Authors :
Kibet Jackson; Lilian Mukiri Kirimi; Kirema Nkanata Mburugu; Grace Kasiva Eliud
Volume/Issue :
Volume 9 - 2024, Issue 9 - September
Google Scholar :
https://tinyurl.com/bde6z2sv
Scribd :
https://tinyurl.com/yhvfm5jx
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24SEP284
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
The primary objective of Sustainable
Development Goal 6 target 2 is to achieve widespread
accessibility to sufficient sanitation and hygiene facilities,
therefore eliminating the practice of open defecation by the
year 2030. One strategy for achieving this objective
involves the implementation of Community-Led Total
Sanitation (CLTS), a participatory method that allows
communities to take on accountability for their sanitation
behaviors. However, sustaining favorable changes after the
implementation of the intervention continues to be a
significant obstacle. The objective of this study was to
investigate the influence of perceived health risk factors on
adoption of Community-Led Total Sanitation. The study
was carried out on the household members of Lodwar
township and Kalokol ward, targeting a sample size of 382
respondents The research utilized a convergent design
methodology, which combined quantitative and qualitative
data collection methods, enabling the simultaneous
gathering of both types of data. Quantitative data were
collected using structured questionnaires and observation
checklist, while qualitative data were collected from Focus
Group Discussions. A stratified sampling technique was
applied to group the village units into strata and simple
random sampling used in selection of household heads.
Qualitative results were structured into themes and direct
quotes. The study determined that an increase in perceived
knowledge regarding health risks was associated with a
higher likelihood of latrine presence (p-value< 0.05).
Findings from multiple regression analysis also showed
that education level was a significant predictor for
awareness, understanding, and knowledge (p=0.000<0.05),
while gender demonstrated a significant negative
relationship with awareness and understanding p= -0.2573,
suggested males score lower in these areas compared to
females. Age correlated positively with awareness and was
marginally significant for understanding (p=0.043),
indicating that older individuals had higher scores. The
study concluded that increased knowledge regarding
health risk in terms of vulnerability and susceptibility
influenced latrine presence at the households and thus the
adoption of community-led total sanitation programs in
Turkana Central Sub-County. The study highlighted the
critical role of knowledge in achieving open defecation-free
status in the area. The study recommended that CLTS
interventions by the Ministry of Health and sanitation
implementers place a particular focus on knowledge
enhancement, to ensure that communities are better
informed, which could lead to a higher likelihood of
adopting improved sanitation practices, thereby reducing
the prevalence of open defecation and related health issues.
Keywords :
Sustainable Development Goals, Community-Led Total Sanitation, Open Defecation, RANAS.
References :
- Alemu, F., Eba, K., Bonger, Z. T., Youya, A., Gerbaba, M. J., Teklu, A. M., & Medhin, G. J. B. H. S. R. (2023). The effect of a health extension program on improving water, sanitation, and hygiene practices in rural Ethiopia. 23(1), 836.
- Bouchard, M. E., Kan, K., Tian, Y., Casale, M., Smith, T., De Boer, C., . . . Ghomrawi, H. M. J. J. n. o. (2022). Association between neighborhood-level social determinants of health and access to pediatric appendicitis care. 5(2), e2148865-e2148865.
- Busienei, P., Ogendi, G., & Mokua, M. J. E. h. i. (2019). Latrine structure, design, and conditions, and the practice of open defecation in Lodwar Town, Turkana County, Kenya: a quantitative methods research. 13, 1178630219887960.
- Contzen, N., & Mosler, H.-J. J. E. A. o. a. h. w. e. c. e. d. e. (2012). The Risks, Attitudes, Norms, Abilities, and Self-regulation (RANAS) approach to systematic behavior change.
- Creswell, J. W., Fetters, M. D., & Ivankova, N. V. J. T. A. o. F. M. (2004). Designing a mixed methods study in primary care. 2(1), 7-12.
- Gitari, F. M., Makokha, M. K., Shisanya, C. A., & Mbugua, D. J. O. A. L. J. (2022). Effects of Oil Production on Groundwater Levels in Lokichar Basin, Turkana County, Kenya. 9(4), 1-16.
