Barriers and opportunities for cleanliness of shared sanitation facilities in low-income settlements in Kenya

dc.contributor.authorSimiyu, Sheillah N.
dc.contributor.authorKweyu, Raphael M.
dc.contributor.authorAntwi-Agyei, Prince
dc.date.accessioned2023-09-21T00:10:52Z
dc.date.available2023-09-21T00:10:52Z
dc.date.issued2020
dc.description.abstractBackground: The sharing of sanitation facilities is a common practice in low-income areas in sub-Saharan Africa. However, shared sanitation is currently categorized as a limited sanitation service, and may therefore not count towards meeting the global goals. These shared facilities are often the only option available for most residents in low-income settlements, and improving their cleanliness and overall management is key to reducing open defecation and risk of disease. This study sought to investigate barriers and opportunities for improved cleanliness of shared sanitation facilities in low-income settlements of Kisumu city, Kenya. Methods: Thirty-nine in-depth interviews and 11 focus group discussions were held with residents – mainly tenants and landlords – of a low-income settlement in Kisumu. Analysis followed a thematic approach to define the problem, specify the target behaviour and identify the changes needed. Results: Sanitation facilities were mainly pit latrines, typically shared among landlords and tenants. Participants singled out behavioural (poor use of the shared toilets) and social (lack of cooperation in cleaning) challenges that led to unclean shared toilets. Available opportunities for improvement included instituting clear cleaning plans, improving communication among users, and enhanced problem-solving mechanisms between landlords and tenants. These approaches could form the basis for designing intervention strategies for improving the cleanliness of shared sanitation facilities. Conclusion: The results highlight the need to focus on social aspects for improvement of cleanliness in shared sanitation facilities in low-income settlements. Through a social approach, shared sanitation facilities can be managed appropriately to provide the millions of low-income residents in Kenya an opportunity to access sanitation. This study provides further evidence on approaches for improved management of shared sanitation facilities in line with the World Health Organization’s (WHO) Joint Monitoring Program’s (JMP) recommendation for high quality shared facilities.en_US
dc.description.sponsorshipACE: Energy and Environmental Sustainabilityen_US
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/123456789/2162
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.relation.ispartofseriesBMC Public Health;(2020) 20
dc.subjectBehaviour changeen_US
dc.subjectCOM-Ben_US
dc.subjectKisumuen_US
dc.subjectLow-income settlementsen_US
dc.subjectLandlordsen_US
dc.subjectACE: Energy and Environmental Sustainabilityen_US
dc.subjectUniversity of Energy & Natural Resourcesen_US
dc.subjectPoweren_US
dc.subjectGhanen_US
dc.subjectKwaku A. Adjeen_US
dc.titleBarriers and opportunities for cleanliness of shared sanitation facilities in low-income settlements in Kenyaen_US
dc.typeArticleen_US
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