東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Complex Public Health Intervention t...

Setty, Karen E.

Linked to FindBook

Google Book

Amazon

博客來

Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries./
Author:	Setty, Karen E.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
Description:	194 p.
Notes:	Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
Contained By:	Dissertations Abstracts International80-12B.
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13813590
ISBN:	9781392201312

Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries.
Setty, Karen E.

Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 194 p.

Source: Dissertations Abstracts International, Volume: 80-12, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019.

This item must not be sold to any third party vendors.

Risk management uses hazard identification, evaluation, and prioritization to develop and implement active strategies for avoiding, mitigating, or reducing potential consequences. To reduce public health risks from unexpected drinking water contamination, the World Health Organization and International Water Association have recommended proactive water safety planning since 2004. To evaluate whether and how these programs achieved expected outcomes, this research involved two observational studies that retrospectively measured changes in water quality, compliance, and health at water safety plan (WSP) implementation sites. Using a before-after associative study design, I confirmed that WSP implementation in two high-income countries corresponded to significantly improved rates of compliance with water quality standards. One location exhibited a significant 4% reduction in the incidence of acute gastroenteritis in the service area following WSP implementation, relative to a nearby comparison area with no WSP. The second study confirmed significant relationships between drinking water exposures (e.g., turbidity) and acute gastroenteritis rates at three locations, characterizing site-specific risks. A mixed-methods study at one location further illustrated changes in operational performance following WSP implementation, demonstrating significant reductions in (a) the duration of low-chlorine events and (b) customer complaints about water quality. WSP outcomes are likely to vary depending on the program guidance and implementation methods (e.g., site-specific risks and control measures). Lastly, a participatory review study showed that WSPs satisfied many of the intervention characteristics valued by US drinking water utilities in the United States. It recommended integration of WSP principles with an existing nationwide voluntary program for source water protection. Based on this body of work, I conclude that systematically considering the implementation context and its relationship to outcomes can aid effective risk management program design, replication, and scale up. With concerted effort, drinking water risk management programs could benefit a greater proportion of the world's population, contributing to the goal of universal access to safely managed drinking water.

ISBN: 9781392201312Subjects--Topical Terms:

534748
Public health.

Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries.
LDR:03463nmm a2200337 4500 001 2208607
005 20191021073731.5
008 201008s2019 ||||||||||||||||| ||eng d
020 $a 9781392201312
035 $a (MiAaPQ)AAI13813590
035 $a (MiAaPQ)unc:18367
035 $a AAI13813590
040 $a MiAaPQ $c MiAaPQ
100 1 $a Setty, Karen E. $3 3435650
245 1 0 $a Complex Public Health Intervention to Improve Drinking Water Safety Shows Contextual Variability in High-Income Countries.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 194 p.
500 $a Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
500 $a Publisher info.: Dissertation/Thesis.
500 $a Advisor: Bartram, Jamie.
502 $a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019.
506 $a This item must not be sold to any third party vendors.
520 $a Risk management uses hazard identification, evaluation, and prioritization to develop and implement active strategies for avoiding, mitigating, or reducing potential consequences. To reduce public health risks from unexpected drinking water contamination, the World Health Organization and International Water Association have recommended proactive water safety planning since 2004. To evaluate whether and how these programs achieved expected outcomes, this research involved two observational studies that retrospectively measured changes in water quality, compliance, and health at water safety plan (WSP) implementation sites. Using a before-after associative study design, I confirmed that WSP implementation in two high-income countries corresponded to significantly improved rates of compliance with water quality standards. One location exhibited a significant 4% reduction in the incidence of acute gastroenteritis in the service area following WSP implementation, relative to a nearby comparison area with no WSP. The second study confirmed significant relationships between drinking water exposures (e.g., turbidity) and acute gastroenteritis rates at three locations, characterizing site-specific risks. A mixed-methods study at one location further illustrated changes in operational performance following WSP implementation, demonstrating significant reductions in (a) the duration of low-chlorine events and (b) customer complaints about water quality. WSP outcomes are likely to vary depending on the program guidance and implementation methods (e.g., site-specific risks and control measures). Lastly, a participatory review study showed that WSPs satisfied many of the intervention characteristics valued by US drinking water utilities in the United States. It recommended integration of WSP principles with an existing nationwide voluntary program for source water protection. Based on this body of work, I conclude that systematically considering the implementation context and its relationship to outcomes can aid effective risk management program design, replication, and scale up. With concerted effort, drinking water risk management programs could benefit a greater proportion of the world's population, contributing to the goal of universal access to safely managed drinking water.
590 $a School code: 0153.
650 4 $a Public health. $3 534748
650 4 $a Water Resource Management. $3 1669219
650 4 $a Environmental science. $3 677245
690 $a 0573
690 $a 0595
690 $a 0768
710 2 $a The University of North Carolina at Chapel Hill. $b Environmental Sciences and Engineering. $3 2104684
773 0 $t Dissertations Abstracts International $g 80-12B.
790 $a 0153
791 $a Ph.D.
792 $a 2019
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13813590