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Adoption of Liquefied Petroleum Gas Stoves in Guatemala: A Mixed-Methods Study

EcoHealth volume 15, pages 745–756 (2018)Cite this article

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Abstract

Household air pollution is the sixth leading risk factor for premature mortality in Guatemala. Households in Guatemala are gradually adopting liquefied petroleum gas (LPG) stoves, but a strong tradition of woodstove use persists. We conducted a mixed-methods study of LPG stove use in peri-urban Guatemala. We used knowledge, attitudes and practices surveys with 187 LPG stove owners who also used woodstoves to identify perceptions of stove and cooking practices. Barriers to sustained use of LPG stoves were evaluated through focus groups, participant observations with stove users, and key informant interviews with community leaders. Seven themes emerged that explain household decisions to use LPG stoves: (1) The “new technology” should be framed in terms of what the “old technology” lacks, (2) income is not a predictor of gas stove acquisition but may predict sustained use, (3) men are key decision-makers but messages about LPG do not target them, (4) when stoves are viewed as “prize possessions” they may not be used, (5) collective fear about gas stoves is not based on personal experience, but on “stories we hear,” (6) sustained LPG use is hampered by two major factors, seasonally available wood and LPG retailers who are perceived as dishonest, and (7) wood fuel collection is a time to enjoy the company of friends and family and is not “drudgery.” National policies should promote the use of clean cookstove technologies in peri-urban and rapidly urbanizing areas in Guatemala where LPG stoves are in use, but used intermittently, instead of the current plan to install 100,000 “improved” woodstoves by 2032. This could be done by improving dependable cylinder distribution services, targeting gas safety and promoting positive health messages that appeal to men, as well as women.

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References

  • Alexander, D., J. C. Linnes, S. Bolton, and T. Larson. 2014. Ventilated cookstoves associated with improvements in respiratory health-related quality of life in rural Bolivia. J Public Health (Oxf) 36:460-466.

    Article  Google Scholar 

  • Bielecki, C., and G. Wingenbach. 2014. Rethinking improved cookstove diffusion programs: A case study of social perceptions and cooking choices in rural Guatemala. Energy Policy 66:350-358.

    Article  Google Scholar 

  • Bryman, A. 2006. Integrating quantitative and qualitative research: how is it done? Qualitative Research 6:97-113.

    Article  Google Scholar 

  • DeWalt, K. M., and B. R. DeWalt. 2011. Participant Observation. A Guide for Fieldworkers. Rowman and Littlefield Publishers, Plymouth, UK.

    Google Scholar 

  • Edwards, J., and C. Langpap. 2005. Startup Costs and the Decision to Switch from Firewood to Gas Fuel. Land Economics 81:570-586.

    Article  Google Scholar 

  • Glaser, B. 1967. The discovery of grounded theory: Strategies for qualitative research. Aldine Transaction, New Jersey.

    Google Scholar 

  • Glaser, B. 1978. Theoretical sensitivity. Sociology Press, Mill Valley, CA.

    Google Scholar 

  • Glaser, B. 1992. Basics of grounded theory analysis: Emergence vs. forcing. Sociology Press, Mill Valley, CA.

  • Glaser, B. 1998. Doing grounded theory: Issues and discussion. Sociology Press, Mill Valley, CA.

    Google Scholar 

  • Global Alliance for Clean Cookstoves (2014) Guatemala country action plan for clean cookstoves and fuels, Guatemala City, Guatemala

  • Gobierno de Guatemala Instituto Nacional de Estadistica (2015) Compendio Estadistico Ambiental 2015, Guatemala City, Guatemala

  • Gobierno de Guatemala Ministerio de Energia y Minas (2017a) Plan Nacional de Energia 2017–2032 [National Energia Plan 2017–2032], Guatemala City, Guatemala: Gobierno de Guatemala

  • Gobierno de Guatemala Ministerio de Energia y Minas (2017b) Statistics on hydrocarbons, First report 2017, Guatemala City, Guatemala: Ministerio de Energia y Minas

  • Goodwin, N. J., S. E. O’Farrell, K. Jagoe, J. Rouse, E. Roma, A. Biran, and E. A. Finkelstein. 2015. Use of behavior change techniques in clean cooking interventions: a review of the evidence and scorecard of effectiveness. J Health Commun 20 Suppl 1:43–54.

    Article  Google Scholar 

  • Hollada, J., K. N. Williams, C. H. Miele, D. Danz, S. A. Harvey, and W. Checkley. 2017. Perceptions of Improved Biomass and Liquefied Petroleum Gas Stoves in Puno, Peru: Implications for Promoting Sustained and Exclusive Adoption of Clean Cooking Technologies. Int J Environ Res Public Health 14.

    Article  Google Scholar 

  • Institute for Health Metrics and Evaluation (2017) GBD compare, Seattle, WA: IHME, University of Washington

    Google Scholar 

  • Kumar, P., A. Dhand, R. G. Tabak, R. C. Brownson, and G. N. Yadama. 2017. Adoption and sustained use of cleaner cooking fuels in rural India: a case control study protocol to understand household, network, and organizational drivers. Arch Public Health 75:70.

    Article  Google Scholar 

  • Lewis, J. J., and S. K. Pattanayak. 2012. Who adopts improved fuels and cookstoves? A systematic review. Environ Health Perspect 120:637-645.

