Matching Items (5)
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- All Subjects: Well-being
- Creators: Aggarwal, Rimjhim
Description
Diarrheal diseases caused by poor water, sanitation and hygiene continue to kill more children in Sub-Saharan Africa's burgeoning informal urban settlements than in any other part of the world. In recent years, Delegated Management Model (DMM), a partnership in which a utility delegates service management to slum residents have been promoted as new models to improve services.
This dissertation examines the benefits of DMM by comparing water services in three informal settlements in Kisumu city, Kenya: two slums where DMM has been implemented, and one, a control, where it has not. In addition, the research examined how school-based hygiene interventions could be designed to improve safe water and hygiene knowledge in urban informal settlements. This study compared outcomes of two approaches to hygiene education, one which combined messages with participatory water testing; the second used hygiene messages alone.
Results of the DMM study showed that DMM implementation had lowered water cost and improved provider accountability. However, unhygienic water collection and handling practices on the part of the service users could contaminate drinking water that was clean at the delivery point, thus preventing the intended health outcomes of DMM from being realized. Results of the hygiene education intervention showed that one week after the inventions, hygiene knowledge among students who received the intervention that combined hygiene messages with participatory water testing was significantly improved. Evaluation of the intervention 12 months after implementation showed that the hygiene knowledge gained was sustained.
The research findings suggest that: i) regular monitoring of water quality at the kiosks is essential to ensure that the DMM model achieves intended health outcomes, ii) sanitation conditions at kiosk sites need to be regulated to meet minimum hygiene standards, and iii) customers need to be educated on safe water collection and storage practices. Finally, school-based hygiene education could be made more effective by including hands-on water testing by students. Making sustainable impact on health and wellbeing of slum residents requires not only building effective partnerships for water delivery, but also paying close attention to the other points of intervention within the water system.
This dissertation examines the benefits of DMM by comparing water services in three informal settlements in Kisumu city, Kenya: two slums where DMM has been implemented, and one, a control, where it has not. In addition, the research examined how school-based hygiene interventions could be designed to improve safe water and hygiene knowledge in urban informal settlements. This study compared outcomes of two approaches to hygiene education, one which combined messages with participatory water testing; the second used hygiene messages alone.
Results of the DMM study showed that DMM implementation had lowered water cost and improved provider accountability. However, unhygienic water collection and handling practices on the part of the service users could contaminate drinking water that was clean at the delivery point, thus preventing the intended health outcomes of DMM from being realized. Results of the hygiene education intervention showed that one week after the inventions, hygiene knowledge among students who received the intervention that combined hygiene messages with participatory water testing was significantly improved. Evaluation of the intervention 12 months after implementation showed that the hygiene knowledge gained was sustained.
The research findings suggest that: i) regular monitoring of water quality at the kiosks is essential to ensure that the DMM model achieves intended health outcomes, ii) sanitation conditions at kiosk sites need to be regulated to meet minimum hygiene standards, and iii) customers need to be educated on safe water collection and storage practices. Finally, school-based hygiene education could be made more effective by including hands-on water testing by students. Making sustainable impact on health and wellbeing of slum residents requires not only building effective partnerships for water delivery, but also paying close attention to the other points of intervention within the water system.
ContributorsNzengya, Daniel (Author) / Aggarwal, Rimjhim (Thesis advisor) / Hartwell, Leland (Committee member) / Boone, Christopher (Committee member) / Arizona State University (Publisher)
Created2014
Description
The conflict conditions that afflict the livelihoods of Palestinian residents living in the West Bank are embedded within the population's ability to travel more so than any other routine activity. For Palestinian residents, domestic and international travel is a process of following paths riddled with multiple barriers that are both physical and political. Past studies have done well to paint a clear picture of the harsh transportation landscape in the region. However, less attention has focused on how barriers interact to indirectly and directly affect levels of accessibility and well-being. Additionally, suggested development solutions are rarely capable of being successfully implemented given current political conditions. This dissertation uses a systems approach to understand drivers of accessibility challenges in the West Bank and uses the understanding to propose a method to identify transition strategies that may be presently initiated whilst maintaining the ability to provide adequate benefit. The research question informing the study asks, How do drivers influencing the issue of poor accessibility and well-being in the West Bank persist and interact, and how might solutions be approached? The dissertation approaches the question in four sequential actions that each produces a functional planning deliverable. First, a system map that depicts the drivers and influences to the problem of poor accessibility and well-being is constructed (Chapter 4). Second, a future vision for the transportation system in the West Bank is identified (Chapter 5). Third, the system map and vision are used to assess how conflict conditions affect transition research (Chapter 6). Finally, the previous three deliverables are used to suggest a guide for transition management for transportation development in the West Bank (Chapter 7). Combinations of four different data sets, including an extensive review of published literature, field observations, individual field expert interviews, and group commuter interviews inform the research. Additionally, the Transformational Sustainability Research framework provides a normative base for the steps taken throughout the research. Ultimately, the dissertation presents an interpretation of information that has theoretical and practical application potential in transformational sustainability research and development efforts in the region respectively.
