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Effects of Community-Led Total Sanitation (CLTS) Boosting and Household Factors on Latrine Ownership in Siaya County, Kenya

Author

Listed:
  • Job Wasonga

    (Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan)

  • Kazuchiyo Miyamichi

    (Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Mami Hitachi

    (Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Rie Ozaki

    (Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Mohamed Karama

    (Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya
    AMREF Health Africa Ethics and Scientific Research Committee, Amref Health Africa, Nairobi 27691-00506, Kenya)

  • Kenji Hirayama

    (School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan)

  • Satoshi Kaneko

    (Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan
    Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
    School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan)

Abstract

Community-led total sanitation (CLTS) is a widely used approach for enhancing sanitation practices. However, the impact of boosted CLTS on household latrine ownership has not been adequately evaluated. This study aims to investigate the factors associated with latrine possession among households, with a specific focus on single and CLTS-boosting implementation. A community-based repeated cross-sectional study was conducted in Siaya County, Kenya, involving 512 households at the baseline and 423 households at the follow-up. Data were analyzed using the mixed-effects logistic regression model. At the baseline, latrine possession was significantly associated with CLTS implementation (adjusted OR [aOR]: 3.01; 95% confidence interval [CI]: 1.41–6.44), literacy among households (aOR: 1.83; 95% CI: 1.12–2.98) and higher socioeconomic status (SES) (second level: aOR: 2.48; 95% CI:1.41–4.36, third level: aOR: 3.11; 95% CI: 1.76–5.50, fourth level: aOR: 10.20; 95% CI: 5.07–20.54). At follow-up, CLTS boosting (aOR: 7.92; 95% CI: 1.77–35.45) and a higher SES were associated with increased latrine ownership (second level: aOR: 2.04; 95% CI: 0.97–4.26, third level: aOR: 7.73; 95% CI: 2.98–20.03, fourth level: aOR: 9.93; 95% CI: 3.14–28.35). These findings highlight the significant role played by both single and CLST boosting in promoting universal latrine ownership and empowering vulnerable households to understand the importance of sanitation and open defecation-free practices.

Suggested Citation

  • Job Wasonga & Kazuchiyo Miyamichi & Mami Hitachi & Rie Ozaki & Mohamed Karama & Kenji Hirayama & Satoshi Kaneko, 2023. "Effects of Community-Led Total Sanitation (CLTS) Boosting and Household Factors on Latrine Ownership in Siaya County, Kenya," IJERPH, MDPI, vol. 20(18), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:18:p:6781-:d:1242610
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    References listed on IDEAS

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    1. Abramovsky, Laura & Augsburg, Britta & Lührmann, Melanie & Oteiza, Francisco & Rud, Juan Pablo, 2023. "Community matters: Heterogeneous impacts of a sanitation intervention," World Development, Elsevier, vol. 165(C).
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