Thanks to a voucher scheme, more women are taking advantage of professional healthcare services in five trial-programme areas in Kenya. The idea is to boost the capacities of existing healthcare facilities by ensuring that poor patients have the purchasing power to buy the services they need. Experience of five years shows that output-based aid makes sense.

Mosquito Larval Source Management (LSM) could be a valuable additional tool for integrated malaria vector control especially in areas with focal transmission like the highlands of western Kenya if it were not for the need to target all potential habitats at frequent intervals.

Well-planned urban green landscapes, including wildscapes and green spaces, have the potential to contribute to climate change adaptation and mitigation. Yet for cities in low-income countries, the value of these urban landscapes in climate change response strategies is often disregarded and remains largely unexploited and unaccounted for. This paper discusses the potential role of urban green landscapes as a “soft engineering” climate change response strategy, and calls for the pursuance of management practices that preserve and promote the use of these urban spaces.

“Don’t teach us what is sanitation and hygiene.” This quote from Maqbul, a middle-aged male resident in Modher Bosti, a slum in Dhaka city, summed up the frustration of many people living in urban poverty to ongoing sanitation and hygiene programmes. In the light of their experiences, such programmes provide “inappropriate sanitation”, or demand personal investments in situations of highly insecure tenure, and/or teach “hygiene practices” that relate neither to local beliefs nor to the ground realities of a complex urban poverty.