The aim of this paper is to investigate the impact of free education for all on the primary schools in Babati, Tanzania. The study is based on the fieldwork carried out in Babati district Tanzania, where information was gathered through qualitative methods. The empirical findings are analysed using a World Bank model of how educational inputs affects welfare outcomes. The study examines the millennium development goal with respect to giving every child an education. The study shows that a bigger impact can be seen in an increased enrolment in schools. That was the result of removing the primary school fees. This has resulted in overcrowding in the primary schools, lack of enough teachers, classrooms and learning material. However, over time the performances have improved. In the short term, the removal of school fees increased enrolment but resulted in poor quality of the education. In the long term, these problems are decreasing and the educational sector can now provide education to children that could not afford it before.

Set in 2000, with a completion date of 2015, the deadline for the Millennium Development Goals is approaching, at which time a new global development infrastructure will become operational. Unsurprisingly, the discussions on goals, topics, priorities and monitoring and evaluation are gaining momentum. But this is a critical juncture. Over a decade of development programming offers a unique opportunity to reflect on its structure, function and purpose in a contemporary global context. This article examines the topic from an analytical health perspective and identifies universal health equity as an operational and analytical priority to encourage attention to the root causes of unnecessary and unfair illness and disease from the perspectives of those for whom the issues have most direct relevance.

The world has made important efforts to meet the Millennium Development Goals (MDG) by 2015. However, it is still insufficient and inequalities prevail in the poorest settings. We tracked selected MDG, barriers for their achievement, and community actions that help to accelerate the pace of their accomplishment in two Nicaraguan communities (León and Cuatro Santos). In the first two studies we track the progress of MDG4 (reduce child mortality) using the under-five mortality rate. Inequalities in mortality were mainly assessed by means of maternal education, but other social stratifications were performed on rural-urban residence and sub-regional comparisons between both communities. The last two studies describe community interventions in Cuatro Santos and their association with progress toward MDG1 (poverty reduction). Participation in interventions and poverty were visualized geographically in this remote rural community between 2004 and 2009. Other selected MDG targets were also tracked. These communities will possibly meet MDG4 even before 2015. In León, MDG progress has been accompanied by a decline in child mortality. Despite social inequalities with regard to mortality persisting in education and places of residence, these have decreased. However, it is crucial to reduce neonatal mortality if MDG4 is to be achieved. For example, in León the percentage of under-five deaths in the neonatal period has doubled from 1970 to 2005. In the remote rural area of Cuatro Santos, progress has been accelerated and no child mortality differences were observed despite the level of a mother’s education. Cuatro Santos has also progressed in the reduction of poverty and extreme poverty. The participation of the population in such community interventions as microcredit, home gardening, technical training, safe drinking water, and latrines has increased. Microcredit was an intervention that was unequally distributed in this rural area, where participation was lower in poor and extremely poor households than in non-poor households. In those households that transitioned from poor to non-poor status, microcredit, home gardening, and technical training were associated with this transition. Furthermore spatial analysis revealed that clusters of low participation in interventions overlapped with clusters of high poverty households.

As the traditional role of corporate entities have been challenged by an increased number of demands from society, companies are no longer just legal factors intended to generate profits by supplying products or services. Instead, they are expected to play the role of responsible co-citizens of the community, taking social and environmental responsibility for the consequences of their actions. Implementing sustainable practices into business strategies is considered beneficial for both organizations and society, as it brings organizations opportunities for growth and development, as well as a more sustainable future for society. One way for businesses to ensure their responsibilities regarding sustainability issues and maintaining sustainable business practices has been depicted in the United Nation’s eight goals termed the ‘Millennium Development Goals’ (MDGs). Previous research argues that organizations must incorporate sustainable practices into their different organizational strategies such as marketing, purchasing, and finance in order to maintain organizational growth and contribute to sustainable development. This issue has become especially important in developing countries as emerging markets compose great opportunities for businesses in terms of growth and development. An emerging market and developing country providing humongous growth opportunities for businesses is Malaysia. However, limited research has been conducted connecting the concepts sustainable development and marketing strategies, and how these may lead to an accelerated achievement of the MDGs within developing countries. In order to answer the purpose of the study, a qualitative approach using open, - and semistructured interviews together with observations was chosen as the most appropriate research method. Four international firms operating on the Malaysian market participated in the study and the findings indicated that having a well-developed sustainability marketing strategy and striving for a sustainable future does bring organizations competitive advantage and growth opportunities, and thereby an accelerated achievement of the MDGs.

