Factors that affect successful attainment of open defecation free status in Tharaka North Sub County, Tharaka Nithi County
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252826Keywords:
Sanitation, Health, Community led total sanitation, Open defecationAbstract
Background: The successful attainment of ODF status has proven to be a formidable practice in addressing the issues of open defecation and the prevalence of sanitation-related illnesses in rural areas of the nation. Nevertheless, about 66% of people in Africa in 2022 lacked access to proper sanitation, despite efforts and major investment in the sanitation industry. Further, more than 5.6 million Kenyans engage in open defecation, making it a major public health problem. Despite considerable efforts invested in promoting sanitation programs, the attainment of open defecation free status in Tharaka North Sub-County, Tharaka-Nithi County, remains a challenge as no single village in the area has ever attained this status. The objective of this study is therefore to investigate those factors that affect the attainment of Open Defecation Free Status in Tharaka North Sub County, Tharaka Nithi County.
Methods: This Mixed-Methods Research (MMR) study recruited 389 participants using random sampling and purposively selected other12 key informants for interviews. Data was collected through pretested questionnaires, interview schedules, and interview guides. Necessary research licenses and permits were adequately obtained. Data were analyzed using SPSS version 25 for descriptive statistics including frequencies and percentages. Chi-Square was used to determine the association between variables. Qualitative data were analyzed thematically and reported verbatim.
Results: Response rate yielded 86.6% (337) of which majority were males 65.0% (219).
Conclusions: The findings of the study are expected to inform decisions in enhancing the attainment of the open defecation free status as well as formulation of relevant policies.
Metrics
References
World Health Organization. WHO guideline on control and elimination of human schistosomiasis; 2022.
Belay DG, Asratie MH, Aragaw FM, Tsega NT, Endalew M, Gashaw M. Open defecation practice and its determinants among households in sub-Saharan Africa: pooled prevalence and multilevel analysis of 33 sub-Saharan Africa countries demographic and health survey. Trop Medi Heal. 2022;50(1):28. DOI: https://doi.org/10.1186/s41182-022-00416-5
Fotio HK, Nguea SM. Access to water and sanitation in Africa: Does globalization matter?. Inter Econom. 2022;170:79-91. DOI: https://doi.org/10.1016/j.inteco.2022.02.005
ATIENO JO. Assessing the influence of community led total sanitation approach on diarrhea occurrence in households living in the intervention and control villages, Boro division, Siaya county, Kenya (Doctoral dissertation, Maseno University).
Mumbi TL, Cholo W. An assessment of open defecation among residents of Thika East Sub-County, Kiambu county, Kenya. Int J Med Res. 2017;2(3):09-20.
Riungu PM. Factors influencing sustainability of open defeacation free environment in Nyando Sub-county, Kisumu County, Kenya (Doctoral dissertation, University of Nairobi).
ABALO J. Chapter fifteen sanitation and health practices: a positive deviance study of three community-led total sanitation (CLTS) host villages in UGANDA. Perspectives on International Research on Science in Africa. 2021:223.
Prüss-Ustün A, Wolf J, Bartram J, Clasen T, Cumming O, Freeman MC, et al. Burden of disease from inadequate water, sanitation and hygiene for selected adverse health outcomes: an updated analysis with a focus on low-and middle-income countries. Int J Hyg Environm Heal. 2019;222(5):765-77. DOI: https://doi.org/10.1016/j.ijheh.2019.05.004
Muendo CM. The effects of community health strategy on sanitation indicators in Tharaka Nithi County, Kenya. Doctoral Dissertation, Kenyatta University. 2017.
Jiménez A, LeDeunff H, Giné R, Sjödin J, Cronk R, Murad S, et al. The enabling environment for participation in water and sanitation: A conceptual framework. Water. 2019;11(2):308. DOI: https://doi.org/10.3390/w11020308
Okumu JO, Gachohi J, Wanjihia V. Water, sanitation and hygiene indicator levels eight years post community-led total sanitation implementation in Kajiado County, Kenya. Afr J Heal Sci. 2022;35(2):224-40.
Safari JG, Issa FI, Masanyiwa ZS. Community perception and adoption of improved sanitation in Tunduru district, Tanzania. 2020. DOI: https://doi.org/10.19026/rjees.12.6048
Yogananth N, Bhatnagar T. Prevalence of open defecation among households with toilets and associated factors in rural south India: an analytical cross-sectional study. Transact Royal Soc Trop Medi Hyg. 2018;112(7):349-60. DOI: https://doi.org/10.1093/trstmh/try064
Tessema RA. Assessment of the implementation of community-led total sanitation, hygiene, and associated factors in Diretiyara district, Eastern Ethiopia. PloS one. 2017;12(4):e0175233. DOI: https://doi.org/10.1371/journal.pone.0175233
Amegah AK. Slum decay in Sub-Saharan Africa: Context, environmental pollution challenges, and impact on dweller’s health. Environm Epidemiol. 2021;5(3):e158. DOI: https://doi.org/10.1097/EE9.0000000000000158
Atieno JO. Assessing the influence of community led total sanitation approach on diarrhea occurrence in households living in the intervention and control villages, Boro division, Siaya county, Kenya (Doctoral dissertation, Maseno University). 2016..
Aluoch NR. Role of sanitation-hygiene practices and social norms on open defecation free status in households of Suna-west sub-county, Migori county (Doctoral dissertation, Maseno University). 2022.
Kasiva EG. Influence of Social Cultural Factors and Latrine Status on Adoption of Sanitation Practices in Rural Areas a Case of Nzaui Sub-County, Makueni County, Kenya (Doctoral dissertation, Meru University of Science and Technology). 2023. DOI: https://doi.org/10.58506/ajstss.v1i1.89