A Review of User Vulnerabilities Associated with Shared Sanitation Practices in Sub-Saharan Africa
Peter Appiah Obeng, Eric Awere, Kwesi Sane Banafo, Panin Asirifua Obeng, Sharon Amanda Quaye, Sara Pennellini, Alessandra Bonoli
International Journal of Environment and Climate Change · pp. 977–998 · Published 27 Dec 2022
10.9734/ijecc/2022/v12i121538Abstract
Aims: Shared sanitation was excluded from the basic service level due to perceived limitations of their hygiene, accessibility and safety. But how does the current body of scientific knowledge influence the narrative? This paper is aimed at reviewing data on the current status and vulnerability issues reported to be associated with shared sanitation in Sub-Saharan Africa (SSA). Methodology: Literature was searched using key search terms from nine databases. Peer-reviewed articles and various reports of individual country studies published in English from January 2000 to April 2022 were selected. Results: As at 2020, the proportion of the population sharing sanitation facilities in SSA was estimated as 19% compared to 7% globally. The review revealed a mixed opinion about issues and vulnerabilities associated with shared sanitation which may have arisen from inconsistencies in the typologies and levels of sharing of facilities among the reviewed studies. Using shared sanitation was found to be associated with an increased risk of diarrheal diseases (OR=1.06; 95%CI: 1.03-1.08) and non-partner violence against women (OR=1.52; 95%CI: 1.22-1.82). However, there is also evidence that many shared facilities, particularly those shared by a few (2-3) households, are clean, meet the needs of the users and afford them similar health outcomes as non-shared facilities. Conclusion: The findings of the review suggest that the outright exclusion of all forms of shared sanitation from basic sanitation potentially underestimates the global efforts and progress toward access to sanitation. There is a need to segregate communal and public toilets from privately shared facilities in future research as well as the progress reporting by the Joint Monitoring Programme (JMP). It is also recommended that steps are taken by the JMP to develop indicators for identifying and incorporating quality shared sanitation facilities into the basic sanitation service level in order to give a more realistic account of the global effort towards sanitation access.
References (61)
- 1 The American Journal of Tropical Medicine and Hygiene [DOI]
- 2 The Costs of Meeting the 2030 Sustainable Development Goal Targets on Drinking Water, Sanitation, and Hygiene [DOI]
- 3 Shared Sanitation versus Individual Household Latrines: A Systematic Review of Health Outcomes [DOI]
- 4 Slum Sanitation and the Social Determinants of Women’s Health in Nairobi, Kenya [DOI]
- 5 Prevalence of diarrhoea and risk factors among children under five years old in Mbour, Senegal: a cross-sectional study [DOI]
- 6 Sanitation and Hygiene-Specific Risk Factors for Moderate-to-Severe Diarrhea in Young Children in the Global Enteric Multicenter Study, 2007–2011: Case-Control Study [DOI]
- 7 Communal sanitation alternatives for slums: A case study of Kibera, Kenya [DOI]
- 8 Sanitation facilities in Kampala slums, Uganda: users' satisfaction and determinant factors [DOI]
- 9 Determinants of quality of shared sanitation facilities in informal settlements: case study of Kisumu, Kenya [DOI]
- 10 Ghana's post-MDGs sanitation situation: an overview [DOI]
- 11 Cholera Outbreak in Kenyan Refugee Camp: Risk Factors for Illness and Importance of Sanitation [DOI]
- 12 Descending the sanitation ladder in urban Uganda: evidence from Kampala Slums [DOI]
- 13 The Sanitation Ladder, What Constitutes an Improved Form of Sanitation? [DOI]
- 14 EPIDEMIOLOGY OF SPORADIC BLOODY DIARRHEA IN RURAL WESTERN KENYA [DOI]
- 15 Beyond ‘improved’ towards ‘safe and sustainable’ urban sanitation: assessing the design, management and functionality of sanitation in poor communities of Dar es Salaam, Tanzania [DOI]
- 16 Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011 [DOI]
- 17 Public toilets and their customers in low-income Accra, Ghana [DOI]
- 18 Limited services? The role of shared sanitation in the 2030 Agenda for Sustainable Development [DOI]
- 19 Shared toilet users’ collective cleaning and determinant factors in Kampala slums, Uganda [DOI]
- 20 Shared latrines in Maputo, Mozambique: exploring emotional well-being and psychosocial stress [DOI]
- 21 Redefining shared sanitation [DOI]
- 22 Water, sanitation, and hygiene (WASH) insecurity will exacerbate the toll of COVID-19 on women and girls in low-income countries [DOI]
- 23 Usage and Barriers to Use of Latrines in a Ghanaian Peri-Urban Community [DOI]
