Evidence map›Paper›PMID 41468382›Full record

ArticlePloS one2025

Business-as-usual and fantasy planning - an analysis of equity within climate adaptation planning for sanitation in Nairobi.

Leonie K Hyde-Smith, Daniel Ddiba, Sarah Dickin, Domenic Kiogora, Anna L Mdee, Vanessa Reinfelder, Katy E Roelich, Barbara Evans

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Leonie K Hyde-SmithSchool of Civil Engineering, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0003-0237-4121
Daniel DdibaStockholm Environment Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5908-6417
Sarah DickinSwedesd - Sustainability Learning and Research Centre, Department of Women's and Children's Health, Uppsala University, Sweden.ORCID https://orcid.org/0000-0003-0437-3755
Domenic KiogoraMeru University of Science and Technology, Department of Biological Sciences, Meru, Kenya.
Anna L MdeeSchool of Politics and International Studies, University of Leeds, Leeds, United Kingdom.
Vanessa ReinfeldergruppeF, Berlin, Germany.
Katy E RoelichSchool of Earth and Environment/ Sustainability Research Institute, University of Leeds, Leeds, United Kingdom.
Barbara EvansSchool of Civil Engineering, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0001-9815-3141

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper explores the disconnect between policy rhetoric and implementation at the intersection of sanitation equity and climate change in Nairobi, Kenya. To examine the current sanitation adaptation trajectory, we reviewed Nairobi's sanitation policies, planning, and investment frameworks, focusing on their integration with climate adaptation strategies and consideration of equity in terms of distribution, recognition and processes. We used a socio-technical regime framework to map the current sanitation service configurations in Nairobi and projected their future under different climate change scenarios. Our findings provide evidence for a disconnection between policy rhetoric and implementation, prioritising sewerage development at the expense of other sanitation regimes. Despite recognising equity issues in policy, substantive action towards equitable sanitation governance is lacking. This imbalance hinders the realisation of the constitutionally recognised right to adequate sanitation in the foreseeable future. The anticipated impact of climate change on Nairobi's sanitation sector suggests an exacerbation of existing service inequalities. Our projection indicates that by 2030, a sizeable portion of Nairobi's residents will experience poor sanitation services. Our study emphasizes the critical need for a fundamental paradigm shift. It calls for a robust and honest discussion on delivering high-quality, resilient sanitation services at scale including both sewer and non-sewered sanitation and necessitating substantial public investment and support for all systems. This reappraisal is imperative for ensuring equitable and sustainable sanitation solutions in the face of climate change.

Indexed as

Climate ChangeHealth PolicyPublic HealthSanitationHumansKenyaSustainable DevelopmentUrban PopulationUrban Renewal

Identifiers

PMID41468382
PMCPMC12752985

What OpenQuestion holds

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LicenceCC BY
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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.