Assessing patterns and determinants of latrine use in rural settings: A longitudinal study in Odisha, India

International Journal of Hygiene and Environmental Health
Antara SinhaThomas Clasen

Abstract

Monitoring of sanitation programs is often limited to sanitation access and coverage, with little emphasis on use of the facilities despite increasing evidence of widespread non-use. We assessed patterns and determinants of individual latrine use over 12 months in a low- income rural study population that had recently received latrines as part of the Government of India's Total Sanitation Campaign (TSC) in coastal Puri district in Odisha, India. We surveyed 1938 individuals (>3years) in 310 rural households with latrines from 25 villages over 12 months. Data collection rounds were timed to correspond with the seasons. The primary outcome was reported use by each member of the household over the prior 48h. We classified use into three categories-"never", "sometimes" and "always/usually". We also assessed consistency of use over six days across the three seasons (dry cold, dry hot, rainy). We explored the association between individual and household-level variables and latrine use in any given season and longitudinally using multinomial logistic regression. We also inquired about reasons for non-use. Overall, latrine use was poor and inconsistent. The average response probability at any given round of never use was 43.5% (95% CI=...Continue Reading

Citations

Aug 19, 2017·The American Journal of Tropical Medicine and Hygiene·Christine Stauber
Jul 11, 2019·International Journal of Environmental Research and Public Health·Paola A Torres-SlimmingSherilee L Harper
Dec 15, 2017·International Journal of Environmental Research and Public Health·Mitsunori OdagiriYameha T Asamou
Nov 15, 2018·International Journal of Environmental Research and Public Health·Qing LuoHongyan Yao
Mar 1, 2019·Environmental Health Insights·Phylis Jepkorir BusieneiMillicent A Mokua
Jan 16, 2019·BMC Research Notes·Dagim Afework ZelekeFantahun Ayenew Mekonnen
Sep 4, 2020·Journal of Environmental and Public Health·Kiros Fenta AjemuNega Mamo Bezabih
Dec 11, 2019·Tropical Medicine and Infectious Disease·Darren J GrayDonald E Stewart
May 15, 2019·International Journal of Environmental Research and Public Health·Aditya MathurAshish Pathak

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BETA
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NCT01214785

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SPost13
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