4.6 Editorial Material

Beyond direct impact: Evidence synthesis towards a better understanding of effectiveness of environmental health interventions

Journal

Publisher

ELSEVIER GMBH
DOI: 10.1016/j.ijheh.2013.07.011

Keywords

Public health; Environmental epidemiology; Policy; Systematic review; Effectiveness; Complex interventions

Ask authors/readers for more resources

Systematic reviews are a cornerstone of evidence-based public health, and there is much discussion on how this method may need to be modified to do justice to complex interventions, such as environmental health interventions. This paper asserts that intervention effectiveness is influenced by variability in five distinct layers - direct (intrinsic) impact, user compliance, delivery, programming and policy measures - which are embedded in the broader geographical, socio-economic, political and cultural context. The multi-component, multi-sectoral nature of most environmental health interventions results in a complex relationship between these layers of influence, involving systemic interactions. As illustrated with examples, understanding environmental health interventions critically relies on considering all of these layers. These distinct layers of influence can serve as a framework towards the comprehensive analysis of environmental health interventions in systematic reviews, drawing on quantitative and qualitative methods and a variety of disciplines. (C) 2013 Elsevier GmbH. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Environmental Sciences

Environmental health conditions in the transitional stage of forcible displacement: A systematic scoping review

Brittany Cooper, Nikki L. Behnke, Ryan Cronk, Carmen Anthonj, Brandie Banner Shackelford, Raymond Tu, Jamie Bartram

Summary: In transitional displacement settings, water supply is the most frequently discussed environmental health topic, with overcrowding being the most common risk factor. The study indicates that obstacles mainly include institutional, political, or implementation-based issues, and suggests that enhancing collaboration between all levels of government and non-governmental organizations is essential to improve resource provision.

SCIENCE OF THE TOTAL ENVIRONMENT (2021)

Review Environmental Sciences

Safe Healthcare Facilities: A Systematic Review on the Costs of Establishing and Maintaining Environmental Health in Facilities in Low- and Middle-Income Countries

Darcy M. Anderson, Ryan Cronk, Donald Fejfar, Emily Pak, Michelle Cawley, Jamie Bartram

Summary: The lack of evidence on the costs of establishing, operating, and maintaining Environmental Health Services (EHS) in healthcare facilities in low- and middle-income countries (LMICs) is evident. The quality of evidence is low and reported costs do not represent the total costs of EHS provision. Opportunities for improvement in costing research include categorizing and disaggregating EHS costs, disseminating existing unpublished data, improving indicators to monitor EHS demand and quality, and developing frameworks to define EHS needs and essential inputs.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Engineering, Chemical

Sanitary inspection, microbial water quality analysis, and water safety in handpumps in rural sub-Saharan Africa

Emma Kelly, Ryan Cronk, Michael Fisher, Jamie Bartram

Summary: The study examined the relationship between sanitary inspection and water quality analysis in sub-Saharan Africa, finding no association between the two. Recommendations were made for implementers to train water system operators for inspection and for researchers to improve understanding of sanitary risk factors and incorporate contextual data into assessments.

NPJ CLEAN WATER (2021)

Article Public, Environmental & Occupational Health

Environmental conditions in maternity wards: Evidence from rural healthcare facilities in 14 low- and middle-income countries

Ryan Cronk, Amy Guo, Caroline Folz, Peter Hynes, Ashley Labat, Kaida Liang, Jamie Bartram

Summary: The study found that environmental hygiene conditions in maternity wards in low- and middle-income countries' rural areas are inadequate, significantly affecting the quality of maternal and neonatal health services. Data shows that the majority of healthcare facilities providing maternal and neonatal health services fail to meet the World Health Organization's 'six cleans' guidelines, with clean towels being the most lacking item.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2021)

Article Public, Environmental & Occupational Health

Cost effectiveness of community led total sanitation in Ethiopia and Ghana

Jonny Crocker, David Fuente, Jamie Bartram

Summary: The study conducted cost effectiveness analyses of four different CLTS interventions in Ethiopia and Ghana, comparing pilot approaches to conventional approaches. The results showed that pilot approaches were more cost effective at reducing open defecation in Ethiopia, but not in Ghana. Overall cost effectiveness ranged from $34-$1897 per household.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2021)

Article Environmental Sciences

Factors associated with water quality, sanitation, and hygiene in rural schools in 14 low- and middle-income countries

Ryan Cronk, Amy Guo, Lisa Fleming, Jamie Bartram

Summary: This study conducted surveys in rural areas of 14 low- and middle-income countries, revealing that over half of schools only have basic on-premises water services. Schools that do not share water sources with communities, have support from parent-teacher associations, or receive external support are more likely to have access to basic water services.

