Uptake of Community-Led Total Sanitation Approach towards Attainment of Open-Defecation-Free Status in Siaya County, Kenya

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dc.contributor.authorOgutu, Obiero Joseph
dc.date.accessioned2021-01-29T08:24:34Z
dc.date.available2021-01-29T08:24:34Z
dc.date.issued2020-09
dc.descriptionResearch Thesis Submitted in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Public Health (Monitoring and Evaluation) in the School of Public Health and Applied Human Sciences of Kenyatta University. September 2020en_US
dc.description.abstractBy 2015, an estimated 2.4 billion people lacked basic sanitation and 15% still practiced open defecation globally. In Kenya, approximately 5.6 million people still defecated in the open. Siaya County adopted Community-Led Total Sanitation (CLTS) in 2010 as an approach to address the problem of open defecation. This study aimed at assessing the uptake of the CLTS approach in Siaya County, Kenya. A cross-sectional study was conducted among 370 randomly selected households. Structured questionnaires, Focused Group Discussions, and Key Informant Interviews were used to collect data. Descriptive statistics (mean, median, and standard deviation) was performed for quantitative data using SPSS version 20.0. To identify the factors associated with the CLTS uptake bivariate analysis was performed. Those factors with p-Values ≤0.05 were considered statistically significant. The qualitative data collected were thematically analyzed and used to support the quantitative results. A total of 370 respondents were interviewed. The mean age was 46.2 years (SD=15.2 Years), females were 242 (65%), 283 (76.5%) were married and 132 (35.7%) were age 40–49 years. Sixty-three percent (232/370) of those interviewed had attained primary education. Of the households visited, 303 (82%) had pit latrines, while and 307 (83%) had attained the Open Defecation Free (ODF) status. Of the 303 households with latrines, 97 (32%) shared with their neighbors who did not have, while for the 67 (18%) households that didn’t have pit latrines, 43 (64.2%) shared with their neighbors who had latrines. The ODF status increased from <12 in 2010 to 79 in 2017. Bothmarital status {χ² =0.004, p= 0.952}, Education {χ² =2.19, p=0.334} and Occupation {χ²=2.404, p=0.493} were found not to be significantly associated with the uptake of CLTS approach. There was remarkable progress towards achieving ODF status in the study area. No significant association was found between CLTS uptake and marital status, education, and occupation. Some households despite having pit latrines were not yet ODF. We recommend the county health department and its stakeholders to scale up the CLTS approach to achieve 100% status.en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/21253
dc.language.isoenen_US
dc.publisherKenyatta Universityen_US
dc.subjectCommunity-Leden_US
dc.subjectTotal Sanitationen_US
dc.subjectOpen-Defecation-Free Statusen_US
dc.subjectSiaya Countyen_US
dc.subjectKenyaen_US
dc.titleUptake of Community-Led Total Sanitation Approach towards Attainment of Open-Defecation-Free Status in Siaya County, Kenyaen_US
dc.typeThesisen_US
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