Patterns and Drivers of Household Sanitation Access and Sustainability in Kwale County, Kenya.
Patterns and Drivers of Household Sanitation Access and Sustainability in Kwale County, Kenya.
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DOI：
10.1021/acs.est.0c05647
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发表时间：
2021-05-04
影响因子：
11.4
通讯作者：
Oswald WE
中科院分区：
文献类型：
--
作者：
Legge H;Halliday KE;Kepha S;Mcharo C;Witek-McManus SS;El-Busaidy H;Muendo R;Safari T;Mwandawiro CS;Matendechero SH;Pullan RL;Oswald WE
许多卫生干预措施的可持续性较差。未能维护或更换厕所设施有可能使社区暴露在环境病原体之下，但人们对推动项目寿命以外可持续使用的因素知之甚少。利用肯尼亚夸莱县1666户家庭的队列数据，我们调查了2015至2017年间卫生设施可获得性变化的相关因素。卫生设施准入的定义是进入家庭大院内功能正常和正在使用的经过改进或未改进的设施。Logistic回归模型中包括了一系列背景、心理和技术协变量，以估计它们与(1)维持卫生设施可获得性的几率和(2)获得卫生设施可获得性的几率之间的关系。在两年多的时间里，28.3%的家庭能够获得卫生设施，4.7%的家庭失去了卫生设施，17.7%的家庭获得了卫生设施，49.2%的家庭仍然无法获得卫生设施。与家庭维持卫生设施的几率增加相关的因素包括不共享设施和存在实心可清洗的板材。与家庭获得卫生设施机会增加相关的因素包括至少受过中学教育的户主、粗糙的土壤碎屑水平以及较高的当地卫生设施覆盖率。这项研究的结果可用于卫生项目，以提高最初和持续采用卫生设施的比率。
Many sanitation interventions suffer from poor sustainability. Failure to maintain or replace toilet facilities risks exposing communities to environmental pathogens, yet little is known about the factors that drive sustained access beyond project life spans. Using data from a cohort of 1666 households in Kwale County, Kenya, we investigated the factors associated with changes in sanitation access between 2015 and 2017. Sanitation access is defined as access to an improved or unimproved facility within the household compound that is functional and in use. A range of contextual, psychosocial, and technological covariates were included in logistic regression models to estimate their associations with (1) the odds of sustaining sanitation access and (2) the odds of gaining sanitation access. Over two years, 28.3% households sustained sanitation access, 4.7% lost access, 17.7% gained access, and 49.2% remained without access. Factors associated with increased odds of households sustaining sanitation access included not sharing the facility and presence of a solid washable slab. Factors associated with increased odds of households gaining sanitation access included a head with at least secondary school education, level of coarse soil fragments, and higher local sanitation coverage. Results from this study can be used by sanitation programs to improve the rates of initial and sustained adoption of sanitation.
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影响因子：
4.5
作者：
Dreibelbis R;Winch PJ;Leontsini E;Hulland KR;Ram PK;Unicomb L;Luby SP
通讯作者：
Luby SP
影响因子：
3.7
作者：
Barnard, Sharmani;Routray, Parimita;Clasen, Thomas
通讯作者：
Clasen, Thomas
影响因子：
3.7
作者：
Chunga, Richard M.;Ensink, Jeroen H. J.;Brown, Joe
通讯作者：
Brown, Joe
影响因子：
2.9
作者：
Brooker SJ;Mwandawiro CS;Halliday KE;Njenga SM;Mcharo C;Gichuki PM;Wasunna B;Kihara JH;Njomo D;Alusala D;Chiguzo A;Turner HC;Teti C;Gwayi-Chore C;Nikolay B;Truscott JE;Hollingsworth TD;Balabanova D;Griffiths UK;Freeman MC;Allen E;Pullan RL;Anderson RM
通讯作者：
Anderson RM
影响因子：
9.8
作者：
Aunger R;Curtis V
通讯作者：
Curtis V