nested within sustainable livelihoods. Previous interventions have labored to fix the sanitation problem in slums without considering the drivers of this problem. Sustainable urban livelihoods are critical in reducing slums, improving slum living and curtailing the onset of slumification. Urban authorities need to make urban centres economically vibrant as an integral strategy for attaining better sanitation standards.

Sections du résumé

BACKGROUND
Country-wide urbanization in Uganda has continued amidst institutional challenges. Previous interventions in the water and sanitation sector have not addressed the underlying issues of a poorly managed urbanization processes. Poor urbanisation is linked to low productivity, urban poverty, unemployment, limited capacity to plan and offer basic services as well as a failure to enforce urban standards.
METHODS
This ethnographic study was carried out in three urban centres of Gulu, Mbarara and Kampala. We explored relationships between urban livelihoods and sustainable urban sanitation, using the economic sociology of urban sanitation framework. This framework locates the urbanization narrative within a complex system entailing demand, supply, access, use and sustainability of slum sanitation. We used both inductive and deductive thematic analysis.
RESULTS
More than any other city in Uganda, Kampala was plagued with poor sanitation services characterized by a mismatch between demand and the available capacity for service provision. Poor slum sanitation was driven by; the need to escape rural poverty through urban migration, urban governance deficits, corruption and the survival imperative, poor service delivery and lack of capacity, pervasive (urban) informality, lack of standards: 'to whom it may concern' attitudes and the normalization of risk as a way of life. Amidst a general lack of affordability, there was a critical lack of public good conscience. Most urbanites were trapped in poverty, whereby economic survival trumped for the need for meeting desirable sanitation standards.
CONCLUSIONS
Providing sustainable urban livelihoods and meeting sanitation demands is nested within sustainable livelihoods. Previous interventions have labored to fix the sanitation problem in slums without considering the drivers of this problem. Sustainable urban livelihoods are critical in reducing slums, improving slum living and curtailing the onset of slumification. Urban authorities need to make urban centres economically vibrant as an integral strategy for attaining better sanitation standards.

Identifiants

pubmed: 34039319
doi: 10.1186/s12889-021-11029-8
pii: 10.1186/s12889-021-11029-8
pmc: PMC8157622
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

992

Références

Respir Care. 2008 Oct;53(10):1337-41
pubmed: 18811997
Confl Health. 2010 Nov 22;4:18
pubmed: 21092165
Lancet. 2012 Jun 2;379(9831):2079-108
pubmed: 22651973
Sci Total Environ. 2010 Dec 1;409(1):52-62
pubmed: 20943256
East Afr Med J. 2000 Jul;77(7):347-9
pubmed: 12862150
Am J Trop Med Hyg. 2018 Dec;99(6):1606-1612
pubmed: 30350765
Public Health. 2011 Jun;125(6):368-76
pubmed: 21616514
Annu Rev Sociol. 1984;10:283-307
pubmed: 12339751
BMC Public Health. 2016 Apr 27;16:361
pubmed: 27121388
PLoS Negl Trop Dis. 2017 Mar 13;11(3):e0005407
pubmed: 28288154
Br J Nurs. 2014 Jun 12-25;23(11):564-7
pubmed: 24933545
J Urban Health. 2007 May;84(3 Suppl):i27-34
pubmed: 17387618
BMC Public Health. 2014 Jun 19;14:624
pubmed: 24948084
Soc Sci Med. 1997 Apr;44(7):989-1002
pubmed: 9089920
BMC Public Health. 2014 Nov 19;14:1180
pubmed: 25407788
Indian Pediatr. 2005 Mar;42(3):233-44
pubmed: 15817971

Auteurs

Japheth Nkiriyehe Kwiringira (JN)

Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda. nkjapheth@yahoo.co.uk.

Robert Kabumbuli (R)

Department of Sociology and Anthropology, Makerere University, Kampala, Uganda.

Henry Zakumumpa (H)

College of Health Sciences, School of Public Health, Makerere University, Kampala, Uganda.

James Mugisha (J)

Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda.

Mathias Akugizibwe (M)

Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda.

Paulino Ariho (P)

Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda.

Joseph Rujumba (J)

Department of Pediatrics, College of Health Sciences, Makerere University, Kampala, Uganda.

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