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Exploring barriers to the adoption and utilization of improved latrine facilities in rural Ethiopia: An Integrated Behavioral Model for Water, Sanitation and Hygiene (IBM-WASH) approach
Even though evidence shows that access to and use of improved latrines is related to healthful families and the public, obstacles to the adoption and use of improved latrine facilities remain. Globally, not many inquiries appear to have been carried out to satisfactorily inform us regarding the multi-level barriers influencing the adoption and utilization of improved latrines facilities. Related studies in Ethiopia are even fewer.
Two qualitative data gathering methods, viz., key informant interviews and focus group discussions, were employed to collect data for this study. A total of fifteen focus group discussions were conducted with members of the community in the rural Wonago district of Ethiopia. Similarly, ten key informant interviews were conducted with water, sanitation, and hygiene officers, and health extension workers responsible for coordinating sanitation and hygiene activities. Open code software 4.03 was used for thematic analysis.
Barriers to adoption and use of improved latrine facilities were categorized into Contextual factors (e.g. Gender, educational status, personal preference for using the field, limited space, population density, the status of land ownership), Psychosocial factors (Culture, beliefs, attitudes, and perceptions of minimal health threat from children's feces), and Technological factors (inconveniences in acquiring materials and cost of constructing a latrine).
There are a series of multi-leveled barriers to the sustained adoption and use of latrines. Providing funding opportunities for the underprivileged and offering training on the engineering skills of latrine construction at the community level based on the contextual soil circumstances could expand the latrine coverage and use. Similarly, taking into account the variability in motivations for adopting and using latrines among our study in Ethiopia and other studies, we implore public health experts to recognize behaviors and norms in their target communities in advance of implementing sanitation interventions.
Journal Article
Toilets
Have you ever wondered how a toilet functions? There is interestingscience behind this simple machine. This title describes how the various parts of a toilet operate together to make quick work of a dirty job.
Book
Remaking the john : the invention and reinvention of the toilet
From ancient pit toilets to high-tech solar inventions that recycle and reuse human waste, Remaking the John tells the fascinating story of the toilet and its many incarnations over the centuries and across cultures.
Book
Bathroom Battlegrounds
Today's debates about transgender inclusion and public restrooms may seem unmistakably contemporary, but they have a surprisingly long and storied history in the United States-one that concerns more than mere \"potty politics.\" Alexander K. Davis takes readers behind the scenes of two hundred years' worth of conflicts over the existence, separation, and equity of gendered public restrooms, documenting at each step how bathrooms have been entangled with bigger cultural matters: the importance of the public good, the reach of institutional inclusion, the nature of gender difference, and, above all, the myriad privileges of social status. Chronicling the debut of nineteenth-century \"comfort stations,\" twentieth-century mandates requiring equal-but-separate men's and women's rooms, and twenty-first-century uproar over laws like North Carolina's \"bathroom bill,\" Davis reveals how public restrooms are far from marginal or unimportant social spaces. Instead, they are-and always have been-consequential sites in which ideology, institutions, and inequality collide.
eBook
Toilets tank! : their inner workings
\"Get ready for some literal bathroom reading. Discover the story behind their home's most under appreciated feature. From facts on how much bodily waste the average person releases a day to information on what the first \"toilets\" were like. Readers will learn about why we need sanitation and where our waste goes when we flush.\"-- Provided by publisher.
Book
Inadequate sanitation in healthcare facilities: A comprehensive evaluation of toilets in major hospitals in Dhaka, Bangladesh
Lack of access to functional and hygienic toilets in healthcare facilities (HCFs) is a significant public health issue in low- and middle-income countries (LMICs), leading to the transmission of infectious diseases. Globally, there is a lack of studies characterising toilet conditions and estimating user-to-toilet ratios in large urban hospitals in LMICs. We conducted a cross-sectional study in 10-government and two-private hospitals to explore the availability, functionality, cleanliness, and user-to-toilet ratio in Dhaka, Bangladesh.
From Aug-Dec 2022, we undertook infrastructure assessments of toilets in selected hospitals. We observed all toilets and recorded attributes of intended users, including sex, disability status, patient status (in-patient/out-patient/caregiver) and/or staff (doctor/nurse/cleaner/mixed-gender/shared). Toilet functionality was defined according to criteria used by the WHO/UNICEF Joint-Monitoring Programme in HCFs. Toilet cleanliness was assessed, considering visible feces on any surface, strong fecal odor, presence of flies, sputum, insects, and rodents, and solid waste.
Amongst 2875 toilets, 2459 (86%) were observed. Sixty-eight-percent of government hospital toilets and 92% of private hospital toilets were functional. Only 33% of toilets in government hospitals and 56% in private hospitals were clean. A high user-to-toilet ratio was observed in government hospitals' outpatients service (214:1) compared to inpatients service (17:1). User-to-toilet ratio was also high in private hospitals' outpatients service (94:1) compared to inpatients wards (19:1). Only 3% of toilets had bins for menstrual-pad disposal and <1% of toilets had facilities for disabled people.
A high percentage of unclean toilets coupled with high user-to-toilet ratio hinders the achievement of SDG by 2030 and risks poor infection-control. Increasing the number of usable, clean toilets in proportion to users is crucial. The findings suggest an urgent call for attention to ensure basic sanitation facilities in Dhaka's HCFs. The policy makers should allocate resources for adequate toilets, maintenance staff, cleanliness, along with strong leadership of the hospital administrators.
Journal Article
Toilets from then to now
\"This book for elementary readers describes the sequence of inventions that brought us from outdoor cesspits to today's smart toilets, complete with customized user settings. Engaging photos and a running timeline illustrate important ideas and inventions that have changed the way we dispose of our waste. A glossary, further resources, and an index are included\"-- Provided by publisher.
Book
Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas
Access to safe sanitation facilities remains a critical public health concern, especially in rapidly urbanizing countries like Ghana. This study investigates the determinants of household toilet ownership among property owners in three urban districts in Ghana. Using a cross-sectional survey design, data were collected from 1,256 property owners selected through a multi-stage stratified sampling procedure. Logistic regression analysis revealed that toilet ownership is significantly associated with the age and education level of property owners, community classification, building characteristics, and household income. Older property owners were more likely to own toilets (OR = 1.014 per year increase), as were those with higher education levels (OR = 1.752 for secondary, OR = 4.489 for tertiary education). Medium-class communities (OR = 2.013) completed buildings (OR = 2.625), and those constructed with sandcrete (OR = 12.755) were more likely to have toilets. Higher household income (OR = 1.00) correlated positively with toilet ownership. We conclude that enforcing building regulations requiring toilet facilities in all properties is crucial for improving sanitation in urban Ghana. Additionally, innovative sanitation financing interventions that subsidize the costs of sanitation facilities can be effective in addressing financial barriers and increasing household toilet ownership.
Journal Article