    Article  Google Scholar 

  • Matinga, M. N., H. J. Annegarn, and J. S. Clancy. 2013. Healthcare provider views on the health effects of biomass fuel collection and use in rural Eastern Cape, South Africa: an ethnographic study. Soc Sci Med 97:192-200.

    Article  Google Scholar 

  • Mortimer, K., S. B. Gordon, S. K. Jindal, R. A. Accinelli, J. Balmes, and W. J. Martin, 2nd. 2012. Household air pollution is a major avoidable risk factor for cardiorespiratory disease. Chest 142:1308-1315.

    Article  Google Scholar 

  • Mukhopadhyay, R., S. Sambandam, A. Pillarisetti, D. Jack, K. Mukhopadhyay, K. Balakrishnan, M. Vaswani, M. N. Bates, P. L. Kinney, N. Arora, and K. R. Smith. 2012. Cooking practices, air quality, and the acceptability of advanced cookstoves in Haryana, India: an exploratory study to inform large-scale interventions. Glob Health Action 5:1-13.

    CAS  Article  Google Scholar 

  • Naeher, L. P., M. Brauer, M. Lipsett, J. T. Zelikoff, C. D. Simpson, J. Q. Koenig, and K. R. Smith. 2007. Woodsmoke health effects: a review. Inhal Toxicol 19:67-106.

    CAS  Article  Google Scholar 

  • Namagembe, A., N. Muller, L. M. Scott, G. Zwisler, M. Johnson, J. Arney, D. Charron, and E. Mugisha. 2015. Factors influencing the acquisition and correct and consistent use of the top-lit updraft cookstove in Uganda. J Health Commun 20 Suppl 1:76-83.

    Article  Google Scholar 

  • Person, B., J. D. Loo, M. Owuor, L. Ogange, M. E. Jefferds, and A. L. Cohen. 2012. “It is good for my family’s health and cooks food in a way that my heart loves”: qualitative findings and implications for scaling up an improved cookstove project in rural Kenya. Int J Environ Res Public Health 9:1566-1580.

    Article  Google Scholar 

  • Puzzolo, E., D. Pope, D. Stanistreet, E. A. Rehfuess, and N. G. Bruce. 2016. Clean fuels for resource-poor settings: A systematic review of barriers and enablers to adoption and sustained use. Environ Res 146:218-234.

    CAS  Article  Google Scholar 

  • Rehfuess, E. A., E. Puzzolo, D. Stanistreet, D. Pope, and N. G. Bruce. 2014. Enablers and barriers to large-scale uptake of improved solid fuel stoves: a systematic review. Environ Health Perspect 122:120-130.

    Article  Google Scholar 

  • Rosenbaum, J., E. Derby, and K. Dutta. 2015. Understanding consumer preference and willingness to pay for improved cookstoves in bangladesh. J Health Commun 20 Suppl 1:20-27.

    Article  Google Scholar 

  • Smith, K. R. 2015. Changing Paradigms in Clean Cooking. Ecohealth 12:196-199.

    PubMed  Google Scholar 

  • Strauss, A., and J. Corbin. 1998. Basics of qualitative research: Grounded theory procedures and techniques (2nd ed.). Sage, Los Angeles.

    Google Scholar 

  • Thurber, M. C., C. Warner, L. Platt, A. Slaski, R. Gupta, and G. Miller. 2013. To promote adoption of household health technologies, think beyond health. Am J Public Health 103:1736-1740.

    Article  Google Scholar 

  • WHO. 2006. Fuel for Life: Household Energy and Health.

  • WHO. 2014. Indoor Air Quality Guidelines: Household Fuel Combustion. World Health Organization, Geneva.

    Google Scholar 

  • World Bank. 2018. Guatemala: urbanization from 2007 to 2017.in W. Bank, editor. World Bank.

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Acknowledgments

We wish to acknowledge the hard work of the local field team in Guatemala. Without their commitment, this study would not have been achievable. Many thanks to César Vega González, Eduardo Canuz Castro, Paola García López, Elena Jirón Aguilar, Claudia Cojolón, Mirna Betzabé Esqueque and Rutilia Pérez Chicojay. We thank the participating families and community members in San Juan Alotenango for participating in this study. This project was part of a joint funding effort by the Global Alliance for Clean Cookstoves, a public–private partnership hosted by the United Nations Foundation and the USAID Translating Research into Action Project (TRAction).

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Affiliations

  1. Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Suite 226, Atlanta, GA, 30322, USA

    Lisa M. Thompson

  2. Independent Consultant, Berlin, Germany

    Mayari Hengstermann

  3. School of Medicine, Boston University, Boston, MA, USA

    John R. Weinstein

  4. Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala

    Anaite Diaz-Artiga

Authors
  1. Lisa M. Thompson
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  2. Mayari Hengstermann
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  3. John R. Weinstein
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  4. Anaite Diaz-Artiga
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Correspondence to Lisa M. Thompson.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Lisa M. Thompson and Mayari Hengstermann: Co-first authors.

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Thompson, L.M., Hengstermann, M., Weinstein, J.R. et al. Adoption of Liquefied Petroleum Gas Stoves in Guatemala: A Mixed-Methods Study. EcoHealth 15, 745–756 (2018). https://doi.org/10.1007/s10393-018-1368-8

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  • DOI: https://doi.org/10.1007/s10393-018-1368-8

Keywords

  • Household air pollution
  • Liquefied petroleum gas
  • Knowledge, attitudes and practices surveys
  • Guatemala
  • Mixed-methods