Publication:
The Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe

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dc.contributor.authorJoseph, George
dc.contributor.authorMilusheva, Sveta
dc.contributor.authorSturrock, Hugh
dc.contributor.authorMaidei Kashangura, Faith
dc.contributor.authorAyling, Sophie Charlotte Amy
dc.contributor.authorHoo, Yi Rong
dc.date.accessioned2023-04-06T15:46:49Z
dc.date.available2023-04-06T15:46:49Z
dc.date.issued2023-02
dc.description.abstractUnderstanding the specific factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. This paper uses georeferenced case data from the cholera epidemic that occurred in Harare, Zimbabwe, from September 2018 to January 2019. The paper applies spatio-temporal modeling to understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. The study highlighted a number of findings. First, using call detail records to estimate weekly population movement throughout the city, the results suggest that human movement helps to explain the spatiotemporal patterns of the cases observed. In addition, the results highlight a number of sociodemographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure, with populations living in close proximity to the sewer network with high access to piped water being at higher risk. A possible explanation for this surprising observation is that sewer bursts led to the contamination of the piped water network, turning access to piped water, usually assumed to be protective, into a risk factor. Although further studies are required to test this hypothesis, if it is true, it highlights the importance of maintenance for achieving the Sustainable Development Goals of improved water and sanitation infrastructure.en
dc.identifierhttp://documents.worldbank.org/curated/en/099631202282320091/IDU0d0474b1500f5404def0b645012a4f569be12
dc.identifier.doi10.1596/1813-9450-10327
dc.identifier.urihttps://openknowledge.worldbank.org/handle/10986/39639
dc.languageEnglish
dc.language.isoen
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Papers; 10327
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/igo/
dc.subjectCHOLERA RISK
dc.subjectWATER INFRASTRUCTURE
dc.subjectSANITATION INFRASTRUCTURE
dc.subjectCOMMUNICABLE DISEASE
dc.subjectINFRASTRUCTURE MAINTENANCE
dc.subjectCHOLERA OUTBREAKS
dc.subjectWATER-BORN ILLNESS
dc.titleThe Importance of Maintenanceen
dc.title.subtitleGeospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabween
dc.typeWorking Paper
dspace.entity.typePublication
okr.crossref.titleThe Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe
okr.date.disclosure2023-02-28
okr.date.lastmodified2023-02-28T00:00:00Zen
okr.doctypePolicy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099631202282320091/IDU0d0474b1500f5404def0b645012a4f569be12
okr.guid099631202282320091
okr.identifier.docmidIDU-d0474b15-0f54-4def-b645-12a4f569be12
okr.identifier.doi10.1596/1813-9450-10327
okr.identifier.externaldocumentum34010566
okr.identifier.internaldocumentum34010566
okr.identifier.reportWPS10327
okr.import.id352
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099631202282320091/pdf/IDU0d0474b1500f5404def0b645012a4f569be12.pdfen
okr.region.countryZimbabwe
okr.topicHealth, Nutrition and Population::Cholera
okr.topicHealth, Nutrition and Population::Health and Sanitation
okr.topicInfrastructure Economics and Finance::Infrastructure Regulation
okr.topicWater Resources::Water Policy & Governance
okr.unitSouth Asia Water (SSAW2)
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