A Systematic Review of Water, Sanitation, and Hygiene for Urban Poor in Low- and Middle-Income Countries during the COVID-19 Pandemic through a Gendered Lens

Krushna Chandra Sahoo, Shubhankar Dubey, Girish Chandra Dash, Rakesh Kumar Sahoo, Mili Roopchand Sahay, Sapna Negi, Pranab Mahapatra, Debdutta Bhattacharya, Banamber Sahoo, Subhada Prasad Pani, Mariam Otmani del Barrio and Sanghamitra Pati ()
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Krushna Chandra Sahoo: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Shubhankar Dubey: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Girish Chandra Dash: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Rakesh Kumar Sahoo: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Mili Roopchand Sahay: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Sapna Negi: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Pranab Mahapatra: Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar 751024, India
Debdutta Bhattacharya: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Banamber Sahoo: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Subhada Prasad Pani: Department of Research and Development, Sri Balaji Vidyapeeth Deemed to be University, Puducherry 605007, India
Mariam Otmani del Barrio: UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, 1211 Geneva, Switzerland
Sanghamitra Pati: Health Technology Assessment in India (HTAIn), ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India

IJERPH, 2022, vol. 19, issue 19, 1-18

Abstract: Inadequate water, sanitation, and hygiene (WASH) among urban poor women is a major urban policy concern in low- and middle-income countries (LMICs). There was a paucity of systematic information on WASH among the urban poor during the pandemic. We reviewed the opportunities and challenges faced by the urban poor in LMICs during the COVID-19 pandemic. We used the PRISMA guidelines to conduct a comprehensive search of 11 databases, including MEDLINE, Embase, Web of Science, and CINAHL, between November 2019 and August 2021. We used thematic analysis to synthesize the qualitative data and meta-analyses to estimate the pooled prevalence. We screened 5008 records, conducted a full-text review of 153 studies, and included 38 studies. The pooled prevalence of shared water points was 0.71 (95% CI 0.37–0.97), non-adherence to hygiene practices was 0.15 (95% CI 0.08–0.24), non-adherence to face masks was 0.27 (95% CI 0.0–0.81), and access to shared community toilets was 0.59 (95% CI 0.11–1.00). Insufficient facilities caused crowding and long waiting times at shared facilities, making physical distancing challenging. Women reported difficulty in maintaining privacy for sanitation, as men were present due to the stay-at-home rule. Due to unaffordability, women reported using cloth instead of sanitary pads and scarves instead of masks.

Keywords: pandemic; COVID-19; WASH; urban poor; slum; gender; sanitation; water; LMICs (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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