Category Archives: Regions

Factors Associated With Pupil Toilet Use in Kenyan Primary Schools

Factors Associated With Pupil Toilet Use in Kenyan Primary Schools. Int. J. Environ. Res. Public Health, 2014, 11(9), 9694-9711; doi:10.3390/ijerph110909694

Joshua V. Garn, Bethany A. Caruso, et al.

The purpose of this study was to quantify how school sanitation conditions are associated with pupils’ use of sanitation facilities. We conducted a longitudinal assessment in 60 primary schools in Nyanza Province, Kenya, using structured observations to measure facility conditions and pupils’ use at specific facilities. We used multivariable mixed regression models to characterize how pupil to toilet ratio was associated with toilet use at the school-level and also how facility conditions were associated with pupils’ use at specific facilities.

We found a piecewise linear relationship between decreasing pupil to toilet ratio and increasing pupil toilet use (p < 0.01). Our data also revealed significant associations between toilet use and newer facility age (p < 0.01), facility type (p < 0.01), and the number of toilets in a facility (p < 0.01). We found some evidence suggesting facility dirtiness may deter girls from use (p = 0.06), but not boys (p = 0.98).

Our study is the first to rigorously quantify many of these relationships, and provides insight into the complexity of factors affecting pupil toilet use patterns, potentially leading to a better allocation of resources for school sanitation, and to improved health and educational outcomes for children.

Unclogging the Blockages in Sanitation

Unclogging-Blockages-brochure

Perhaps one of the more ignored or misunderstood elements of water poverty by the general population and even the charitable sector is sanitation services. When you think about providing clean water, you conjure images of clear drinking water pouring out of a tap or buckets of well water used to water crops and serve livestock.

But then there’s the other stuff—the stuff that is not as pretty to think about or even to deal with, but is just as important—like unclogging toilets, and building latrines, and providing sanitary napkin containers and services for female students. That’s all sanitation.

The first Unclogging the Blockages conference organised by IRC, PSI, Water for People and WSUP Enterprises, took place on February 18-20, 2014 in Kampala, Uganda. More than 170 people from in and out of the sector and around the world came together to explore the various challenges for sanitation as a business (SAAB) and began working on short and long-term solutions.

Participants identified seven key components to SAAB: (1) public sector; (2) business models; (3) finance; (4) technology; (5) demand creation and behaviour change; (6) monitoring; and (7) intersectoral links.

For each component participants plotted out potential outcomes and ways forward based on their ideas and a 30-day challenge, for example:

Business Models
Blockage: lack of models that are pro-poor inclusive; lack of understanding of technology
Desired outcome: Consumer understanding/happiness: Families say, “The toilet is my favorite part of the house.”
30-Day Challenge: Know your customers deeply for better service and success. —Advocacy through creative formats, get to the point and make it attractive, prove we have results.

The full set of action plans with a detailed breakdown by tasks and groups responsible for each of the seven themes is in the Unclogging the Blockages report. The Conference report and an accompanying factsheet are available at: www.ircwash.org/resources/unclogging-blockages-sanitation-business

A full set of conference materials including Powerpoint presentations can be found on the SuSanA website at: www.susana.org/en/events/past-event-pages/details/8

Three articles published in the July 2014 edition of Waterlines emerged from the conference:

Mulumba, J.N., Nothomb, C., Potter, A. and Snel, M. 2014. Striking the balance : what is the role of the public sector in sanitation as a service and as a business? Waterlines, vol. 33, no. 2, pp. 195-210. DOI: 10.3362/2046-1887.2014.021

Rojas Williams, S.M. and Sauer, J. 2014. Unclogging the blockages in sanitation : inter-sector linkages. Waterlines, vol. 33, no. 2, pp. 211-219. DOI: 10.3362/2046-1887.2014.022

Sugden, S., 2014. Latrine design: go in peace. Waterlines, vol. 33, no. 2, pp. 220-239. DOI: 10.3362/1756-3488.2014.023

Measuring the Safety of Excreta Disposal Behavior in India with the New Safe San Index: Reliability, Validity and Utility

Measuring the Safety of Excreta Disposal Behavior in India with the New Safe San Index: Reliability, Validity and Utility. Int. J. Environ. Res. Public Health 2014, 11(8), 8319-8346.

Marion W. Jenkins 1,2,*, Matthew C. Freeman 3 and Parimita Routray 2
1 Department of Civil and Environmental Engineering, University of California Davis, One Shields Ave., Davis, CA 95616, USA
2 Environmental Health Group, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
3 Department of Environmental Health, Rollings School of Public Health, Emory University, Atlanta, GA 30322, USA
* Author to whom correspondence should be addressed.

Abstract: Methods to assess household excreta disposal practices are critical for informing public health outcomes of efforts to improve sanitation in developing countries. We present a new metric, the Safe San Index (SSI), to quantify the hygienic safety of a household’s defecation and human feces disposal practices in India, where behavioral outcomes from on-going public expenditures to construct household sanitation facilities and eliminate open defecation are poorly measured. We define hygienic safety of feces disposal as capture in a hygienic sanitation facility.