ContributorsAhmad, Omaya Heidi (Author) / Golub, Aaron (Thesis advisor) / Aggarwal, Rimjhim (Committee member) / Saleh Sadaqa, Ahmad (Committee member) / Arizona State University (Publisher)
Created2015
Description
Large-scale land acquisition (LaSLA), also called "land grabbing" refers to the buying or leasing of large tracts of land, especially in Sub-Saharan Africa (SSA) by foreign investors to produce food and biofuel to send back home. Since 2007, LaSLA has become an important development issue due to the opportunities and threats for SSA countries. LaSLA has the potential to create local jobs, transfer technology, build infrastructure, and modernize SSA's agriculture. Nonetheless, it can also aggravate food insecurity, perpetuate corruption, degrade ecosystems, cause conflicts, and displace local communities. What drives LaSLA, what are its impacts on local people, and under what circumstances can we consider it as just and ethical?
To examine what drives LaSLA, I used country level data from 2005 to 2013 on economic conditions, natural resources, business practices, and governance to estimate LaSLA models. I find that LaSLA increases with increasing government effectiveness, land prices, and the ease of doing business, and decreases with stronger regulatory regimes. To assess LaSLA's impacts on local people, I conducted a comparative case study in Tanzania. I compare changes in peoples' livelihood between treatment villages (those experiencing LaSLA) and control villages (those without LaSLA projects). The results show that under current practices, the risks of LaSLA outweigh the benefits to local livelihoods, yet there are potential benefits if LaSLA is implemented correctly.
To philosophically examine whether LaSLA can be considered just and ethical, I apply John Rawls' theory of justice. The analysis indicates that from both procedural and distributive justice perspective, LaSLA currently fails to satisfy Rawlsian principles of justice. From these analyses, I conclude that if implemented correctly, LaSLA can produce a win-win outcome for both investors and host countries. I suggest that strong governance, rigorous environmental and social impact assessment, and inclusion of local people at all levels of LaSLA decision making are critical for sustainable and equitable outcomes.
To examine what drives LaSLA, I used country level data from 2005 to 2013 on economic conditions, natural resources, business practices, and governance to estimate LaSLA models. I find that LaSLA increases with increasing government effectiveness, land prices, and the ease of doing business, and decreases with stronger regulatory regimes. To assess LaSLA's impacts on local people, I conducted a comparative case study in Tanzania. I compare changes in peoples' livelihood between treatment villages (those experiencing LaSLA) and control villages (those without LaSLA projects). The results show that under current practices, the risks of LaSLA outweigh the benefits to local livelihoods, yet there are potential benefits if LaSLA is implemented correctly.
To philosophically examine whether LaSLA can be considered just and ethical, I apply John Rawls' theory of justice. The analysis indicates that from both procedural and distributive justice perspective, LaSLA currently fails to satisfy Rawlsian principles of justice. From these analyses, I conclude that if implemented correctly, LaSLA can produce a win-win outcome for both investors and host countries. I suggest that strong governance, rigorous environmental and social impact assessment, and inclusion of local people at all levels of LaSLA decision making are critical for sustainable and equitable outcomes.
