IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0178042.html
   My bibliography  Save this article

Women's role in sanitation decision making in rural coastal Odisha, India

Author

Listed:
  • Parimita Routray
  • Belen Torondel
  • Thomas Clasen
  • Wolf-Peter Schmidt

Abstract

Background: While women and girls face special risks from lack of access to sanitation facilities, their ability to participate and influence household-level sanitation is not well understood. This paper examines the association between women's decision-making autonomy and latrine construction in rural areas of Odisha, India. Methods: We conducted a mixed-method study among rural households in Puri district. This included a cross sectional survey among 475 randomly selected households. These were classified as either having a functional latrine, a non-functional latrine or no latrine at all. We also conducted 17 in-depth interviews and 9 focus group discussions among household members of these three categories of households. Results: Decisions on the construction of household level sanitation facilities were made exclusively by the male head in 80% of households; in 11% the decision was made by men who consulted or otherwise involved women. In only 9% of households the decision was made by women. Households where women were more involved in general decision making processes were no more likely to build a latrine, compared to households where they were excluded from decisions. Qualitative research revealed that women’s non-involvement in sanitation decision making is attributed to their low socio-economic status and inability to influence the household’s financial decisions. Female heads lacked confidence to take decisions independently, and were dependent on their spouse or other male family members for most decisions. The study revealed the existence of power hierarchies and dynamics within households, which constrained female’s participation in decision-making processes regarding sanitation. Conclusions: Though governments and implementers emphasize women’s involvement in sanitation programmes, socio-cultural factors and community and household level dynamics often prevent women from participating in sanitation-related decisions. Measures are needed for strengthening sanitation policies and effective implementation of programmes to address gender power relations and familial relationships that influence latrine adoption and use.

