Predictors of the resurgence and sustainability of open defecation-free status among adult residents in Kibwezi East Sub County, Makueni County, Kenya

Authors

  • Joshua M. Mutuku Department of Epidemiology and Biostatistics, Mount Kenya University, Kenya
  • Joseph Juma Department of Epidemiology and Biostatistics, Mount Kenya University, Kenya
  • Bibianne W. Aidi Department of Epidemiology and Biostatistics, Mount Kenya University, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240250

Keywords:

Resurgence, Sustainability, Open defecation, Open defecation free, Adult residents

Abstract

Background: Worldwide, 2.4 billion persons lack improved sanitation and practice open defecation. In Kenya, about 14% of its population defecates in the open and the country loses over $324 million a year due to poor sanitation. The study focused on establishing infrastructural factors influencing the resurgence and sustainability of open-defecation-free status among adult residents in Kibwezi East Sub-County of Makueni County, Kenya.

Methods: The study employed purposeful, cluster, proportionate, simple random sampling and descriptive cross-sectional design. Participants included residents aged 18 or older, who lived in the area at least two years. Chi-square tests at p≤0.05 examined relationships between independent and dependent variables.

Results: Majority of respondents were Christian (98.8%), with 52.9% completing primary education. Most were female (68.6%), married (89.1%), and averaged 48.40 years. Education at or below primary level increased the likelihood of not sustaining ODF practices (uOR=1.567, 95% CI: 1.061-2.315, p=0.024). Sanitary facilities were often within 10-50 m (59.5%), with a median walk time of 3.0 min. ODF sustainability was less likely without user-friendly facilities (uOR=2.47, p<0.001) and with roofless toilets (uOR=0.355, p<0.001). Longer walking times (>3 min) reduced ODF sustainability (uOR=0.341, p<0.001). Absence of designated open defecation sites increased ODF odds by 1.669 times (UOR=1.669, p<0.001), and odor-free toilets enhanced sustainability (UOR=1.287, p=0.030).

Conclusions: The results highlight the significance of socio-demographic factors, including education levels, and infrastructural in maintaining ODF status.

References

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Published

2024-01-31

How to Cite

Mutuku, J. M., Juma, J., & W. Aidi, B. (2024). Predictors of the resurgence and sustainability of open defecation-free status among adult residents in Kibwezi East Sub County, Makueni County, Kenya. International Journal Of Community Medicine And Public Health, 11(2), 649–654. https://doi.org/10.18203/2394-6040.ijcmph20240250

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Original Research Articles