Authors :
Simiyu Kelly; Josephine Mutembei; Jane Kawira Mberia; Grace Kasiva Eliud
Volume/Issue :
Volume 10 - 2025, Issue 8 - August
Google Scholar :
https://tinyurl.com/mv369ncb
Scribd :
https://tinyurl.com/mr47u3u6
DOI :
https://doi.org/10.38124/ijisrt/25aug127
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
Fecal-oral infections in Magarini Sub County remain a critical public health challenge, largely due to the
insufficient execution of the Community Led Total Sanitation (CLTS) approach initiated by the Ministry of Health. Around
5.6 million Kenyans still engage in open defecation, underscoring the urgent need for improved sanitation measures. This
research examined the socio-economic determinants affecting the sustained adoption of CLTS-induced sanitation
enhancements in the area. A convergent research methodology was used, gathering quantitative data via structured
questionnaires from 388 household heads, chosen through stratified and proportionate random sampling. Data analysis was
conducted using SPSS version 25, generating descriptive and inferential statistics to assess variable relationships.
The results revealed a notable link between location and religion in Magarini Sub-County, with a chi-square value (χ2)
of 34.558, 20 degrees of freedom, and a p-value of 0.027. This suggests that geographic factors moderately influence religious
affiliation, as indicated by a Cramer’s V coefficient of 0.162. However, no significant correlation was found between
education levels and population distribution. These outcomes emphasize the importance of culturally and socially tailored
policies that account for regional and religious variations.
The study also identified personal savings and agricultural assets as key drivers in maintaining sanitation efforts.
Sustainable financing approaches, community involvement, employment earnings, and government backing were deemed
essential for long-term CLTS success. Dependence on these economic resources highlights the need for strategies that
strengthen financial security and promote sanitation advancements. Policymakers and education leaders can leverage these
findings to refine educational strategies and address sanitation disparities among different community segments.
Further research was recommended to explore household income and education as determinants of infrastructure
requirements for lasting sanitation improvements in Magarini Sub County. Tackling these socio-economic barriers and
cultivating an enabling environment could enhance sanitation and hygiene, thereby lowering the prevalence of fecal-oral
infections in the region.
Keywords :
Socio-Economic Factors, Sanitation Interventions, Sanitation Practices, Improved Sanitation.
References :
- Ahmed, H. M., & Muhammed, S. S. (2011). The health impact of improving environmental sanitation through community involvement in Karrari locality, Khartoum State. International Journal of Science and Research, 3(8), 490-495.
- Ahmed, M., Hoque, M. A., Sarkar, M. S. K. A., Chowdhury, M. A. I., & Begum, A. (2014). Socio-cultural evaluation of sanitation hygiene in Sylhet city of Bangladesh. ARPN Journal of Engineering and Applied Sciences, 1(3).
- Amoah, I. D., Adegoke, A. A., & Stenström, T. A. (2018). Soil‐ transmitted helminth infections associated with wastewater and sludge reuse: a review of current evidence. Tropical Medicine & International Health, 23(7), 692-703.
- AMREF. (2009). Mid-Term Evaluation Report; Magadi Integrated Health Project; Maternal, New Born and Child health ―Boma Delivery Model‖, AMREF, Nairobi.
- AMREF. (2010). End Term Evaluation of The Maternal Newborn and Child Health (Mnch) Boma Delivery Model- Magadi Ward, AMREF, Nairobi.
- Biran, A., Jenkins, M. W., Dabrase, P., & Bhagwat, I. (2011). Patterns and determinants of communal latrine usage in urban poverty pockets in Bhopal, India. Tropical medicine & international health, 16(7), 854-862.
- Biran, A., Rabie, T., Schmidt, W., Juvekar, S., Hirve, S., & Curtis, V. (2008). Comparing the performance of indicators of hand-washing practices in rural Indian households. Tropical Medicine and International Health. https://doi.org/10.1111/j.1365-3156.2007.02001.x
- Boros, D. L. (1989). Immunopathology of Schistosoma mansoni infection. Clinical Microbiology Reviews. https://doi.org/10.1128/CMR.2.3.250
- Bos, R., Gore, F., & Bartram, J. (2008). Safer Water, Better Health: Costs, Benefits and Sustainability of Interventions to Protect and Promote Health. World Health Organization. https://doi.org/ISBN 9789241596435
- Fewtrell, L., Kaufmann, R. B., Kay, D., Enanoria, W., Haller, L., & Colford, J. M. (2005). Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis. The Lancet infectious diseases, 5(1), 42-52.
