ABSTRACT

Inadequate water, sanitation and hygiene (WASH) is a significant health burden in Rwanda. Although current approaches for improving water and sanitation provision to enhance health outcomes are often narrowly associated with monetary exchange, analysis of two informal settlements in Kigali (Gitega and Kimisagara) shows that households attempt to meet their water and sanitation needs through four interlinked exchange systems (market-based, command-based, culturally determined and non-market-based exchange systems). By focusing on existing social relations and exchange systems, sanitation practitioners may be able to foster and strengthen these interlinked water and sanitation marketing exchange systems embedding in the local context and local capabilities, and as a consequence improve the lives of the low-income communities of informal settlements.

摘要

水，卫生设施和卫生设施不足是卢旺达的重大健康负担。尽管当前改善水和卫生设施以提高健康结果的方法通常与货币兑换之间存在狭义联系，但对基加利的两个非正式住区（基特加和基米萨加拉）的分析表明，家庭试图通过四个相互联系的交换系统满足其水和卫生需求（基于市场，基于命令，由文化决定的和基于非市场的交换系统）。通过关注现有的社会关系和交流系统，卫生从业人员可能能够促进和加强嵌入当地背景和地方能力的相互联系的水和卫生市场交换系统，从而改善低收入社区的生活。非正式住区。