Beyond the Millennium Development Goals: Public health challenges in water and sanitation

2006 ◽  
Vol 1 (1) ◽  
pp. 31-48 ◽  
Author(s):  
R. Rheingans ◽  
R. Dreibelbis ◽  
M.C. Freeman
2009 ◽  
Vol 11 (1) ◽  
pp. 15-33
Author(s):  
Lynn Thiesmeyer

The Millennium Development Goals are framed within the post-war discourses of development that also gave us Basic Human Needs and Human Security. The Goals set out a consideration of the failures of earlier strategies along with an agenda for the accelerated reduction of poverty and its accompanying human insecurities. Though the more critical aspects of the MDG discourse were sorely needed, they also left space for the repetition of earlier top–down development strategies, and, more generally, for a (re)vision and wider implementation of globalised intervention by developed countries into the less-developed. In this discourse developed countries identify needs on the part of the less-developed and then supply these needs. The ‘need’ discourse focussed on here represents inferior public health that requires services, goods and equipment to be provided by developed countries; what it ignores are negative health consequences that can arise from development schemes themselves.


2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Abhinav Vaidya ◽  
N Jha

The Millennium Development Goals (MDGs) are international objectives on poverty reduction adopted by the world community and provide the broad context for this revolution in thinking and practice. The MDGs place a central focus on public health, in recognition of the fact that improvements in public health are vital not only in their own right but also to break the poverty trap of the world's poorest economies. Nepal has been committed to achieving the MDGs since it endorsed the Millennium Declaration. As we have at present just passed the midway through the 15 years to MDGs deadline of 2015, this article reviews the status of Nepal in achieving the MDGs, the challenges it faces and whether it can achieve the MDGs by 2015.Key words: development, goals, health, millennium, Nepal


2010 ◽  
Vol 62 (5) ◽  
pp. 1028-1036 ◽  
Author(s):  
Elisa Roma ◽  
Paul Jeffrey

Acceptance and adequate use of water and sanitation technologies in least developed countries is still a chimera, with one billion people using unimproved water supply sources and 2.5 billion not benefitting from adequate sanitation. Public participation in water and sanitation planning and pre-implementation phases has become increasingly important for technology providers seeking solutions to implementation challenges towards the achievement of the Millennium Development Goals (MDGs). Based on the principle that successful implementation of WATSAN technologies ultimately depends on recipients' ability to absorb a technology and adapt it to their own needs, this study analyses the impacts of participatory methods adopted by community-based sanitation (CBS) providers on communities' receptivity of the transferred systems. A fieldwork activity was undertaken in Indonesia and a multiple case study approach adopted to analyse indicators of receptivity of the transferred technologies. Conclusions show that community involvement through participatory methods in the implementation of CBS systems can enhance the process of acceptance and management of the technologies, thereby increasing the progress towards the achievement of the Millennium Development Goals.


2004 ◽  
Vol 3 (2) ◽  
pp. 7-29
Author(s):  
Alfred Oehlers

Current discussions around the lack of progress towards the Millennium Development Goals tend to emphasize deficiencies in governance as a major contributory factor. While agreeing with this assessment, this paper takes issue with the conventional understanding of what “governance” implies. Using Burma as an illustration, it suggests the current focus on purely administrative and organizational concerns must be broadened to encompass the wider political context in which these Goals are to be pursued. Authoritarian political structures must be confronted and challenged, if these worthy Goals are to have any realistic chance of being attained.


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