Women’s sanitation practices in informal settlements: A multi-level analysis of factors influencing utilisation in Nairobi, Kenya
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© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. For decades, countries throughout the world have failed to meet sanitation-related development goals. Access to safe sanitation is undeniably linked to improved health outcomes; yet, 2.4 billion people, globally, still lack access. The persistent failure to meet sanitation goals suggests that our understanding of the factors that influence sustainable sanitation access and utilisation is incomplete. Despite growing availability of toilets in informal settlements, there is evidence that women, in particular, may adopt other strategies for managing their sanitation needs. Empirical data documenting the motivations underlying such practices in sub-Saharan Africa are limited. This study uses cross-sectional data collected in 2016 from women in Mathare Valley Informal Settlement in Nairobi, Kenya. Boosted and logistic regressions were used to investigate which factors were associated with women’s common sanitation patterns. Lack of privacy and insecurity at toilets and neighbourhood disorganisation emerged as important factors–particularly for women who reported regularly using buckets or plastic bags for urination/defecation. These findings suggest that availability of toilets may not be enough to eliminate sanitation-related health risks in informal settlements. Future interventions may need to address other barriers to sanitation access if sustainable gains in this important public health area are to be achieved.
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Drivers of women’s sanitation practices in informal settlements in sub-Saharan Africa: a qualitative study in Mathare Valley, KenyaWinter, Sam; Barchi, F.; Dzombo, M. (2018)Despite evidence suggesting women are disproportionately affected by the lack of adequate and safe sanitation facilities around the world, there is limited information about the factors that influence women’s ability to ...
Context matters: A multicountry analysis of individual- and neighbourhood-level factors associated with women's sanitation use in sub-Saharan AfricaWinter, Sam; Dreibelbis, R.; Barchi, F. (2017)Objectives: To identify cross-national trends in factors associated with women's sanitation use in sub-Saharan Africa. Methods: Using data from Demographic and Health Surveys conducted in 14 SSA countries between 2008 and ...
Winter, Sam; Barchi, F.; Dzombo, M. (2018)© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. Evidence suggests sanitation development is more effective when women are involved. The purpose of this study was to provide women with an opportunity ...