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Chintan Vaishnav. Ren, Xiaoyuan, S.M. (Xiaoyuan Charlene) Massachusetts Institute of Technology Technology and Policy Program. Massachusetts Institute of Technology. Engineering Systems Division Massachusetts Institute of Technology. Institute for Data, Systems, and Society Technology and Policy Program a-ii--- 2017-09-15T15:32:20Z 2017-09-15T15:32:20Z 2017 2017 http://hdl.handle.net/1721.1/111396 1003291883 Thesis: S.M. in Technology and Policy, Massachusetts Institute of Technology, School of Engineering, Institute for Data, Systems, and Society, Technology and Policy Program, 2017. Cataloged from student-submitted PDF version of thesis. Includes bibliographical references (pages 173-176). The scientific connection between sanitation, water quality and health is well established. However, in the present Indian scenario, monitoring and governance of the three sectors is handled separately. At present, the need to integrate sanitation, water quality, and health is felt during waterborne disease outbreaks such as large-scale diarrhea, typhoid or cholera. Despite the general interest shown for a cross-sector integrated framework in outbreak control, numerous administrative and technical gaps exist preventing the implementation of this framework. This study attempts to address these implementation barriers through the analysis of governing institutions and data integration of large public databases for the selected districts of Gujarat, India. Interagency collaboration barrier is analyzed through a comprehensive institutional analysis on the water, sanitation and health monitoring sectors. The lack of administrative incentive due to the narrow definition of monitoring targets is identified as the primary barrier for collaboration. Districts that already achieved 100% open-defecation-free status are identified as key entry points for potential pilot implementation of an integrated framework. National Informatics Center and Water and Sanitation Management Organization (WASMO) are considered key nodal points for building channels of interagency connections. Data integration and utilization barriers are analyzed through habitation-level matching of the 3 separate monitoring databases - namely, Swatch Bharat Mission (SBM) database for sanitation, Integrated Management Information System (IMIS) database for rural drinking water quality and Integrated Disease Surveillance Programme (IDSP) for outbreak data. The most critical data barrier is the discrepancy between administrative units across the databases, resulting in 25% mismatched habitation data and variables with 30% contradictory data entries. Quality concerns over inconsistent and missing data are also raised, especially for data collected by grassroots workers. A decision support model based on the integrated database is constructed through a Driver-Pressure- State-Exposure-Effect-Action (DPSEEA) framework. A significant correlation is observed between chains connecting sanitation initiatives and water quality. Significant risk factors associated with outbreak occurrence cannot be identified at the current stage. Even though implementing this model is within reach, and doing so promises to offer an efficient tool for integrated governance of the three sectors, incomplete datasets is currently the key barrier to a comprehensive assessment of model effectiveness. by Xiaoyuan "Charlene" Ren. S.M. in Technology and Policy 176 pages eng Massachusetts Institute of Technology MIT theses are protected by copyright. They may be viewed, downloaded, or printed from this source but further reproduction or distribution in any format is prohibited without written permission. http://dspace.mit.edu/handle/1721.1/7582 Institute for Data, Systems, and Society. Engineering Systems Division. Technology and Policy Program. Mining the gap : pathways towards an integrated water, sanitation and health framework for outbreak control in rural India Pathways towards an integrated water, sanitation and health framework for outbreak control in rural India Thesis application/pdf false Publication unknown unknown <Publication xmlns="https://www.openaire.eu/cerif-profile/1.1/" id="8939dd56-6097-4773-9ecf-a7fd811ee144"> <Type xmlns="https://www.openaire.eu/cerif-profile/vocab/COAR_Publication_Types">http://purl.org/coar/resource_type/c_1843</Type> <Language>eng</Language> <Title>Mining the gap : pathways towards an integrated water, sanitation and health framework for outbreak control in rural India</Title> <Subtitle>Pathways towards an integrated water, sanitation and health framework for outbreak control in rural India</Subtitle> <PublishedIn> <Publication> </Publication> </PublishedIn> <PublicationDate>2017</PublicationDate> <Authors> <Author> <DisplayName>Ren, Xiaoyuan, S.M. (Xiaoyuan Charlene) Massachusetts Institute of Technology</DisplayName> <Affiliation> <OrgUnit> </OrgUnit> </Affiliation> </Author> </Authors> <Editors> </Editors> <Publishers> <Publisher> <DisplayName>Massachusetts Institute of Technology</DisplayName> <OrgUnit /> </Publisher> </Publishers> <License>http://dspace.mit.edu/handle/1721.1/7582</License> <Keyword>Institute for Data, Systems, and Society.</Keyword> <Keyword>Engineering Systems Division.</Keyword> <Keyword>Technology and Policy Program.</Keyword> <Abstract>The scientific connection between sanitation, water quality and health is well established. However, in the present Indian scenario, monitoring and governance of the three sectors is handled separately. At present, the need to integrate sanitation, water quality, and health is felt during waterborne disease outbreaks such as large-scale diarrhea, typhoid or cholera. Despite the general interest shown for a cross-sector integrated framework in outbreak control, numerous administrative and technical gaps exist preventing the implementation of this framework. This study attempts to address these implementation barriers through the analysis of governing institutions and data integration of large public databases for the selected districts of Gujarat, India. Interagency collaboration barrier is analyzed through a comprehensive institutional analysis on the water, sanitation and health monitoring sectors. The lack of administrative incentive due to the narrow definition of monitoring targets is identified as the primary barrier for collaboration. Districts that already achieved 100% open-defecation-free status are identified as key entry points for potential pilot implementation of an integrated framework. National Informatics Center and Water and Sanitation Management Organization (WASMO) are considered key nodal points for building channels of interagency connections. Data integration and utilization barriers are analyzed through habitation-level matching of the 3 separate monitoring databases - namely, Swatch Bharat Mission (SBM) database for sanitation, Integrated Management Information System (IMIS) database for rural drinking water quality and Integrated Disease Surveillance Programme (IDSP) for outbreak data. The most critical data barrier is the discrepancy between administrative units across the databases, resulting in 25% mismatched habitation data and variables with 30% contradictory data entries. Quality concerns over inconsistent and missing data are also raised, especially for data collected by grassroots workers. A decision support model based on the integrated database is constructed through a Driver-Pressure- State-Exposure-Effect-Action (DPSEEA) framework. A significant correlation is observed between chains connecting sanitation initiatives and water quality. Significant risk factors associated with outbreak occurrence cannot be identified at the current stage. Even though implementing this model is within reach, and doing so promises to offer an efficient tool for integrated governance of the three sectors, incomplete datasets is currently the key barrier to a comprehensive assessment of model effectiveness.</Abstract> <Access xmlns="http://purl.org/coar/access_right" > </Access> </Publication>