Households' access to an improved latrine and its associated factors among households of sanitation marketing products users and non-users, Northeast Amhara, Ethiopia

Asrate, Wendye; Admasie, Amha; Shibabaw, Tebkew

doi:10.1016/j.heliyon.2022.e11325

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…This study did not find evidence that the household head gender, household gender makeup, or gender of decision makers was linked to reaching improved sanitation. This is in agreement with some literature but in contrast to studies of sanitation marketing programs in Vietnam and Ethiopia . The weak relationship between gender and sanitation outcomes is surprising given that at the baseline, male-only and male-headed households were less likely to have latrine access.…”

Section: Resultssupporting

confidence: 90%

“…This is in agreement with some literature 30 but in contrast to studies of sanitation marketing programs in Vietnam 23 and Ethiopia. 24 The weak relationship between gender and sanitation outcomes is surprising given that at the baseline, male-only and male-headed households were less likely to have latrine access. When asked how gender affects specific product choices, participants in 5/8 focus groups agreed that financial considerations drove purchasing habits more than gender, similar to findings from Benin.…”

Section: Resultsmentioning

confidence: 99%

“…However, product affordability, availability of cash, and willingness to pay limit who can participate. , Thomas and Ljung identified factors predicting septic tank sales during a sanitation marketing intervention in Vietnam, including household economic resources and social connections to sales promoters and other septic tank owners . Asrate et al identified predictors of improved latrine access among sanitation marketing product adopters and nonadopters in Ethiopia but provided no evidence that the intervention caused households to reach improved sanitation.…”

Section: Introductionmentioning

confidence: 99%

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Do Sanitation Marketing Activities Increase Households’ Likelihoods of Reaching Improved Sanitation or Involving Women in Decision Making?

Vicario,

Annis,

Namakula

et al. 2023

Environ. Sci. Technol.

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Poor sanitation causes 30% of diarrheal deaths globally, and much of the world has struggled to finance top-down interventions. Sanitation marketing is a demand-led approach that uses a mixture of social and commercial marketing methods and direct sales to households. However, little is known about its impacts on household decision making. This mixed-methods study uses data from eight focus groups and 86,666 household surveys from participants in a five-year sanitation marketing program in Uganda. Logistic regression models identified 10 variables predicting attainment of improved (limited or basic) sanitation and four variables predicting female involvement in decision making. Triggering session attendance increased chances of reaching improved sanitation by 15−28%, depending on who attended, and by 19% if the household found the session motivational. Although women were engaged in decision-making conversations, they were not viewed as primary decision makers, even in female-headed households. Women were more likely to become involved in decision making if they had attended triggering sessions with men (+70%) or engaged with sales promoters alone (+74%) or with men (+78%). For both outcomes, joint activity engagement was more effective than male or female engagement alone. This work highlights two sanitation marketing activities as pathways to improving latrine coverage and women's decision-making agency.

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Section: Resultssupporting

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Do Sanitation Marketing Activities Increase Households’ Likelihoods of Reaching Improved Sanitation or Involving Women in Decision Making?

Vicario,

Annis,

Namakula

et al. 2023

Environ. Sci. Technol.

View full text Add to dashboard Cite

show abstract

“…The result is lower than other studies conducted in Northeast Amhara, Kandahar city in Afghanistan, and small towns in 4 regions of Ethiopia, where 59.8%, 85.7%, and 57% of the households had access to improved latrines, respectively. 26,38,39 This variation could be associated with poor urban service provisions, socioeconomic factors, and unplanned settlement in the peri-urban, and informal settlement settings in the study area. This finding is higher than the findings from Ethiopia (25.4%) and Ghana (12%).…”

Section: Discussionmentioning

confidence: 97%

Access to Drinking Water, Sanitation, and Hand Hygiene Facilities in the Peri-Urban and Informal Settlements of Hosanna Town, Southern Ethiopia

Aydamo,

Gari,

Mereta

2023

Environ�Health�Insights

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Access to water, sanitation, and hygiene (WASH) facilities and practices have been extensively studied in urban and rural areas. However, there is a paucity of information on the coverage of water, sanitation, and hygiene facilities in the peri-urban and informal settlement areas, which could potentially exacerbate the spread of water, sanitation, and hygiene-related diseases. Therefore, this study was designed to examine access to drinking water, sanitation, and hand hygiene facilities and their determinant factors in the peri-urban and informal settlements of Hosanna town. A community-based cross-sectional study involving 292 households was conducted in 3 kebeles of Hosanna town. The primary data was collected using a pretested structured questionnaire and an observational checklist. Bivariate and multivariable logistic regressions were used to analyze the data. All the households (100%) had access to piped water on and off-premises, but the reliability of the water sources was a big challenge. Findings revealed that only 35.1% and 16.8% of the households had basic sanitation and basic handwashing facilities, respectively. Households with a middle income were identified as a determinant factor for the presence of piped water on premises (AOR = 2.23; 95% CI = 1.24-4.00), improved sanitation (AOR = 2.17; 95% CI = 1.17-4.03) and handwashing facilities (AOR = 4.36; 95% CI = 1.98-9.62). Piped water on premises was also another strong predictor of the availability of improved sanitation (AOR = 3.34; 95% CI = 1.99-5.62) and handwashing facilities (AOR = 8.18; 95% CI = 4.08-16.42). The majority of the studied households living in the selected peri-urban and informal settlements had access to unreliable drinking water sources. The study also revealed that households had poor access to basic sanitation and basic handwashing facilities. Hence, the findings call for solid government interventions to improve the reliability of the drinking water sources, basic sanitation coverage, and availability of basic handwashing facilities.

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How do capable village cadres influence the effectiveness of rural living environment improvement? Empirical evidence from China

Yi,

Zhu,

Zhao

et al. 2024

Heliyon

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Households' access to an improved latrine and its associated factors among households of sanitation marketing products users and non-users, Northeast Amhara, Ethiopia

Cited by 5 publications

References 7 publications

Do Sanitation Marketing Activities Increase Households’ Likelihoods of Reaching Improved Sanitation or Involving Women in Decision Making?

Do Sanitation Marketing Activities Increase Households’ Likelihoods of Reaching Improved Sanitation or Involving Women in Decision Making?

Access to Drinking Water, Sanitation, and Hand Hygiene Facilities in the Peri-Urban and Informal Settlements of Hosanna Town, Southern Ethiopia

How do capable village cadres influence the effectiveness of rural living environment improvement? Empirical evidence from China

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