DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191389

Socio-cultural determinants of open defecation in rural households of Perambalur district, Tamil Nadu

Rakesh Kumar, Sati P. Sinha

Abstract


Background: In many areas of the world, including India, open defecation still remains the predominant norm and poses one of the biggest threats to the health of the people particularly in rural areas.

Objectives were to study the prevalence and socio-cultural determinants of open defecation in rural area of Perambalur district.

Methods: The present cross-sectional was done in a three randomly selected villages falling under rural field practice area of Department of Community Medicine of Dhanalakshmi Srinivasan Medical College and Hospital in Perambalur district (Tamil Nadu). Data was collected on 330 houses using pre-tested interview schedule developed using SBM-G questionnaire/schedule for ODF verification for household surveys which was modified for present study. Statistical analysis was done using Epi Info version 7 software.

Results: Most (89.1%) of the study participants were above 30 years of age. Majority of respondents (39.4%) were illiterate. Prevalence of open defecation was 78.8%. Only 70 (21.2%) houses were using household sanitary latrines. Various reasons reported for open defecation were unawareness about availability of public latrine (41.5%), inadequate water (15.3%), insufficient space for latrine construction (16.9%), inadequate money (10%), considering open defecation better (16.6%) and caste based discrimination (0.4%). The study found sex, education and occupation of head of family to be significantly associated with open defecation.

Conclusions: This study highlights the need for implementation well planned behavior change communication strategy to stop the menace of open defecation.


Keywords


Open defecation, Sanitation, Socio-cultural, Sanitary latrine

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References


Eliminate open defecation. UNICEF, India. Available at: http://unicef.in/Whatwedo/11/ Eliminate-Open-Defecation. Accessed on 12 December 2018.

Fast facts. Water Sanitation Hygiene. World Health Orgeanization. Available at: https://www.who.int/ water_sanitation_health/monitoring/jmp2012/fast_facts/en/. Accessed on 11 December 2018.

Key facts. Sanitation. World Health Orgeanization. Available at: http://www.who.int/news-room/fact-sheets/detail/sanitation. Accessed on 25 September 2018.

Guidelines for Swach Bharat Mission (Gramin). Ministry of drining water and sanitation, Government of India. Available at: https://mdws .gov.in/sites/default/files/Complete%20set%20guidelines_1.pdf. Accessed on 11 October 2018.

Park K. Park's Textbook of preventive and social medicine. 24th ed. Bhanot Publication, 2018.

Progress on sanitation and drinking-water - 2013 update. World Health Organization and UNICEF; 2013.

McConville J. How to Promote the Use of Latrines in Developing Countries. Written April 2003 for the requirements of CE 5993 Field Engineering in the Developing World. Available at: https://www. ircwash.org/sites/default/files/Conville-2003-How.pdf

SBM-G questionnaire/ schedule for ODF verification. of drining water and sanitation, Government of India. Available at: https://mdws .gov.in/sites/default/files/SBM%20G%20ODF%20Questionnaire%20in%20Namami%20Gange%20Districts.pdf. Accessed on 11 October 2018.

Choudhury N, Hossain MA, Exploring the Current Status of Sanitary Latrine use in Shibpur Upazila, Narsingdi District. BRAC Research Report 2006. Available at: http://www.bracresearch.org/reports /Exploring_the_current_status.pdf. Accessed on 11 October 2018.

Manikutty S. Community Participation: So What? Evidence from a Comparative Study of Two Rural Water Supply and Sanitation Projects in India. Development Policy Review. 1997;15:115–40.

Bhardwaj A, Surana A, Mithra P, Singh A, Panesar A, Chikkara P. A Community based cross sectional study on use of sanitary latrines in a rural setup in Maharashtra. Healthline. 2013;4(1):89-93.

Singh A, Arora AK. Knowledge, Attitude and Practices of Villagers Regarding Sanitary Latrines in North India. Indian J Preventive Social Med. 2003;34:3-4.

Yogananth N, Bhatnagar T. Prevalence of open defecation among households with toilets and associated factors in rural south India: an analytical cross-sectional study. Transactions Royal Society Tropical Med Hygiene. 2018;112:7:349-60.

Swami HM, Thakur JS, Gupta M, Bhatia SP. Improving environmental conditions of a slum in Chandigarh by an awareness campaign. J Urban Health. 2008;85(2):291-9.