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The purpose of this paper is to assess the public health risk factors of internally displaced households and suggest appropriate measures and strategies for health risk reduction in the context of IDPs.

The composite Index (CI) method was used to compare the public health risk factors at the household level in three IDP camps. A set of 22 indicators were studied in 326 households. Households were selected by using a two-stage cluster sampling technique.

The findings indicate that the Shangil Tobaya camp is at the highest risk for communicable diseases (63.6%) followed by Zamzam (52.4%) and Abu Shouk (42.7%) at the household level. Eight indicators appeared to have made differential impacts between Abu Shouk and Shangil Tobaya, these include: level of education, walking time to health facilities, water source, latrines type, safe disposal of child feces, frequency of visit by pregnant women to antenatal care services, place of delivery and women delivering their children with the help of skilled birth attendants.

Since the selection criteria of the camps were predefined; there are variations in the number of samples between the camps. Therefore, the generalizability may be compromised.

Increased access to healthcare services particularly reproductive health services to the most vulnerable groups (women). Community involvement in services management to promote ownership.

The methods used in this study is original and flexible and can be replicated for other emergency areas and risks.

To investigate the relationship between food safety knowledge, food safety attitudes, the accessibility of sanitation facilities, perceived economic and social constraints and food safety practices among food vendors of higher institutions of learning in Bauchi State, Nigeria.

A purposive sampling method was used to select 6 out of 13 public higher institutions of learning in the state and a random sampling method was used in selecting 181 food vendors from the list of 342 food vendors in the 6 institutions. Face-to-face survey interviews were carried out between June–September 2018 completing a structured questionnaire.

The result of the structural equation model revealed that food safety knowledge, food safety attitudes and economic and social control affected the food safety behaviour of the food vendors. Inaccessibility to sanitation facilities affected food safety behaviour negatively.

Appropriate measures to improve the food safety behaviour of food vendors in higher institutions of learning could include, for example, food safety training that could increase food safety knowledge and awareness, as well as improved access to sanitation facilities at vending sites.

There is no previous study that investigates the relationship between food safety knowledge, food safety attitudes, social and economic constraints, access to sanitation facilities and the food safety behaviour of food vendors in higher educational institutions in Nigeria.

The study assessed welfare of migrant and non-migrant labourers on cocoa farms in Ghana, using multidimensional poverty index (MPI) with four dimensions (education, health, dietary diversity, living standards) and 21 indicators. Specifically, we examined and compared non-monetary welfare of migrant and non-migrant labourers on cocoa farms in Ghana by adopting MPI approach. Also, we explored the factors affecting labourers' welfare.

A sample of 400 labourers was used. Qualitative and quantitative data were used. Quantile regression was used to investigate factors affecting labourers' deprivation in the different domains of non-monetary welfare.

Labourers on cocoa farms are generally deprived in all the welfare indicators. Apart from having low education, labourers were underfed and lived under poor conditions. Though both migrants and non-migrants were multidimensionally poor, welfare of the later was higher than the former. Welfare of migrants and non-migrants on cocoa farms are influenced by similar factors: secondary occupation, income, credit accessibility, nature of contract and distance to social amenities.

For migrants, permanent status improves welfare. To improve labourers' welfare for enhanced productivity, cocoa farmers should provide permanent/long-term contracts for labourers and government should provide social amenities in cocoa-producing communities.

Most previous welfare studies focused on farmers, with little attention paid to welfare of labourers on cocoa farms. We examined and compared the factors that affect migrant and non-migrant labourers' welfare on cocoa farms in Ghana. Moreover, we adopted the MPI (non-monetary) approach to assess labourers' welfare, instead of the expenditure and income approaches prevalent in literature.

The purpose of this paper is to present the latrine ownership ladder as a conceptual policy framework to enhance sanitation uptake in low-income peri-urban areas.

The paper draws from literature and a case study in a Ghanaian peri-urban community to highlight the challenges that undermine sanitation uptake in low-income peri-urban areas and the prospects of various levels of facility sharing as conceived in the latrine ownership ladder approach.

