Beliefs, Behaviors, and Perceptions of Community-Led Total Sanitation and Their Relation to Improved Sanitation in Rural Zambia
| Autor: | Nicolas Osbert, Kojo Yeboah-Antwi, J. Joseph Lawrence, Godfrey Biemba, Davidson H. Hamer, Pavani K. Ram, Lora Sabin |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Rural Population
Community-led total sanitation Sanitation media_common.quotation_subject Zambia 010501 environmental sciences 01 natural sciences 03 medical and health sciences 0302 clinical medicine Hygiene Virology Environmental health Taboo Medicine Humans Open defecation 030212 general & internal medicine Improved sanitation Toilet Facilities 0105 earth and related environmental sciences media_common Toilet business.industry Community Participation Articles Focus group Infectious Diseases Latrine Parasitology business Hand Disinfection |
| Zdroj: | The American journal of tropical medicine and hygiene. 94(3) |
| ISSN: | 1476-1645 |
| Popis: | Inadequate hygiene and sanitation remain leading global contributors to morbidity and mortality in children and adults. One strategy for improving sanitation access is community-led total sanitation (CLTS), in which participants are guided into self-realization of the importance of sanitation through activities called "triggering." This qualitative study explored community members' and stakeholders' sanitation, knowledge, perceptions, and behaviors during early CLTS implementation in Zambia. We conducted 67 in-depth interviews and 24 focus group discussions in six districts in Zambia 12-18 months after CLTS implementation. Triggering activities elicited strong emotions, including shame, disgust, and peer pressure, which persuaded individuals and families to build and use latrines and handwashing stations. New sanitation behaviors were also encouraged by the hierarchical influences of traditional leaders and sanitation action groups and by children's opinions. Poor soil conditions were identified as barriers to latrine construction. Taboos, including prohibition of different generations of family members, in-laws, and opposite genders from using the same toilet, were barriers for using sanitation facilities. CLTS, through community empowerment and ownership, produced powerful responses that encouraged construction and use of latrines and handwashing practices. These qualitative data suggest that CLTS is effective for improving sanitation beliefs and behaviors in Zambia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|