Evidence map›Paper›PMID 39366708›Full record

ReviewBMJ global health2024

Water, sanitation and hygiene (WASH): the evolution of a global health and development sector.

Sara de Wit, Euphrasia Luseka, David Bradley, Joe Brown, Jayant Bhagwan, Barbara Evans, Matthew C Freeman, Guy Howard, Isha Ray, Ian Ross and 3 more

Abstract readReview
In one paragraph

Review in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Decolonizing global health: a scoping review.BMC health services research · 2025
    Article
  7. Exploring the Impact of Traditional Practices onInternational journal of environmental research and public health · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

13 authors.

Sara de WitInstitute for History, Leiden University, Leiden, The Netherlands.ORCID http://orcid.org/0000-0003-4696-2777
Euphrasia LusekaFreelance, Nairobi, Kenya.
David BradleyDepartment of Zoology, University of Oxford, Oxford, UK.
Joe BrownEnvironmental Science and Engineering, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.ORCID http://orcid.org/0000-0002-5200-4148
Jayant BhagwanWaterUse, Wastewater Resources and Sanitation Future, Water Research Commission, Lynnwood Manor, South Africa.
Barbara EvansPublic Health Engineering, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0001-9815-3141
Matthew C FreemanGangarosa Department of Environmental Health, Emory Univ, Atlanta, Georgia, USA.ORCID http://orcid.org/0000-0002-1517-2572
Guy HowardUniversity of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-1848-9807
Isha RayEnergy & Resources Group, UC Berkeley, Berkeley, California, USA.
Ian RossDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-2218-5400
Sheillah SimiyuAfrican Population and Health Research Center, Nairobi, Kenya.ORCID http://orcid.org/0000-0003-3069-8967
Oliver CummingDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-5074-8709
Clare I R ChandlerDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK clare.chandler@lshtm.ac.uk.ORCID http://orcid.org/0000-0001-6499-7522

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite some progress, universal access to safe water, sanitation and hygiene (WASH) by 2030-a remit of Sustainable Development Goal 6-remains a distant prospect in many countries. Policy-makers and implementers of the WASH sector are challenged to track a new path. This research aimed to identify core orienting themes of the sector, as legacies of past processes, which can provide insights for its future. We reviewed global policy, science and programmatic documents and carried out 19 expert interviews to track the evolution of the global WASH sector over seven decades. We situated this evolution in relation to wider trends in global health and development over the same time period.With transnational flows of concern, expertise and resources from high-income to lower-income countries, the WASH sector evolved over decades of international institutionalisation of health and development with (1) a focus on technologies (technicalisation), (2) a search for generalised solutions (universalisation), (3) attempts to make recipients responsible for environmental health (responsibilisation) and (4) the shaping of programmes around quantifiable outcomes (metricisation). The emergent commitment of the WASH sector to these core themes reflects a pragmatic response in health and development to depoliticise poverty and social inequalities in order to enable action. This leads to questions about what potential solutions have been obscured, a recognition which might be understood as 'uncomfortable knowledge'-the knowns that have had to be unknown, which resonate with concerns about deep inequalities, shrinking budgets and the gap between what could and has been achieved.

Indexed as

Global HealthHygieneSanitationSustainable DevelopmentWater SupplyDeveloping CountriesHumansGlobal HealthHygienePrevention strategiesPublic Health

Identifiers

PMID39366708
PMCPMC11459319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.