Mobility up the sanitation ladder following community-led total sanitation in rural Zambia
| Autor: | Benjamin Winters, Anna M. Winters, Amy Tiwari, Anne Mutunda, Scott Russpatrick, Engervell Musonda, John Pinfold, David A. Larsen, Laurie Markle, Nicolas Osbert |
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| Rok vydání: | 2017 |
| Předmět: |
Wet season
Community-led total sanitation Surveillance data Sanitation media_common.quotation_subject 030231 tropical medicine Public Health Environmental and Occupational Health Development Pollution 03 medical and health sciences 0302 clinical medicine Geography Hygiene Latrine Open defecation 030212 general & internal medicine Water resource management Socioeconomics Waste Management and Disposal Disease transmission Water Science and Technology media_common |
| Zdroj: | Journal of Water, Sanitation and Hygiene for Development. 7:436-444 |
| ISSN: | 2408-9362 2043-9083 |
| Popis: | Scaling the sanitation ladder decreases exposure to various illnesses including diarrheal disease, soil-transmitted helminths and trachoma. In rural Zambia, community-led total sanitation (CLTS) has been deployed to help Zambians scale the sanitation ladder. Analysis of monthly routine surveillance data of village-level sanitation coverage of 13,688 villages shows that villages moved up the sanitation ladder following CLTS intervention with more than one third of villages achieving 100% coverage of adequate sanitation. Villages also moved down the sanitation ladder – approximately half of those achieving 100% coverage of adequate sanitation also dropped from that coverage at some point during monitoring. Larger villages were less likely to achieve 100% coverage, and more likely to drop if they did achieve 100% coverage. Drops were more likely to occur during the wet season. Of those villages dropping from 100% coverage, more than half rebounded to 100% coverage. The adequate latrine components most likely to drop off from 100% coverage were handwashing stations and lids to cover holes, both key components in preventing disease transmission. These results have implications for water, sanitation and hygiene (WASH) programming – sustained support may be required to ensure villages move up the sanitation ladder and stay there. |
| Databáze: | OpenAIRE |
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