- Karanja, P., Gathu, C., & Nzisa, E. (2018). Implementing community led total sanitation in Turkana County.
- Kasiva, E. G. (2023). Influence of Social Cultural Factors and Latrine Status on Adoption of Sanitation Practices in Rural Areas a Case of Nzaui Sub-County, Makueni County, Kenya. Meru University of Science and Technology,
- Larionova, M. J. I. O. R. J. (2020). The challenges of attaining the millennium development goals (MDGs). 15(1), 155-176.
- Mara, D., Evans, B. J. J. o. W., Sanitation, & Development, H. f. (2018). The sanitation and hygiene targets of the sustainable development goals: scope and challenges. 8(1), 1-16.
- Mulopo, C., Kalinda, C., Chimbari, M. J. J. I. j. o. e. r., & health, p. (2020). Contextual and psychosocial factors influencing the use of safe water sources: a case of Madeya Village, uMkhanyakude District, South Africa. 17(4), 1349.
- Nanyim, J. K., Mutaru, A.-M., Gbeti, C., Issahaku, A. R., Abubakari, A., & Wumbei, A. (2022). Socio-Cultural and Economic Determinants of Latrine Ownership and Unitilisation: A Community-Based Survey in Bole District of Ghana.
- Organization, W. H. (2023). Progress on WASH in health care facilities 2000–2021: special focus on WASH and infection prevention and control.
- Roomaney, R., & Coetzee, B. J. O. r. i. r. m. (2018). Introduction to and application of mixed methods research designs. 1-24.
- Russell, S. V., & Knoeri, C. J. I. J. o. W. R. D. (2020). Exploring the psychosocial and behavioural determinants of household water conservation and intention. 36(6), 940-955.
- Venkataramanan, V., Crocker, J., Karon, A., & Bartram, J. J. E. h. p. (2018). Community-led total sanitation: a mixed-methods systematic review of evidence and its quality. 126(2), 026001.
The primary objective of Sustainable
Development Goal 6 target 2 is to achieve widespread
accessibility to sufficient sanitation and hygiene facilities,
therefore eliminating the practice of open defecation by the
year 2030. One strategy for achieving this objective
involves the implementation of Community-Led Total
Sanitation (CLTS), a participatory method that allows
communities to take on accountability for their sanitation
behaviors. However, sustaining favorable changes after the
implementation of the intervention continues to be a
significant obstacle. The objective of this study was to
investigate the influence of perceived health risk factors on
adoption of Community-Led Total Sanitation. The study
was carried out on the household members of Lodwar
township and Kalokol ward, targeting a sample size of 382
respondents The research utilized a convergent design
methodology, which combined quantitative and qualitative
data collection methods, enabling the simultaneous
gathering of both types of data. Quantitative data were
collected using structured questionnaires and observation
checklist, while qualitative data were collected from Focus
Group Discussions. A stratified sampling technique was
applied to group the village units into strata and simple
random sampling used in selection of household heads.
Qualitative results were structured into themes and direct
quotes. The study determined that an increase in perceived
knowledge regarding health risks was associated with a
higher likelihood of latrine presence (p-value< 0.05).
Findings from multiple regression analysis also showed
that education level was a significant predictor for
awareness, understanding, and knowledge (p=0.000<0.05),
while gender demonstrated a significant negative
relationship with awareness and understanding p= -0.2573,
suggested males score lower in these areas compared to
females. Age correlated positively with awareness and was
marginally significant for understanding (p=0.043),
indicating that older individuals had higher scores. The
study concluded that increased knowledge regarding
health risk in terms of vulnerability and susceptibility
influenced latrine presence at the households and thus the
adoption of community-led total sanitation programs in
Turkana Central Sub-County. The study highlighted the
critical role of knowledge in achieving open defecation-free
status in the area. The study recommended that CLTS
interventions by the Ministry of Health and sanitation
implementers place a particular focus on knowledge
enhancement, to ensure that communities are better
informed, which could lead to a higher likelihood of
adopting improved sanitation practices, thereby reducing
the prevalence of open defecation and related health issues.
Keywords :
Sustainable Development Goals, Community-Led Total Sanitation, Open Defecation, RANAS.