Over the last twenty years or more, Uganda has benefitted from significant strides in water and sanitation initiated by the United Nations' Millennium Development Goals. While the rapid progress towards development has been vastly beneficial, it is also important that it does not occur at the expense of the environment. The environmental impacts of these water sources must be evaluated and understood. However, to develop a robust understanding of the impact requires inclusion of the community members who use these sources and their perceptions of them. Consequently, the goal of this research is to investigate the interrelationships between socioeconomic factors, water source features, and household water source and treatment choices, along with the associated environmental impacts of those choices. This research focuses on two villages in Wakiso District, Uganda--Nalugala and Kitala and includes: (1) development and implementation of a country-specific survey of 200 households to gain qualitative and quantitative accounts of socioeconomic factors (e.g., education, gender of the head of household, number of household members), water source features (cost, convenience, quality, quantity of water) and community members' water supply choices; (2) statistical analysis to investigate any correlation between socioeconomic factors, water source features and household source choice; and (3) a life cycle assessment of each water source and treatment method used in the surveyed communities to highlight their associated environmental impacts. Based on statistical findings, the water source features which are considered most significant to impacting household choice are convenience, visual water quality (turbidity), and cost. When inspecting socioeconomic factors using the Progress out of Poverty Index (PPI), no significant correlation was determined between the PPI levels and source choice. Consequently, the PPI was disaggregated to further analyze any significant correlations between socioeconomic indicators in the survey (social, economic, and educational) and water source choice. Three factors (i.e. gender of head of household, number of household members, and construction material of the house's external walls) were significantly correlated with the household's choice for their water source. The combination of qualitative and quantitative survey data underscores the disconnection between community members' perceptions of water quality and the actual, laboratory-tested data. This notion (perception vs. reality) asserts itself because the treatment techniques that respondents use for local sources are based on their perceived ideas of water quality. The techniques sometimes contradict the theoretical treatment methods (based on water quality tests) needed to raise a source's water to potable standards. A life cycle assessment (LCA) was conducted on each source and (1) the treatment methods community members most frequently used in comparison to (2) the theoretical treatment methods which would be necessary to raise each source to potable standards. Tap water was found to have the highest environmental impact based on actual community practices. Although it was tested to meet drinking water standards, community members boiled it, increasing its impacts in the categories of land use and global warming. On the other hand, rainwater and surface water had the highest impacts in the same categories (global warming and land use) based on the theoretical treatment which is required for the source water to be potable. The impact of the various fuel sources used to treat water by boiling was also evaluated. The greatest impact was for the use of propane gas followed by charcoal.

Proper hand hygiene is the most effective and efficient method to prevent over 1.3 million deaths annually from diarrheal disease and Acute Respiratory Infections (ARIs). Hand hygiene is also indispensable in achieving the fourth Millennium Development Goal (MDG) to reduce the childhood mortality rate by 2/3rds between 1990 and 2015. Handwashing has been found in a systematic review of studies to reduce diarrhea by 47%#37; and is, thus, capable of preventing a million deaths (Curtis et. al., 2003). Despite this evidence, hand washing rates remain seriously low in the developing world (Scott et al., 2008). This study developed and implemented a comprehensive monitoring strategy of five usage variables (i.e., soap usage, functionality, presence of cleansing agent, ground wetness under station, amount of water in the jug) for 42-64 appropriate technology handwashing stations. These stations were monitored throughout 2011-2013 in two communities in Mali, West Africa. Statistically significant (p < 0.05) results include: 1) a 29%#37; decrease in soap usage from dry (October-June) to rainy seasons (July-September), 2) 35%#37; decrease in stations with presence of cleansing agent between 2011 and 2012, 3) higher station usage for stations in households with higher scores on the Progress out of Poverty Index® , 4) 27%#37; less of the stations far from a water source (35 meters-172 meters away) had a cleansing agent present than stations close to a water source (less than 35 meters) during the rainy season. Station usage also differed based on gender of the handwashing station owner in the two communities where stations built by women were used more in Zeala than those in Nci'bugu. In contrast to Zeala, handwashing stations built by men in Nci'bugu had higher soap usage and usage variable proportions than those built by women. Handwashing training and promotions resulted in 98%#37; of households reporting that they wash their hands with soap in 2012 from 0%#37; in 2011. Altogether, this study designed and implemented a robust monitoring system that succeeded in quantifying handwashing station usage for over two years. In-depth analysis of the data established six sustainability factors for handwashing stations (gender, training, water, seasonality, wealth, and monitoring) that are critical for lasting handwashing behavior change and successful hygiene interventions to save lives.