ContributorsNkansah-Dwamena, Ernest (Author) / Kinzig, Ann (Thesis advisor) / Minteer, Ben (Committee member) / Perrings, Charles (Committee member) / Gabagambi, Damian (Committee member) / Aggarwal, Rimjhim (Committee member) / Arizona State University (Publisher)
Created2017
Description
Producing, transforming, distributing, and consuming food requires a multitude of actors, from the microbes in the soil to the truck drivers, from the salesperson to the bacterial life that supports digestion. Yet, the global food system – far from being neutral – unequally provides and extracts resources around the globe to serve and protect the needs of some, while excluding and/or oppressing others and producing trauma in the process. Drawing on feminist scholarship and permaculture research – two fields that discuss the importance of care but only rarely work together – and using social science methods, I explore how to integrate care into food systems, and what are the outcomes of such an integration. I first bring together the voices of 35 everyday experts from Cuba, France, and the United States (Arizona) and perspectives from ethics of care, creation care, indigenous scholars, and permaculture specialists, and I use grounded theory to develop a definition of care in food systems context, and a conceptual map of care that identifies motives for caring, caring practices and their results. I then discuss how caring practices enhance food systems’ adaptive capacity and resilience. Next, I study the relationship between a subset of the identified caring practices – what is recognized as “Earth care” – and their effect on well-being in general, and Food Well-Being more specifically, using three case studies from Arizona based on: (1) interviews of school teachers, (2) interviews of sustainable farmers, (3) a survey with 96 gardeners. There, I also discuss how policies and cultural transformations can better support the integration of Earth care practices in food systems. Then, I examine how urban food autonomy movements are grassroots examples of integration of care in food systems, and how through their care practices – Earth care, “People care” and “Fair share” – they can serve as a catalyst for social change and contribute to the achievement of the United Nations Sustainable Development Goals. Lastly, I conclude with recommendations to strengthen a culture of care in food systems, as well as limitations to my research, and future research directions.
ContributorsGiraud, Esteve Gaelle (Author) / Aggarwal, Rimjhim (Thesis advisor) / Cloutier, Scott (Thesis advisor) / Samuelson, Hava (Committee member) / Chhetri, Netra (Committee member) / Arizona State University (Publisher)
Created2022
Description
Background: Cancer impacts the lives of millions of patients, families and caregivers annually
leading to chronic stress, a sense of powerlessness, and decreased autonomy. Social support may improve health empowerment and lead to increased perception of well-being.
Purpose: The purpose of this project was to evaluate the effectiveness of social support provided by a cancer support agency on health empowerment and perceived well-being in adults impacted by cancer.
Conceptual Framework: The Health Empowerment Theory maintains that perceived wellbeing is the desired outcome; mediated by health empowerment through social support, personal growth, and purposeful participation in active goal attainment.
Methods: Twelve adults impacted by cancer agreed to complete online questionnaires at
baseline and at 12 weeks after beginning participation in social support programs provided by a cancer support agency.
Instruments included: Patient Empowerment Scale, The Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), and The Office of National Statistics (ONS) Subjective Well-Being Questions.
Results: Four participants completed pre and post surveys. An increase was seen in
empowerment scores (pre M = 1.78, SD = 0.35 and post M = 3.05, SD = 0.42). There was no
increase in perceived well-being: SWEMWBS pre (M= 3.71, SD= 0.76), post (M= 3.57, SD=
0.65); ONS pre (M= 7.69, SD= 1.36), post (M= 6.59, SD= 1.52).
Implications: The data showed an increase in health empowerment scores after utilizing social support programs, lending support to the agency’s support strategies. It is recommended that the measures be included in surveys routinely conducted by the agency to continue to assess the impact of programming on health empowerment, and perceived well-being.
leading to chronic stress, a sense of powerlessness, and decreased autonomy. Social support may improve health empowerment and lead to increased perception of well-being.
Purpose: The purpose of this project was to evaluate the effectiveness of social support provided by a cancer support agency on health empowerment and perceived well-being in adults impacted by cancer.
Conceptual Framework: The Health Empowerment Theory maintains that perceived wellbeing is the desired outcome; mediated by health empowerment through social support, personal growth, and purposeful participation in active goal attainment.
Methods: Twelve adults impacted by cancer agreed to complete online questionnaires at
baseline and at 12 weeks after beginning participation in social support programs provided by a cancer support agency.
Instruments included: Patient Empowerment Scale, The Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), and The Office of National Statistics (ONS) Subjective Well-Being Questions.
Results: Four participants completed pre and post surveys. An increase was seen in
empowerment scores (pre M = 1.78, SD = 0.35 and post M = 3.05, SD = 0.42). There was no
increase in perceived well-being: SWEMWBS pre (M= 3.71, SD= 0.76), post (M= 3.57, SD=
0.65); ONS pre (M= 7.69, SD= 1.36), post (M= 6.59, SD= 1.52).
Implications: The data showed an increase in health empowerment scores after utilizing social support programs, lending support to the agency’s support strategies. It is recommended that the measures be included in surveys routinely conducted by the agency to continue to assess the impact of programming on health empowerment, and perceived well-being.
ContributorsO'Rourke, Suzanne (Author) / Velasquez, Donna (Thesis advisor)
Created2017-05-03