Abstract: This study analyzed environmental health risks and
people-s perceptions of risks related to waste management in poor
settlements of Abidjan, to develop integrated solutions for health and
well-being improvement. The trans-disciplinary approach used relied
on remote sensing, a geographic information system (GIS),
qualitative and quantitative methods such as interviews and a
household survey (n=1800). Mitigating strategies were then
developed using an integrated participatory stakeholder workshop.
Waste management deficiencies resulting in lack of drainage and
uncontrolled solid and liquid waste disposal in the poor settlements
lead to severe environmental health risks. Health problems were
caused by direct handling of waste, as well as through broader
exposure of the population. People in poor settlements had little
awareness of health risks related to waste management in their
community and a general lack of knowledge pertaining to sanitation
systems. This unfortunate combination was the key determinant
affecting the health and vulnerability. For example, an increased
prevalence of malaria (47.1%) and diarrhoea (19.2%) was observed
in the rainy season when compared to the dry season (32.3% and
14.3%). Concerted and adapted solutions that suited all the
stakeholders concerned were developed in a participatory workshop
to allow for improvement of health and well-being.