The authors argue that the infrastructural and other socio-economic challenges of low-income peri-urban areas prevent some households from acquiring their own latrines. For such households, a more responsive approach to latrine promotion and prevention of open defecation would be the recognition of shared ownership regimes such as co-tenant shared, neighbourhood shared and community shared, in addition to the promotion of household latrines. The paper identifies provision of special concessions for peri-urban areas in policy formulation, education and technical support to households, regulation and enforcement of sanitation by-laws among complimentary policy interventions to make the latrine ownership ladder approach more effective.

The paper provides an insight into the debate on redefining improved sanitation in the post-2015 era of the Millennium Development Goals and offers policy alternatives to policy makers in low-income countries seeking to accelerate the uptake of improved latrines among peri-urban and urban slum dwellers.

This case uniquely challenges students by introducing the history of how LIXIL transformed its corporate social responsibility (CSR) program to create shared value within the global sanitation sector by launching the SATO business unit as a social enterprise. SATO is a “self-sustaining social business that establishes a local Make, Sell, Use cycle in the community – creating jobs and allowing local manufacturers and stakeholders to continue the business independently” (LIXIL, 2019). From 2012 to 2021, NGOs helped the company design and market the SATO toilet pan and other products that form the SATO business unit. The SATO business unit must balance its social mission of improved sanitation with the need to gain a profit and become a sustainable business – the ongoing challenge of social entrepreneurship.

After completing this case study, students will be able to meet the following objectives: understand the difference in corporate strategy between CSR and ventures that create shared value; understand the sometimes-competing goals of social enterprises and analyze how they can balance both economic and social objectives; understand that developing and emerging markets are different from each other; explain how corporations can decide which markets to pursue, and how they can meet the needs of the diverse BOP markets; understand how the pursuit of the Sustainable Development Goals can create economic opportunities for corporations; and (optional: suggested for post-graduates) identify activities and challenges of MNC market entry in developing country contexts. Analyze institutional voids in developing country contexts and explore how partnerships can help to address these voids.

This case is most appropriate for the study of international business, corporate social responsibility, and social entrepreneurship students at both the undergraduate and post-graduate levels. The case may be used for undergraduate students to illustrate corporate social entrepreneurship, creating shared value, NGO partnerships, and marketing to the base of the pyramid (BOP) consumers. An optional section on BOP market entry is presented for early- and late-stage post-graduate students, illustrating the concepts of the liability of foreignness and institutional voids.

Teaching notes are available for educators only.

CCS 3: Entrepreneurship.

Upgraded water and better sanitation are essential for human health, but it is still a challenge to get admittance to these facilities and the concerns of public health becomes most victims. The purpose of this paper is to analyze the socioeconomic and demographic forecaster linked with admittance to safer water and upgraded sanitation facilities in Rwanda. The study uses the cross-sectional data from the 2014 to 2015 Rwanda Demographic Health Survey and uses linear generalized models for the analysis.

The logit and probit regressions were used to analyze whether or not any forecaster variables influenced the predicted variable.

The findings showed that the households with the highest education background were 11.55 times more probable to have admittance to upgraded water sources compared to those who had none level of education. Likewise, the respondents with secondary and higher education were, respectively, 9.55 times and 4.09 times more probable to have admittance to upgraded latrine facilities. The authors found the increase of household size as significantly associated with admittance to the upgraded water source and latrine facilities compared to those families with fewer household members. The results also found that wealthier households had a larger odds ratio significance in getting admittance to upgraded water sources and sanitation facilities compared to poorer households. The study results found the greatest gap in access to upgraded water sources and sanitation facilities in rural areas compared to urban areas.

The implications of the study results call for water policy formulation and implementation in Rwanda, as well as generally for other developing countries.

In Rwanda, this is the first study that empirically inspected the relationship between socioeconomic and demographic forecasters on admittance to upgraded water and sanitation facilities.

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-07-2019-0452

The purpose of this paper is to explore the correlation among health outcomes, and civil and political rights (CPR) and also economic, social and cultural rights.

The study uses cross-sectional data from 161 countries. The authors use health outcomes and human rights variables in the model. In order to combine dimensions of human rights, this paper uses factor analysis and obtains proxy variables that measure economic, social and cultural rights and CPR. The two proxy variables are used as independent variables to explain variations in health in a regression model. The paper then classifies countries by cluster analysis and explores the patterns of different components of human rights and health outcomes across country clusters.