SCIENCE OF THE TOTAL ENVIRONMENT (2021)

Article Health Care Sciences & Services

Development and application of tools to cost the delivery of environmental health services in healthcare facilities: a financial analysis in urban Malawi

Darcy M. Anderson, Ryan Cronk, Emily Pak, Precious Malima, David Fuente, J. Wren Tracy, Innocent Mofolo, Holystone Kafanikhale, Irving Hoffman, Jamie Bartram

Summary: The costs of environmental health services (EHS) in healthcare facilities are often underestimated, with essential expenses missing from records. Existing electronic health information systems are not well-suited to identify EHS costs, highlighting the need for better coding and disaggregation of expenses. Frameworks developed in this study can be used as a potential tool to provide more accurate estimates of providing EHS in healthcare facilities.

BMC HEALTH SERVICES RESEARCH (2021)

Article Environmental Sciences

Occurrence of Lead and Other Toxic Metals Derived from Drinking-Water Systems in Three West African Countries

Michael B. Fisher, Amy Z. Guo, J. Wren Tracy, Sridevi K. Prasad, Ryan D. Cronk, Emily G. Browning, Kaida R. Liang, Emma R. Kelly, Jamie K. Bartram

Summary: The study found that lead is the most common toxic metal in rural water systems in three West African low- and middle-income countries, with high levels exceeding recommended limits. Brass components are particularly problematic and contribute to increased lead concentrations in drinking water samples. Ensuring the use of lead-free components in water systems and progressively remediating existing systems could reduce health risks associated with lead exposure.

ENVIRONMENTAL HEALTH PERSPECTIVES (2021)

Article Public, Environmental & Occupational Health

Attributes of drinking water, sanitation, and hygiene associated with microbiological water quality of stored drinking water in rural schools in Mozambique and Uganda

Camille E. Morgan, J. Michael Bowling, Jamie Bartram, Georgia L. Kayser

Summary: Contaminated drinking water poses a significant health risk worldwide, especially for children in low- and middle-income countries. A study conducted in rural schools in Mozambique and Uganda found associations between specific WaSH services and drinking water microbiological contamination, with factors like improved-type water sources and availability of water and soap/ash for handwashing linked to lower levels of Escherichia coli in stored drinking water. Improving access to safe drinking water in schools through targeted WaSH interventions could have positive impacts on the health and well-being of school children in these regions.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2021)

Article Water Resources

Community management does not equate to participation: fostering community participation in rural water supplies

Katherine F. Shields, Michelle Moffa, Nikki L. Behnke, Emma Kelly, Tori Klug, Kristen Lee, Ryan Cronk, Jamie Bartram

Summary: The research highlights that community management does not automatically lead to broader community participation, but intentional efforts are needed to foster it. Implementers are advised to use collaborative planning processes, engage explicitly with intra-community diversity and inequalities, in order to facilitate meaningful participation of all community members.

JOURNAL OF WATER SANITATION AND HYGIENE FOR DEVELOPMENT (2021)

Editorial Material Public, Environmental & Occupational Health

Environmental sanitation and the evolution of water, sanitation and hygiene

Sophie Budge, Argaw Ambelu, Jamie Bartram, Joe Brown, Paul Hutchings

BULLETIN OF THE WORLD HEALTH ORGANIZATION (2022)

Article Engineering, Environmental

Urban Sanitation: New Terminology for Globally Relevant Solutions?

Linda Strande, Barbara Evans, Marcos von Sperling, Jamie Bartram, Hidenori Harada, Anne Nakagiri, Viet-Anh Nguyen

Summary: Misleading terminology hinders the progress of urban sanitation, and a globally applicable new terminology is proposed to address this issue.

ENVIRONMENTAL SCIENCE & TECHNOLOGY (2023)

Article Water Resources

Environmental, social, and WASH factors affecting the recurrence of cholera outbreaks in displacement camps in northeast Nigeria: a rapid appraisal

Tarek Jaber, Thiaba Fame, Osas Aizeyosabor Agho, Bartel van de Walle, Jamie Bartram, Eline Boelee

Summary: In 2021, Nigeria experienced a cholera outbreak affecting Borno state, where over 1,600,000 internally displaced persons (IDPs) were living. This study investigated the factors contributing to the recurrence of cholera outbreaks in IDP camps in Northeast Nigeria. Semi-structured interviews, transect walks, field observations, and data analysis were conducted. The findings indicated that interactions between IDPs and host communities, coupled with suboptimal WASH services and extreme weather events, facilitated the outbreak. Recommendations were made to expand WASH activities, develop site-specific interventions, and target chlorination efforts.

