Evidence map›Paper›PMID 36693669›Full record

ReviewBMJ global health2023

Systematic mapping of gender equality and social inclusion in WASH interventions: knowledge clusters and gaps.

Biljana Macura, Ella Foggitt, Carla Liera, Adriana Soto, Arianna Orlando, Laura Del Duca, Naomi Carrard, Karin Hannes, Marni Sommer, Sarah Dickin

Abstract readReview
In one paragraph

Review in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Biljana MacuraStockholm Environment Institute, Stockholm, Sweden biljana.macura@sei.org.ORCID 0000-0002-4253-1390
Ella FoggittLancaster Environment Centre, Lancaster University, Lancaster, UK.
Carla LieraStockholm Environment Institute, Stockholm, Sweden.
Adriana SotoStockholm Environment Institute, Stockholm, Sweden.
Arianna OrlandoDepartment of Politics and Public Administration, University of Konstanz, Konstanz, Germany.
Laura Del DucaStockholm Environment Institute, Stockholm, Sweden.ORCID 0000-0002-8564-6956
Naomi CarrardInstitute for Sustainable Futures, University of Technology Sydney, Broadway, Sydney, Australia.
Karin HannesResearch Group SoMeTHin'K, Faculty of Social Sciences, KU Leuven, Leuven, Belgium.ORCID 0000-0002-5011-3615
Marni SommerSociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA.ORCID 0000-0001-7442-9270
Sarah DickinStockholm Environment Institute, Stockholm, Sweden.ORCID 0000-0003-0437-3755

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoor access to water, sanitation and hygiene (WASH) services threatens population health and contributes to gender and social inequalities, especially in low-resource settings. Despite awareness in the WASH sector of the importance of promoting gender equality and social inclusion (GESI) to address these inequalities, evaluations of interventions focus largely on health outcomes, while gender equality and other social outcomes are rarely included. This review aimed to collate and describe available research evidence of GESI outcomes evaluated in WASH intervention studies.

methodsWe applied a systematic mapping methodology and searched for both academic and grey literature published between 2010 and 2020 in 16 bibliographic databases and 53 specialist websites. Eligibility screening (with consistency checking) was conducted according to predetermined criteria, followed by metadata coding and narrative synthesis.

resultsOur evidence base comprises 463 intervention studies. Only 42% of studies measured transformative GESI outcomes of WASH interventions, referring to those that seek to transform gender relations and power imbalances to promote equality. A majority of studies disaggregated outcome data by sex, but other forms of data disaggregation were limited. Most included studies (78%) lacked a specific GESI mainstreaming component in their intervention design. Of the interventions with GESI mainstreaming, the majority targeted women and girls, with very few focused on other social groups or intersectional considerations.

conclusionThe review points to various areas for future primary and secondary research. Given the potential contribution of WASH to GESI, GESI considerations should be incorporated into the evaluation of WASH interventions. Regular collection of data and monitoring of GESI outcomes is needed as well as developing new and testing existing methods for monitoring and evaluation of such data.

Indexed as

SanitationWaterFemaleGender EquityHumansHygieneSocial InclusionWaterPublic HealthReview

Identifiers

PMID36693669
PMCPMC9884933

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.