Sanitation practices among internal migrant population: a cross sectional study

Ashok Kumar, Rashmi R. Barik


Background: Poor sanitation and hygiene are known to be associated with increased morbidity and mortality. Despite all the global efforts 68% population still lacks the basic sanitation facilities. The internal migrant population is a vulnerable group that even lags behind the general population in basic sanitation. This study was aimed to assess sanitation practices among the internal migrant population.

Methods: This community based cross sectional study was conducted in a rural village of north-west Delhi from June 2019 to November 2019. People migrated from other parts of the country and residing in the study area for minimum last six months, were included in the study. Data were collected using pre-tested, semi-structured, interviewer-administered study tool, and analysed using SPSS 20.0 software.

Results: Two hundred eleven respondents were included in the study. About 88% were using latrine for defecation, out of this 57% were using household sanitary latrines, rest were using community latrines. About 12% were still practicing open defecation. Among those who were using latrine, only about 60% were found regular users. Positive health associated with latrine usage, comfort, privacy, security, presence of latrine in the rented house, quality construction and availability of water were the major motivators and enablers to regular usage of latrine.

Conclusions:The internal migrant population is a vulnerable group, with suboptimal sanitation practices. Along with information education communication and behaviour change communication activities, policymakers need to pay special attention to this group in order to achieve global and national sanitation targets. 



Latrine, Migrants, Open defecation, Sanitation

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WHO. Fact sheets: sanitation, 2019. Available at: Assessed on 4 June 2019.

WHO. Mortality and burden of disease from water and sanitation, 2018. Available at: Assessed on 4 June 2019.

Mara D, Lane J, Scott B, Trouba D. Sanitation and Health. PLoS Med. 2010;7:e1000363.

Colley DG, Bustinduy AL, Secor WE, King CH. Human schistosomiasis. Lancet. 2014;383:2253-64.

Emerson PM, Bailey RL, Walraven GEL, Lindsay SW. Human and other faeces as breeding media of the trachoma vector Musca sorbens. Med Vet Entomol. 2001;15:314-20.

Saleem M, Burdett T, Heaslip V. Health and social impacts of open defecation on women: a systematic review. BMC Public Health. 2019;19:158.

Strunz EC, Addiss DG, Stocks ME, Ogden S, Utzinger J, Freeman MC. Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis. Hales S, editor. PLoS Med. 2014;11:e1001620.

WHO, UNICEF. Progress on drinking water and sanitation - 2017 update, 2017. Available at: Assessed on 2 June 2019.

United Nations. Promotion and protection of all Human rights, civil, political, economic, social and cultural rights, including the right to development; report of the independent expert on the issue of human rights obligations related to access to safe drinking water and sanitation, 2009. Available at: Assessed on 3 June 2019.

United Nations Development Programme. Goal 6: Clean water and sanitation, 2015. Available at: Assessed on 3 June 2019.

Ministry of Housing and Urban Affairs, Government of India. Guidelines for Swachh Bharat Mission- Urban, 2017. Available at: Assessed on June 2019.

Press Information Bureau, Government of India. PM Narendra Modi Inaugurates Swachh Bharat Diwas, 2019. Available at: Detail.aspx?PRID=1584541. Assessed on 3 November 2019.

Office of the Registrar General and Census Commissioner, Ministry of Home Affairs, Government of India. Census of India: Migration tables. Available at: Tables_Published/D-Series/Tables_on_Migration_ Census_of_India_2011.aspx. Assessed on 3 June 2019.

Ministry of Finance, Government of India. Economic Survey, 2017. Available at: Assessed on 3 June 2019.

Indian Council of Social Science Research. Internal Migration in India Initiative, 2012. Available at: Assessed on 23 June 2019.

Mendes J, Shah HK. A study of hygiene and sanitation among migrants reporting to a primary health care setting in North Goa. Int J Community Med Public Heal. 2019;6:4111-5.

Centre for policy research, Delhi. Categorisation of settlement in Delhi, 2015. Available at: Assessed on 3 June 2019.

Shrestha S, Ahmad T, Shrestha PK. Sustainability of ODF in Nepal: Transformation towards sustainable and resilient WASH services, 41st WEDC International Conference, Egerton University, Nakuru, Kenya. 2018:1-6. Available at: conference/41/Shrestha-2874.pdf. Assessed on 9 June 2019.

Tyndale-Biscoe P, Bond M, Kidd R. ODF sustainability study; 2013. Available at: Assessed on 5 June 2019.

Anuradha R, Dutta R, Raja JD, Lawrence D, Timsi J, Sivaprakasam P. Role of community in Swachh Bharat Mission: Their Knowledge, attitude and practices of sanitary latrine usage in rural areas, Tamil Nadu. Indian J Community Med. 2017;42:107-10.

World Bank. Data: People practicing open defecation, urban (% of urban population), 2019. Available at: SH.STA.ODFC.UR.ZS. Assessed on 5 November 2019.