Water Sector Service Innovation: What, Where and Who.

Aims: Changes in water law and policy, in the UK and further afield, are promoting social and service innovation, as well as technical innovation in the water sector. In particular, the separation of wholesale and retail water and sewerage services for English and Welsh commercial water systems customers is leading to a focus on service innovation. But what do we mean by 'service innovation'? To whom does it apply and how do these parties interpret it? To answer these questions, this paper presents the findings of recent interviews undertaken by and case studies presented to the Water Efficiency (WATEF) Network Service Innovation Technical Committee. Study Design: The paper explores definitions and interpretations of service innovation (SI) and discusses case studies where SI is already being realised in the water sector. Methodology: The study was conducted using interviews and case studies. Results: A tree-branch model of SI is proposed, emphasising the placement of the customer as the focus of SI. A revised definition of SI was also provided to assist water service providers in enhancing the services provided to their customers. Conclusion: The study revealed that the water sector offers scope for improvement in fundamental business services. These include billing, customer relations, communication (information services) and data provision and visualisation.

A Laboratory Study into a Novel, Retrofittable Rainwater Harvesting System.

Aims: To establish the system characteristics of a novel rainwater harvesting system. Study Design: A laboratory test rig was used to assess the selected technology. Place and Duration of Study: University of Exeter, Centre for Water Systems between June 2014 and May 2015. Methodology: Previous research has identified that systems should have: 1) reduced capital costs, 2) reduced operational costs and 3) increased ease of retrofitting. To investigate the system’s ability to address these requirements, two full-scale laboratory test rigs have been used to assess flow and power consumption characteristics under a range of installation scenarios. Results: The system was identified to have a mean power consumption of 0.12kWh/m3 during a one hour pump test. Electrical costs were found to increase when the power consumption of the 11W control board was taken into account. Conclusion: Subject to reduction of the standby power consumption of the controller, the novel RWH system assessed in this study has potential to provide non-potable water supplies to households in the UK at a lower power consumption rate than existing water supply systems identified in the literature.

Learning from Health Care Workers' Opinions for Improving Quality of Neonatal Health Care in Kilimanjaro Region; Northeast Tanzania

Background: There is a higher neonatal mortality rate while the adherence to the existing guidelines is rarely studied in Tanzania. Aim: The aim of this study is to assess the performance of health workers for neonatal health-care. Materials and Methods: Settings - Peripheral health facilities (regional referral; district hospitals and health centers) and a tertiary referral hospital of Kilimanjaro region; Tanzania. Fourteen hospital facilities within all seven districts of the Kilimanjaro region wer involved in this cross-sectional descriptive study. Data were collected for 5 months from 26 th November; 2010 to 25 th April; 2011. We analyzed our quantitative data by using STATA v10 (StataCorp; TX; USA) for statistical comparison using Chi-square test to test the difference between the categories and odds ratio (OR) for association between independent and dependent variables. Results: Birth asphyxia was the most recalled health problem requiring critical care; reported by 27.5 (33/120) of health-care workers (HCWs) at peripheral hospitals and at 46.4 (13/28) in a tertiary referral centers. Majority of HCWs commented on their own performance 47.5 (67/140). In the periphery (40); first comment was on management and follow-up of neonatal cases 47.5 (19/40); second on a need of skills 45 (18/40) and third on timely referrals 7.5 (18/40). Shortage of proper equipment was reported at 26.4 (37/140); shortage of staff was reported at 12.0 (17/140); lack of organization of care 11.4 (16/140) and poor hygiene at 2.9 (4/140). It was hard to judge the impact of training on the sufficiency of knowledge (OR: 2.1; 95 confidence interval: [0.9 - 4.8]; P = 0.08) although levels of knowledge for critical neonatal care were higher at the tertiary referral hospital (Pearson ?2 [2] = 53.8; P 0.001). Conclusion: Performance of HCWs in early neonatal care is suboptimal and requires frequent systematic evaluation