Uptake of Community Led Total Sanitation among Residents of Isiolo County, Kenya
| dc.contributor.author | Osman, Mahad Bagaja | |
| dc.date.accessioned | 2025-02-26T06:14:54Z | |
| dc.date.available | 2025-02-26T06:14:54Z | |
| dc.date.issued | 2024-08 | |
| dc.description | A Thesis Submitted in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science (Water Sanitation and Hygiene) in the School of Health Sciences of Kenyatta University August, 2024 Supervisors: 1. Isabella King’ori 3.. Anthony Ireri | |
| dc.description.abstract | The study aims to assess the uptake of Community Led Total Sanitation among residents of Isiolo County, Kenya, focusing on individual factors, latrine ownership and use, and institutional factors associated with uptake. Despite the global call for universal access to sanitation and hygiene, about 673 million people still defecate in the open, despite the Kenyan government's adoption of this program. The cross-sectional descriptive study design, using both quantitative and qualitative data collection methods, aims to provide a comprehensive understanding of the issue. The sample size comprised of 373 household heads systematically picked at an interval of 8 from villages in selected Wards of Ngare Mara and Oldonyiro wards. Isiolo County was purposively selected since it is among the top ten counties practicing open defecation. Key informants comprising of healthcare workers, religious leaders and chiefs/opinion leader were also interviewed. Isiolo sub-county was randomly selected using folded pieces of paper while Ngare Mara and Oldonyiro Wards were purposively chosen as they recorded the highest prevalence of diarrheal diseases. The researcher sought all required approvals from relevant institutions and obtained informed consent from participants. Quantitative data was collected using structured questionnaires from household heads while qualitative data was collected using Key Informant Interview schedules from opinion leaders. Quantitative data was analyzed using Statistical Package for Social Sciences version 22.0. Qualitative data was triangulated with quantitative results as direct quotes or narrations as presented by the key informants. Chi-Square tests were done at 95% confidence interval with a 0.05 margin of error of 0.05 to calculate inferential statistics. The study results revealed that the rate of community led total sanitation in Isiolo County was 31.9%. The majority (54.3%) of responded owned a latrine with only 42.1% showing evidence of use. Majority of individual factors such as awareness of negative effects of open defecation (P=0.011), willingness to use a latrine (P=0.024), ability to construct and maintain a pit-latrine (P=0.001) and decision makers of pit-latrine construction (P=0.001) influenced community led total sanitation uptake. Most (53.5%) of the households owned a pit latrine with owning a pit-latrine (P=0.001), place of defecation (P=0.003), washing hands after visiting a pit-latrine (P=0.001) and disposal of child excreta (P=0.023) significantly associated with community led total sanitation uptake. Most institutional factors such as provision of incentives for pit-latrine ownership (P=0.013), source of information on health issues (P=0.001), community involvement in planning their health activities (P=0.041) and invitation for meetings on sanitation (P=0.038) significantly influenced uptake of community led total sanitation. The study concludes that the rate of community led total sanitation in Isiolo County was low. In fact, only three in every ten households in the county uptake community led total sanitation. The results will inform policy makers, academic researchers and other stakeholders to craft interventions for action to improve sanitation coverage by implementing community led total sanitation. This will help reduce open defecation rates and decrease diarrheal diseases thus contributing positively to the achievement of the Sustainable Development Goal number six by the year 2030. | |
| dc.description.sponsorship | Kenyatta University | |
| dc.identifier.uri | https://ir-library.ku.ac.ke/handle/123456789/29652 | |
| dc.language.iso | en | |
| dc.publisher | Kenyatta University | |
| dc.title | Uptake of Community Led Total Sanitation among Residents of Isiolo County, Kenya | |
| dc.type | Thesis |