The regression model demonstrates that the economic, social and cultural rights variables explain variations in all health outcomes. The relationship between CPR and health is weaker than that of the economic, social and cultural rights. Cluster analysis further reveals that despite the country’s commitment to CPR, those that highly respect economic, social and cultural rights lead to superior health outcomes. The more respect a country has for economic, social and cultural rights, the better the health outcomes for the citizens of that country.

National policies should consider equal emphasis on all dimensions of human rights for further improvements in health.

The sole promotion of CPR such as democracy and empowerment, absence of adequate support of economic, social and cultural rights such as rights to housing, education, food and work can only contribute partially to health.

The purpose of this paper is to shed light on India's performance in sanitation over the last decade as it strives to meet the Millennium Development Goal target.

In doing so, both qualitative and quantitative analyses are employed. The latter method includes a regression analysis. Income and income inequality variables have been included in the analysis.

Whilst India has made progress towards achieving access to sanitation for its people, the nation continues to perform relatively poorly to its neighbours and on a comparative global basis. At the national level, substantial rural-urban and income disparities are linked to a reduced level of sanitation access. Both forms of analysis support the view that income inequality in India is directly related to a lack of sanitation facilities.

The study is based on secondary data gathered from WHO and UNICEF sources. These are national data gathered by these agencies in two periods. These are aggregated data.

The study has major practical implications in policy formation in the area of sanitation access to both rural and urban India. The state level data analysed by the study will also be useful to make policies at disaggregated level. India, indeed, needs to improve the conditions on an urgent basis. Even in South Asia standard, this nation is behind from almost all other nations of the region.

The social implications are to make people particularly poor aware about the sanitation issue lack of which contributes to health hazards and gestro condition for children and old. The sanitation related diseases contribute to huge loss of working hours in both rural and urban communities.

The study contributes original ideas and demonstrates with a simple regression analysis how sanitation depends on income and income inequality of the poor.

Most poverty research has explored monetary poverty. This chapter presents and analyzes the global multidimensional poverty index (MPI) estimations for China. Using China Family Panel Studies (CFPS), we find China’s global MPI was 0.035 in 2010 and decreased significantly to 0.017 in 2014. The dimensional composition of MPI suggests that nutrition, education, safe drinking water, and cooking fuel contribute most to overall non-monetary poverty in China. Such analysis is also applied to subgroups, including geographic areas (rural/urban, east/central/west, provinces), as well as social characteristics such as gender of the household heads, age, education level, marital status, household size, migration status, ethnicity, and religion. We find the level and composition of poverty differs significantly across certain subgroups. We also find high levels of mismatch between monetary and multidimensional poverty at the household level, which highlights the importance of using both complementary measures to track progress in eradicating poverty.

The purpose of this paper is to determine water availability, sanitation and hygiene (WSH) services, and healthcare waste management in Jordan healthcare facilities.

In total, 19 hospitals (15 public and four private) were selected. The WSH services were assessed in hospitals using the WSH in health facilities assessment tool developed for this purpose.

All hospitals (100 percent) had a safe water source and most (84.2 percent) had functional water sources to provide enough water for users’ needs. All hospitals had appropriate and sufficient gender separated toilets in the wards and 84.2 percent had the same in outpatient settings. Overall, 84.2 percent had sufficient and functioning handwashing basins with soap and water, and 79.0 percent had sufficient showers. Healthcare waste management was appropriately practiced in all hospitals.

Jordan hospital managers achieved major achievements providing access to drinking water and improved sanitation. However, there are still areas that need improvements, such as providing toilets for patients with special needs, establishing handwashing basins with water and soap near toilets, toilet maintenance and providing sufficient trolleys for collecting hazardous waste. Efforts are needed to integrate WSH service policies with existing national policies on environmental health in health facilities, establish national standards and targets for the various healthcare facilities to increase access and improve services.

There are limited WSH data on healthcare facilities and targets for basic coverage in healthcare facilities are also lacking. A new assessment tool was developed to generate core WSH indicators and to assess WSH services in Jordan’s healthcare facilities. This tool can be used by a non-WSH specialist to quickly assess healthcare facility-related WSH services and sanitary hazards in other countries. This tool identified some areas that need improvements.