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Enablers and barriers to large-scale uptake of improved solid fuel stoves: a systematic review.

Abstract：

BACKGROUND:Globally, 2.8 billion people rely on household solid fuels. Reducing the resulting adverse health, environmental, and development consequences will involve transitioning through a mix of clean fuels and improved solid fuel stoves (IS) of demonstrable effectiveness. To date, achieving uptake of IS has presented significant challenges. OBJECTIVES:We performed a systematic review of factors that enable or limit large-scale uptake of IS in low- and middle-income countries. METHODS:We conducted systematic searches through multidisciplinary databases, specialist websites, and consulting experts. The review drew on qualitative, quantitative, and case studies and used standardized methods for screening, data extraction, critical appraisal, and synthesis. We summarized our findings as "factors" relating to one of seven domains-fuel and technology characteristics; household and setting characteristics; knowledge and perceptions; finance, tax, and subsidy aspects; market development; regulation, legislation, and standards; programmatic and policy mechanisms-and also recorded issues that impacted equity. RESULTS:We identified 31 factors influencing uptake from 57 studies conducted in Asia, Africa, and Latin America. All domains matter. Although factors such as offering technologies that meet household needs and save fuel, user training and support, effective financing, and facilitative government action appear to be critical, none guarantee success: All factors can be influential, depending on context. The nature of available evidence did not permit further prioritization. CONCLUSIONS:Achieving adoption and sustained use of IS at a large scale requires that all factors, spanning household/community and program/societal levels, be assessed and supported by policy. We propose a planning tool that would aid this process and suggest further research to incorporate an evaluation of effectiveness.

journal_name

Environ Health Perspect

journal_title

Environmental health perspectives

authors

Rehfuess EA,Puzzolo E,Stanistreet D,Pope D,Bruce NG

doi

10.1289/ehp.1306639

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

120-30

issue

eissn

0091-6765

issn

1552-9924

journal_volume

122

pub_type

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Enablers and barriers to large-scale uptake of improved solid fuel stoves: a systematic review.