Suggested Citation

  • Parimita Routray & Belen Torondel & Thomas Clasen & Wolf-Peter Schmidt, 2017. "Women's role in sanitation decision making in rural coastal Odisha, India," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-17, May.
    • Handle: RePEc:plo:pone00:0178042
    DOI: 10.1371/journal.pone.0178042
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178042
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0178042&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0178042?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    2. Jenkins, Marion W. & Curtis, Val, 2005. "Achieving the 'good life': Why some people want latrines in rural Benin," Social Science & Medicine, Elsevier, vol. 61(11), pages 2446-2459, December.
    3. Stopnitzky, Yaniv, 2012. "The Bargaining Power of Missing Women: Evidence from a Sanitation Campaign in India," MPRA Paper 37841, University Library of Munich, Germany.
    4. Jenkins, Marion W. & Scott, Beth, 2007. "Behavioral indicators of household decision-making and demand for sanitation and potential gains from social marketing in Ghana," Social Science & Medicine, Elsevier, vol. 64(12), pages 2427-2442, June.
    5. Sahoo, Krushna Chandra & Hulland, Kristyna R.S. & Caruso, Bethany A. & Swain, Rojalin & Freeman, Matthew C. & Panigrahi, Pinaki & Dreibelbis, Robert, 2015. "Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India," Social Science & Medicine, Elsevier, vol. 139(C), pages 80-89.
    6. Duncan Mara & Jon Lane & Beth Scott & David Trouba, 2010. "Sanitation and Health," PLOS Medicine, Public Library of Science, vol. 7(11), pages 1-7, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Krämer, Marion & Kumar, Santosh & Vollmer, Sebastian, 2021. "Anemia, diet, and cognitive development: Impact of health information on diet quality and child nutrition in rural India," Journal of Economic Behavior & Organization, Elsevier, vol. 190(C), pages 495-523.
    2. Diwakar Mohan & Jean Juste Harrisson Bashingwa & Nicki Tiffin & Diva Dhar & Nicola Mulder & Asha George & Amnesty E LeFevre, 2020. "Does having a mobile phone matter? Linking phone access among women to health in India: An exploratory analysis of the National Family Health Survey," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-16, July.
    3. Augsburg, Britta & Malde, Bansi & Olorenshaw, Harriet & Wahhaj, Zaki, 2023. "To invest or not to invest in sanitation: The role of intra-household gender differences in perceptions and bargaining power," Journal of Development Economics, Elsevier, vol. 162(C).
    4. Pakhtigian, Emily L. & Dickinson, Katherine L. & Orgill-Meyer, Jennifer & Pattanayak, Subhrendu K., 2022. "Sustaining latrine use: Peers, policies, and sanitation behaviors," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 223-242.
    5. Siddhartha Bandyopadhyay & Sanjukta Sarkar & Rudra Sensarma, 2021. "Does Access to Key Household Resources Help in Reducing Violence against Women?," Discussion Papers 21-09, Department of Economics, University of Birmingham.
    6. Dickin, Sarah & Bisung, Elijah & Nansi, Juste & Charles, Katrina, 2021. "Empowerment in water, sanitation and hygiene index," World Development, Elsevier, vol. 137(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ross, Ian & Cumming, Oliver & Dreibelbis, Robert & Adriano, Zaida & Nala, Rassul & Greco, Giulia, 2021. "How does sanitation influence people's quality of life? Qualitative research in low-income areas of Maputo, Mozambique," Social Science & Medicine, Elsevier, vol. 272(C).
    2. Barrington, D.J. & Sridharan, S. & Saunders, S.G. & Souter, R.T. & Bartram, J. & Shields, K.F. & Meo, S. & Kearton, A. & Hughes, R.K., 2016. "Improving community health through marketing exchanges: A participatory action research study on water, sanitation, and hygiene in three Melanesian countries," Social Science & Medicine, Elsevier, vol. 171(C), pages 84-93.
    3. Coffey, Diane & Spears, Dean & Vyas, Sangita, 2017. "Switching to sanitation: Understanding latrine adoption in a representative panel of rural Indian households," Social Science & Medicine, Elsevier, vol. 188(C), pages 41-50.
    4. Ida Helgegren & Sebastien Rauch & Claudia Cossio & Graciela Landaeta & Jennifer McConville, 2018. "Importance of triggers and veto-barriers for the implementation of sanitation in informal peri-urban settlements – The case of Cochabamba, Bolivia," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-17, April.
    5. O'Reilly, Kathleen & Dhanju, Richa & Goel, Abhineety, 2017. "Exploring “The Remote” and “The Rural”: Open Defecation and Latrine Use in Uttarakhand, India," World Development, Elsevier, vol. 93(C), pages 193-205.
    6. Barrington, D.J. & Sridharan, S. & Shields, K.F. & Saunders, S.G. & Souter, R.T. & Bartram, J., 2017. "Sanitation marketing: A systematic review and theoretical critique using the capability approach," Social Science & Medicine, Elsevier, vol. 194(C), pages 128-134.
    7. María Laura Alzúa & Habiba Djebbari & Amy J. Pickering, 2020. "A Community-Based Program Promotes Sanitation," Economic Development and Cultural Change, University of Chicago Press, vol. 68(2), pages 357-390.
    8. Emmy De Buck & Hans Van Remoortel & Karin Hannes & Thashlin Govender & Selvan Naidoo & Bert Avau & Axel Vande Veegaete & Alfred Musekiwa & Vittoria Lutje & Margaret Cargo & Hans‐Joachim Mosler & Phili, 2017. "Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-447.
    9. YuJung Julia Lee & Tiffany Radcliff, 2021. "Community interactions and sanitation use by the urban poor: Survey evidence from India’s slums," Urban Studies, Urban Studies Journal Limited, vol. 58(4), pages 715-732, March.
    10. Ian Ross & Giulia Greco & Charles Opondo & Zaida Adriano & Rassul Nala & Joe Brown & Robert Dreibelbis & Oliver Cumming, 2022. "Measuring and valuing broader impacts in public health: Development of a sanitation‐related quality of life instrument in Maputo, Mozambique," Health Economics, John Wiley & Sons, Ltd., vol. 31(3), pages 466-480, March.
    11. Ismaila Rimi Abubakar, 2017. "Access to Sanitation Facilities among Nigerian Households: Determinants and Sustainability Implications," Sustainability, MDPI, vol. 9(4), pages 1-17, April.
    12. Mohammad Rashid & Debapratim Pandit, 2017. "Determination of appropriate service quality attributes for household toilets in rural settlements of India based on user perception," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 19(4), pages 1381-1406, August.
    13. Khurshed Alam & Md. Habibur Rahman, 2019. "Post-disaster recovery in the cyclone Aila affected coastline of Bangladesh: women’s role, challenges and opportunities," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 96(3), pages 1067-1090, April.
    14. Crocker, Jonny & Shields, Katherine F. & Venkataramanan, Vidya & Saywell, Darren & Bartram, Jamie, 2016. "Building capacity for water, sanitation, and hygiene programming: Training evaluation theory applied to CLTS management training in Kenya," Social Science & Medicine, Elsevier, vol. 166(C), pages 66-76.
    15. S Anukriti & Catalina Herrera‐Almanza & Praveen K. Pathak & Mahesh Karra, 2020. "Curse of the Mummy‐ji: The Influence of Mothers‐in‐Law on Women in India†," American Journal of Agricultural Economics, John Wiley & Sons, vol. 102(5), pages 1328-1351, October.
    16. Espinoza-Delgado, José & Silber, Jacques, 2018. "Multi-dimensional poverty among adults in Central America and gender differences in the three I’s of poverty: Applying inequality sensitive poverty measures with ordinal variables," MPRA Paper 88750, University Library of Munich, Germany.
    17. Margarita Garfias Royo & Elinor Parrott & Emily-Marie Pacheco & Imaduddin Ahmed & Ella Meilianda & Intan Kumala & Rina Suryani Oktari & Helene Joffe & Priti Parikh, 2022. "A Structured Review of Emotional Barriers to WASH Provision for Schoolgirls Post-Disaster," Sustainability, MDPI, vol. 14(4), pages 1-20, February.
    18. Langford, Rebecca & Panter-Brick, Catherine, 2013. "A health equity critique of social marketing: Where interventions have impact but insufficient reach," Social Science & Medicine, Elsevier, vol. 83(C), pages 133-141.
    19. Levine, David & Kevane, Michael, 2003. "Are Investments in Daughters Lower when Daughters Move Away? Evidence from Indonesia," World Development, Elsevier, vol. 31(6), pages 1065-1084, June.
    20. Britta Augsburg & Paul Rodríguez-Lesmes, 2015. "Sanitation dynamics: toilet acquisition and its economic and social implications," IFS Working Papers W15/15, Institute for Fiscal Studies.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0178042. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.