1
|
Cid-Escobar D, Folch A, Ferrer N, Katuva J, Sanchez-Vila X. An assessment tool to improve rural groundwater access: Integrating hydrogeological modelling with socio-technical factors. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 912:168864. [PMID: 38040365 DOI: 10.1016/j.scitotenv.2023.168864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 11/22/2023] [Accepted: 11/23/2023] [Indexed: 12/03/2023]
Abstract
Sustainable exploitation of groundwater resources for drinking water provision in rural communities in sub-Sahara Africa remains elusive due to the limited knowledge of these hydrogeological systems. This is exacerbated by poor maintenance of existing infrastructure, limited technical capacity, the socio-economic characteristics of the area and poor governance. Assessing the likelihood of a given individual user experiencing water shortage calls for an interdisciplinary approach. After a preliminary multifactorial analysis incorporating a range of variables from technical to societal, it was found that most of the overall risk of water shortage for an individual household could be attributed to three factors; (1) Proximity, specified as the distance to the closest supply well (determined by geographical parameters), (2) Availability of good quality water in the wells (determined by hydrogeological understanding and modelling), and (3) Sustainability (determined by socio-technical and socio-economic parameters). In the latter case, a distinction was made between hardware functionality- the water point's performance considering a sufficient yield and reliability through time- and software functionality, based on a combination of socioeconomic data from surveys and analysed using Multiple Factor Analysis (MFA). All three factors are eventually mapped onto indicators in the range of [0-1] and then represented in a Geographical Information System based on the partition of the entire spatial domain (e.g., counties, villages, and neighbourhoods). The three indicators are then combined in a final index based on the product of the three factors, thus mapping time-dependent overall risk and allowing the assessment of temporal risk-evolution scenarios. The methodology is applied to Kwale County, Kenya, where community handpumps and groundwater points comprise the main water supply system. Apart from mapping the present situation, the methodology is finally used to assess the impact of future climate scenarios.
Collapse
Affiliation(s)
- Daniela Cid-Escobar
- Department of Civil and Environmental Engineering (DECA), Universitat Politècnica de Catalunya (UPC), Jordi Girona 1-3, 08034 Barcelona, Spain; Associated Unit: Hydrogeology Group (UPC-CSIC), Spain.
| | - Albert Folch
- Department of Civil and Environmental Engineering (DECA), Universitat Politècnica de Catalunya (UPC), Jordi Girona 1-3, 08034 Barcelona, Spain; Associated Unit: Hydrogeology Group (UPC-CSIC), Spain
| | - Nuria Ferrer
- Department of Civil and Environmental Engineering (DECA), Universitat Politècnica de Catalunya (UPC), Jordi Girona 1-3, 08034 Barcelona, Spain; Associated Unit: Hydrogeology Group (UPC-CSIC), Spain
| | - Jacob Katuva
- School of Geography and the Environment, Oxford University, Oxford OX1 2JD, UK; Fundifix Water Services Trust, Kwa Mbithi Kimotho Building, Ngaie-Tseikuru Road Junction, Kyuso Centre, Kitui, Kenya
| | - Xavier Sanchez-Vila
- Department of Civil and Environmental Engineering (DECA), Universitat Politècnica de Catalunya (UPC), Jordi Girona 1-3, 08034 Barcelona, Spain; Associated Unit: Hydrogeology Group (UPC-CSIC), Spain
| |
Collapse
|
2
|
Hamulka J, Frackiewicz J, Stasiewicz B, Jeruszka-Bielak M, Piotrowska A, Leszczynska T, Niedzwiedzka E, Brzozowska A, Wadolowska L. Socioeconomic, Eating- and Health-Related Limitations of Food Consumption among Polish Women 60+ Years: The 'ABC of Healthy Eating' Project. Nutrients 2021; 14:nu14010051. [PMID: 35010925 PMCID: PMC8746491 DOI: 10.3390/nu14010051] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/20/2021] [Accepted: 12/22/2021] [Indexed: 12/13/2022] Open
Abstract
The study aimed at identifying the socioeconomic, eating- and health-related limitations and their associations with food consumption among Polish women 60+ years old. Data on the frequency of consumption of fruit, vegetables, dairy, meat, poultry, fish, legumes, eggs, water and beverages industrially unsweetened were collected with the Mini Nutritional Assessment (MNA®) and were expressed in the number of servings consumed per day or week. Three indexes: the Socioeconomic Status Index (SESI), the Eating-related Limitations Score (E-LS) and the Health-related Limitations Score (H-LS) were developed and applied. SESI was created on the base of two variables: place of residence and the self-reported economic situation of household. E-LS included: difficulties with self-feeding, decrease in food intake due to digestive problems, chewing or swallowing difficulties, loss of appetite, decrease in the feeling the taste of food, and feeling satiety, whereas H-LS included: physical function, comorbidity, cognitive function, psychological stress and selected anthropometric measurements. A logistic regression analysis was performed to assess the socioeconomic, eating-, and health-related limitations of food consumption. Lower socioeconomic status (vs. higher) was associated with a lower chance of consuming fruit/vegetables ≥ 2 servings/day (OR = 0.25) or consuming dairy ≥ 1 serving/day (OR = 0.32). The existence of multiple E-LS limitations (vs. few) was associated with a lower chance of consuming fruit/vegetables ≥ 2 servings/day (OR = 0.72), consuming dairy ≥ 1 serving/day (OR = 0.55) or consuming water and beverages industrially unsweetened ≥6 cups/day (OR = 0.56). The existence of multiple H-LS limitations was associated with a lower chance of consuming fruit/vegetables ≥ 2 servings/day (OR = 0.79 per 1 H-LS point increase) or consuming dairy ≥ 1 serving/day (OR = 0.80 per 1 H-LS point increase). Limitations found in the studied women were related to insufficient consumption of selected groups of food, which can lead to malnutrition and dehydration. There is a need for food policy actions, including practical educational activities, to eliminate barriers in food consumption, and in turn to improve the nutritional and health status of older women.