The SSI consists of 15 self-report items and two sub-scales, Latrine Use Frequency and Seven-Day Open Defecation Rate. Households are scored on a standardized scale from 0 (no defecation safely captured) to 100 (all defecation safely captured). We present results of a pilot study in Odisha, India to apply the Index to assess excreta disposal behaviors among rural households and evaluate the reliability and validity of the Index for estimating the rate of correct and consistent sanitation facility usage of household with an improved latrine.

Uganda – 1st National Conference on Menstrual Hygiene Management, 2014

The theme of the conference was Break the Silence on Menstruation, Keep the Girls in School. menstruation_health_book-2

Author: Netwas Uganda

The conference had 4 objectives; a) to raise awareness on the impact of poor menstrual management, b) advocate for policy review, c) develop strategies for operationalizing existing policy, d) demonstrate sustainable good practices on menstrual management. The overall aim was to explore how best the School Health Policy can ensure girls get all the support they need to complete school and reach their full potential.

Kenya – Ministry alarmed by ‘long calls’ along highways, to build toilets along Nairobi-Nakuru highway

Kenya – Ministry alarmed by ‘long calls’ along highways, to build toilets along Nairobi-Nakuru highway | Source: by Antony Gitonga, Standard Digital, Aug 8, 2014 |

NAKURU COUNTY: The ministry of health has expressed its concern over the high number of people who defecate in the open mainly along the main highways in the country. Following the revelation, Nakuru County has announced plans in major centres along the Nairobi-Nakuru and Naivasha-Mai Mahiu road to construct public toilets. According to the department of health, the open defecation was one of the leading causes in the increase in the number of typhoid and diarrhoea cases in the county.

Nakuru County director of health Dr Benedict Osore with county public health officer Samuel King’ori and USAID's WASHplus project manager Evelyn Makena examine some chairs used for defecation for the disabled at Longonot village in Naivasha. He said that around 300 of the 1,949 villages in the county had been declared open defecation free.  [PHOTO: ANTONY GITONGA/STANDARD]

Nakuru County director of health Dr Benedict Osore with county public health officer Samuel King’ori and USAID’s WASHplus project manager Evelyn Makena examine some chairs used for defecation for the disabled at Longonot village in Naivasha. He said that around 300 of the 1,949 villages in the county had been declared open defecation free. [PHOTO: ANTONY GITONGA/STANDARD]

This emerged during celebrations in Longonot Primary school in Naivasha where Longonot was declared as the first Open Defecation Free (ODF) village in Nakuru County. According to Nakuru County director of health Dr Benedict Osore, open defecation on the highways was a major problem which needed to be addressed urgently.

He said that the county in conjunction with other partners was planning to construct public toilets along the highway which would come in handy for motorists and passengers. “The centres will also offer other services like HIV testing and counselling and the public toilets will help deal in containing cases of diarrhoea and typhoid,” he said. He said that the county was committed to eradicating communicable diseases in the next five years and was working on how to dispose pampers which had turned out to be public nuisance.

On his part, Nakuru county public health officer Samuel King’ori said that around 300 of the 1,949 villages in the county had been declared open defecation free. King’ori said the campaign aimed at sensitizing residents on proper hygiene and had seen the number of sanitation related diseases drop significantly. “So far we have trained 235 public health officers who are tasked with training residents on the use of sanitation as one way of eradication communicable diseases,” he said. “Through ODF we have been able to reduce diarrhoea and typhoid cases by 75 percent and we seek to have them eliminated in the county,” said King’ori.

The campaign which is targeting various villages in the county as one way of reducing disease burden has been funded by USAID Washplus and FHI360. During the celebrations a natural leader Pauline Nduta expressed her concern over the number of passengers defecating along the highways while traveling to their destinations. Nduta said they had formed a group of villagers who were monitoring the situation and sensitizing the passengers on the need to use latrines instead of defecating in the open. “We have seen a drop in the number of typhoid cases amongst our school going children thanks to this campaign against open defecation,” she said.

Making a stink: creating social media platforms to end #opendefecation

 

 

Make a stink -final posterThe UNICEF India WASH section is hosting a side event at the Stockholm World Water that builds on their poo2loo campign to promote the use of social nedia iniatives aimed at ending open defecation.

Journalist and author of The Big Necessity Rose George will moderate the event. Panel members Include: Stephen Brown (Global Poverty Project and Global Citizen, UK), Sanjay Wijesekera (UNICEF New York), Thorsten Kiefer (WASH United) and Sue Coates and Maria Fernandez (both from UNICEF India).

Make the Stink will be held from 12.30-14.00 on 3 September.

Register for the event

More information at: www.unicef.org/india/reallives_8970.htm

AMCOW AfricaSan Awards 2014: call for nominations

The African Ministers’ Council on Water (AMCOW) is pleased to invite entries for the AMCOW AfricaSan Awards to be announced on the 10th October 2014 at AfricaSan 4.

The AMCOW AfricaSan Awards are dedicated to recognizing outstanding efforts and achievements in sanitation and hygiene in Africa which result in large-scale, sustainable behavior changes and tangible impacts. The aim is to raise the profile of sanitation and hygiene by drawing attention to successful approaches, promoting excellence in leadership, innovation and sanitation and hygiene improvements in Africa.

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