JOURNAL OF WATER SANITATION AND HYGIENE FOR DEVELOPMENT (2023)

Article Water Resources

Developing formal pit-latrine emptying businesses for hard-to-serve customers: resources, methods, and pricing structures

Jonathan Wilcox, Bruce Rutayisire, Nicholas Kuria, Barbara Evans, Jamie Bartram, Rachel Sklar

Summary: This study compares the emptying businesses in Kampala and Kigali, and finds that both mechanical and manual methods are necessary for emptying pit-latrines in hard-to-serve areas. It emphasizes the need for government and city authorities to support sanitation businesses and manage prices and service standards to ensure better accessibility.

JOURNAL OF WATER SANITATION AND HYGIENE FOR DEVELOPMENT (2023)

Article Environmental Studies

Achieving Development Outcomes by Building Practical Authority in WASH Participatory Collectives in Melanesia

Katherine F. Shields, Dani J. Barrington, Semisi Meo, Srinivas Sridharan, Stephen G. Saunders, Jamie Bartram, Regina T. Souter

Summary: The paper challenges the simplistic and linear view of an enabling environment that is perpetuated by checklists and frameworks. The authors argue that conceptualizing the enabling environment as a dynamic ecology of actors, relationships, and processes is crucial to supporting progress towards universal WASH access. They emphasize the importance of working within the politics of development rather than seeking technical solutions, and highlight the need for an inclusive approach that leverages the co-productive possibilities of participation.

WATER ALTERNATIVES-AN INTERDISCIPLINARY JOURNAL ON WATER POLITICS AND DEVELOPMENT (2022)

Article Public, Environmental & Occupational Health

Evaluation of occupational health and safety intervention for the waste and sanitation workers in Bangladesh during COVID-19

Dewan Muhammad Shoaib, Tanvir Ahmed, Kazy Farhat Tabassum, Mehedi Hasan, Fazle Sharior, Mahbubur Rahman, Makfie Farah, Md Azizur Rahman, Alauddin Ahmed, James B. Tidwell, Mahbub-Ul Alam

Summary: An intervention was implemented in Bangladesh during COVID-19 to reduce occupational health risks for waste and sanitation workers. The intervention involved training and distribution of personal protective equipment (PPE). The study found that the intervention improved workers' knowledge, attitude, and practice regarding PPE usage.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2024)

Article Public, Environmental & Occupational Health

Drivers of divergent assessments of bisphenol-A hazards to semen quality by various European agencies, regulators and scientists

Andreas Kortenkamp, Olwenn Martin, Eleni Iacovidou, Martin Scholze

Summary: The European Food Safety Authority's downward revision of the Health-based Guidance Value for bisphenol A (BPA) has led to disagreements with other regulatory agencies, particularly the German Federal Institute for Risk Assessment. The differing views between EFSA and BfR are driven by their respective selection of endpoints and study evaluation systems, as well as their acceptance or refusal of immunotoxic effects as a basis for establishing a Health-based Guidance Value.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2024)

Article Public, Environmental & Occupational Health

Joint association of air pollution exposure and inflammation-related proteins in relation to infant lung function

Shizhen He, Bjorn Lundberg, Jenny Hallberg, Susanna Klevebro, Goran Pershagen, Kristina Eneroth, Erik Melen, Matteo Bottai, Olena Gruzieva

Summary: Early life air pollution exposure and abnormal inflammation-related protein profiles may interact synergistically towards lower lung function in infants.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2024)

Article Public, Environmental & Occupational Health

HBM4EU e-waste study: Occupational exposure of electronic waste workers to phthalates and DINCH in Europe

Paulien Cleys, Emilie Hardy, Yu Ait Bamai, Giulia Poma, Adam Cseresznye, Govindan Malarvannan, Paul T. J. Scheepers, Susana Viegas, Simo P. Porras, Tiina Santonen, Lode Godderis, Jelle Verdonck, Katrien Poels, Carla Martins, Maria Joao Silva, Henriqueta Louro, Inese Martinsone, Lasma Akulova, An van Nieuwenhuyse, Martien Graumans, Selma Mahiout, Radu Corneliu Duca, Adrian Covaci

Summary: The aim of this study was to assess the exposure of e-waste workers to phthalates and alternative plasticizers. The results showed that e-waste workers had higher urinary concentrations of phthalates and metabolites compared to non-occupationally exposed controls. However, no significant differences were found between pre-and post-shift concentrations in the e-waste workers.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2024)

Article Public, Environmental & Occupational Health

Air pollution inside fire stations: State-of-the-art and future challenges

Karolina Bralewska

Summary: This review study examines the concentrations of various air pollutants in fire stations, identifies the limitations and strengths of existing research, identifies research gaps and challenges, and suggests potential solutions for reducing firefighter exposure to air pollution at fire stations.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2024)