Impact of Indian Total Sanitation Campaign on Latrine Coverage and Use: A Cross-Sectional Study in Orissa Three Years following Programme Implementation
Impact of Indian Total Sanitation Campaign on Latrine Coverage and Use: A Cross-Sectional Study in Orissa Three Years following Programme Implementation
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DOI：
10.1371/journal.pone.0071438
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发表时间：
2013-08-21
期刊：
影响因子：
3.7
通讯作者：
Clasen, Thomas
中科院分区：
文献类型：
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作者：
Barnard, Sharmani;Routray, Parimita;Clasen, Thomas
背景：面对在实现卫生目标方面存在的巨大差距，一些政府实施了一些运动，利用侧重于厕所建设的补贴来克服收入限制，并迅速扩大覆盖范围。在像印度农村这样露天排便很常见的环境中，这可能导致不理想的依从性（使用），从而继续使人口暴露于人类排泄物。方法：我们进行了一项横断面研究，调查印度奥里萨邦20个村庄（447户，1933人）的厕所覆盖率和使用情况，印度政府在至少三年前实施了“全面卫生运动”。我们将覆盖率定义为拥有厕所的家庭比例；对于使用，我们确定了至少有一个报告用户的家庭比例，其中每个家庭成员报告使用的程度。结果：农村平均厕所覆盖率为72%（与农村相比）
Background: Faced with a massive shortfall in meeting sanitation targets, some governments have implemented campaigns that use subsidies focused on latrine construction to overcome income constraints and rapidly expand coverage. In settings like rural India where open defecation is common, this may result in sub-optimal compliance (use), thereby continuing to leave the population exposed to human excreta.Methods: We conducted a cross-sectional study to investigate latrine coverage and use among 20 villages (447 households, 1933 individuals) in Orissa, India where the Government of India's Total Sanitation Campaign had been implemented at least three years previously. We defined coverage as the proportion of households that had a latrine; for use we identified the proportion of households with at least one reported user and among those, the extent of reported use by each member of the household.Results: Mean latrine coverage among the villages was 72% (compared to