Browsing by Author "Butterworth, John A."

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    Environmental associated emotional distress and the dangers of climate change for pastoralist mental health
    (Elsevier, 2019-11-02) Cooper, Sarah; Hutchings, Paul; Butterworth, John A.; Joseph, Solome; Kebede, Abinet; Parker, Alison H.; Terefe, Bethel; Van Koppen, Barbara
    Pastoralists in the Horn of Africa are among the most vulnerable populations to climate change yet little is known about how environmental change shapes their wellbeing and mental health. This paper presents a formative study into the relations between emotion, wellbeing and water security among pastoralist communities in Afar, Ethiopia. It uses focus group and interview data to demonstrate the close relationship between environmental conditions and emotional wellbeing, and shows how current water insecurity leads to extreme worry and fatigue among the studied population, especially in the dry season. In the context of difficulties of translating mental health clinical classifications and diagnostic tools in cross-cultural settings, the paper argues the inductive study of emotion may be a useful approach for studying environmental determined wellbeing outcomes among marginal populations in the light of understanding climate change impacts.
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    A framework for targeting water, sanitation and hygiene interventions in pastoralist populations in the Afar region of Ethiopia
    (Elsevier, 2019-08-20) Whitley, Lucy; Hutchings, Paul; Cooper, Sarah; Parker, Alison; Kebede, Abinet; Joseph, Solome; Butterworth, John A.; van Kopp, Barbara M.C.; Mulejaa, Adolph
    Globally, many populations face structural and environmental barriers to access safe water, sanitation and hygiene (WASH) services. Among these populations are many of the 200 million pastoralists whose livelihood patterns and extreme environmental settings challenge conventional WASH programming approaches. In this paper, we studied the Afar pastoralists in Ethiopia to identify WASH interventions that can mostly alleviate public health risks, within the population's structural and environmental living constraints. Surveys were carried out with 148 individuals and observational assessments made in 12 households as part of a Pastoralist Community WASH Risk Assessment. The results show that low levels of access to infrastructure are further compounded by risky behaviours related to water containment, storage and transportation. Additional behavioural risk factors were identified related to sanitation, hygiene and animal husbandry. The Pastoralist Community WASH Risk Assessment visually interprets the seriousness of the risks against the difficulty of addressing the problem. The assessment recommends interventions on household behaviours, environmental cleanliness, water storage, treatment and hand hygiene via small-scale educational interventions. The framework provides an approach for assessing risks in other marginal populations that are poorly understood and served through conventional approaches.