Collapse
Affiliation(s)
- Jadwiga Hamulka
- Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), Nowoursynowska 159C, 02-776 Warsaw, Poland; (M.J.-B.); (A.B.)
- Correspondence: (J.H.); (J.F.)
| | - Joanna Frackiewicz
- Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), Nowoursynowska 159C, 02-776 Warsaw, Poland; (M.J.-B.); (A.B.)
- Correspondence: (J.H.); (J.F.)
| | - Beata Stasiewicz
- Department of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn, Sloneczna 45F, 10-718 Olsztyn, Poland; (B.S.); (E.N.); (L.W.)
| | - Marta Jeruszka-Bielak
- Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), Nowoursynowska 159C, 02-776 Warsaw, Poland; (M.J.-B.); (A.B.)
| | - Anna Piotrowska
- Department of Functional and Organic Food, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska 159C, 02-776 Warsaw, Poland;
| | - Teresa Leszczynska
- Department of Human Nutrition and Dietetics, Faculty of Food Technology, University of Agriculture in Krakow, Balicka 122, 30-149 Krakow, Poland;
| | - Ewa Niedzwiedzka
- Department of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn, Sloneczna 45F, 10-718 Olsztyn, Poland; (B.S.); (E.N.); (L.W.)
| | - Anna Brzozowska
- Department of Human Nutrition, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), Nowoursynowska 159C, 02-776 Warsaw, Poland; (M.J.-B.); (A.B.)
| | - Lidia Wadolowska
- Department of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn, Sloneczna 45F, 10-718 Olsztyn, Poland; (B.S.); (E.N.); (L.W.)
| |
Collapse
|
3
|
Demarquet M, Fraticelli L, Freyssenge J, Claustre C, Martinez M, Duchenne J, El Khoury C, Redjaline A, Tazarourte K. Discovering the underlying typology of emergency departments. BMC Med Res Methodol 2021; 21:116. [PMID: 34090330 PMCID: PMC8180120 DOI: 10.1186/s12874-021-01305-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/30/2021] [Indexed: 11/15/2022] Open
Abstract
Background We hypothesized that monitoring the volume of activity and overall performance indicators is not sufficient to understand the underlying differences between emergency departments. We aimed to understand the underlying common characteristics of emergency departments and map their typology in order to propose adaptive solutions, that would take into account territorial specificities and manage existing resources. Methods We applied a multifactorial analysis based on input data at three levels; 1) the health care available in the area surrounding the emergency departments, 2) the level of medical technicality of the hospitals and 3) the profile of emergency department visits. Results We included 73 emergency departments in this study, representing 93.6% of the emergency departments in our region and seven groups were retained. The smallest group (n = 5) included both public and private structures with low volumes of activity. These medical structures were associated with the shortest length of stay and one of the lowest hospitalisation rates. The largest group (n = 21) included only public structures in peri-urban areas, which were associated with the highest rate of hospitalization in the region. The surrounding population was representative of the regional population, but the patients were older. Conclusions This approach represents a systemic response to target the organisational needs and constraints, propose appropriate solutions and adjust the financial resources allocated to hospitals. Future policies to improve care delivery may benefit from stratifying solutions and performance objectives depending on these groups. Supplementary Information The online version contains supplementary material available at 10.1186/s12874-021-01305-x.
Collapse
Affiliation(s)
- Marine Demarquet
- Centre Hospitalier de Fleyriat, Bourg-en-Bresse, France.,Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France
| | - Laurie Fraticelli
- Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France. .,RESCUe-RESUVal Network, Hospital Center Lucien Hussel, Montée Docteur Maurice Chapuis, 38200, Vienne, France. .,Laboratory Systemic Health Care, EA 4129, University of Lyon 1, Lyon, France.
| | - Julie Freyssenge
- Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France.,RESCUe-RESUVal Network, Hospital Center Lucien Hussel, Montée Docteur Maurice Chapuis, 38200, Vienne, France.,Research On Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France
| | - Clément Claustre
- RESCUe-RESUVal Network, Hospital Center Lucien Hussel, Montée Docteur Maurice Chapuis, 38200, Vienne, France
| | - Mikaël Martinez
- Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France.,Centre Hospitalier du Forez, Montbrison, France.,REULIAN Network, Firminy, France
| | - Jonathan Duchenne
- RAMU Network, Aurillac, France.,Centre Hospitalier Henri Mondor, Aurillac, France
| | - Carlos El Khoury
- RESCUe-RESUVal Network, Hospital Center Lucien Hussel, Montée Docteur Maurice Chapuis, 38200, Vienne, France.,Research On Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.,Emergency Department and Clinical Research Unit, Medipole Hopital Mutualiste, Villeurbanne, France
| | - Abdesslam Redjaline
- Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France.,REULIAN Network, Firminy, France.,Centre Hospitalier Le Corbusier, Firminy, France
| | - Karim Tazarourte
- Observatoire Régional Des Urgences (ORU), Agence Régionale de Santé Auvergne Rhône-Alpes, Lyon, France.,Research On Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.,Department of Emergency Medicine and SAMU, Hospital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| |
Collapse
|