This thesis has three objectives as follows: 1) to investigate VIP latrine design and establish if the communal school VIP latrines located on the shared campus of Tubman Wilson Institute (TWI) Junior and Senior High School and J.C. Barlee Elementary School were properly designed and constructed, 2) to explore the user preferences and motivations impacting the adoption of these school latrines, and 3) to develop a framework for factors that influence latrine adoption. These goals were formed by the author in response to her Peace Corps experience working at a high school in Zwedru, Liberia from August 2012 to August 2014 and her personal background in appropriate sanitation and environmental engineering. To complete the first thesis objective, the author conducted a detailed literature review and then compared accepted guidelines for VIP latrines to the sanitation facilities located on the TWI campus. The literature review investigated proper design of ventilated improved pit (VIP) latrines, school sanitation guidelines, and recommendations for sanitation in Liberia. The research focus latrines were two blocks of six stall multicompartment alternating twin-pit VIP latrines. The author conducted observations of the communal school latrines in order to compare the design and construction of these specific latrines to accepted criteria and recommendations from literature. It was found that the latrine vent pipes, cover slabs, drop holes, and pit design all appear to be designed and constructed per national Liberian and international recommendations. However, the TWI school latrines do not comply with standards for several other latrine design criteria. The latrine superstructures are built with privacy walls located in front of the boys’ and girls’ stalls and the entranceway doors do not have air gaps. These two features may impair critical odor-controlling air flow from the superstructure through the pit and out the vent pipe. The siting of the school latrines is also inconsistent with guidelines as the latrines are located too close to the classroom building and to the school’s water pump. Finally, the ratio of people to latrines on the shared TWI/J.C. Barlee campus is higher than the recommendation of 20-40 students per latrine, or when necessary 60 students per latrine. The second research objective was to investigate user perceptions of the communal latrines and identify factors that motivate latrine adoption on the Liberian school campus. The design deficiencies identified in the evaluation of thesis objective one were found to impact the user preferences regarding the school latrines. This is apparent from user comments in the surveys that were conducted with 709 participants (students from grades four to twelve, administrators, faculty, and staff) at the study site. User perceptions of the cleanliness, safety, and comfort of the school facilities were varied. For example, 51% of total respondents (n = 709) expressed that the school latrines were dirty or very dirty, while 48% claimed the latrines were clean or very clean. When asked about the safety of the communal latrines, 52% of survey participants said the sanitation facilities were not safe or very unsafe; 47% asserted that the latrines were safe or very safe. Survey participants also had mixed responses about the comfort of the communal sanitation technology: 51% of the 709 survey participants stated that the latrines were not comfortable or very uncomfortable, while 46% declared the facilities were comfortable or very comfortable. The open-ended survey questions allowed respondents to comment on positive and negative aspects of the communal school VIP latrines. Again answers included various responses, but several key themes arose, including smell and odor, latrine construction components, presence of feces in and around the latrines, the use of the facilities by outside community members, and health impacts of latrine use. The final thesis objective was to develop a framework of the factors that impact adoption of communal school latrines. The author originally assumed that user preferences and latrine adoption were directly correlated, but survey results suggest that the two factors may be independently influenced. This is based on the usage rates, 77% total survey participants stating that they use the latrines and 88% of these affirmative respondents explaining that they use the latrines daily, multiple times a week, or weekly. Although these adoption rates are quite high, satisfaction rates for latrine cleanliness, safety, and comfort are merely 50%, as previously described. VIP latrine design factors, like odor control and door construction, and communal sanitation facility characteristics, such as operation and maintenance, may prompt latrine adoption. Individual user traits, such as age, gender, and type and availability of household sanitation technology appear to have a lesser impact on latrine adoption. However, the grade level of the student respondents may have played a role in their responses because of the methods in which the survey was administered and the common practice of cheating. Additional research should be conducted to further understand the factors that impact the adoption of communal sanitation facilities on school campuses. This study accomplished its three main research objectives, yet further research and practical applications must be applied to improve school sanitation in Liberia and worldwide.

