title: Improving human welfare through appropriate technology: government responsibility, citizen duty or customer choice.
abstract: This paper explores recent attempts to improve the effectiveness of environmental health programmes and projects by reference to the International Drinking Water Supply and Sanitation Decade (1980-1990) and beyond. Reference is made to how water and sanitation as technical interventions have drawn upon the natural sciences, notably concepts of race and sex, and the social sciences including culture and gender, for their authority and legitimacy. A new and apparently progressive movement, the Water Decade sought to challenge the powerful and enduring high tech image of development on which much western environmental and social transformations have been based. Beginning as a critique of modernism with a commitment to basic needs as human rights, it was driven by a recognition that sophisticated technology could not satisfy human health needs. Alternative technologies would, by contrast, cater for a more extensive and varied market and would promote participatory approaches to service delivery. The paper demonstrates how, during the course of the Decade, sections of the aid community began to redefine basic needs as commodities involving the efficient marketing and delivery of a product with minimal state intervention. Within a shifting international political and economic context, it examines the changing role of the expert and the links being forged between large donors, non-governmental organisations and the private sector. The significance of this reformulated progressivism for the development debate is then considered, notably in relation to concepts of citizenship, consumer choice and the role of the state.
authors.affiliation: Department of Geography, Loughborough University, Leicestershire, England.
authors.forename: M
authors.initials: M
authors.lastname: Bell
authors.forename: R
authors.initials: R
authors.lastname: Franceys
mesh_terms: D018672:Community Health Planning / Q000458:organization & administration; D003254:Consumer Advocacy; D003469:Culture; D003906:Developing Countries; D005260:Female; D006806:Human Rights; D006801:Humans; D007390:International Agencies / Q000458:organization & administration; D011057:Politics; D015397:Program Evaluation; D012498:Sanitary Engineering / Q000592:standards / Q000639:trends*; D018581:Technology Transfer; D014480:United Nations; D014881:Water Supply / Q000592:standards; D016387:Women's Health