Browsing by Author "Souter, Regina T."

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    Improving community health through marketing exchanges: a participatory action research study on water, sanitation, and hygiene in three Melanesian countries
    (Elsevier, 2016-11-02) Barrington, Dani J.; Sridharan, S.; Saunders, S. G.; Souter, Regina T.; Bartram, J.; Shields, K. F.; Meo, S.; Kearton, A.; Hughes, R. K.
    Diseases related to poor water, sanitation and hygiene (WaSH) are major causes of mortality and morbidity. While pursuing marketing approaches to WaSH to improve health outcomes is often narrowly associated with monetary exchange, marketing theory recognises four broad marketing exchange archetypes: market-based, non-market-based, command-based and culturally determined. This diversity reflects the need for parameters broader than monetary exchange when improving WaSH. This study applied a participatory action research process to investigate how impoverished communities in Melanesian urban and peri-urban informal settlements attempt to meet their WaSH needs through marketing exchange. Exchanges of all four archetypes were present, often in combination. Motivations for participating in the marketing exchanges were based on social relationships alongside WaSH needs, health aspirations and financial circumstances. By leveraging these motivations and pre-existing, self-determined marketing exchanges, WaSH practitioners may be able to foster WaSH marketing exchanges consistent with local context and capabilities, in turn improving community physical, mental and social health.
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    Temporal and thematic trends in water, sanitation and hygiene (WaSH) research in Pacific Island Countries: A systematic review
    (IWA Publishing, 2017-07-17) MacDonald, Morgan C.; Chan, Terence; Elliott, Mark; Kearton, Annika; Shields, Katherine F.; Barrington, Dani J.; Souter, Regina T.; Powell, Bronwyn R.; Bartram, Jamie; Hadwen, Wade L.
    Pacific Island Countries (PICs) lag behind global trends in water, sanitation and hygiene (WaSH) development. We conducted a systematic search of all English language papers (published before February 2015) about WaSH in PICs to evaluate the state of the peer-reviewed literature and explore thematic findings. A total of 121 papers met the criteria for full-text review following an initial search result of more than 6000 papers. Two reviewers independently assessed the quality and relevance of each article and consolidated their findings according to four emergent themes: public health, environment, emergency response and interventions, and management and governance. Findings indicate a knowledge gap in evidence-guided WaSH management strategies that advocate for human health while concurrently protecting and preserving drinking water resources. Extreme weather events threaten the quantity and quality of limited freshwater resources, and cultural factors that are unique to PICs present challenges to hygiene and sanitation. This review highlights the strengths and weaknesses of the peer-reviewed literature on WaSH in PICs, addresses spatial and temporal publication trends, and suggests areas in need of further research to help PICs meet development goals.