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Dr. Richard Mugambe from Makerere University in Uganda presented findings from the SaniPath Exposure Assessment performed in Kampala, Uganda at a poster session during the UNC Water and Health Conference in October 2020. This was the first assessment of fecal contamination performed in low-income neighborhoods in Kampala, Uganda. The findings highlighted the important connection between poor sanitation and hygiene conditions and fecal contamination of street food and raw produce.


Poster PDF:

To visit the UNC Water and Health Conference website which includes 1 minute introduction to the poster by Dr. Mugambe, click here.

Our colleague from Makerere University, Dr. Richard Mugambe, presented results from a SaniPath Exposure Assessment performed in Kampala, Uganda during a session at the Stockholm World Water Week Conference entitled "Tools to Support Climate-Smart Sanitation Decision-Making for the Urban Poor". During the session, Dr. Mugambe spoke alongside speakers from the Global Water Pathogen Project and HyCRISTAL about how complementary tools can be used to address important public health questions, such as "What areas of the city are predicted to have the highest health hazard from exposure to excreta?" and "What interventions can be made to reduce health risks from exposure to excreta in the environment?". These study questions were addressed in a Kampala case study to demonstrate the utility of complementary tools for climate-friendly sanitation decisions.


A link to the presentation recordings can be found here.



Workshop convened by: Emory University Center for Global Safe WASH, Lusaka City Council, Kampala Capital City Authority, Makerere University School of Public Health, icddr,b, TREND Ghana, Kumasi Metropolitan Assembly, World Bank

Workshop Background

Recent trends in urbanization and changing population dynamics have led to a dramatic rise in populations living in urban areas throughout Africa and Asia. These urbanizing populations settle in areas in which water, sanitation and hygiene systems are already overburdened, and many live in unplanned or illegal urban or peri-urban settlements. Rapid urbanization has outpaced sanitation services and fecal sludge management (FSM) in many cities in South Asia and Sub-Saharan Africa leading to gaps in FSM along the sanitation value chain. Shit Flow Diagrams have highlighted the points where unsafely-managed fecal waste enters the environment, but equally important is understanding where this waste ends up and the public health risks associated with its unsafe management. Sanitation decision-makers currently have a number of tools at their disposal to increase the availability and accessibility of data to support evidence-based decision-making. However, there are few opportunities to share the results of these tools and how they have been, and can be, used to influence sanitation investment, policies, and decision -making practices. This workshop allowed participants to learn about the approaches, successes, and challenges of organizations who aimed to utilize public health data in urban sanitation decision-making and to engage with fellow participants on ways to improve evidence-based decision-making in the sanitation sector. The convening organizations have all utilized the SaniPath Exposure Assessment Tool to understand exposure to fecal contamination in urban and peri-urban areas and shared their experience using this tool in the framework of factors that influence decision-making.

Wordcloud of discussion topics from workshop notes

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