- Godfrey, S., Van der Velden, M., Muianga, A., Xavier, A., Downs, K., Morgan, C., & Bartram, J. (2014). Sustainability check: five-year annual sustainability audits of the water supply and open defecation free status in the ‘one million initiatives’, Mozambique. Journal of water, sanitation and hygiene for development, 4(3), 471-483.
- Grant, J. P. (2002). The State of the World's Children 2008. UNICEF, New York.
- Makoni, F. S., Ndamba, J., Mbati, P. A., & Manase, G. (2014). Impact of waste disposal on health of a poor urban community in Zimbambwe. East African medical journal, 81(8), 422-426.
- Rabbi, S. E. & Dey, N. C. (2013). Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study. BMC public health, 13(1),
- Raso, G., Luginbühl, A., Adjoua, C. A., Tian-Bi, N. T., Silué, K. D., Matthys, B., & Utzinger, J. (2004). Multiple parasite infections and their relationship to self-reported morbidity in a community of rural Côte d'Ivoire. International journal of epidemiology, 33(5), 1092-1102. https://doi.org/10.1093/ije/dyh241
- Reich, M. R., Govindaraj, R., Dumbaugh, K., Yang, B. M., Brinkmann, A., El-Saharty, S., & World Health Organization. (1998). International strategies for tropical disease treatments: Experiences with praziquantel (No. WHO/DAP/CTD/98.5). World Health Organization.
- Sakari, S. S. W., Mbugua, A. K., & Mkoji, G. M. (2017). Prevalence of soil-transmitted helminthiases and schistosomiasis in preschool age children in Mwea division, Kirinyaga south district, Kirinyaga County, and their potential effect on physical growth. Journal of Tropical Medicine, 2017. https://doi.org/10.1155/2017/1013802
- Sakeah, E., McCloskey, L., Bernstein, J., Yeboah-Antwi, K., Mills, S., & Doctor, H. V. (2014). Is there any role for community involvement in the community-based health planning and services skilled delivery program in rural Ghana? BMC health services research, 14(1), 1-14.
- World Health Organization. (2012). Schistosomiasis: population requiring preventive chemotherapy and number of people treated in 2010. Weekly Epidemiological Record, 87(04), 37-44. https://doi.org/10.1016/j.actatropica.2012.04.013.
- World Health Organization. (2015). Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. World Health Organisation. https://doi.org/978 92 4 156511 0
Fecal-oral infections in Magarini Sub County remain a critical public health challenge, largely due to the
insufficient execution of the Community Led Total Sanitation (CLTS) approach initiated by the Ministry of Health. Around
5.6 million Kenyans still engage in open defecation, underscoring the urgent need for improved sanitation measures. This
research examined the socio-economic determinants affecting the sustained adoption of CLTS-induced sanitation
enhancements in the area. A convergent research methodology was used, gathering quantitative data via structured
questionnaires from 388 household heads, chosen through stratified and proportionate random sampling. Data analysis was
conducted using SPSS version 25, generating descriptive and inferential statistics to assess variable relationships.
The results revealed a notable link between location and religion in Magarini Sub-County, with a chi-square value (χ2)
of 34.558, 20 degrees of freedom, and a p-value of 0.027. This suggests that geographic factors moderately influence religious
affiliation, as indicated by a Cramer’s V coefficient of 0.162. However, no significant correlation was found between
education levels and population distribution. These outcomes emphasize the importance of culturally and socially tailored
policies that account for regional and religious variations.
The study also identified personal savings and agricultural assets as key drivers in maintaining sanitation efforts.
Sustainable financing approaches, community involvement, employment earnings, and government backing were deemed
essential for long-term CLTS success. Dependence on these economic resources highlights the need for strategies that
strengthen financial security and promote sanitation advancements. Policymakers and education leaders can leverage these
findings to refine educational strategies and address sanitation disparities among different community segments.
Further research was recommended to explore household income and education as determinants of infrastructure
requirements for lasting sanitation improvements in Magarini Sub County. Tackling these socio-economic barriers and
cultivating an enabling environment could enhance sanitation and hygiene, thereby lowering the prevalence of fecal-oral
infections in the region.
Keywords :
Socio-Economic Factors, Sanitation Interventions, Sanitation Practices, Improved Sanitation.