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New definitions for good practice: Regulators as activists for urban road-transported sanitation in eastern and southern Africa

dc.contributor.authorGrisaffi, Claire
dc.contributor.authorLeinster, Paul
dc.contributor.authorSipuma, Reuben
dc.contributor.authorOwako, Emanuel
dc.contributor.authorParker, Alison
dc.date.accessioned2026-05-15T07:30:56Z
dc.date.available2026-05-15T07:30:56Z
dc.date.freetoread2026-05-15
dc.date.issued2026-01
dc.date.pubOnline2026-01-08
dc.description.abstractThis paper considers the changing role of national and local regulators scaling safe emptying and transport of faecal sludge in east and southern Africa. We aim to understand how regulators are going beyond currently defined good practice and what should be learnt for others. Established roles and characteristics for regulators were synthesised and emergent practice identified, through secondary data review and key informant interviews within leading national and local regulators. This paper identified how utilities and municipalities are required to work as local regulators of service providers, who fall outside of direct or delegated arrangements, and that this role should be formally recognised to facilitate wider change. We describe the moral courage demonstrated by regulators in attempting to engage the informal sector and scale services in the face of limited resources and capacity, incomplete rules and fragmented roles and powers. Engaging informal manual emptiers already working in low-income areas, and enabling them to work safely, is considered an important part of reaching universal access by leading regulators but is not recognised in current legal frameworks and guidance. Moral courage is an important part of building trust and voluntary compliance. It is also imperative given the public health impacts of poor sanitation on the poorest and most vulnerable, and the need to challenge deeply held stigma and prejudice. We see these leading regulators as social and environmental activists, not just actors. We conclude that the focus for the sector should be on reducing the risks faced by organisations scaling this most basic of public services. In the immediate term, local, national, regional and global leaders need to recognise the important role of the informal sector in sanitation and actively support local regulators in reaching universal access.
dc.description.journalNamePLOS Water
dc.description.sponsorshipEngineering and Physical Sciences Research Council (EP/S022066/1)
dc.identifier.citationGrisaffi C, Leinster P, Sipuma R, et al., (2026) New definitions for good practice: regulators as activists for urban road-transported sanitation in eastern and southern Africa. PLOS Water, Volume 5, Issue 1, January 2026, Article number e0000385en_UK
dc.identifier.eissn2767-3219
dc.identifier.elementsID867747
dc.identifier.issn2767-3219
dc.identifier.issueNo1
dc.identifier.paperNoe0000385
dc.identifier.urihttps://doi.org/10.1371/journal.pwat.0000385
dc.identifier.urihttps://dspace.lib.cranfield.ac.uk/handle/1826/25241
dc.identifier.volumeNo5
dc.languageEnglish
dc.language.isoen
dc.publisherPublic Library of Science (PLoS)en_UK
dc.publisher.urihttps://journals.plos.org/water/article?id=10.1371%2Fjournal.pwat.0000385
dc.relation.isreferencedbyhttps://doi.org/10.57996/cran.ceres-2798
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject4406 Human Geographyen_UK
dc.subject44 Human Societyen_UK
dc.subject8.1 Organisation and delivery of servicesen_UK
dc.subject3.2 Interventions to alter physical and biological environmental risksen_UK
dc.subjectGeneric health relevanceen_UK
dc.subject6 Clean Water and Sanitationen_UK
dc.titleNew definitions for good practice: Regulators as activists for urban road-transported sanitation in eastern and southern Africa
dc.typeArticle
dc.type.subtypeJournal Article
dcterms.dateAccepted2025-11-26

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