Effects of Community-Led Total Sanitation (CLTS) Boosting and Household Factors on Latrine Ownership in Siaya County, Kenya

Job Wasonga, Kazuchiyo Miyamichi, Mami Hitachi, Rie Ozaki, Mohamed Karama, Kenji Hirayama and Satoshi Kaneko ()
Additional contact information
Job Wasonga: Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan
Kazuchiyo Miyamichi: Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
Mami Hitachi: Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
Rie Ozaki: Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan
Mohamed Karama: Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya
Kenji Hirayama: School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8523, Japan
Satoshi Kaneko: Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan

IJERPH, 2023, vol. 20, issue 18, 1-12

Abstract: Community-led total sanitation (CLTS) is a widely used approach for enhancing sanitation practices. However, the impact of boosted CLTS on household latrine ownership has not been adequately evaluated. This study aims to investigate the factors associated with latrine possession among households, with a specific focus on single and CLTS-boosting implementation. A community-based repeated cross-sectional study was conducted in Siaya County, Kenya, involving 512 households at the baseline and 423 households at the follow-up. Data were analyzed using the mixed-effects logistic regression model. At the baseline, latrine possession was significantly associated with CLTS implementation (adjusted OR [aOR]: 3.01; 95% confidence interval [CI]: 1.41–6.44), literacy among households (aOR: 1.83; 95% CI: 1.12–2.98) and higher socioeconomic status (SES) (second level: aOR: 2.48; 95% CI:1.41–4.36, third level: aOR: 3.11; 95% CI: 1.76–5.50, fourth level: aOR: 10.20; 95% CI: 5.07–20.54). At follow-up, CLTS boosting (aOR: 7.92; 95% CI: 1.77–35.45) and a higher SES were associated with increased latrine ownership (second level: aOR: 2.04; 95% CI: 0.97–4.26, third level: aOR: 7.73; 95% CI: 2.98–20.03, fourth level: aOR: 9.93; 95% CI: 3.14–28.35). These findings highlight the significant role played by both single and CLST boosting in promoting universal latrine ownership and empowering vulnerable households to understand the importance of sanitation and open defecation-free practices.

Keywords: community-led total sanitation; open defecation; latrine possession; Kenya (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/18/6781/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/18/6781/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:18:p:6781-:d:1242610

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().