- 24 The improved and the unimproved: Factors influencing sanitation and diarrhoea in a peri-urban settlement of Lusaka, Zambia [DOI]
- 25 Water, Sanitation and Hygiene Situation in Kenya's Urban Slums [DOI]
- 26 Exploring the complex relationship between women’s sanitation practices and household diarrhea in the slums of Nairobi: a cross-sectional study [DOI]
- 27 Understanding the Barriers and Opportunities for Effective Management of Shared Sanitation in Low-Income Settlements—The Case of Kumasi, Ghana [DOI]
- 28 Household illness and associated water and sanitation factors in peri-urban Lusaka, Zambia, 2016–2017 [DOI]
- 29 Barriers and opportunities for cleanliness of shared sanitation facilities in low-income settlements in Kenya [DOI]
- 30 Child diarrhoea and nutritional status in rural Rwanda: a cross‐sectional study to explore contributing environmental and demographic factors [DOI]
- 31 Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey [DOI]
- 32 Sanitation - a neglected essential service in the unregulated urban expansion of Ashaiman, Ghana
- 33 Theory-driven formative research on on-site, shared sanitation quality improvement among landlords and tenants in peri-urban Lusaka, Zambia [DOI]
- 34 Non-partner sexual violence experience and toilet type amongst young (18–24) women in South Africa: A population-based cross-sectional analysis [DOI]
- 35 Seasonal variations and shared latrine cleaning practices in the slums of Kampala city, Uganda [DOI]
- 36 A mixed-methods study of women’s sanitation utilization in informal settlements in Kenya [DOI]
- 37 Shared sanitation: to include or to exclude? [DOI]
- 38 Prevalence and determinants of the cleanliness of shared toilets in Kampala slums, Uganda [DOI]
- 39 Why are some latrines cleaner than others? Determining the factors of habitual cleaning behaviour and latrine cleanliness in rural Burundi [DOI]
- 40 Pit latrine fill-up rates: variation determinants and public health implications in informal settlements, Nakuru-Kenya [DOI]
- 41 Relationships between shared sanitation facilities and diarrhoeal and soil-transmitted helminth infections: an analytical review [DOI]
- 42 Getting a foot on the sanitation ladder: user satisfaction and willingness to pay for improved public toilets in Accra, Ghana [DOI]
- 43 The dynamics and determinants of household shared sanitation cleanliness in a heterogeneous urban settlement in Southwest Nigeria [DOI]
- 44 Non-Partner Violence in Sub-Saharan Africa and the Built Environment: A Multicountry Analysis of the Effects of Sanitation, Water Access, and Urban Settings [DOI]
- 45 Contributing to the debate on categorising shared sanitation facilities as ‘unimproved’: An account based on field researchers’ observations and householders’ opinions in three regions, Tanzania [DOI]
- 46 Households' access and use of water and sanitation facilities in poor urban areas of Kampala, Uganda [DOI]
- 47 Inclusion of shared sanitation in urban sanitation coverage? Evidence from Ghana and Uganda [DOI]
- 48 Communal latrine utilization and associated factors in Addis Ababa, Ethiopia: a community-based cross-sectional study [DOI]
- 49 Shifting from public shared toilets to home toilets in urban settlements: implications of household demand in Kumasi, Ghana.
- 50 The latrine ownership ladder [DOI]
- 51 An examination of water, sanitation, and hygiene (WASH) accessibility and opportunity in urban informal settlements during the COVID-19 pandemic: Evidence from Nairobi, Kenya [DOI]
- 52 SDG 6 Synthesis Report 2018 on Water and Sanitation [DOI]
- 53 Detection of SARS-CoV-2 RNA on contact surfaces within shared sanitation facilities [DOI]
- 54 Diarrhoea among Children Aged under Five Years and Risk Factors in Informal Settlements: A Cross-Sectional Study in Cape Town, South Africa [DOI]
- 55 Transmission of SARS-CoV-2 infections and exposure in surfaces, points and wastewaters: A global one health perspective [DOI]
- 56 Indicators for Sanitation Quality in Low-Income Urban Settlements: Evidence from Kenya, Ghana, and Bangladesh [DOI]
- 57 Developing and Testing Strategies for Improving Cleanliness of Shared Sanitation in Low-Income Settlements of Kisumu, Kenya [DOI]
- 58 Barriers to cleaning of shared latrines in slums of Addis Ababa, Ethiopia [DOI]
- 59 An assessment of the health risks associated with shared sanitation: a case study of the community ablution blocks in Durban, South Africa [DOI]
- 60 Shared but Clean Household Toilets: What Makes This Possible? Evidence from Ghana and Kenya [DOI]
- 61 16S rRNA-based metagenomic profiling of microbes on contact surfaces within shared sanitation facilities [DOI]
Cited by 3
Kipngeno Aaron, Patrick Kubai, Josephine Mutembei · International Journal of Innovative Science and Research Technology (IJISRT) · 2024
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