Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change

dc.contributor.advisorZiervogel, Gina
dc.contributor.advisorEnqvist, Johan
dc.contributor.authorFoggitt, Alice
dc.date.accessioned2022-02-18T07:54:33Z
dc.date.available2022-02-18T07:54:33Z
dc.date.issued2021
dc.date.updated2022-02-14T08:17:36Z
dc.description.abstractClimatic hazards, such as flooding and drought, are expected to increase in frequency as a result of climate change. Growing evidence suggests that climate-induced water challenges will interact with health concerns, compounding pre-existing challenges for vulnerable populations in low-and middle-income contexts. Due to the novel nature of COVID-19, limited research has focused on the combined impact of the climate crisis and COVID-19 on human health, particularly in South Africa. Thus, there is an urgent need to enhance understanding of the adverse health impacts linked to climate-related water stressors. Using a mixed-methods approach, this study drew upon multiple datasets to explore water-related health risks prevalent during the Cape Town drought, and in the subsequent period up to and including the current COVID-19 pandemic. Data sources include qualitative stories from a community resilience project, video interviews from the drought response in Cape Town, quantitative COVID-19 water service delivery data from informal settlements, and a document analysis of the Cape Town Water Strategy. Data was analysed using inductive and deductive research approaches to piece together different perspectives on how the pandemic interacts with pre-existing hazards. The study uses the climate-water-health nexus framing to investigate some of the critical health risks present during and after the drought. The study also explores how the COVID-19 pandemic interacted with health and water issues, providing a snapshot of the lived experience of the urban poor during an emerging public health crisis. The study subsequently considers the implications for the Cape Town water sector in view of the drought and ongoing COVID-19 pandemic. Results from this study show that inadequate sanitation and exposure to wastewater are the most commonly cited health risks for low-income households in the study sites. The COVID-19 pandemic has amplified existing water-associated health risks by indirectly widening health inequalities and increasing poverty levels. Moreover, compound risks have limited the ability of low-income households to cope with additional shocks and stressors. The findings of this study contribute to a critical research gap and expand the evidence base on the relationship between climate change, water, health, and compound risks in the South African context. The study calls for the adoption of a cross-sectoral, integrated approach to address health threats at the climate-water-health nexus.
dc.identifier.apacitationFoggitt, A. (2021). <i>Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change</i>. (). ,Faculty of Science ,Department of Environmental and Geographical Science. Retrieved from http://hdl.handle.net/11427/35727en_ZA
dc.identifier.chicagocitationFoggitt, Alice. <i>"Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change."</i> ., ,Faculty of Science ,Department of Environmental and Geographical Science, 2021. http://hdl.handle.net/11427/35727en_ZA
dc.identifier.citationFoggitt, A. 2021. Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change. . ,Faculty of Science ,Department of Environmental and Geographical Science. http://hdl.handle.net/11427/35727en_ZA
dc.identifier.ris TY - Master Thesis AU - Foggitt, Alice AB - Climatic hazards, such as flooding and drought, are expected to increase in frequency as a result of climate change. Growing evidence suggests that climate-induced water challenges will interact with health concerns, compounding pre-existing challenges for vulnerable populations in low-and middle-income contexts. Due to the novel nature of COVID-19, limited research has focused on the combined impact of the climate crisis and COVID-19 on human health, particularly in South Africa. Thus, there is an urgent need to enhance understanding of the adverse health impacts linked to climate-related water stressors. Using a mixed-methods approach, this study drew upon multiple datasets to explore water-related health risks prevalent during the Cape Town drought, and in the subsequent period up to and including the current COVID-19 pandemic. Data sources include qualitative stories from a community resilience project, video interviews from the drought response in Cape Town, quantitative COVID-19 water service delivery data from informal settlements, and a document analysis of the Cape Town Water Strategy. Data was analysed using inductive and deductive research approaches to piece together different perspectives on how the pandemic interacts with pre-existing hazards. The study uses the climate-water-health nexus framing to investigate some of the critical health risks present during and after the drought. The study also explores how the COVID-19 pandemic interacted with health and water issues, providing a snapshot of the lived experience of the urban poor during an emerging public health crisis. The study subsequently considers the implications for the Cape Town water sector in view of the drought and ongoing COVID-19 pandemic. Results from this study show that inadequate sanitation and exposure to wastewater are the most commonly cited health risks for low-income households in the study sites. The COVID-19 pandemic has amplified existing water-associated health risks by indirectly widening health inequalities and increasing poverty levels. Moreover, compound risks have limited the ability of low-income households to cope with additional shocks and stressors. The findings of this study contribute to a critical research gap and expand the evidence base on the relationship between climate change, water, health, and compound risks in the South African context. The study calls for the adoption of a cross-sectoral, integrated approach to address health threats at the climate-water-health nexus. DA - 2021_ DB - OpenUCT DP - University of Cape Town KW - Environment, Society and Sustainability LK - https://open.uct.ac.za PY - 2021 T1 - Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change TI - Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change UR - http://hdl.handle.net/11427/35727 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/35727
dc.identifier.vancouvercitationFoggitt A. Understanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change. []. ,Faculty of Science ,Department of Environmental and Geographical Science, 2021 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/35727en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Environmental and Geographical Science
dc.publisher.facultyFaculty of Science
dc.subjectEnvironment, Society and Sustainability
dc.titleUnderstanding multiple health risks for low-income communities in Cape Town: water stress, COVID-19, and climate change
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSc
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