Awareness of community-led total sanitation and its impact on sanitation among residents of Kilifi and Marsabit Counties, Kenya

Authors

  • Tobias Mbeya Omufwoko School of Public Health, Mount Kenya University, Kenya
  • Alfred Owino Odongo School of Public Health, Mount Kenya University, Kenya
  • Mohamed Karama School of Public Health, Umma University, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20243433

Keywords:

Awareness, CLTS, Open-defecation free, Sanitation

Abstract

Background: Community-based strategy known as community-led total sanitation (CLTS) is frequently employed to address open defecation and the health issues it causes. Inadequate sanitation is one of the biggest health and environmental problems in the world, contributing to approximately 775,000 deaths per year. This study aimed to assess the level of awareness of community-led total sanitation (CLTS) and its impact on sanitation among communities in Kilifi and Marsabit Counties in Kenya.

Methods:  The study adopted a comparative study design. Purposive and multistage sampling were used to recruit study respondents in this study. Fischer's formula was used to determine the sample size for this investigation where 811 study participants were enlisted for the research. Propensity score matching (PSM) was used to estimate the impact of CLTS intervention on sanitation status. A significance level of 0.05 was employed as the threshold for all tests conducted in this study.

Results: From this study, Among those fully conversant with CLTS, 98% resided in Kilifi County; 77% in Marsabit were fully aware of CLTS. The majority(87.7%) of the study respondents were fully aware of CLTS. Despite CLTS intervention resulting in a 42% increase in households owning a sanitation facility, There was no significant statistical association between CLTS intervention and sanitation status (t=0.42, p=0.0835).

Conclusion: The study established that the level of awareness of CLTS in both counties was high. The results from this study demonstrated that CLTS intervention programs had an impact on sanitation levels in Kilifi and Marsabit counties.

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References

WHO. WHO/UNICEF Joint Monitoring Program for Water Supply, Sanitation and Hygiene (JMP) - 2017 Update and SDG Baselines. 2017; Available at: https://www.unwater.org/publications/who/unicef-joint-monitoring-program-water-supply-sanitation-and-hygiene-jmp-2017. Accessed on 15 October 2024.

Raj Pokhrel M. Open defecation free zone and practice in jorayal gaunpalika. Res Manag Cell. 2020;3(1):131-41.

Tumwebaze IK, Sseviiri H, Bateganya FH, Twesige J, Scott R, Kayaga S, et al. Access to and factors influencing drinking water and sanitation service levels in informal settlements: Evidence from Kampala, Uganda. Habitat Int. 2023;136:102829.

UNICEF. Water, Sanitation and Hygiene Improving children’s access to water, sanitation and hygiene. 2018; Available at: https://www.unicef.org/kenya/ water-sanitation-and-hygiene. Accessed on 15 October 2024.

Hasan MM, Asif CA Al, Barua A, Banerjee A, Kalam MA, Kader A, et al. Association of access to water, sanitation and handwashing facilities with undernutrition of children below 5 years of age in Bangladesh: evidence from two population-based, nationally representative surveys. BMJ Open. 2023;13(6):e065330.

Osumanu I, Kosoe E, Ategeeng F. Determinants of Open Defecation in the Wa Municipality of Ghana: Empirical Findings Highlighting Sociocultural and Economic Dynamics among Households. J Environ Public Health. 2019;3075840:10.

Girmay AM, Gari SR, Mengistie Alemu B, Evans MR, Gebremariam AG. Determinants of Sanitation and Hygiene Status Among Food Establishments in Addis Ababa, Ethiopia. Environ Health Insights. 2020;14:1178630220915689.

Njuguna J. Progress in sanitation among poor households in Kenya: Evidence from demographic and health surveys. BMC Public Health. 2019;19(1):1-8.

Stewart CP, Kariger P, Fernald L, Pickering AJ, Arnold CD, Arnold BF, et al. Effects of water quality, sanitation, handwashing, and nutritional interventions on child development in rural Kenya (WASH Benefits Kenya): a cluster-randomised controlled trial. Lancet Child Adolesc Heal. 2018;2(4):269.

MOH. KENYa rural sanitation and hygiene protocol. 2021; Available at: http://guidelines.health.go.ke: 8000/media/Rural_Sanitation_and_Hygiene_Protocol_MoH.pdf. Accessed on 15 October 2024.

Kouassi HAA, Andrianisa HA, Traoré MB, Sossou SK, Nguematio RM, Djambou MD. Acceptance Factors for the Social Norms Promoted by the Community-Led Total Sanitation (CLTS) Approach in the Rural Areas: Case Study of the Central-Western Region of Burkina Faso. Sustain. 2023;15(15):11945.

Harter M, Mosch S, Mosler HJ. How does Community-Led Total Sanitation (CLTS) affect latrine ownership? A quantitative case study from Mozambique. BMC Public Health. 2018;18(1):1-10.

Wasonga J, Miyamichi K, Hitachi M, Ozaki R, Karama M, Hirayama K, et al. Effects of Community-Led Total Sanitation (CLTS) Boosting and Household Factors on Latrine Ownership in Siaya County, Kenya. Int J Environ Res Public Health. 2023;20(18):6781.

Shama AT, Terefa DR, Geta ET, Cheme MC, Biru B, Feyisa JW, et al. Latrine utilization and associated factors among districts implementing and not-implementing community-led total sanitation and hygiene in East Wollega, Western Ethiopia: A comparative cross-sectional study. PLoS One. 2023;18(7):e0288444.

Harter M, Lilje J, Mosler HJ. Role of Implementation Factors for the Success of Community-Led Total Sanitation on Latrine Coverage. A Case Study from Rural Ghana. Environ Sci Technol. 2019;53(9):5466-72.

Ebenezer Fagunwa O, Mthiyane T, Fagunwa A, Idowu Olayemi K, Alozie A, Onyeaka H, et al. Analyses of health surveys indicates regions of priority to eliminate open defecation in Africa and implication for antimicrobial resistance burden. medRxiv. 2023.

Murad M, Ayele DM, Gobena T, Weldegebreal F. Latrine Utilization and Its Associated Factors Among Community Led Total Sanitation Implemented and Non-Implemented Kebeles of Tullo District, West Hararge, Eastern Ethiopia. Environ Health Insights. 2022;16.

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Published

2024-11-13

How to Cite

Omufwoko, T. M., Odongo, A. O., & Karama, M. (2024). Awareness of community-led total sanitation and its impact on sanitation among residents of Kilifi and Marsabit Counties, Kenya. International Journal Of Community Medicine And Public Health, 11(12), 4630–4635. https://doi.org/10.18203/2394-6040.ijcmph20243433

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Section

Original Research Articles