Cooking Should Not Kill: What Works, What Doesn't and What's Next? Strategies for Clean Cookstove Adoption Public Deposited

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  • February 28, 2019
  • Sen, Banalata
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
  • Despite decades of research and implementation efforts to alleviate the burden of indoor air pollution from use of biomass burning stoves, poor communities worldwide and especially their women and children continue to pay a heavy price with their health, safety, and economic security. Much is known about the devastating consequences of biomass burning on global health and environment, but efforts to deploy improved clean burning stoves and fuels that reduce harmful emissions have not been very successful. Major barriers including unpopular designs, cost, deficient supply chain, lack of awareness of health and economic benefits, and gender dynamics in affected communities, have prevented implementation of large-scale adoption of cleaner cooking solutions in developing countries. The latest efforts for improving adoption rates are focused on market-based strategies. To be successful, these market-based strategies will need to be combined with strong community engagement efforts with an emphasis on women who are end-users of the stoves and also the most impacted by the adverse outcomes of biomass burning. Global health interventions that have engaged women's and community health workers have been successful in improving health behaviors and outcomes. We propose a Health Impact Pyramid framework that combines key stakeholder engagement with market-based strategies to overcome existing barriers and make cookstove adoption desirable and sustainable. We describe a logic model that can serves as a guide for implementing and evaluating the intervention. Applying a framework that addresses the social, cultural, economic, and environmental determinants of this global health intervention will be important if the global community is to reduce the burden of disease from biomass burning.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Track: Leadership
  • Paper type: Systematic review
  • Steffen, David
  • Yeatts, Karin
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2014
Deposit record
  • b0adcfd9-01ba-49b5-9512-d65f439a9a64

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