{"query_echo":{"q":"","filters":{"geography":["District 7"]},"warnings":[{"code":"facet_value_not_in_vocabulary","message":"Value 'District 7' for facet 'geography' is not in the controlled vocabulary."}]},"total":{"value":1,"relation":"eq"},"page":1,"page_size":20,"self":"https://climateinsightsdirectory.org/api/v1/search?geography=District+7","stability":"beta","ai_marking":{"digital_source_type":{"uri":"http://cv.iptc.org/newscodes/digitalsourcetype/trainedAlgorithmicMedia","name":"Created using Generative AI"},"notice":"Summary and key insights are generated using artificial intelligence."},"results":[{"id":"sei-001594","url":"https://climateinsightsdirectory.org/document/sei-001594","title":"Benefits and barriers to safe use of ecological sanitation in El Alto, Bolivia – a need for improved hygiene education?","publisher":{"name":"Stockholm Environment Institute","organization":"stockholm-environment-institute"},"document_type":"briefing","language":"en","date_published":"2016","source_url":"https://www.sei.org/mediamanager/documents/Publications/SEI-2016-DB-Dickin-Murad-ElAlto.pdf","generator":"Climate Insights Directory","generated_fields":["summary","key_insights","climate_tags","geography_discussed","analysis_type"],"summary":{"text":"The document evaluates an ecosan project in El Alto, Bolivia, which installed 897 sanitation units, including urine-diverting dry toilets (UDDTs), for approximately 4,489 people. The study found a statistically significant reduction in diarrhoeal disease overall, though the impact was smaller for households with lower socioeconomic status. Key barriers to success included irregular waste collection, age-related sociocultural differences in toilet adoption, and a lack of user knowledge regarding the specific health links between hygiene practices and pathogen exposure.","ai_generated":true,"unit":"sei-001594#summary","date_modified":"2026-10-23"},"key_insights":[{"text":"The installation of ecosan units, specifically UDDTs and handwashing stations, led to a statistically significant overall reduction in the incidence of diarrhoeal disease. However, this decline was significantly smaller in households with lower socioeconomic status, which the study attributes to factors such as the use of unimproved water sources and a lack of soap for handwashing.","ai_generated":true,"unit":"sei-001594#insight-1","date_modified":"2026-10-23"},{"text":"Age-related differences influenced the adoption of sanitation facilities; while younger users generally adopted the toilets and handwashing, some older residents continued to practice open defecation due to the perceived ease of the practice and the inconvenience of cleaning toilets and removing waste.","ai_generated":true,"unit":"sei-001594#insight-2","date_modified":"2026-10-23"},{"text":"Irregularity in the waste collection service created significant safety risks, leading some households to dump waste in vacant lots or drainage ditches, or to apply untreated human waste as fertilizer in household vegetable gardens.","ai_generated":true,"unit":"sei-001594#insight-3","date_modified":"2026-10-23"},{"text":"While the sanitation units were widely accepted and hygiene was associated with cleanliness, participants lacked an understanding of the specific links between hygiene practices and the prevention of diarrhoea, indicating a need for hygiene education to emphasize pathogen exposure risks.","ai_generated":true,"unit":"sei-001594#insight-4","date_modified":"2026-10-23"}],"climate_tags":["waste management","water-supply management","public health"],"geography_discussed":["La Paz","Copacabana","Uyuni"],"frame_perspective":[],"analysis_type":["impact assessment","case study"]}]}