Increasing population and extensive urbanization have strained resources around the world, promoting water scarcity and solid waste accumulation. Addressing the issues of access to safe drinking water and basic sanitation in developing countries is challenging due to limited technological and financial resources. Therefore, it is imperative that durable, low-cost, and sustainable technologies are developed to help alleviate these problems. At the same time, the production of solid waste has increased and includes waste tires, which pose a health and environmental hazard. Although efforts have been made to develop new markets for recycled scrap tires, a vast majority are still being stockpiled or landfiled. This study aims to evaluate a water treatment system that addresses the problem of access to safe drinking water and sanitation, while providing a new market for recycled scrap tires. The system, termed ECOL-Mem, utilizes commercially available porous rubber tubing (PRT), which is marketed for drip irrigation purposes. To our knowledge, this is the first time this product has been used in a water treatment system. The PRT is manufactured through a hot extrusion process and contains 65% recycled crumb rubber and a binder (e.g. polyethylene). The proposed configuration simulates a hollow fiber membrane filtration system driven by a vacuum that operates inside-out. The system was first tested using clean water to obtain intrinsic characteristics. It was then tested using bentonite and sludge solutions that simulated impaired source water. For the case of a bentonite solution containing 700 mg/L, 20L of permeate could be obtained in one hour while the total solids removal remained around 20%. In order to improve the water quality, a flocculation-enhanced filtration phase was explored. The flocculant is chitin, a biopolymer that can be derived from waste shellfish. Upon addition of the chitin, between 60% and 70% of total solids removal could be obtained for different feed waters. Although optimization is needed, the PRT system has shown promising results, while providing a technology that targets the needs of developing countries in the areas of safe drinking water, basic sanitation, and solid waste recycling.

Poor sanitation is a huge problem in third world countries today; every year 1,5 million children die due to diarrheal diseases caused by poor sanitation. International policies such as The Millennium Development Goals (MDGs), which will be replaced by the Sustainable Development Goals (SDGs) in September 2015, have been set by the international community as tools to decrease the poverty in the world today, and problems that emerged from it such as poor sanitation. Participatory methods are emphasise to receive the goals as well as new working methods to shift the development paradigm from marked oriented towards sustainable development, which means that also the Earth’s well-being must be included in the SDGs. Ecological sanitation (Eco-san) is a system that reuses the human waste back to grooving activities, and can improve the situation in all three areas of sustainable development, i.e. economical, environmental and social development with it’s reusing approach. Participation in implementation of Eco-san system is important for enabling sustainable projects as well as receive better acceptance for the reuse approach. The research presented in this thesis had the aim to improve the sanitation situation by introducing and implementing Eco-san in a rural area in the Northern part of Tanzania by using an action oriented research approach. The participants together with the researcher developed the project to further see the interpretations of Eco-san and possibilities to implement Eco-san in the area as well as if the action research was a convenient way to introduce such a project. The study was conducted in two cycles were critical theory and diffusion of innovation were used as analysis tools for the introduction and implementation of the toilets. The findings from the first cycle showed that the participants were willing to learn about Eco-san by observing the idea through a demonstration toilet. Therefore the second cycle lead to implementation of Eco-san in a school of the area. These toilets are today in use and managed by the students at the school. Participating approach has therefore been a successful working method were the participants gained the knowledge they needed to develop and improve their situation. This can further be argued as a valuable approach for other development projects and to meet the upcoming SDGs. However, further action and education to other village members outside the school and up scaling possibilities in the community are needed.

This study analyzed the malaria situation in 21 malaria endemic countries in the region of the Americas to assess progress towards achieving Roll Back Malaria objectives (RBM) and Millennium Development Goals (MDGs). The study analyzed data from the years 2000 and 2005, which also highlighted various interventions that were underway to improve the malaria situation in the region during this period. Data from the year 2000 were used as a baseline both for RBM objectives as well as for MDGs. Findings of the study indicated the region of the Americas has made progress toward reducing the burden of malaria as a public health burden and this itself is a reflection of progress towards achieving the two global targets. Outcomes of the study also revealed some programmatic strength that might help the region to embark on a more comprehensive, interdisciplinary malaria elimination strategy in the majority of the region’s countries.