A mixed-methods study of women's sanitation utilization in informal settlements in Kenya.

Samantha Cristine Winter, Robert Dreibelbis, Millicent Ningoma Dzombo, Francis Barchi
Author Information
  1. Samantha Cristine Winter: Edward J. Bloustein School of Planning & Public Policy, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States of America. ORCID
  2. Robert Dreibelbis: Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
  3. Millicent Ningoma Dzombo: Department of Sociology and Social Work, University of Nairobi, Nairobi, Kenya.
  4. Francis Barchi: Edward J. Bloustein School of Planning & Public Policy, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States of America.

Abstract

While access to safe sanitation is a global issue, there are large disparities in access. Women living in informal settlements, in particular, are disproportionately affected by lack of access to sanitation. Without adequate sanitation, these women may resort to unsafe strategies to manage their sanitation needs, but limited research has focused specifically on this issue. Qualitative and quantitative data were collected from women in the Mathare informal settlement in Nairobi, Kenya in 2016. A latent class analysis (LCA) using the quantitative data yielded five distinct sanitation profiles (SP) among women in Mathare. In-depth interviews and sanitation walks with women added further detail about the characteristics of and motivations underlying each profile. Women's sanitation profiles in these settlements are complex. A majority of women in this study utilized an unsafe method of disposal at least once in a 24-hour period that increased their risk of direct exposure to waste and harmful pathogens.

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MeSH Term

Adolescent
Adult
Female
Health Status
Humans
Hygiene
Kenya
Middle Aged
Poverty Areas
Sanitation
Toilet Facilities
Women's Health
Young Adult

Word Cloud

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