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Prevalence and determinants of the cleanliness of shared toilets in Kampala slums, Uganda

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Abstract

Aim

Keeping shared toilets clean is a key public health challenge household users face in urban slum settlements of most developing countries. This paper provides insights on the cleanliness of households’ shared toilets and the factors that influence their cleanliness, as well as influencing the inclination of the users to keep them clean.

Subjects and methods

This analysis is part of a cross-sectional study conducted in 50 randomly selected slums in Kampala, Uganda between October and November 2010. A total of 1,500 respondents were interviewed, using a semi-structured questionnaire.

Results

Out of 1,019 respondents using shared toilets, less than 12 % reported having very clean toilets. Some of the significant factors influencing the cleanliness of shared toilets are: the ease or difficulty in keeping shared toilets clean, the number of households sharing a toilet room, effortful cleaning behaviour and cleaning intention on the part of the users.

Conclusion

The findings show that most slum dwellers use toilets that are not hygienic.

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References

  • Bartlett S (2003) Water, sanitation and urban children: the need to go beyond “improved” provision. Environ Urban 15:57–70

    Google Scholar 

  • Burra S, Patel S, Kerr T (2003) Community-designed, built and managed toilet blocks in Indian cities. Environ Urban 15:11–32

    Google Scholar 

  • Chaplin SE (1999) Cities, sewers and poverty: India’s politics of sanitation. Environ Urban 11:145–158

    Article  Google Scholar 

  • Dana T (2011) Unhygienic living conditions and health problems: a study in selected slums of Dhaka City. OIDA Int J Sustain Dev 2:27–34

    Google Scholar 

  • Goldman N, Pebley AR, Beckett M (2001) Diffusion of ideas about personal hygiene and contamination in poor countries: evidence from Guatemala. Soc Sci Med 52:53–69

    Article  CAS  PubMed  Google Scholar 

  • Grimason AM, Davison K, Tembo KC, Jabu GC, Jackson MH (2000) Problems associated with the use of pit latrines in Blantyre, Republic of Malawi. J R Soc Promot Heal 120:175–182

    Article  CAS  Google Scholar 

  • Gulyani S, Talukdar D (2008) Slum real estate: the low-quality high-price puzzle in Nairobi’s slum rental market and its implications for theory and practice. World Dev 36:1916–1937

    Article  Google Scholar 

  • Isunju JB, Schwartz K, Schouten MA, Johnson WP, Van Dijk WP (2011) Socio-economic aspects of improved sanitation in slums: a review. Public Health 125:368–376

    Article  CAS  PubMed  Google Scholar 

  • Jenkins MW, Scott B (2007) Behavioral indicators of household decision-making and demand for sanitation and potential gains from social marketing in Ghana. Soc Sci Med 64:2427–2442

    Article  PubMed  Google Scholar 

  • Karn SK, Shikura S, Harada H (2003) Living environment and health of urban poor: a study in Mumbai. Econ Polit Weekly 38:3575–3586

    Google Scholar 

  • Katukiza AY, Ronteltap M, Oleja A, Niwagaba CB, Kansiime F, Lens PNL (2010) Selection of sustainable sanitation technologies for urban slums: a case of Bwaise III in Kampala, Uganda. Sci Total Environ 409:52–62

    Article  CAS  PubMed  Google Scholar 

  • Katukiza AY, Ronteltap M, Niwagaba CB, Foppen JWA, Kansiime F, Lens PNL (2012) Sustainable sanitation technology options for urban slums. Biotechnol Adv 30:964–978

    Article  CAS  PubMed  Google Scholar 

  • Mcfarlane C (2008) Sanitation in Mumbai’s informal settlements: state, ‘slum’ and infrastructure. Environ Planning A 40:88–107

    Article  Google Scholar 

  • Montgomery MA, Desai MM, Groce NE, Elimelech M (2011) Relationship between distance to social gathering facilities and risk of trachoma for households in rural Tanzanian communities. Soc Sci Med 73:1–5

    Article  PubMed  Google Scholar 

  • Munoz SR, Bangdiwala SI (1997) Interpretation of Kappa and B statistics measures of agreement. J Appl Stat 24:105–112

    Article  Google Scholar 

  • Okot-Okumu J, Oosterveer P (2010) Providing sanitation for the urban poor in Uganda. In: Vliet BV, Spaargaren G, Oosterveer P (eds) Social perspectives on the sanitation challenge. Springer, New York

    Google Scholar 

  • Omambia AN (2010) Sanitation in urban slums: perception, attitude and behavior—the case of Kibera, Nairobi-Kenya. J Environ Sci Eng 4:74–84

    Google Scholar 

  • Roma E, Buckley C, Jefferson B, Jeffrey P (2010) Assessing users’ experience of shared sanitation facilities: a case study of community ablution blocks in Durban, South Africa. Water SA 36:1–6

    Article  Google Scholar 

  • Schouten MAC, Mathenge RW (2010) Communal sanitation alternatives for slums: a case study of Kibera, Kenya. Phys Chem Earth, Parts A/B/C 35:815–822

    Article  Google Scholar 

  • Swaminathan M (1995) Aspects of urban poverty in Bombay. Environ Urban 7:133–144

    Article  Google Scholar 

  • Tumwebaze IK, Orach CG, Niwagaba C, Luthi C, Mosler HJ (2012) Sanitation facilities in Kampala slums, Uganda: users’ satisfaction and determinant factors. Int J Environ Heal R 1–14

  • Unicef/WHO (2012) Progress on drinking water and sanitation: 2012 update. United Nations Children’s Fund and World Health Organisation, New York and Geneva

    Google Scholar 

  • Wegelin-Schuringa M, Kodo T (1997) Tenancy and sanitation provision in informal settlements in Nairobi: revisiting the public latrine option. Environ Urban 9:181–190

    Article  Google Scholar 

Download references

Acknowledgements

The author would like to acknowledge the support received from the Swiss National Centre of Competence in Research (NCCR) North–South: Research Partnerships for Mitigating Syndromes of Global Change, co-funded by the Swiss National Science Foundation (SNSF) and the Swiss Agency for Development and Cooperation (SDC), as well as the support of his PhD mentors; Prof. Dr. Hans-Joachim Mosler and Dr. Christoph Lüthi (The Swiss Federal Institute of Aquatic Science and Techonology) and Dr. Charles Niwagaba (Makerere University).

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There is no conflict of interest.

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Correspondence to Innocent Kamara Tumwebaze.

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Tumwebaze, I.K. Prevalence and determinants of the cleanliness of shared toilets in Kampala slums, Uganda. J Public Health 22, 33–39 (2014). https://doi.org/10.1007/s10389-013-0590-7

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  • DOI: https://doi.org/10.1007/s10389-013-0590-7

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