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Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya

Exposure to fecal pathogens contributes to childhood diarrhea and stunting, causing harmful short- and long-term impacts to health. Understanding pathways of child fecal exposure and nutritional deficiencies is critical to informing interventions to reduce stunting. Our aim was to explore determinan...

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Autores principales: Ellis, Anna, McClintic, Emilie E., Awino, Emily O., Caruso, Bethany A., Arriola, Kimberly R. J., Ventura, Sandra Gomez, Kowalski, Alysse J., Linabarger, Molly, Wodnik, Breanna K., Webb-Girard, Amy, Muga, Richard, Freeman, Matthew C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204574/
https://www.ncbi.nlm.nih.gov/pubmed/32124727
http://dx.doi.org/10.4269/ajtmh.19-0389
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author Ellis, Anna
McClintic, Emilie E.
Awino, Emily O.
Caruso, Bethany A.
Arriola, Kimberly R. J.
Ventura, Sandra Gomez
Kowalski, Alysse J.
Linabarger, Molly
Wodnik, Breanna K.
Webb-Girard, Amy
Muga, Richard
Freeman, Matthew C.
author_facet Ellis, Anna
McClintic, Emilie E.
Awino, Emily O.
Caruso, Bethany A.
Arriola, Kimberly R. J.
Ventura, Sandra Gomez
Kowalski, Alysse J.
Linabarger, Molly
Wodnik, Breanna K.
Webb-Girard, Amy
Muga, Richard
Freeman, Matthew C.
author_sort Ellis, Anna
collection PubMed
description Exposure to fecal pathogens contributes to childhood diarrhea and stunting, causing harmful short- and long-term impacts to health. Understanding pathways of child fecal exposure and nutritional deficiencies is critical to informing interventions to reduce stunting. Our aim was to explore determinants of latrine use, disposal of child feces, and perceptions and provisions of a safe and clean child play environment among families with children under two (CU2) years to inform the design of a behavior change intervention to address water, sanitation, and hygiene (WASH), and nutrition behaviors. In 2016, we conducted a mixed-methods formative research in western Kenya. We conducted 29 key informant interviews with community leaders, health workers, and project staff; 18 focus group discussions with caregivers of CU2 years; and 24 semi-structured household observations of feeding, hygiene, and sanitation behaviors. We used the capability, opportunity, motivation, and behavior model as our theoretical framework to map caregiver behavioral determinants. Latrine use barriers were lack of latrines, affordability of lasting materials, and social acceptability of unobserved open defecation. Barriers to safe disposal of child feces were lack of latrines, time associated with safe disposal practices, beliefs that infant feces were not harmful, and not knowing where children had defecated. Primary barriers of clean play environments were associated with creating and maintaining play spaces, and shared human and animal compounds. The immediate cost to practicing behaviors was perceived as greater than the long-term potential benefits. Intervention design must address these barriers and emphasize facilitators to enable optimal WASH behaviors in this context.
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spelling pubmed-72045742020-05-07 Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya Ellis, Anna McClintic, Emilie E. Awino, Emily O. Caruso, Bethany A. Arriola, Kimberly R. J. Ventura, Sandra Gomez Kowalski, Alysse J. Linabarger, Molly Wodnik, Breanna K. Webb-Girard, Amy Muga, Richard Freeman, Matthew C. Am J Trop Med Hyg Articles Exposure to fecal pathogens contributes to childhood diarrhea and stunting, causing harmful short- and long-term impacts to health. Understanding pathways of child fecal exposure and nutritional deficiencies is critical to informing interventions to reduce stunting. Our aim was to explore determinants of latrine use, disposal of child feces, and perceptions and provisions of a safe and clean child play environment among families with children under two (CU2) years to inform the design of a behavior change intervention to address water, sanitation, and hygiene (WASH), and nutrition behaviors. In 2016, we conducted a mixed-methods formative research in western Kenya. We conducted 29 key informant interviews with community leaders, health workers, and project staff; 18 focus group discussions with caregivers of CU2 years; and 24 semi-structured household observations of feeding, hygiene, and sanitation behaviors. We used the capability, opportunity, motivation, and behavior model as our theoretical framework to map caregiver behavioral determinants. Latrine use barriers were lack of latrines, affordability of lasting materials, and social acceptability of unobserved open defecation. Barriers to safe disposal of child feces were lack of latrines, time associated with safe disposal practices, beliefs that infant feces were not harmful, and not knowing where children had defecated. Primary barriers of clean play environments were associated with creating and maintaining play spaces, and shared human and animal compounds. The immediate cost to practicing behaviors was perceived as greater than the long-term potential benefits. Intervention design must address these barriers and emphasize facilitators to enable optimal WASH behaviors in this context. The American Society of Tropical Medicine and Hygiene 2020-05 2020-03-02 /pmc/articles/PMC7204574/ /pubmed/32124727 http://dx.doi.org/10.4269/ajtmh.19-0389 Text en © The American Society of Tropical Medicine and Hygiene This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Articles
Ellis, Anna
McClintic, Emilie E.
Awino, Emily O.
Caruso, Bethany A.
Arriola, Kimberly R. J.
Ventura, Sandra Gomez
Kowalski, Alysse J.
Linabarger, Molly
Wodnik, Breanna K.
Webb-Girard, Amy
Muga, Richard
Freeman, Matthew C.
Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title_full Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title_fullStr Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title_full_unstemmed Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title_short Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya
title_sort practices and perspectives on latrine use, child feces disposal, and clean play environments in western kenya
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204574/
https://www.ncbi.nlm.nih.gov/pubmed/32124727
http://dx.doi.org/10.4269/ajtmh.19-0389
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